Health Professions

Health professional mobility in a changing Europe. New dynamics, mobile individuals and diverse responses – European Observatory on Health Systems and Policies – May 2014

Posted on May 9, 2014. Filed under: Health Professions, Workforce |

Health professional mobility in a changing Europe. New dynamics, mobile individuals and diverse responses – European Observatory on Health Systems and Policies – May 2014

Details

ISBN 978 92 890 5025 8

“Health professional mobility in Europe has become a fast-moving target for policy-makers. It is evolving rapidly in direction and magnitude as a consequence of fundamental change caused by European Union (EU) enlargement and the financial and economic crisis.

Health professional mobility changes the numbers of health professionals in countries and the skill-mix of the workforce, with consequences for health-system performance. Countries must factor in mobility if they are forecasting and planning their workforce requirements. To this end they need clarity on mobility trends and the mobile workforce, and effective interventions for retaining domestic and integrating foreign-trained health workers. Health professional mobility remains an unfinished agenda in Europe, at a time when the repercussions of the financial crisis continue to have an impact on the European health workforce and its patterns of mobility.

This book sheds new light on health professional mobility in this changing Europe. It is the second volume of the PROMeTHEUS project, following the previously published country case study volume. The 14 thematic chapters in this book are grouped in three parts:

the changing dynamics of health professional mobility
the mobile individual
policy responses in a changing Europe.

The book goes well beyond situation analysis as it presents practical tools such as a yardstick for registry methodology, a typology of mobile individuals, qualitative tools for studying the motivation of the workforce and a set of concrete policy responses at EU, national and organizational level including bilateral agreements, codes and workplace responses.”

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Issues with revalidation and fitness to practise mar overall good performance by GMC – House of Commons Select Committee – Health – 2 April 2014

Posted on April 3, 2014. Filed under: Health Professions, Medicine | Tags: , |

Issues with revalidation and fitness to practise mar overall good performance by GMC – House of Commons Select Committee – Health – 2 April 2014

“The Health Committee’s annual review of the General Medical Council (GMC) has found that the GMC is making steady progress in protecting patients. The Committee’s report, which follows the regulator’s accountability hearing, warns, however, that more can be done to build confidence in the professional regulation of doctors.”

“The Committee found that:

The GMC’s fitness to practise successfully produce outcomes that protect patients from sub-standard doctors but failures to communicate the reasons for decisions and poor investigative practices have undermined a small number on investigations.
The system of ongoing revalidation of doctors has been launched smoothly but the Committee has serious concerns regarding the ability of responsible officers to oversee revalidation.
The Government’s legislative programme is likely to further delay reforms that would allow the GMC to appeal fitness to practice tribunal decisions.”

2013 accountability hearing with the General Medical Council [UK] – Commons Health Committee – Health Report – 25 March 2014

 

 

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Health Professionals Prescribing Pathway project [final pathway and report] – Health Workforce Australia – November 2013

Posted on November 19, 2013. Filed under: Educ for Hlth Professions, Health Professions, Pharmacy |

Health Professionals Prescribing Pathway project [final pathway and report] – Health Workforce Australia – November 2013

“Overview

Improvements to health workforce productivity and flexibility are vital if the workforce is to meet the growing demand for healthcare across Australia. One strategy to assist with this improvement is the development of a national pathway to prescribing by health professionals other than doctors.

The Health Professionals Prescribing Pathway (HPPP) is a Health Workforce Australia (HWA) project that seeks to deliver:

A national approach to prescribing by health professionals, other than doctors, that covers important concepts such as prescribing models, competency attainment, registration and endorsement, and safety, quality and practice issues.
An implementation strategy for a national prescribing pathway.

Latest news

The first stage of the HPPP project is complete and work will now commence on implementation. A report containing the final HPPP and high level recommendations for implementation was approved by the Standing Council on Health on 8 November 2013.

The final HPPP can be accessed here (pdf).

The final HPPP report can be accessed here (pdf).

HWA will now work with governments, educators, accreditation bodies and the national boards on the implementation of HPPP. This will include addressing key issues such as regulatory practice, education standards, accreditation and training.”

… continues on the site

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Establishing Transdisciplinary Professionalism for Improving Health Outcomes: Workshop summary – Institute of Medicine – 2013

Posted on October 9, 2013. Filed under: Educ for Hlth Professions, Health Professions | Tags: |

Establishing Transdisciplinary Professionalism for Improving Health Outcomes: Workshop summary – Institute of Medicine – 2013

ISBN 978-0-309-28901-6

Authors

Patricia A. Cuff, Rapporteur; Global Forum on Innovation in Health Professional Education; Board on Global Health; Institute of Medicine

“Description

Establishing Transdisciplinary Professionalism for Improving Health Outcomes is a summary of a workshop convened by the Institute of Medicine Global Forum on Innovation in Health Professional Education to explore the possibility of whether different professions can come together and whether a dialogue with society on professionalism is possible. Most of the 59 members making up the Global Forum were present at the workshop and engaged with outside participants in active dialogue around issues related to professionalism and how the different professions might work effectively together and with society in creating a social contract. The structure of the workshop involved large plenary discussions, facilitated table conversations, and small-group breakout sessions. In this way, the members – representing multiple sectors, countries, health professions, and educational associations – had numerous opportunities to share their own perspectives on transdisciplinary professionalism as well as hear the opinions of subject matter experts and the general public.

Efforts to improve patient care and population health are traditional tenets of all the health professions, as is a focus on professionalism. But in a time of rapidly changing environments and evolving technologies, health professionals and those who train them are being challenged to work beyond their traditional comfort zones, often in teams. A new professionalism might be a mechanism for achieving improved health outcomes by applying a transdisciplinary professionalism throughout health care and wellness that emphasizes crossdisciplinary responsibilities and accountability. Establishing Transdisciplinary Professionalism for Improving Health Outcomes discusses how shared understanding can be integrated into education and practice, ethical implications of and barriers to transdisciplinary professionalism, and the impact of an evolving professional context on patients, students, and others working within the health care system.”

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Understanding Public Protection: exploring views on the fitness to practice of health and care professionals – Picker Institute Europe – January 2013

Posted on February 22, 2013. Filed under: Health Professions, Workforce | Tags: , , , |

Understanding Public Protection: exploring views on the fitness to practice of health and care professionals – Picker Institute Europe – January 2013

“In September 2012, the Health and Care Professions Council (HCPC) commissioned Picker Institute Europe to explore public and professional views and understandings of public protection. The project was designed to examine:
● understandings of the concept of ‘public protection’ and of fitness to practise;
● understandings and interpretations of terms used within determinations of fitness to practise;
● views on key ongoing issues and questions pertaining to public protection and fitness to practise;
● the information about individual practitioners that participants considered relevant for the regulator to determine fitness to practise, and whether and how views differ.”

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Guidance for implementing high-quality multidisciplinary meetings – NZ Ministry of Health – 2 October 2012

Posted on October 5, 2012. Filed under: Health Professions | Tags: , |

Guidance for implementing high-quality multidisciplinary meetings – NZ Ministry of Health – 2 October 2012

“Summary

The Guidance for implementing high-quality multidisciplinary meetings and the accompanying factsheet Quick reference for high-quality cancer multidisciplinary meetings provides a framework and toolkit to support district health boards (DHBs) in establishing and implementing high-quality multidisciplinary meetings (MDMs).

