Stethopedia : une ressource d'apprentissage électronique pour améliorer l'enseignement des compétences cliniques au Canada

Implication Statement Online clinical skills videos can supplement teaching and allow for greater flexibility when learning physical examination skills. There are currently few open access clinical skills video resources available for Canadian medical students. Stethopedia is an easy-to-use, open-access library of clinical skills teaching videos based on the Canadian medical curriculum. We created Stethopedia to increase accessibility to clinical skills resources and improve the competency and confidence of medical students performing clinical skills on examinations and clerkship rotations. Medical students would benefit from similar resources based on their school’s specific curriculum in order to improve clinical skill performance.Énoncé des implications de la recherche Les vidéos disponibles en ligne sur les habiletés cliniques peuvent améliorer l’apprentissage de nouvelles compétences cliniques. Cependant, il existe très peu de ressources canadiennes gratuites qui enseignent les compétences cliniques basées sur la vidéo. Stethopedia est une bibliothèque qui est facile à utiliser et à l’accès libre avec des vidéos d'enseignement des compétences cliniques basées sur le curriculum médical canadien. Nous avons créé Stethopedia pour accroître l'accessibilité aux ressources de compétences cliniques et améliorer la compétence et la confiance des étudiants en médecine qui exécutent des compétences cliniques pendant leurs examens et l’externat. Les étudiants en médecine bénéficieraient de ressources similaires basées sur le programme spécifique de leur école afin d’améliorer leurs compétences cliniques

Design management: changing roles of the professions

This paper sets out to explore how recent changes in procurement in construction have affected the roles that professions play in the design process. It discusses how professions that traditionally took the role of design manager now find themselves participating within previously unforeseen contexts, working in multidisciplinary teams led by contractors and with changed responsibilities at the design stage. Supply chain members who were not previously involved during the early project phases are being engaged at the earliest phases of the project life cycle and even taking leadership roles while designers sometimes work as supply chain partners. A study of design in construction and other sectors shows that in dealing with design management issues it is critical to deepen appreciation for the unique characteristics of design and the design process. The paper argues that contractors and designers taking on design management roles in a dynamic industry seeking to explore best practice and innovative approaches to procurement and in the delivery of projects need to acquire new skills, management education and develop the necessary qualities

Impacts of 4D BIM on Construction Project Performance

A significant proportion of construction projects are failing to achieve their deadline finish dates. This advocate for solutions that could address the root causes of time impacting risks, leading to the use of 4D BIM for project planning. This study investigates the impacts of 4D BIM on construction projects. An exploratory sequential mixed method research was conducted to initially explore the topic via interviews and literature review, and, subsequently, the themes derived were put into questionnaires to elicit expert knowledge on a wider industry scale. The data were analysed using thematic analysis, reliability analysis, Kruskal-Wallis test and factor analysis. Across the objectives around the impacts of 4D BIM on project reliability, monitoring and diagnosis, the findings presented eight key ways the 4D BIM support project performance. Examples of component factors that were raised was planning efficiency to enhance planner output, assessment and directive with a better comparison of planned and actual progress, and thorough/comprehensive risk reflection to cover wide ranges of issues. Upon further reflection, the finding highlighted the issues of the lack of shared responsibility outside of the planner and BIM coordinator, severe lack of understanding and training regarding 4D BIM and complexity of carrying out the process effectively

A strategic approach to mitigating operational failure across transitions

It is recognized that projects continue to deliver operational assets that are partially defective. This article proposes this because the causes of operational failures have not been extensively analyzed. This study explores how an infrastructure client made quality a strategic and project delivery necessity by undertaking research to analyze operational failure. A mixed-method approach consisting of three phases was used: (1) to understand the operational failure elements; (2) to explore the causes of operational failure; and (3) to develop a new strategic framework to address failure mitigation. The study showed the need for transferring, applying, and recognizing capabilities across strategic business, project delivery, and operational use transitions

Success evaluation factors in construction project management : some evidence from medium and large portuguese companies

The construction industry plays a very important role in the Portuguese economy. In 2009, it was among the top five economic sectors, representing 13% of total employment. Nevertheless, project failures are still frequent mainly due to inadequate management practices and to the intrinsic characteristics of projects of the construction industry. Even though Portuguese construction has improved in recent years, cost and schedule overruns, low productivity and final product quality problems are still common. In this context, project management is a crucial tool for improving construction operations and for the overall success of projects. The aim of this article is to contribute to the discussion on success evaluation factors in a field where little has been written – the construction industry. Through a survey of 40 medium and large Portuguese companies several factors were identified which are currently considered in the evaluation of project success, as found in the literature review. The results show that the traditional factors, often referred to as the “Atkinson elements triangle” (cost, time and quality), are still the most relevant for evaluating the success of a project, but others, such as customer involvement and acceptance, have gained importance in recent years

Compliance with herpes zoster vaccination in young and adult individuals in two regions of Italy

Background: The purpose of this work was to explore the knowledge and acceptance of Varicella Zoster Virus (VZV)- Herpes Zoster (HZ) vaccination in the general Italian population, where the HZ vaccine has not yet been distributed, using a prevalence study of subjects from two regions in Italy. Methods: A group of 3,173 individuals were interviewed using a questionnaire. The youngest age group (≤ 20 year) was composed of students interviewed at university. The middle age group (21-40 years) and the older age group (≥ 41 years) were interviewed by general practitioners in their office. Results: In both regions, the majority of subjects had been infected with varicella, and only 165 (5.2%) subjects reported receiving the VZV vaccination. Regarding HZ, 2,749 (86.6%) individuals stated that they knew of the virus and 2,233 (70%) were willing to be vaccinated against HZ. The majority of people willing to be vaccinated were in the middle and older age groups (36.6% and 44.7%, respectively). Conclusion: Compliance versus vaccination results were satisfactory and probably, with the upcoming availability of the HZ vaccine in Italy, adults will be favourably disposed towards vaccination