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Author: Joanna Agbokou
Publisher:
ISBN:
Category :
Languages : fr
Pages : 62
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Book Description
Objectifs. Dans un contexte où de plus en plus d’étudiants font reconnaître leur diplôme en France depuis l’entrée en vigueur de la directive 2005/36/CE en 2005, l’objectif de cette étude était de décrire le parcours des internes de médecine générale qui ont fait la majorité de leur deuxième cycle à l’étranger, les difficultés et les aides qu’ils ont trouvées en France et leur projet à l’issue de leur troisième cycle. Méthode. Une enquête descriptive par questionnaire internet a été réalisée auprès des 993 internes ayant réalisé leur troisième cycle de médecine générale en France depuis l’année universitaire 2012-2013. Le recueil a duré 2 mois. Une unique relance a été réalisée. Résultats. La majorité des 298 répondants avaient réalisé leur deuxième cycle en Roumanie (51.7%), en Italie (19.1 %), en Pologne (6.0%) ou en Espagne (5.4%). Leurs motivations étaient plus particulièrement l’échec au concours de première année (45.0%) et le pays d’origine (41.9%). Ils exercent ou ont pour projet d’exercer essentiellement en France (89.7% et 74.1% respectivement). La quasi-totalité des répondants (97.7% ; IC95% [96.0–99.4]) ont déclaré avoir éprouvé au moins une difficulté pendant leur troisième cycle, plus particulièrement d’ordre administratif (51.3%) et de connaissances pratiques (50.7%). Cette proportion était similaire chez les 141 répondants nés en France (95.7%; IC95% [92.4–99.0]). La grande majorité des répondants (83.6% ; IC95% [79.4–87.8]) auraient souhaité trouver au moins un type d’aide, que seule la moitié (56.7% ; IC95% [51.1–62.3]) se sont vus proposer. Conclusions. Les aides proposées apparaissent très en deçà des besoins exprimés. Ces résultats suggèrent que l’amélioration de la situation passe par le développement d’aides dédiées sur le plan administratif et sur le plan des connaissances pratiques.
Author: Joanna Agbokou
Publisher:
ISBN:
Category :
Languages : fr
Pages : 62
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Book Description
Objectifs. Dans un contexte où de plus en plus d’étudiants font reconnaître leur diplôme en France depuis l’entrée en vigueur de la directive 2005/36/CE en 2005, l’objectif de cette étude était de décrire le parcours des internes de médecine générale qui ont fait la majorité de leur deuxième cycle à l’étranger, les difficultés et les aides qu’ils ont trouvées en France et leur projet à l’issue de leur troisième cycle. Méthode. Une enquête descriptive par questionnaire internet a été réalisée auprès des 993 internes ayant réalisé leur troisième cycle de médecine générale en France depuis l’année universitaire 2012-2013. Le recueil a duré 2 mois. Une unique relance a été réalisée. Résultats. La majorité des 298 répondants avaient réalisé leur deuxième cycle en Roumanie (51.7%), en Italie (19.1 %), en Pologne (6.0%) ou en Espagne (5.4%). Leurs motivations étaient plus particulièrement l’échec au concours de première année (45.0%) et le pays d’origine (41.9%). Ils exercent ou ont pour projet d’exercer essentiellement en France (89.7% et 74.1% respectivement). La quasi-totalité des répondants (97.7% ; IC95% [96.0–99.4]) ont déclaré avoir éprouvé au moins une difficulté pendant leur troisième cycle, plus particulièrement d’ordre administratif (51.3%) et de connaissances pratiques (50.7%). Cette proportion était similaire chez les 141 répondants nés en France (95.7%; IC95% [92.4–99.0]). La grande majorité des répondants (83.6% ; IC95% [79.4–87.8]) auraient souhaité trouver au moins un type d’aide, que seule la moitié (56.7% ; IC95% [51.1–62.3]) se sont vus proposer. Conclusions. Les aides proposées apparaissent très en deçà des besoins exprimés. Ces résultats suggèrent que l’amélioration de la situation passe par le développement d’aides dédiées sur le plan administratif et sur le plan des connaissances pratiques.