MDMs are deliberate, regular meetings either face-to-face or via videoconference at which health professionals with expertise in a range of different specialities discuss the options for patients’ treatment and care prospectively. Prospective treatment and care planning involves making recommendations in real time, with an initial focus on the patient’s primary treatment. MDMs facilitate a holistic approach to the treatment and care of the patient.

International evidence shows that multidisciplinary care is a key part of providing best-practice treatment and care for patients with cancer. Multidisciplinary care involves a team approach to planning treatment and providing care for cancer patients as they move along the pathway of services they need.”

… continues on the site

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2012 Review of the Health Practitioners Competence Assurance Act 2003: A discussion document – NZ Ministry of Health – 31 August 2012

Posted on September 10, 2012. Filed under: Health Professions, Workforce | Tags: |

2012 Review of the Health Practitioners Competence Assurance Act 2003: A discussion document – NZ Ministry of Health – 31 August 2012

“This publication is about a review of the Health Practitioners Competence Assurance Act 2003 (the Act).

The main purpose of the HPCA Act is to protect the health and safety of the public. The review will look at how HPCA Act is functioning within the wider health system and how it (or the broader regulatory environment) could be improved. International trends in health occupational regulation point to a strengthening of consumer protection, standardisation of legislation and the design of institutions, and improving the performance of regulatory authorities and considering these trends will form part of the review.

The scope of this review has been agreed by Cabinet and will ensure the Act retains the ability to safeguard health practitioners’ competence; but in a way that supports the delivery of the workforce required both now and for the future.

The Review will assess how:”

… continues on the website

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Proposed Umbrella Health Professions Legislation for Prince Edward Island [Canada]: Consultation Paper – August 2012

Posted on September 3, 2012. Filed under: Health Professions, Workforce |

Proposed Umbrella Health Professions Legislation for Prince Edward Island [Canada]: Consultation Paper – August 2012

“The Department of Health and Wellness is pleased to release this Consultation Paper, which proposes new umbrella health professions legislation for many of the health professions that provide health care services on Prince Edward Island.

Health professions regulation in Prince Edward Island presents unique challenges. While most provinces have sufficient numbers of health professionals to make self-regulation possible, the small number of health professionals in Prince Edward Island means that establishing self-regulating organizations for each health profession is often not feasible. Additionally, the preparation and maintenance of stand-alone legislation for every regulated health profession has proven to be impractical. We believe that the umbrella legislation approach to supporting those health professions seeking regulation is an effective tool to address these challenges.”

… continues

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Professional Standards for Hospital Pharmacy Services – Royal Pharmaceutical Society – 31 July 2012

Posted on August 1, 2012. Filed under: Clin Governance / Risk Mgmt / Quality, Health Professions, Pharmacy, Workforce | Tags: |

Professional Standards for Hospital Pharmacy Services – Royal Pharmaceutical Society – 31 July 2012

Supporting resources for Professional Standards for Hospital Pharmacy

Media release

“We are pleased to announce the launch of the RPS Professional Standards for Hospital Pharmacy Services: Optimising patient outcomes from medicines. The standards have been developed by a wide range of stakeholders across GB and covers pharmacy services delivered by acute, mental health, private and community service providers.

The 10 overarching standards underpin patient experience and the safe, effective management of medicines within and across organisations.  They will enable patients to experience a consistent quality of service within and across healthcare providers, that helps protect them from incidents of avoidable harm and enables them to get the best outcomes from their medicines.”

… continues

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Performance review 2011 / 2012 – Council for Healthcare Regulatory Excellence – July 2012

Posted on July 4, 2012. Filed under: Health Professions, Workforce | Tags: , |

Performance review 2011 / 2012 – Council for Healthcare Regulatory Excellence – July 2012

“Every year we review the performance of the regulators. We do this to check that they are carrying out their legal responsibilities and are promoting the health, safety and well-being of patients and the public. We also identify areas where regulators are doing well and those where they can improve. We measure the regulators’ performance against a set of standards that cover all areas of their work:

Standards and guidance
Registration
Fitness to practise
Education and training

We report our findings to the UK Parliament.”

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Continuing professional development: guidance for all doctors – General Medical Council [UK] – 18 June 2012

Posted on June 19, 2012. Filed under: Educ for Hlth Professions, Health Professions, Medicine, Workforce | Tags: , , |

Continuing professional development: guidance for all doctors – General Medical Council [UK] – 18 June 2012

“This GMC guidance – Continuing professional development: guidance for all doctors (pdf) has been developed in co-operation with doctors, medical Royal Colleges, employers, patients and the public, and follows widespread public consultation earlier this year.

We hope doctors will use it to reflect on how their learning and development improves the quality of care they provide to patients and for the service in which they work.

The guidance describes:

how doctors should plan, carry out and evaluate their CPD activities
the importance of taking account of the needs of patients and of the healthcare team when doctors consider their own learning needs
how doctors should reflect on the Good Medical Practice domains when evaluating their CPD needs
the relationship between CPD and revalidation
the use of appraisal, job planning and personal development plans in managing CPD and how to record CPD activities
the responsibilities of others, such as employers and Colleges, in supporting doctors’ CPD.”

Press Release. New guidance to help doctors with lifelong learning

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Perspectives on the Professional Qualifications Directive – European Observatory on Health Systems and Policies – 29 November 2011

Posted on December 20, 2011. Filed under: Health Professions, Workforce | Tags: , |

Perspectives on the Professional Qualifications Directive – European Observatory on Health Systems and Policies – 29 November 2011

An issue of Eurohealth vol 17 no 4 2011.

Articles include:
The free movement of professionals – a UK regulators’s perspective
The professional qualifications directive green paper – a UK physicians’ perspective
Regulating nursing qualifications across Europe – a case of unintended consequences

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Remediation report – Department of Health [UK] – 15 December 2011

Posted on December 19, 2011. Filed under: Health Professions, Medicine | Tags: |

Remediation report – Department of Health [UK] – 15 December 2011

“The focus of this report is to address clinical competence and capability issues occurring in doctors no longer in the training grades.”

Extract

“Revalidation will provide a positive affirmation that licensed doctors remain up to date and fit to practise throughout their career. As part of the annual appraisal process doctors will need to demonstrate how they are meeting the principles and values set out in Good Medical Practice (GMP), the General Medical Council’s (GMC) core guidance for doctors.

This guidance is based on the GMP Framework for appraisal. Revalidation is based on this guidance and will form the basis of a standard approach for appraisal. It will demand consistent processes for appraisal, including feedback from patients and colleagues. As such, it is expected that the new system will, over time, help to raise the quality of the medical workforce, by supporting doctors in continually updating their professional skills to deliver a service to patients. However, the new processes will inevitably identify some doctors whose competence gives cause for concern and for whom, if they are to revalidate, some form of remediation will be needed.

The Department of Health asked the Remediation Steering Group to look at how well remediation of clinical competence and capability issues works now in the NHS in England. We were asked to consider whether there are options for improving the way this is managed and delivered, so that doctors can access the support they need when they need it and patient safety can be assured. The Group had a great deal of first hand experience of tackling performance issues. We were also able to draw on both existing materials and research, as well as a survey undertaken especially to support this work.

