Understanding practitioner professionalism in Aboriginal and Torres Strait Islander health: lessons from student and registrar placements at an urban Aboriginal and Torres Strait Islander primary health care service

Aboriginal and Torres Strait Islander peoples continue to be pathologised in medical curriculum, leaving graduates feeling unequipped to effectively work cross-culturally. These factors create barriers to culturally safe health care for Aboriginal and Torres Strait Islander peoples. In this pilot pre-post study, we followed the learning experiences of 7 medical students and 4 medical registrars undertaking clinical placements at an urban Aboriginal and Torres Strait Islander primary health care service in 2014. Through analysis and comparison of pre- and post-placement responses to a paper-based case study of a fictitious Aboriginal patient, we identified four learning principles for medical professionalism: student exposure to nuanced, complex and positive representations of Aboriginal peoples; positive practitioner role modelling; interpersonal skills that build trust and minimise patient-practitioner relational power imbalances; and, knowledge, understanding and skills for providing patient centred, holistic care. Though not exhaustive, these principles can increase the capacity of practitioners to foster culturally safe and optimal health care for Aboriginal peoples. Furthermore, competence and effectiveness in Aboriginal health contexts is an essential component of medical professionalism

QCD Predictions for the Transverse Energy Flow in Deep-Inelastic Scattering in the Small x HERA Regime

The distribution of transverse energy, $E_T$, which accompanies deep-inelastic electron-proton scattering at small $x$, is predicted in the central region away from the current jet and proton remnants. We use BFKL dynamics, which arises from the summation of multiple gluon emissions at small $x$, to derive an analytic expression for the $E_T$ flow. One interesting feature is an $x^{-\epsilon}$ increase of the $E_T$ distribution with decreasing $x$, where $\epsilon = (3\alpha_s/\pi)2\log 2$. We perform a numerical study to examine the possibility of using characteristics of the $E_T$ distribution as a means of identifying BFKL dynamics at HERA.Comment: 16 pages, REVTEX 3.0, no figures. (Hardcopies of figures available on request from Professor A.D. Martin, Department of Physics, University of Durham, DH1 3LE, England.) Durham preprint : DTP/94/0

Synergy: A Web-Based Tool to Facilitate Dialogic Peer Feedback

Producción CientíficaThe goal of this demonstration session is to introduce Synergy, a platform to help design and implement dialogic feedback practices. Synergy is grounded in a theoretical framework of dialogic feedback, which suggests an ongoing dialogue among the peers (providing feedback) and the target student (receiving feedback). Synergy allows instructors to create multiple review sessions with specific tasks depending on the role as feedback receiver or provider. Peer review activities are organized around three phases, in accordance with theoretical framework. Using Synergy, peers in the first phase assess student work, discuss together to align their perspectives toward the quality of the work. Then, the peers create feedback tasks (to identify who gives which feedback). In the second phase, Synergy enables peers to provide the intended feedback (based on the feedback tasks) and to build dialogue with the target student. During dialogue, in collaboration with peers, Synergy allows students to identify learning actions to translate the feedback received into concrete progress. In the last phase, when students perform the planned actions, Synergy tracks student engagement and progress per each action and also allows the students to set their progress manually. Synergy is enhanced with Learning Analytics tools to support the feedback processes During the demo, we will show interactively the use case of how Synergy can help design and facilitate dialogic peer feedback.Ministerio de Ciencia, Innovación y Universidades (Project TIN2017-85179-C3-2-R and TIN2014-53199-C3-2-R)Junta de Castilla y León (project VA257P18), by the European Commission under project grant 588438-EPP-1-2017-1-EL- EPPKA2-KA

The description of F2 at small x incorporating angular ordering

We study the perturbative QCD description of the HERA measurements of $F_2 (x, Q^2)$ using a gluon distribution that is obtained from an evolution incorporating angular ordering of the gluon emissions, and which embodies both GLAP and BFKL dynamics. We compare the predictions with recent HERA data for $F_2$. We present estimates of the charm component $F_2^c (x, Q^2)$ and of $F_L (x, Q^2)$.Comment: 8 LaTeX pages + 4 uuencoded figure