Author: Andrea Maloney Schara
Publisher:
ISBN: 9780615928791
Category : Families
Languages : en
Pages : 318
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Book Description
"Your Mindful Compass" takes us behind the emotional curtain to see the mechanisms regulating individuals in social systems. There is great comfort and wisdom in knowing we can increase our awareness to manage the swift and ancient mechanisms of social control. We can gain greater flexibility by seeing how social controls work in systems from ants to humans. To be less controlled by others, we learn how emotional systems influence our relationship-oriented brain. People want to know what goes on in families that give rise to amazing leaders and/or terrorists. For the first time in history we can understand the systems in which we live. The social sciences have been accumulating knowledge since the early fifties as to how we are regulated by others. S. Milgram, S. Ashe, P. Zimbardo and J. Calhoun, detail the vulnerability to being duped and deceived and the difficulty of cooperating when values differ. Murray Bowen, M.D., the first researcher to observe several live-in families, for up to three years, at the National Institute of Mental Health. Describing how family members overly influence one another and distribute stress unevenly, Bowen described both how symptoms and family leaders emerge in highly stressed families. Our brain is not organized to automatically perceive that each family has an emotional system, fine-tuned by evolution and "valuing" its survival as a whole, as much as the survival of any individual. It is easier to see this emotional system function in ants or mice but not in humans. The emotional system is organized to snooker us humans: encouraging us to take sides, run away from others, to pressure others, to get sick, to blame others, and to have great difficulty in seeing our part in problems. It is hard to see that we become anxious, stressed out and even that we are difficult to deal with. But "thinking systems" can open the doors of perception, allowing us to experience the world in a different way. This book offers both coaching ideas and stories from leaders as to strategies to break out from social control by de-triangling, using paradoxes, reversals and other types of interruptions of highly linked emotional processes. Time is needed to think clearly about the automatic nature of the two against one triangle. Time and experience is required as we learn strategies to put two people together and get self outside the control of the system. In addition, it takes time to clarify and define one's principles, to know what "I" will or will not do and to be able to take a stand with others with whom we are very involved. The good news is that systems' thinking is possible for anyone. It is always possible for an individual to understand feelings and to integrate them with their more rational brains. In so doing, an individual increases his or her ability to communicate despite misunderstandings or even rejection from important others. The effort involved in creating your Mindful Compass enables us to perceive the relationship system without experiencing it's threats. The four points on the Mindful Compass are: 1) Action for Self, 2) Resistance to Forward Progress, 3) Knowledge of Social Systems and the 4) The Ability to Stand Alone. Each gives us a view of the process one enters when making an effort to define a self and build an emotional backbone. It is not easy to find our way through the social jungle. The ability to know emotional systems well enough to take a position for self and to become more differentiated is part of the natural way humans cope with pressure. Now people can use available knowledge to build an emotional backbone, by thoughtfully altering their part in the relationship system. No one knows how far one can go by making an effort to be more of a self-defined individual in relationships to others. Through increasing emotional maturity, we can find greater individual freedom at the same time that we increase our ability to cooperate and to be close to others.
Author: Irene Papanicolas
Publisher: McGraw-Hill Education (UK)
ISBN: 033524727X
Category : Medical
Languages : en
Pages : 418
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Book Description
International comparison of health system performance has become increasingly popular, made possible by the rapidly expanding availability of health data. It has become one of the most important levers for prompting health system reform. Yet, as the demand for transparency and accountability in healthcare increases, so too does the need to compare data from different health systems both accurately and meaningfully. This timely and authoritative book offers an important summary of the current developments in health system performance comparison. It summarises the current state of efforts to compare systems, and identifies and explores the practical and conceptual challenges that occur. It discusses data and methodological challenges, as well as broader issues such as the interface between evidence and practice. The book draws out the priorities for future work on performance comparison, in the development of data sources and measurement instruments, analytic methodology, and assessment of evidence on performance. It concludes by presenting the key lessons and future priorities, and in doing so offers a rich source of material for policy-makers, their analytic advisors, international agencies, academics and students of health systems.
Author: Gerhard Neuner
Publisher: Council of Europe
ISBN: 9789287151704
Category : Language Arts & Disciplines
Languages : en
Pages : 152
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Book Description
Author: Marie-Pascale Pomey
Publisher: Springer Nature
ISBN: 3030141012
Category : Medical
Languages : en
Pages : 317
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Book Description
Patient-oriented approaches to healthcare management have been brought to the fore in recent years, yet this book underlines how even further change is needed in order to fully mobilise the experiential knowledge of patients, and ultimately improve our healthcare systems. With contributions from scholars and patients across the globe, this collection brings together a comprehensive overview of major achievements in patient engagement, analysing political, organizational and clinical contexts. By understanding the concept of care partnership, the authors explore how this patient revolution could transform, improve and innovate the ways in which care services are organized and delivered. Looking closely at the role of new technologies, this timely book will undoubtedly be of use to patients, managers and professionals within the healthcare industry, as well as those researching health policy and organization.
Author: Corinne Grenier
Publisher: John Wiley & Sons
ISBN: 1786307073
Category : Business & Economics
Languages : en
Pages : 72
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Book Description
How can healthcare systems be transformed by reimagining their multiple silos to favor processes and practices that are more responsive to local, horizontal initiatives? Altering Frontiers analyzes numerous experiences, using a multidisciplinary approach, paying attention to certain actors, collectives and organizational arrangements. Through this work, levers are identified that promote lasting transformation: recognizing the legitimacy of the practices of many who are often "invisible"; trusting those who know their intervention territory; investing in methodological support; taking advantage of tools and procedures such as instruments for strategic and managerial discussion; and developing the capacity to absorb innovative ideas and experiences that circulate within the environment.
Author: Sven Boermeester
Publisher:
ISBN: 9781949677072
Category :
Languages : en
Pages :
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Book Description
Innovate Bristol highlights and celebrates those companies and individuals that are actively working at building a better tomorrow for all. Innovation Ecosystems thrive through the involvement and support of companies and individuals from all industries, which is why the Innovate series not only focuses on the innovators but also those people whom the Innovation Ecosystem, would not be able to thrive without.
Author: Chanthalangsy, Phinith
Publisher: UNESCO Publishing
ISBN: 9231010069
Category : Philosophy
Languages : en
Pages : 236
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Author: Bihini won wa Musiti
Publisher: IUCN
ISBN: 2831706904
Category : Conservation of natural resources
Languages : ru
Pages : 344
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Book Description
This bilingual publication results from a four-day symposium aimed at capturing the general directions and analytical issues that characterize approaches to sustainable use in Africa. The papers included in this work are organized under four major headings: modes of use, devolution, scale issues and external issues. Authors explore these themes through the use of case studies and the description of specific regional experiences. External issues are further explored in a series of commissioned policy papers which have also been included.
Author:
Publisher: UNESCO
ISBN: 9230010871
Category :
Languages : en
Pages : 209
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