Resources for Texas Sexual Assault Survivors: Inventory and Survey Findings on Services, Gaps, and Accessibility

Texas is a leader among states on the issue of sexual assault, and has promoted and funded the study of sexual violence as well as created the Sexual Assault Survivors’ Task Force (SASTF) through the Office of the Texas Governor (OOG). Sexual assault is clearly established as a public health problem affecting 6.3 million women and men in the state, or 33.2% of adult Texans over their lifetime.1 This statistic comes from thorough research by the Institute on Domestic Violence & Sexual Assault (IDVSA) at The University of Texas at Austin on the prevalence and impact of sexual assault on Texans, service providers, and the social and economic system at large. The bipartisan passage of HB 1590 (86R) B signifies a continued commitment by Texas lawmakers to serve sexual assault survivors. Lawmakers and Texans alike acknowledge the seriousness of sexual assault crimes. With the research findings derived from this project, survivors and their families, professionals supporting survivors, and lawmakers can better see the landscape of resources, service provision gaps, and unmet needs across our state. The specific project aims were to: • Inventory the sexual assault services available in Texas. • Assess sexual assault survivors’ needs by region for the 11 Texas regions. • Develop a sexual assault services resource inventory. IDVSA accomplished those aims by: • Developing and implementing a statewide survey to a broad and diverse set of providers who serve survivors of sexual violence. • Conducting a collaborative analysis of the survey findings with a specific focus on service availability and service gaps, and presenting those in this report to the OOG. • Developing an HB 1590 Inventory List of the resources available to survivors across the state and delivering it to the OOG to inform the creation of a comprehensive statewide service directory in the futureInstitute on Domestic Violence and Sexual Assault (IDVSA

Increasing the satisfaction of general practitioners with continuing medical education programs: A method for quality improvement through increasing teacher-learner interaction

BACKGROUND: Continuing medical education (CME) for general practitioners relies on specialist-based teaching methods in many settings. Formal lectures by specialists may not meet the learning needs of practitioners and may cause dissatisfaction with traditional CME. Increasing learner involvement in teaching programs may improve learner satisfaction. METHODS: A quality improvement program for CME for 18 general practitioners in the Tel Aviv region was designed as a result of dissatisfaction with traditional CME activities. A two-step strategy for change was developed. The CME participants first selected the study topics relevant to them from a needs assessment and prepared background material on the topics. In the second step, specialist teachers were invited to answer questions arising from the preparation of selected topics. Satisfaction with the traditional lecture program and the new participatory program were assessed by a questionnaire. The quality criteria included the relevance, importance and applicability of the CME topic chosen to the participant's practice, the clarity of the presentation and the effective use of teaching aids by the lecturer and the potential of the lecturer to serve as a consultant to the participant. RESULTS: The participatory model of CME significantly increased satisfaction with relevance, applicability and interest in CME topics compared to the traditional lecture format. CONCLUSIONS: Increased learner participation in the selection and preparation of CME topics, and increased interaction between CME teachers and learners results in increased satisfaction with teaching programs. Future study of the effect of this model on physician performance is required

Why do General Practitioners Decline Training to Improve Management of Medically Unexplained Symptoms?

BACKGROUND: General practitioners’ (GPs) communication with patients presenting medically unexplained symptoms (MUS) has the potential to somatize patients’ problems and intensify dependence on medical care. Several reports indicate that GPs have negative attitudes about patients with MUS. If these attitudes deter participation in training or other methods to improve communication, practitioners who most need help will not receive it. OBJECTIVE: To identify how GPs’ attitudes to patients with MUS might inhibit their participation with training to improve management. DESIGN: Qualitative study. PARTICIPANTS: GPs (N = 33) who had declined or accepted training in reattribution techniques in the context of a research trial. APPROACH: GPs were interviewed and their accounts analysed qualitatively. RESULTS: Although attitudes that devalued patients with MUS were common in practitioners who had declined training, these coexisted, in the same practitioners, with evidence of intuitive and elaborate psychological work with these patients. However, these practitioners devalued their psychological skills. GPs who had accepted training also described working psychologically with MUS but devalued neither patients with MUS nor their own psychological skills. CONCLUSIONS: GPs’ attitudes that suggested disengagement from patients with MUS belied their pursuit of psychological objectives. We therefore suggest that, whereas negative attitudes to patients have previously been regarded as the main barrier to involvement in measures to improve patient management, GPs devaluing of their own psychological skills with these patients may be more important