We found that whilst there was much good practice in managing clinical competence and capability concerns, it was still an area that many employers and contracting bodies found difficult to manage. Providing suitable remediation packages was also challenging and was often difficult and very expensive. Indeed, it appeared that ignoring a problem until it became a crisis, sometimes seemed to be the easiest solution.

The Group developed a set of principles that should be followed when tackling poor performance:”

… continues

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Multidisciplinary Pain Programs for Chronic Noncancer Pain – AHRQ – 30 September 2011

Posted on November 11, 2011. Filed under: Chronic Disease Mgmt, Health Professions, Multidisciplinary Care | Tags: |

Multidisciplinary Pain Programs for Chronic Noncancer Pain – AHRQ – 30 September 2011

AHRQ = US Agency for Healthcare Research and Quality

Jeffery MM, Butler M, Stark A, Kane RL. Multidisciplinary Pain Programs for Chronic Noncancer Pain. Technical Brief No. 8. (Prepared by Minnesota Evidence-based Practice Center under Contract No. 290-07-10064-I.) AHRQ Publication No. 11-EHC064-EF. Rockville, MD: Agency for Healthcare Research and Quality. September 2011.

“Abstract

Background. Chronic noncancer pain affects millions of Americans, seriously impacting their quality of life and costing billions of dollars every year in health care expenditures and lost productivity. There are currently no definitive cures for the most prevalent chronic pain syndromes. Multidisciplinary Pain Programs (MPPs) follow a model of care that emphasizes, when pain cannot be successfully eliminated, managing the pain to the extent that the patient’s independence is restored and overall quality of life improved.

Purpose. The purpose of this report is to describe the literature and identify important issues and gaps in the evidence base assessing MPPs for the treatment of chronic noncancer pain.

Methods. A review of the published literature and interviews with key informants were conducted

Findings. MPPs have been extensively documented in the standard medical literature. The 183 papers considered in this Technical Brief followed a biopsychosocial model of chronic pain, including treatment components in each of four areas: medical, behavioral, physical reconditioning, and education. Most of the studies were observational before-after designs. Although several different clinical conditions were studied, 90 percent of the studies included chronic back pain, the most frequent condition addressed in the literature. Differences were apparent between studies based in the United States and those in Europe; recent European studies were more likely than U.S. studies to include inpatient delivery of MPP treatment. Declining access to MPP treatment in the United States is highlighted as a key issue faced by those in the community of chronic pain sufferers and researchers.”

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Consultation on student fitness to practise and registration – HPC Health Professions Council [UK] – 1 November 2011

Posted on November 2, 2011. Filed under: Allied Health, Educ for Hlth Professions, Health Professions, Social Work | Tags: , , |

Consultation on student fitness to practise and registration – HPC Health Professions Council [UK] – 1 November 2011

“We are seeking the views of all of our stakeholders on the most effective way of assuring the fitness to practise of students. This includes seeking views about the voluntary registration of student social workers in England

In 2012, the General Social Care Council (GSCC) is due to be abolished and the regulation of social workers in England transferred to the HPC. The GSCC currently registers social work students. The HPC does not register students.

The Health and Social Care Bill 2011, currently before parliament, would also allow the HPC to set up voluntary registers of students studying on programmes which lead to registration. Opening a voluntary register would be subject to undertaking an assessment of the likely impact of setting up the register and holding a public consultation.

In light of the above, we are seeking the views of all of our stakeholders on the most effective way of assuring the fitness to practise of students. This includes seeking views about the voluntary registration of student social workers in England.
In the consultation we do not make any specific proposals – for example, we are not proposing that students should or should not be registered in any of the professions, including social work. However, the responses to the consultation will inform our decisions about student fitness to practise and registration, including whether:

•the HPC’s current approach to student fitness to practise should be maintained across the Register; or
•the HPC should maintain a voluntary register of social work students in England; and/or
•the HPC should establish any voluntary registers of students for some or all of the existing HPC regulated professions.”

… continues on the site

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Professionalism in healthcare professionals – report – HPC Health Professions Council [UK] – 26 October 2011

Posted on October 31, 2011. Filed under: Health Professions, Workforce | Tags: |

Professionalism in healthcare professionals – report – HPC Health Professions Council [UK] – 26 October 2011

“The Health Professions Council has published the fourth in a series of research reports: Professionalism in healthcare professionals.

The report looks at research conducted by Durham University, focusing on three HPC-regulated professions: chiropodists / podiatrists, occupational therapists and paramedics, and explores their understanding of what professionalism means and how it develops. The study also looks at perceptions of unprofessional behaviour as well as the contribution of standards, context and role models.

Participating organisations were recruited to reflect the different training routes for the three professions, with students and classroom / placement educators interviewed on topics ranging from attitudes and behaviour to uniform. The results were analysed to identify emergent themes and recommendations for further work outlined.”

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GMC consults on two future pillars of medical professionalism: CPD guidance and revalidation regulations – General Medical Council – 17 October 2011

Posted on October 26, 2011. Filed under: Educ for Hlth Professions, Health Professions, Medicine | Tags: , |

GMC consults on two future pillars of medical professionalism: continuing professional development guidance and revalidation regulations – General Medical Council – 17 October 2011

“Press Release”

The GMC has set out new proposals for how it will support doctors’ professional development, and what will be expected of doctors themselves, in two consultations launched today.

Doctors have a duty to keep their knowledge and skills up-to-date and, for most doctors, this is an integral part of their professionalism and desire to provide better care for patients. However, with the introduction of revalidation from late 2012, all doctors will for the first time have to show they are up-to-date with their practice on a regular basis.
 
The first consultation launched today asks for feedback on what doctors and employers should be doing on CPD and how the GMC can support doctors in keeping up-to-date, as CPD will play an important role in doctors’ revalidation.

The second consultation seeks views on the supporting regulations that will set out the legal powers, rights and responsibilities which underpin the revalidation process.”

… continues on the site

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Health Professional Mobility and Health Systems. Evidence from 17 European countries – WHO on behalf of the European Observatory on Health Systems and Policies – October 2011

Posted on October 20, 2011. Filed under: Health Professions, Workforce | Tags: |

Health Professional Mobility and Health Systems. Evidence from 17 European countries – WHO on behalf of the European Observatory on Health Systems and Policies – October 2011

Edited by Matthias Wismar, Claudia B. Maier, Irene A. Glinos, Gilles Dussault, Josep Figueras
ISBN 978 92 890 0247 9

Extract from the foreword

“This work contributes a great deal to the current reflection of the European Commission and Member States about the future of the European Union health workforce. The Europe 2020 Strategy for smart, sustainable and inclusive growth highlights the need to reform labour markets, upgrade skills and match them with market demand. In parallel, we also need to plan for our ageing society and the additional health care which will be needed in the future. It is estimated that by 2020 there will be a shortfall of 1 000 000 health professionals in the European Union. We need to work together with all actors, national authorities, health professionals and civil society to address this challenge.”

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New medical professionalism. A scoping report for the Health Foundation – October 2011

Posted on October 18, 2011. Filed under: Health Professions, Medicine | Tags: |

New medical professionalism. A scoping report for the Health Foundation – October 2011

“This report reviews the ways in which doctors’ relationships with evidence, society, patients, teams, regulators and employers have changed, are changing or may need to change. It discusses the implications of these changing relationships for medical professionalism.

