Prevalence of test accommodations for the Medical Council of Canada Qualifying Exam Part I, 2013-2021

Introduction: Previous articles have highlighted the laborious process of acquiring disability accommodations in medical education. We endeavoured to characterize the trends of test accommodations on the MCCQE Part I.Methods: Data was obtained from the Medical Council of Canada on the number of applicants who attained test accommodations on the MCCQE Part I between 2013 and 2021. The number of test takers for the same period was obtained from the Medical Council of Canada’s Annual Technical Reports; this data was not publicly available for 2013, 2014, or 2021. Prevalence rates and graphs were produced.Results: The number of test takers who attained test accommodations ranged from 35 to 126 between 2013 and 2021. The percentage of test takers who attained test accommodations ranged from 0.89% to 2.01% between 2015 and 2020. Per correspondence with the Medical Council of Canada, no applicant who provided all required documentation was denied test accommodations during this period.Discussion: The number and rate of test takers attaining test accommodations on the MCCQE Part I have increased substantially during this period. It is unclear whether this increase is due to greater rates of students with disabilities, or a reduction in stigma around using test accommodations.Introduction : Des articles publiés antérieurement ont montré à quel point le processus d’obtention d’accommodements pour les personnes handicapées dans le cadre de la formation médicale peut être laborieux. Nous avons voulu explorer les tendances en matière d’accommodements pour l’examen d’aptitude du Conseil médical du Canada (EACMC), partie I.Méthodes : Le Conseil médical du Canada nous a communiqué le nombre de candidats qui ont obtenu des accommodements pour l’EACMC, partie I, entre 2013 et 2021. Le nombre de candidats ayant passé l’examen au cours de la même période a été obtenu en consultant les rapports techniques annuels du Conseil médical du Canada; les données pour 2013, 2014 et 2021 n’étaient pas accessibles au public. Nous présentons des taux de prévalence et des graphiques.Résultats : Le nombre de candidats ayant bénéficié d’accommodements a varié de 35 à 126 entre 2013 et 2021. Le pourcentage de ces candidats a varié de 0,89 % à 2,01 % entre 2015 et 2020. Selon la correspondance du Conseil médical du Canada, aucun candidat ayant fourni les documents requis ne s’est vu refuser un accommodement d’examen au cours de cette période.Discussion : Le nombre et le taux de candidats bénéficiant d’accommodements pour l’EACMC, partie I, ont considérablement augmenté au cours de la période visée. On ne sait pas si cette hausse est due à une augmentation du nombre d’étudiants handicapés ou à une réduction de la stigmatisation liée au recours aux accommodements d’examen

Socioanalytic theory and work behavior: Roles of work values and political skill in job performance and promotability assessment.

Socioanalytic theory postulates that job performance ratings are predicted by basic social motives moderated by social competency. The two motives are the motive to get along with others and the motive to achieve status and power. The present two-study investigation assessed these motives as work values and collected supervisors' job performance and promotability assessments. Social competency was assessed as political skill at work. The results provided strong and consistent support for the hypotheses, thus providing a more direct test of socioanalytic theory and extending it to demonstrate effects beyond overall job performance ratings on contextual performance and promotability assessments. Contributions and implications of these results, strengths and limitations, directions for future research, and practical implications are discussed

Socioanalytic theory and work behavior : Roles of work values and political skill in job performance and promotability assessment

Socioanalytic theory postulates that job performance ratings are predicted by basic social motives moderated by social competency. The two motives are the motive to get along with others and the motive to achieve status and power. The present two-study investigation assessed these motives as work values and collected supervisors' job performance and promotability assessments. Social competency was assessed as political skill at work. The results provided strong and consistent support for the hypotheses, thus providing a more direct test of socioanalytic theory and extending it to demonstrate effects beyond overall job performance ratings on contextual performance and promotability assessments. Contributions and implications of these results, strengths and limitations, directions for future research, and practical implications are discussed

Affinity-Matured Recombinant Antibody Fragments Analyzed by Single-Molecule Force Spectroscopy

For many applications, antibodies need to be engineered toward maximum affinity. Strategies are in demand to especially optimize this process toward slower dissociation rates, which correlate with the (un)binding forces. Using single-molecule force spectroscopy, we have characterized three variants of a recombinant antibody single-chain Fv fragment. These variants were taken from different steps of an affinity maturation process. Therefore, they are closely related and differ from each other by a few mutations only. The dissociation rates determined with the atomic force microscope differ by one order of magnitude and agree well with the values obtained from surface plasmon resonance measurements. However, the effective potential width of the binding complexes, which was derived from the dynamic force spectroscopy measurements, was found to be the same for the different mutants. The large potential width of 0.9 nm indicates that both the binding pocket and the peptide deform significantly during the unbinding process

Lived experience of CamAPS FX closed loop system in youth with type 1 diabetes and their parents.

AIM: To examine changes in the lived experience of type 1 diabetes after use of hybrid closed loop (CL), including the CamAPS FX CL system. MATERIALS AND METHODS: The primary study was conducted as an open-label, single-period, randomized, parallel design contrasting CL versus insulin pump (with or without continuous glucose monitoring). Participants were asked to complete patient-reported outcomes before starting CL and 3 and 6 months later. Surveys assessed diabetes distress, hypoglycaemia concerns and quality of life. Qualitative focus group data were collected at the completion of the study. RESULTS: In this sample of 98 youth (age range 6-18, mean age 12.7 ± 2.8 years) and their parents, CL use was not associated with psychosocial benefits overall. However, the subgroup (n = 12) using the CamAPS FX system showed modest improvements in quality of life and parent distress, reinforced by both survey (p < .05) and focus group responses. There were no negative effects of CL use reported by study participants. CONCLUSIONS: Closed loop use via the CamAPS FX system was associated with modest improvements in aspects of the lived experience of managing type 1 diabetes in youth and their families. Further refinements of the system may optimize the user experience