BFKL versus HERA

The BFKL equation and the kT-factorization theorem are used to obtain predictions for F2 in the small Bjorken-x region over a wide range of Q**2. The dependence on the parameters, especially on those concerning the infrared region, is discussed. After a background fit to recent experimental data obtained at HERA and at Fermilab (E665 experiment), we find that the predicted, almost Q**2 independent BFKL slope lambda >= 0.5 appears to be too steep at lower Q**2 values. Thus there seems to be a chance that future HERA data can distinguish between pure BFKL and conventional field theoretic renormalization group approaches.Comment: 26 pages, 6 eps figures, LaTeX2e using epsfig.sty and amssymb.st

THE GLUON DISTRIBUTION AT SMALL x OBTAINED FROM A UNIFIED EVOLUTION EQUATION.

We solve a unified integral equation to obtain the $x, Q_T$ and $Q$ dependence of the gluon distribution of a proton in the small $x$ regime; where $x$ and $Q_T$ are the longitudinal momentum fraction and the transverse momentum of the gluon probed at a scale $Q$. The equation generates a gluon with a steep $x^{- \lambda}$ behaviour, with $\lambda \sim 0.5$, and a $Q_T$ distribution which broadens as $x$ decreases. We compare our solutions with, on the one hand, those that we obtain using the double-leading-logarithm approximation to Altarelli-Parisi evolution and, on the other hand, to those that we determine from the BFKL equation.Comment: LaTeX file with 10 postscript figures (uuencoded

Properties of the BFKL equation and structure function predictions for HERA

The general properties of the Lipatov or BFKL equation are reviewed. Modifications to the infrared region are proposed. Numerical predictions for the deep-inelastic electron-proton structure functions at small $x$ are presented and confronted with recent HERA measurements.Comment: 21 pages, 11 figures, Latex file, Durham preprint DTP 92/2

When a patient\u27s ethnicity is declared, medical students\u27 decision-making processes are affected

Background: Disparity in health status and healthcare outcomes is widespread and well known. This holds true for Indigenous peoples in many settings including Australia and Hawaii. While multi-factorial, there is increasing evidence of health practitioner contribution to this disparity. This research explored senior medical students’ clinical decision-making processes. Methods: A qualitative study was conducted in 2014 with 30 final year medical students from The University of Melbourne, Australia, and The John Burns Medical School, Hawaii, USA. Each student responded to questions about a paper-based case, first in writing and elaborated further in an interview. Half the students were given a case of a patient whose ethnicity was not declared; the other half considered the patient who was Native Hawaiian or Australian Aboriginal. A systematic thematic analysis of the interview transcripts was conducted. Results: The study detected subtle biases in students’ ways of talking about the Indigenous person and their anticipation of interacting with her as a patient. Four main themes emerged from the interview transcripts: the patient as a person; constructions of the person as patient; patient–student/doctor interactions; and the value of various education settings. There was a strong commitment to the patient’s agenda and to the element of trust in the doctor–patient interaction. Conclusion: These findings will help to advance medical curricula so that institutions graduate physicians who are increasingly able to contribute to equitable outcomes for all patients in their care. The study also draws attention to subtle biases based on ethnicity that may be currently at play in physicians’ practices

Deep inelastic events containing a forward photon as a probe of small xx dynamics

We calculate the rate of producing deep inelastic events containing an energetic isolated forward photon at HERA. We quantify the enhancement arising from the leading $\log 1/x$ gluon emissions with a view to using such events to identify the underlying dynamics.Comment: 11 pages, Latex, 7 ps figure

Constraints on gluon evolution at small x

The BFKL and the unified angular-ordered equations are solved to determine the gluon distribution at small $x$. The impact of kinematic constraints is investigated. Predictions are made for observables sensitive to the gluon at small $x$. In particular comparison is made with measurements at the HERA electron-proton collider of the proton structure function $F_2 (x, Q^2)$ as a function of $\ln Q^2$, the charm component, $F_2^c(x,Q^2)$ and diffractive $J/\psi$ photoproduction.Comment: 17 LaTeX pages and 9 postscript figure