The role of doctors has always evolved in response to changes in society, demand, the structure of healthcare services and the changing state of medicine itself. This trend continues with various factors driving important changes in the roles played by doctors and others working in healthcare. The motivation exists among doctors and others to rise to both the challenges and opportunities these changes create.

Recent history has left many working in healthcare feeling battered, exhausted and cynical about further change. This situation creates significant risks for patients and public.

The Health Foundation wants to play an active and constructive role in addressing these risks. The first step is to conduct a genuine dialogue involving truly diverse participants. This report address these three questions:

•What questions are worth discussing?
•Who needs to be involved in the discussion?
•How can we make sure the discussion is constructive?

While the focus of the report is on medical professionalism, the question of whether ‘medical professionalism’ is even the right topic for dialogue is also discussed.”

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Review of integrated clinical governance in the context of medical revalidation – NHS Revalidation Support Team (RST) – 14 October 2011

Posted on October 18, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Health Professions, Medicine |

Review of integrated clinical governance in the context of medical revalidation – NHS Revalidation Support Team (RST) – 14 October 2011

“Professor Sir Bruce Keogh, NHS Medical Director is calling on the healthcare sector to get to grips with its obligations of quality and safety, in response to a review of clinical governance and appraisal in preparation for revalidation of doctors in England.

The NHS Revalidation Support Team (RST) has today published the ‘Review of integrated clinical governance in the context of medical revalidation’, which outlines a snapshot of the state of organisational readiness for medical revalidation in England at 31 March 2011. The report is based on responses from organisations that employ or contract with doctors (designated bodies) as defined in the Responsible Officers Regulations 2010. Designated bodies completed a self-assessment tool called ORSA (Organisational Readiness Self-Assessment), designed to help organisations to determine readiness for revalidation. Five hundred and seven designated bodies completed returns, providing a 90% response rate.”

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The eHealth readiness of Australia’s medical specialists and allied health sector – Dept of Health and Ageing – 30 May 2011

Posted on October 17, 2011. Filed under: Allied Health, Health Informatics, Health Professions, Medicine | Tags: |

The eHealth readiness of Australia’s medical specialists – Dept of Health and Ageing – 30 May 2011
ISBN: 978-1-74241-537-6   Online ISBN: 978-1-74241-538-3

The eHealth Readiness of Australia’s Allied Health Sector – Dept of Health and Ageing – 30 May 2011

ISBN: 978-1-74241-537-6   Online ISBN: 978-1-74241-538-3

These reports set out research on the use of and attitudes towards ‘eHealth’ (the combined use of electronic communication and technology in healthcare) among:

 the full range of licensed medical specialists in eight different segments–anaesthesia, diagnostics (radiology and pathology), internal medicine, emergency medicine, obstetrics and gynaecology (including neonatology), ophthalmology and dermatology, psychiatry and surgery

the 15 major sectors of allied health practitioners prioritised by the Department – Aboriginal and Torres Strait Islander health workers, audiologists, chiropractors, dental allied health professionals, dietitians, exercise physiologists, occupational therapists, optometrists, osteopaths,  physiotherapists, podiatrists, psychologists, radiographers and sonographers, social workers and speech pathologists

The research has been framed around three ’anchor’ questions:
1. Are Australian medical specialists and allied health professionals ready to adopt and use eHealth technologies and solutions, today and in a way consistent with policy direction in the future?
2. What are the barriers impacting eHealth readiness and adoption and how can we minimise them?
3. What are the eHealth enablers and how can we apply them to drive adoption and effective usage?

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Measuring Teamwork in Health Care Settings: A Review of Survey Instruments – Harvard Business School – Published 22 September 2011

Posted on September 23, 2011. Filed under: Health Professions, Workforce | Tags: , |

Measuring Teamwork in Health Care Settings: A Review of Survey Instruments – Harvard Business School – Published 22 September 2011
Authors: Melissa A. Valentine, Ingrid M. Nembhard, and Amy C. Edmondson

Executive Summary:
It is critical to accurately assess teamwork in health-care organizations. About 60 percent of primary-care practices in the United States use team-based models to coordinate work across the broad spectrum of health professionals needed to deliver quality care; in many other countries the percentage is almost 100 percent. While the benefits of effective teamwork are substantial, effective teamwork is often lacking in these settings, with negative consequences for patients. To date, little has been known about the survey instruments available to measure teamwork. In this paper Valentine, Nembhard, and Edmondson report the results of their systematic review of survey instruments that have been used to measure teamwork in various contexts. Their research helps to identify existing teamwork scales that may be most useful in testing theoretical models. Key concepts include:

•Researchers often develop a new scale for their project rather than adapt existing scales. It would be better to utilize existing, psychometrically valid scales when possible so that cumulative knowledge of teamwork can be built.
•Many scales have been developed to assess teamwork. However, only eight scales satisfy the standard psychometric criteria the authors identified, and only three of those have been significantly associated with non-self-reported outcomes.
•Future research needs to clarify the concept of teamwork. Currently, the variation in ways of conceptualizing teamwork even within the scales that do show relationships to outcomes of interest makes it difficult to know what dimensions are core versus peripheral to the concept.
•The criteria set forth in this article should be considered standard research practice, and as such the scales that the authors identified are worthy of attention.”
..

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Liberating the NHS: developing the healthcare workforce – a summary of consultation responses – August 2011

Posted on August 23, 2011. Filed under: Educ for Hlth Professions, Health Professions, Workforce |

Liberating the NHS: developing the healthcare workforce – a summary of consultation responses – August 2011

“This document is a summary of the responses received to the Government’s consultation,Liberating the NHS: developing the healthcare workforce, published December 2010.”

“The key topics of discussion during the listening exercise were:

How can we make sure that NHS staff in the future have the right skills to meet changing patient needs? Are the arrangements we have proposed for education and training the best ones to ensure this?

1. Will the proposed changes to the education and training system support the aims of the modernisation process?
2.How can health professionals themselves take greater ownership of the education and training of their own professions, whilst meeting the needs of healthcare employers?
3.How can we ensure that the values of the NHS are placed at the heart of our education and training arrangements?
4.How can we best combine local and national knowledge and expertise to improve staff training and education?

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HPC launches consultations for regulation of social workers in England – 18 July 2011

Posted on August 10, 2011. Filed under: Health Professions, Social Work, Workforce | Tags: |

HPC launches consultations for regulation of social workers in England – 18 July 2011

“HPC launches consultations on its standards of proficiency and threshold level of qualification for social workers in England

The Health Professions Council (HPC) has today launched two  consultations to invite stakeholders for their views on first, its standards of proficiency for social workers in England and second,  the threshold level of qualification for entry to the social workers part of the Register.

In July 2010 the UK Government published ‘Liberating the NHS: Report of the arm’s-length bodies review’ which said that the regulation of social workers in England would transfer from the General Social Care Council (GSCC) to the HPC.

