LOCAL ATOMIC STRUCTURE OF AMORPHOUS METALS

The local parameters are introduced to describe the local atomic structure of amorphous metals. They define the structural defects which facilitate the explanation of various properties, including the volume change by annealing

The Role of Education in the Implementation of Shared Decision Making in Emergency Medicine: A Research Agenda.

Shared Decision Making (SDM) is a patient-centered communication skill that is essential for all physicians to provide quality care. Like any competency or procedural skill, it can and should be introduced to medical students during their clerkships (Undergraduate Medical Education or UME), taught and assessed during residency training (Graduate Medical Education or GME), and have documentation of maintenance throughout an emergency physician\u27s career (denoted as Continuing Medical Education or CME). A subgroup representing academic Emergency Medicine (EM) faculty, residents, content experts, and patients convened at the 2016 Academic Emergency Medicine Consensus Conference on Shared Decision Making to develop a research agenda toward improving implementation of SDM through sustainable education efforts. After developing a list of potential priorities, the sub-group presented the priorities in turn to the consensus group, the EM program directors (CORD-EM), and finally at the conference itself. The two highest priority questions were related to determining or developing EM-applicable available tools and on-shift interventions for SDM and working to determine the proportion of the broader SDM curriculum that should be taught and assessed at each level of training. Educating patients and the community about SDM was also raised as an important concept for consideration. The remaining research priorities were divided into high, moderate, and lower priority groups. Moreover, there was consensus that the overall approach to SDM should be consistent with the high quality educational design utilized for other pertinent topics in EM. This article is protected by copyright. All rights reserved

Dissemination and Implementation of Shared Decision Making Into Clinical Practice: A Research Agenda.

Shared decision making (SDM) is essential to advancing patient-centered care in emergency medicine. Despite many documented benefits of SDM, prior research has demonstrated persistently low levels of patient engagement by clinicians across many disciplines, including emergency medicine. An effective dissemination and implementation (D&I) framework could be used to alter the process of delivering care and to facilitate SDM in routine clinical emergency medicine practice. Here we outline a research and policy agenda to support the D&I strategy needed to integrate SDM into emergency care