Consultants as victims of bullying and undermining: a survey of Royal College of Obstetricians and Gynaecologists consultant experiences

ABSTRACT Objective: To explore incidents of bullying and undermining among obstetrics and gynaecology (O&G) consultants in the UK, to add another dimension to previous research and assist in providing a more holistic understanding of the problem in medicine. Design: Questionnaire survey. Setting: Royal College of Obstetricians and Gynaecologists (RCOG). Participants: O&G consultant members/fellows of the RCOG working in the UK. Main outcome measures: Measures included a typology of 4 bullying and undermining consequences from major to coping. Results: There was a 28% (664) response rate of whom 44% (229) responded that they had been persistently bullied or undermined. Victims responded that bullying and undermining is carried out by those senior or at least close in the hierarchy. Of the 278 consultants who answered the question on ‘frequency of occurrence’, 50% stated that bullying and undermining occurs on half, or more, of all encounters with perpetrators and two-thirds reported that it had lasted more than 3 years. The reported impact on professional and personal life spans a wide spectrum from suicidal ideation, depression and sleep disturbance, and a loss of confidence. Over half reported problems that could compromise patient care. When victims were asked if the problem was being addressed, 73% of those that responded stated that it was not. Conclusions: Significant numbers of consultants in O&G in the UK are victims of bullying and undermining behaviour that puts their own health and patient care at risk. New interventions to tackle the problem, rather than its consequences, are required urgently, together with greater commitment to supporting such interventions

Consultants as victims of bullying and undermining: a survey of Royal College of Obstetricians and Gynaecologists consultant experiences

ABSTRACT Objective: To explore incidents of bullying and undermining among obstetrics and gynaecology (O&G) consultants in the UK, to add another dimension to previous research and assist in providing a more holistic understanding of the problem in medicine. Design: Questionnaire survey. Setting: Royal College of Obstetricians and Gynaecologists (RCOG). Participants: O&G consultant members/fellows of the RCOG working in the UK. Main outcome measures: Measures included a typology of 4 bullying and undermining consequences from major to coping. Results: There was a 28% (664) response rate of whom 44% (229) responded that they had been persistently bullied or undermined. Victims responded that bullying and undermining is carried out by those senior or at least close in the hierarchy. Of the 278 consultants who answered the question on ‘frequency of occurrence’, 50% stated that bullying and undermining occurs on half, or more, of all encounters with perpetrators and two-thirds reported that it had lasted more than 3 years. The reported impact on professional and personal life spans a wide spectrum from suicidal ideation, depression and sleep disturbance, and a loss of confidence. Over half reported problems that could compromise patient care. When victims were asked if the problem was being addressed, 73% of those that responded stated that it was not. Conclusions: Significant numbers of consultants in O&G in the UK are victims of bullying and undermining behaviour that puts their own health and patient care at risk. New interventions to tackle the problem, rather than its consequences, are required urgently, together with greater commitment to supporting such interventions

A Hybrid Micromachined High -Q Cavity Resonator at 5.8 GHz

A novel hybrid micromachined resonator with high quality factor and small size at 5.8GHz is presented. The design of the resonator is based on a micromachined cavity filled with a high dielectric constant material. Energy is coupled into the cavity from input and output microstrip lines via slots. It is shown experimentally that the limiting factor in achieving a higher Q with the given dielectric materials is the dielectric loss. This resonator provides a low cost, minimum size and compact solution for the fabrication of planar, narrow-band filters and diplexers in modern wireless communication systems.

Are current levels of air pollution in England too high? The impact of pollution on population mortality

We examine the relationship between common sources of airborne pollution and population mortality in present day England. The current air quality limit values are low by both historical and international standards, and these are set at levels which are believed not to be harmful to health. We assess whether this view is correct. We use data at local authority level for the period 1998 to 2004 to examine whether current levels of airborne pollution, as measured by annual mean concentrations of carbon monoxide, nitrogen dioxide, particulate matter less than 10 μm in diameter (PM10) and ozone, are associated with excess deaths. We examine all cause mortality and deaths from specific cardiovascular and respiratory causes that are known to be exacerbated by air pollution. We exploit the panel nature of our data to control for any unobserved time-invariant associations at local authority level between high levels of pollution and poor population health and estimate multi-pollutant models to allow for the fact that three of the pollutants are closely correlated. We find higher levels of PM10 and ozone are associated with higher mortality rates. The size of the effects we find translates into around 4,500 deaths per annum.airborne pollutants, adult mortality, geographical analysis

Modeling student pathways in a physics bachelor's degree program

Physics education research has used quantitative modeling techniques to explore learning, affect, and other aspects of physics education. However, these studies have rarely examined the predictive output of the models, instead focusing on the inferences or causal relationships observed in various data sets. This research introduces a modern predictive modeling approach to the PER community using transcript data for students declaring physics majors at Michigan State University (MSU). Using a machine learning model, this analysis demonstrates that students who switch from a physics degree program to an engineering degree program do not take the third semester course in thermodynamics and modern physics, and may take engineering courses while registered as a physics major. Performance in introductory physics and calculus courses, measured by grade as well as a students' declared gender and ethnicity play a much smaller role relative to the other features included the model. These results are used to compare traditional statistical analysis to a more modern modeling approach.Comment: submitted to Physical Review Physics Education Researc

ATLAS: A flexible and extensible architecture for linguistic annotation

We describe a formal model for annotating linguistic artifacts, from which we derive an application programming interface (API) to a suite of tools for manipulating these annotations. The abstract logical model provides for a range of storage formats and promotes the reuse of tools that interact through this API. We focus first on ``Annotation Graphs,'' a graph model for annotations on linear signals (such as text and speech) indexed by intervals, for which efficient database storage and querying techniques are applicable. We note how a wide range of existing annotated corpora can be mapped to this annotation graph model. This model is then generalized to encompass a wider variety of linguistic ``signals,'' including both naturally occuring phenomena (as recorded in images, video, multi-modal interactions, etc.), as well as the derived resources that are increasingly important to the engineering of natural language processing systems (such as word lists, dictionaries, aligned bilingual corpora, etc.). We conclude with a review of the current efforts towards implementing key pieces of this architecture.Comment: 8 pages, 9 figure