When the HPC regulates a profession it sets the standards of proficiency for that profession. These are the threshold standards for safe and effective practice that outline what a professional must know, understand and be able to do on entry to the Register. A professional on our Register, called a registrant, also has to meet the standards of proficiency which are relevant to their area of practice. The standards of proficiency therefore play a key role in ensuring public protection.”  … continues on the site

Consultation on the draft standards of proficiency for social workers in England 18/07/2011 – 18/11/2011

Consultation on the threshold level of qualification for entry to the Register for social workers in England 18/07/2011 – 18/11/2011

 

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Modernising the Professional Qualifications Directive – Green paper from the European Commission – 22 June 2011

Posted on July 21, 2011. Filed under: Health Professions, Workforce |

Modernising the Professional Qualifications Directive – Green paper from the European Commission – 22 June 2011

Extract from the introduction:

“EU citizens providing a wide range of professional services to consumers and business are essential stakeholders in our economy. Gaining employment or providing services in another Member State is a concrete example of how they can benefit from the Single Market. It has long been recognised that restrictive regulation of professional qualifications has the same stifling effect on mobility as discrimination on the grounds of nationality. Recognition of qualifications obtained in another Member State has thus become a fundamental building block of the Single Market. As highlighted in the Europe 2020 Strategy and the Single Market Act, professional mobility is a key element of Europe’s  competitiveness. Burdensome and unclear procedures for the recognition of professional qualifications were identified in the EU Citizenship Report 2010 as one of the main obstacles EU citizens still encounter in their daily lives when exercising their rights under EU law across national borders.  A modernisation would also strenghten the position of the European Union in international trade negotiations making regulatory convergence easier, and allowing the EU to obtain better market access in third countries for EU citizens.”   … continues

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The Good Medical Practice Framework for appraisal and revalidation – [UK] General Medical Council – April 2011

Posted on April 19, 2011. Filed under: Health Professions, Medicine | Tags: , |

The Good Medical Practice Framework for appraisal and revalidation – [UK] General Medical Council – April 2011

Press release 7 April 2011

“The GMC has launched new appraisal guidance for revalidation that is designed to make the process simple and straightforward.

We hope that our guidance will introduce greater consistency and ensure that what we are asking doctors to do is realistic and straightforward. We want appraisals to be rewarding and useful, not time-consuming or difficult.

Niall Dickson, the Chief Executive of the GMC
It sets out how doctors can show that they are meeting the professional standards on which good practice is founded. It also outlines the core information that all doctors will need to bring to their annual appraisal, regardless of where they work in the UK or their area of practice.

The guidance is intended to help doctors and employers prepare for the launch of revalidation at the end of 2012.  Employers are being asked to make sure that every doctor can access the supporting information outlined in the guidance.”  … continues in the press release

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Fitness to practise audit report. Audit of health professional regulatory bodies’ initial decisions [UK] – March 2011

Posted on April 5, 2011. Filed under: Health Professions, Workforce | Tags: , |

Fitness to practise audit report.  Audit of health professional regulatory bodies’ initial decisions [UK] – March 2011
Council for Healthcare Regulatory Excellence

From the Executive Summary:

1.1 This is CHRE’s second annual audit of the ‘initial stages’ of the fitness to practise process of the nine health professional regulatory bodies that we oversee. We conducted these audits between May 2010 and February 2011. We audited fitness to practise cases that the regulators had closed without referral to a final stage fitness to practise hearing.

1.2 The overall purpose of the audit is to ensure that the regulators’ decisions protect the public and maintain public confidence in the professions and system of regulation. We looked for evidence of risks to public protection or public confidence as a result of each regulator’s case-handling procedures and standards. …continues

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The Patient Voice in Revalidation: a discourse analysis – Picker Institute Europe – February 2011

Posted on February 21, 2011. Filed under: Health Professions, Medicine, Patient Participation | Tags: , |

The Patient Voice in Revalidation: a discourse analysis – Picker Institute Europe – February 2011
ISBN 1 905945 -24-8 and 978-1-905945-24-5

“This report presents the findings of a discourse analysis of the patient voice in published documents on medical revalidation. It has been prepared in collaboration with Marion Lynch to inform the work of the South Central Strategic Health Authority Revalidation Board.

The aim of the study was to analyse documents in the public domain to determine where and how the patient is located within discourses about medical revalidation.”

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Enabling Excellence: Autonomy and Accountability for Health and Social Care Staff – Department of Health (UK) – 16 February 2011

Posted on February 17, 2011. Filed under: Health Professions, Social Work, Workforce | Tags: |

Enabling Excellence: Autonomy and Accountability for Health and Social Care Staff – Department of Health (UK) – 16 February 2011
Pages: 31

“This Command Paper sets out the Government strategy for reforming and simplifying the system for regulating healthcare workers in the UK and social workers and social care workers in England.”

Proportionate health and social care worker regulation to protect the public – 16 February 2011 – Department of Health  – News Distribution Service

“The vast majority of those who work in health and social care are committed individuals with a strong sense of professionalism who aspire to deliver the highest standards. However, where there is poor practice or behaviour that presents a risk to the public, it is vital that swift action is taken, whether by employers, or by national regulatory bodies.
The system of professional regulation ensures high standards of practice and reassures the public that their health and social care needs are provided by qualified, properly vetted professionals.
 
However, the regulatory system is becoming increasingly complex and expensive and requires continual Government intervention to keep it up to date. The Government must move to a proportionate and effective system that imposes the least possible costs and complexity, while maintaining safety and confidence for patients, service users, carers and the wider public.”  …continues

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Social Work Education in England 2009-10 – report released 18 January 2011

Posted on January 24, 2011. Filed under: Allied Health, Educ for Hlth Professions, Health Professions, Social Work |

Social Work Education in England 2009-10 – report released 18 January 2011

“Press release: Partnerships key to improving practice learning for social work students, says regulator
18 January 2011

The General Social Care Council (GSCC), with support from the Social Work Reform Board, is encouraging higher education institutions (HEIs) and local employers to form strong and lasting partnerships to drive up the quality of practice placements for student social workers.

The GSCC’s A Report on Social Work Education in England 2009-10, published today, has identified a number of significant trends in social work education. Notably, there has been a decline in the number of local authority placements being provided to students. In 2008-09, 44% of practice placements were provided by local authorities, compared to 48% in 2006-07. Furthermore, following the GSCC’s monitoring of social work degree courses in 2009-10, two thirds of HEIs were asked to make some additional improvements to the quality of practice placements.”

…continues on the website

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The Case for Healthier Canadians: Nursing Workforce Education for the 21st Century – Canadian Association of Schools of Nursing – 2010

Posted on September 10, 2010. Filed under: Educ for Hlth Professions, Health Professions, Nursing |

The Case for Healthier Canadians: Nursing Workforce Education for the 21st Century – Canadian Association of Schools of Nursing – 2010

“The future of our health system is dependent upon the availability and quality of health human resources, especially to underserviced populations. The Canadian Association of Schools of Nursing/Association canadienne des écoles de sciences infirmières (CASN/ACESI) hosted an inaugural Nursing Education Summit (NES) with participants from provincial and national nursing and health associations. Extensive consultation followed. Education at the baccalaureate level or higher for registered nurses was re-affirmed as critical to meeting the health needs of the population. In today’s increasingly complex health care environment, research demonstrates unequivocally that patient safety and outcomes are dependent on the educational preparation of professional nurses. CASN, in collaboration with national and provincial partners, and in weighing the evidence, has identified the three most pressing priorities for action:

Invest in nursing faculty supply and nursing program infrastructure
Foster innovative initiatives to sustain an appropriately prepared nursing workforce
Invest in nursing research and knowledge translation”

…continues

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Website – Public Health Emergency [US] – ESAR-VHP – Emergency System for Advance Registration of Volunteer Health Professionals

Posted on September 9, 2010. Filed under: Disaster Management, Health Professions, Public Hlth & Hlth Promotion |

Website – Public Health Emergency [US] – ESAR-VHP – Emergency System for Advance Registration of Volunteer Health Professionals

“The Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP) is a federal program created to support states and territories in establishing standardized volunteer registration programs for disasters and public health emergencies.

The program, administered on the state level, verifies health professionals’ identification and credentials so that they can respond more quickly when disaster strikes. By registering through ESAR-VHP, volunteers’ identities, licenses, credentials, accreditations, and hospital privileges are all verified in advance, saving valuable time in emergency situations.”

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Extraordinary you – [UK] science in healthcare celebrates the careers of healthcare scientists – 18 July 2010

Posted on July 21, 2010. Filed under: Health Professions, Pathology | Tags: |

Extraordinary you – [UK] science in healthcare celebrates the careers of healthcare scientists – 18 July 2010

 Author: Department of Health
 Pages: 61

“Extraordinary you: science in healthcare celebrates the careers of healthcare scientists working across the NHS. The book profiles the wide range of pioneering work of nearly 100 individual healthcare scientists working across the specialisms, to inspire people about the role of healthcare science and to encourage others to join the profession.”

Download Extraordinary you (PDF, 8151K)

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Modernising Scientific Careers: The England Action Plan – April 2010

Posted on May 6, 2010. Filed under: Health Professions, Workforce |

Modernising Scientific Careers: The England Action Plan

Document type: Guidance
Author: Department of Health
Published date: 1 April 2010

“The England Action Plan sets out how implementation will be achieved by working with SHAs and other key stakeholders to ensure a phased approach. The pace of change will depend on local SHA priorities in managing transition. A joint DH/NHS England Implementation Board will strategically oversee and coordinate implementation arrangements reflecting the partnership approach.”

Download Modernising Scientific Careers: The England Action Plan    (PDF, 1992K)

impact asessment 

Download Equality Impact assessment   (PDF, 223K)

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Revision of professional roles and quality improvement: A review of the evidence – The Health Foundation – February 2010

Posted on April 20, 2010. Filed under: Allied Health, Health Professions, Nursing, Workforce | Tags: |

Revision of professional roles and quality improvement: A review of the evidence – The Health Foundation – February 2010  [UK]
By Miranda Laurant, Mirjam Harmsen, Marjan Faber, Hub Wollersheim, Bonnie Sibbald and Richard Grol
Pages 122  ISBN 978-1-606461-15-7

Download summary [496kb PDF]

Download publication [1093kb PDF]

“About this report

Our report, Revision of professional roles and quality improvement: a review of the evidence, considers the impact of professional role revision on quality of care and outcomes. It focuses on two types of changes to professional roles:

Substitution – exchanging one type of professional for another.
Supplementation – extending the range of service provision within one health delivery system.

This report focuses on the revision of roles between doctors and:

advanced practice nurses such as nurse practitioners, specialist nurses, clinical nurses and practice nurses
physician assistants pharmacists
allied healthcare professionals such as physical therapists (referred to as physiotherapists in this review), speech and language therapists, dietitians and paramedics.

Professional role revision has a number of aims: to reduce the medical workload; to increase capacity and extend the range of services available to patients; to improve the quality of care; and/or to reduce costs.
Our report finds that there is no detrimental effect of revising or extending the roles of non-medical professionals, and in some cases there is a positive effect on the quality of patient care. Gains in service efficiency may be achieved if doctors stop providing the services that are transferred to other health professionals and instead invest their time in activities that they alone can perform. “

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Health Practitioner Regulation (Consequential Amendments) Bill 2010 – Parliamentary Library Bills Digest – 11 March

Posted on March 23, 2010. Filed under: Health Professions | Tags: , |

Health Practitioner Regulation (Consequential Amendments) Bill 2010 – Parliamentary Library Bills Digest – 11 March 2010, no. 132, 2009–10, ISSN 1328-8091
Dr Rhonda Jolly,  Social Policy Section

“Purpose
The purpose of the Health Practitioner Regulation (Consequential Amendments) Bill is to:
• provide for consequential amendments to Commonwealth legislation to recognise and support implementation of the National Registration and Accreditation Scheme (NRAS) for the Health Professions
• streamline processes involved in the recognition of doctors under the Health Insurance Act 1973 for the purpose of claiming Medicare.”

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Unmet Needs: Teaching Physicians to Provide Safe Patient Care – National Patient Safety Foundation [US] – 10 March 2010

Posted on March 18, 2010. Filed under: Clinical Education, Educ for Hlth Professions, Health Professions, Medicine, Patient Safety | Tags: , |

Unmet Needs: Teaching Physicians to Provide Safe Patient Care – National Patient Safety Foundation [US] – 10 March 2010

“Ten years after the Institute of Medicine’s landmark 1999 report To Err Is Human, the Lucian Leape Institute at the National Patient Safety Foundation has released a white paper finding that US medical schools are not doing an adequate job of facilitating student understanding of basic knowledge and the development of skills required for the provision of safe patient care.

Unmet Needs: Teaching Physicians to Provide Safe Patient Care is the culmination of three LLI Roundtable discussions and makes key recommendations for reforming medical education in order to improve patient safety. The paper is the first in a planned series of such reports on issues that the Lucian Leape Institute has identified as top priorities in ongoing efforts to improve patient safety.”

Download the full report (pdf) here

More on the Lucian Leape Institute

Read the media release here

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Framework for action on interprofessional education and collaborative practice – WHO – 2010

Posted on March 9, 2010. Filed under: Clinical Education, Educ for Hlth Professions, Health Professions | Tags: |

Framework for action on interprofessional education and collaborative practice
Number of pages: 64
Publication date: 2010
Languages: English
WHO reference number: WHO/HRH/HPN/10.3

Download [pdf 2.27 MB]

“At a time when the world is facing a shortage of health workers, policymakers are looking for innovative strategies that can help them develop policy and programmes to bolster the global health workforce.

The Framework for Action on Interprofessional Education and Collaborative Practice highlights the current status of interprofessional collaboration around the world, identifies the mechanisms that shape successful collaborative teamwork and outlines a series of action items that policy-makers can apply within their local health system.

The goal of the Framework is to provide strategies and ideas that will help health policy-makers implement the elements of interprofessional education and collaborative practice that will be most beneficial in their own jurisdiction.”

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Modernising Scientific Careers: The UK way forward – 26 February 2010

Posted on March 9, 2010. Filed under: Health Professions, Workforce |

Modernising Scientific Careers: The UK way forward – 26 February 2010

“In November 2008 the UK Health Departments published for consultation The Future of the Healthcare Science Workforce: Modernising Scientific Careers, the Next Steps. The Consultation closed on 6th March 2009.   Ipsos MORI was commissioned by the Department of Health’s Chief Scientific Officer to carry out an analysis of responses to this consultation.

Following the publication of the Modernising Scientific Careers: The UK Way Forward, each country will publish their own action plan.”

Modernising Scientific Careers: The UK Way Forward

Download IPSOS Mori (PDF, 141K)

Other information on the publication from:

Government press release

Institute of Biomedical Science

Skills for Health

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Redesigning Continuing Education in the Health Professions – US – February 2010

Posted on February 22, 2010. Filed under: Educ for Hlth Professions, Health Professions, Workforce | Tags: |

Redesigning Continuing Education in the Health Professions 

Authors: Committee on Planning a Continuing Health Professional Education Institute; Institute of Medicine
Published by The National Academies Press
ISBN-10: 0-309-14078-1
ISBN-13: 978-0-309-14078-2

“Description

Today in the United States, the professional health workforce is not consistently prepared to provide high quality health care and assure patient safety, even as the nation spends more per capita on health care than any other country. The absence of a comprehensive and well-integrated system of continuing education (CE) in the health professions is an important contributing factor to knowledge and performance deficiencies at the individual and system levels.

To be most effective, health professionals at every stage of their careers must continue learning about advances in research and treatment in their fields (and related fields) in order to obtain and maintain up-to-date knowledge and skills in caring for their patients. Many health professionals regularly undertake a variety of efforts to stay up to date, but on a larger scale, the nation’s approach to CE for health professionals fails to support the professions in their efforts to achieve and maintain proficiency.

Redesigning Continuing Education in the Health Professions illustrates a vision for a better system through a comprehensive approach of continuing professional development, and posits a framework upon which to develop a new, more effective system. The book also offers principles to guide the creation of a national continuing education institute.”

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The Future of Medical Education in Canada (FMEC): A Collective Vision for MD Education – The Association of Faculties of Medicine of Canada (AFMC) – 28 January 2010

Posted on January 29, 2010. Filed under: Educ for Hlth Professions, Health Professions, Medicine |

The Future of Medical Education in Canada (FMEC): A Collective Vision for MD Education – The Association of Faculties of Medicine of Canada (AFMC) – 28 January 2010

“Just as Abraham Flexner’s report did 100 years ago, The Future of Medical Education in Canada (FMEC) project looks at how the education programs leading to the medical doctor (MD) degree in Canada can best respond to society’s evolving needs. In turn, the FMEC project is rooted in the Association of Faculties of Medicine of Canada’s (AFMC’s) articulated social accountability mission for medical schools.

Health care has become increasingly complex and faces enormous challenges in providing quality care to diverse populations. An important need has developed for a cohesive and collective vision for the future of medical education in Canada. While Canada’s Faculties of Medicine are leaders in medical education, continually adapting to changing expectations and requirements, the physician of the future requires skills that will involve further adaptations and reforms to our medical education system.

The 10 FMEC recommendations for MD education (also known as undergraduate medical education) are grounded in evidence and emerge from a broad and rigorous consultative process. They are as follows:

1. Address Individual and Community Needs
2. Enhance Admissions Processes
3. Build on the Scientific Basis of Medicine
4. Promote Prevention and Public Health
5. Address the Hidden Curriculum
6. Diversify Learning Contexts
7. Value Generalism
8. Advance Inter- and Intra-Professional Practice
9. Adopt a Competency-Based and Flexible Approach
10. Foster Medical Leadership

They are accompanied by five enabling recommendations that will facilitate the implementation of the FMEC recommendations:

A. Realign Accreditation Standards
B. Build Capacity for Change
C. Increase National Collaboration
D. Improve the Use of Technology
E. Enhance Faculty Development”

…continues in the document

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Integrating Internationally Educated Health Care Professionals into the Ontario Workforce – report prepared for the Ontario Hospital Association by the Nursing Health Services Research Unit, McMaster University – November 2009

Posted on December 2, 2009. Filed under: Health Professions, Workforce |

Integrating Internationally Educated Health Care Professionals into the Ontario Workforce – report prepared for the Ontario Hospital Association by the Nursing Health Services Research Unit, McMaster University – November 2009
Health Human Resource Series Number 20

“A shortage of health care professionals is forecast for Ontario. An aging workforce and insufficient recruitment and production in the past decades mean that the province must make full use of all health human resources. The purpose of this report is to provide background information to support the development of guidelines for the integration of internationally educated health professionals (IEHPs) into the workplace. Challenges and barriers to hiring IEHPs and mechanisms for addressing them are outlined. The report also focuses on the extent to which the recruitment and retention of IEHPs is a priority. It identifies professions that are encouraging the recruitment of IEHPs and the strategies and resources required to reduce barriers and improve IEHP recruitment and retention.”

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The Senate: Community Affairs Legislation Committee – National registration and accreditation scheme for doctors and other health workers – August 2009

Posted on August 11, 2009. Filed under: Health Professions, Workforce | Tags: , , |

The Senate: Community Affairs Legislation Committee – National registration and accreditation scheme for doctors and and other health workers – August 2009
Commonwealth of Australia 2009
ISBN 978-1-74229-160-4

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Treating People Well: Report of the Director-General of Health’s Commission on the Resident Medical Officer Workforce – NZ – August 2009

Posted on August 6, 2009. Filed under: Health Professions, Medicine, Workforce | Tags: , |

Treating People Well: Report of the Director-General of Health’s Commission on the Resident Medical Officer Workforce

Date of publication (online): August 2009    ISBN number: 978-0-478-31965-1 (Online)

Summary of publication

“The RMO Commission was established to investigate the issues facing the resident doctor workforce and make recommendations on the medical workforce needed to deliver services now and into the future. The Commission supports the establishment of a single agency with the capacity to coordinate medical education and training across the entire continuim of learning. The Commission also recommends the establishment of a stand-alone body responsible for the employment of resident medical officers.”

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Firsthand Experience and the Subsequent Role of Reflected Knowledge in Cultivating Trust in Global Collaboration – 29 July 2009

Posted on July 30, 2009. Filed under: Health Professions, Health Systems Improvement, Workforce | Tags: , |

Firsthand Experience and the Subsequent Role of Reflected Knowledge in Cultivating Trust in Global Collaboration
from Harvard Business School Working Knowledge   HBS Working Paper Number: 09-131
Published:    July 29, 2009
Paper Released:    May 2009
Authors:    Mark Mortensen and Tsedal Beyene

Executive Summary:

“How can workers better collaborate across vast geographical distances? Distributed collaboration—in which employees work with, and meaningfully depend on, distant colleagues on a day-to-day basis—allows firms to leverage their intellectual capital, enhance work unit performance, face ever-changing customer demands more fluidly, and gain competitive advantage in a dynamic marketplace. Research over the last decade, however, has provided mounting evidence that while global collaboration is a necessary strategic choice for an ever-increasing number of organizations, socio-demographic, contextual, and temporal barriers engender many interpersonal challenges for distant coworkers and are likely to adversely affect trust between and among workers across sites. In this paper that examines employee relations at a multinational organization, HBS professor Tsedal Beyene and MIT Sloan School of Management professor Mark Mortensen find that firsthand experience in global collaborations is a crucial means of engendering trust from shared knowledge among coworkers. Their findings reinforce the important role of others’ perceptions in our own self-definition, and suggest a means of addressing some of the problems that arise in cross-cultural global collaborations.”

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Extending professional and occupational regulation: the report of the Working Group on Extending Professional Regulation – UK – 16 July 2009

Posted on July 17, 2009. Filed under: Health Professions | Tags: , |

Extending professional and occupational regulation: the report of the Working Group on Extending Professional Regulation

Document type:      Report
Author:  UK   Department of Health
Published date:      16 July 2009

This is the final report of the Extending Professional Regulation Working Group. The Working Group arose from a recommendation in the White Paper Trust, Assurance, Safety.  The Report makes recommendation to Government as to how decision making on extending regulation could be taken forward.  Any recommendations which are progressed and which involve a change of policy would require public consultation, equality and economic impact assessment, and be subject to the costs being affordable within available resources.

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NZ Review of the Health Practitioners Competence Assurance Act 2003: Report to the Minister of Health by the Director-General of Health – June 2009

Posted on June 10, 2009. Filed under: Health Professions, Workforce |

Review of the Health Practitioners Competence Assurance Act 2003: Report to the Minister of Health by the Director-General of Health
Date of publication (online): June 2009

“Summary of publication

Section 171 of the Health Practitioners Competence Assurance Act 2003 (the Act) requires the Director-General of Health to review the operation of the Act three years after it has come into force.

The Ministry of Health began the review in September 2007. The Ministry consulted responsible authorities, professional colleges, unions, educators, district health boards, employers, professional bodies and government agencies on their experiences with the Act, and on various issues that arose during the review. This involved four rounds of consultation over 18 months.

The Director-General of Health has now completed the review of the Act and reported to the Minister of Health. The Minister tabled the report in Parliament on 4 June 2009.

Overall the review finds that the Act has been received well by the sector and is operating as Parliament intended. The review does, however, identify some areas where the Act requires minor improvement. The Director-General has recommended 18 minor legislative changes for inclusion in the next Statutes Amendment Bill. These changes will improve the efficiency and flexibility of processes for professional conduct committees, the Health Practitioners Disciplinary Tribunal and complaints.

The Director-General’s remaining recommendations highlight areas where responsible authorities, the Ministry and district health boards can work together to improve their operation. These recommendations do not require amendment to the Act.

The Ministry is currently developing a work programme to implement the Director-General’s recommendations from the review. A full list of the Director-General’s recommendations is set out in Appendix 1 of the review report.”

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The new registration system for health and adult social care – UK – NHS Confederation May 2009

Posted on May 20, 2009. Filed under: Health Professions, Workforce | Tags: , |

The new registration system for health and adult social care

“From April 2010, a new system of regulation for health and adult social care in England comes into force for the NHS. This will require all providers of certain health and adult social care activities to register with the Care Quality Commission in order to provide services. The Department of Health is now consulting on the draft regulations. This briefing summarises the main proposals and their implications for providers of NHS care and its commissioners.”

NHS Confederation – publications

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Positive Practice Environments for Health Care Professionals – World Health Professions Alliance

Posted on May 12, 2009. Filed under: Health Professions, Workforce | Tags: , |

Positive Practice Environments for Health Care Professionals – World Health Professions Alliance 2008

International Council of Nurses, International Pharmaceutical Federation, World Dental Federation, World Medical Association,  International Hospital Federation, World Confederation for Physical Therapy

Contents include:

Campaign Overview

Call to Action

Fact Sheet: PPE for healthcare professionals

Key Characteristics of PPE for Health Care Professionals

Fact Sheet: Incentive systems for health care professionals

Guidelines. Incentives

Sample Press Release

Advocacy Guide for health professionals

Poster

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National registration and accreditation scheme for doctors, health workers – referred to the Federal Parliament’s Community Affairs Committee for inquiry and report by 18 June 2009

Posted on April 17, 2009. Filed under: Health Professions, Workforce |

National registration and accreditation scheme for doctors, health workers – referred to the Federal Parliament’s Community Affairs Committee for inquiry and report by 18 June 2009

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Tackling concerns locally: report of the working group (UK) March 2009

Posted on April 17, 2009. Filed under: Clin Governance / Risk Mgmt / Quality, Health Professions, Workforce |

Tackling concerns locally: report of the working group (UK Department of Health)

This report sets out the principles of best practice on how local systems for clinical governance could be strengthened to promote continuous improvement in the quality of care and enable healthcare organisations to identify and deal with those healthcare professionals whose performance, conduct or health could put patients at risk.

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Tackling concerns nationally: establishing the Office of the Health Professions Adjudicator (UK) March 2009

Posted on April 17, 2009. Filed under: Health Professions, Workforce |

Tackling concerns nationally: establishing the Office of the Health Professions Adjudicator

This report makes recommendations to Ministers on the establishment of an independent body to adjudicate (i.e. to judge and make final decisions) on medical fitness to practice cases brought before the General Medical Council (GMC).  An independent adjudicator is being established because the Government believes that the final decision making body in medical fitness to practice cases should be independent of both the GMC and of the doctor in question to ensure absolute fairness.

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Future of leadership – UK NHS

Posted on April 16, 2009. Filed under: Health Mgmt Policy Planning, Health Professions | Tags: |

Future of leadership – UK NHS

This report is based on interviews with members of NHS Confederation and other health leaders and explores two important questions: what are the real issues with NHS leadership and what solutions can best be provided by central or regional action.

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Health and community services labour force 2006 – published 6 March 2009 AIHW

Posted on April 16, 2009. Filed under: Health Professions, Workforce | Tags: |

Health and community services labour force 2006
National health labour force series no. 42

In 2006, over 9% of Australia’s workforce was employed in health and community services occupations – a 26% increase from 2001. Between 2001 and 2006 the health workforce and community services workforce increased by 22.8% and 35.6% respectively. Over the same period, the health and community services workforce aged with the proportion of workers in the 55 to 64 years age bracket increasing by 4 percentage points. This report also contains information on geographical distribution, country of birth and qualifications held.

Published 6 March 2009; ISSN 1327-4309; ISBN-13 978 1 74024 891 4; AIHW cat. no. HWL 43; 80pp

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Skills Academy for Health launched [UK]

Posted on April 16, 2009. Filed under: Educ for Hlth Professions, Health Professions |

Skills Academy for Health launched 26 February 2009

The Skills Academy for Health (SAfH) was launched last week at an event showcasing some of the outcomes already achieved across the English regions as a result of employer-led initiatives and effective partnership working.

The SAfH operates at a regional level through a network of regional hubs throughout England, working with local employers and training providers to help address local and regional workforce priorities.

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Clinical training – Governance and Organisation Discussion paper

Posted on April 16, 2009. Filed under: Educ for Hlth Professions, Health Professions, Workforce | Tags: |

Clinical training – Governance and Organisation Discussion paper (pdf, 424k)

The National Health Workforce Taskforce, established by the Council of Australian Governments (COAG), has prepared a Discussion Paper to seek input and feedback about how clinical placements could be organised and managed across Australia.

This Discussion Paper explores clinical placement governance and organisational issues. Its primary function is to raise issues and provoke thought and discussion about the future strategic direction for governance and organisation of clinical education in Australia. To provide context to the discussion of future strategic direction, information about the organisation of clinical education in Australia, including current arrangements, challenges, and responses to those challenges is also presented.

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Review of Mutual Recognition Schemes [Australia]

Posted on April 8, 2009. Filed under: Health Professions, Workforce | Tags: , |

Review of Mutual Recognition Schemes – Research report released on 6 February 2009 from the Productivity Commission

The Mutual Recognition Agreement and the Trans-Tasman Mutual Recognition Arrangement are innovative mechanisms for reducing the costs of regulatory differences among Australian jurisdictions and between Australia and New Zealand.
In this second five yearly review of the schemes, the Commission found that the schemes had brought benefits through increased mobility of labour and merchandise, but that there remained scope to further enhance their operations. Key areas are: bringing greater certainty to the way the schemes operate in relation to occupations; and facilitating interactions between regulators, governments, tribunals and the public.

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