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Textbooks continue to serve as essential central repositories of knowledge for postgraduate education in paediatric cardiology, despite the widespread availability of digital learning tools. Recent studies confirm that trainees still value textbooks for their structure, depth, and accessibility, while also requesting improved pedagogy and organisation. In preparing the 5th edition of Anderson’s Pediatric Cardiology, our editorial team implemented several deliberate educational innovations. These included (1) re-focusing towards our target audience, the congenital cardiac trainee and practicing congenital cardiologist; (2) adoption of a consistent lesion-based framework, termed the “red line,” linking anatomy, physiology, and clinical features; (3) expansion of concise visual elements such as tables, figures, algorithms, and flowcharts; and (4) incorporation of clear learning objectives throughout. These modifications were informed by feedback from trainees, educators, and practicing providers, balancing the desires and needs of the modern learner, and firmly grounded in principles of cognitive and educational science. This paper outlines the rationale, design, and pedagogical implications of these innovations within the broader context of modern medical education.
At the Australia, New Zealand and the United States (ANZUS) security treaty council meeting in May 1962, the US Secretary of State asked the Australian Minister for External Affairs for a contribution of instructors to help the US training mission in South Vietnam. This approach was hardly a surprise to the Australian Government, as the US State Department had made similar approaches for military support to the Australian Embassy in Washington, DC in November and December of 1961. After some negotiation on the nature and conditions of the Australian commitment, on 24 May 1962 the Minister for Defence, A.G. Townley, announced that Australia was to deploy up to 30 military instructors to Vietnam.
Our study examines chunking ability in the processing of auditory multi-word expressions (MWEs) in first (L1) and second languages (L2) using a single- and dual-task paradigm. The findings reveal that divided attention caused by dual tasks does not impair L1 speakers’ ability to bind individual words into a complete MWE (i.e., a unitary chunk). In contrast, L2 learners struggle to form complete MWEs under dual tasks, representing them as smaller, multiple chunks in memory. Divided attention also reduces the overall number of chunks recalled for both groups. Additionally, increased language proficiency and repeated practice through training are positively correlated with the formation of larger chunks, whereas greater working memory capacity is associated with the recall of a greater number of chunks. These findings underscore the challenges L2 learners face in acquiring relatively large chunks and suggest that L2 learning improves through gradually binding smaller units into larger chunks over time.
Limited data exist on how trainers are trained in paediatric cardiology training centres in Europe.
Methods:
A cross-sectional study employing a structured and approved questionnaire was circulated to educationalists/trainers in 95 Association for European Paediatric and Congenital Cardiology training centres.
Results:
Trainers provided complete data for 46 centres in 20 countries. The median number of trainers in each centre was 6 (range 1–16). The median number of years trainers were in a training role was 20 years (range 2–32 years). Sixty-six per cent of trainers received some training in being a trainer, most commonly a course by a local governing college (almost 50%). Almost 78% found such courses helpful as trainers. Sixty-eight per cent of trainers felt their education in training was optimal to be an effective trainer. Assessment of trainees varies from daily to monthly between centres. Workplace assessments (used by >90% trainers) with combined formative and summative feedback were the most common type of assessment. Only one-third of trainers understood or used entrustable professional activities. Time constraints in providing training were reported by 54% of trainers as the greatest challenge in providing training. The majority of trainers expressed a need for formal “training the trainers” courses and development of standards in training.
Conclusion:
There is a marked variation in the level of training of trainers across Europe. A wide mix of assessment tools is used. Feedback is provided by the majority of trainers. Adopting a basic training programme for trainers may promote the training skills of paediatric cardiology trainers.
Comparing educational experience, culture and academic practice within Europe can often be an interesting and rewarding exercise. The observations in this article are based on the author's experience of six and half years' teaching at two universities in Bavaria, the completion of a doctorate at the Free University Berlin, two degrees at the University of Edinburgh (one in history, the other in social sciences), and, most recently, two years' teaching in the Politics and Contemporary History Subject Group at the University of Salford in the United Kingdom. The aim is to reflect on the experience of teaching in two different European academic systems, with a view to making some comparisons as well as observations on the changes which have taken place in the UK higher education system over the last two decades.
Teaching within Higher Education has traditionally been seen as a vital part of the professional apprenticeship of Politics postgraduates. Changes in UK Higher Education in the past twenty years have seen the numbers of postgraduates accepting some teaching duties while writing a Ph.D. grow. This article draws on the experience of the author and some of his Ph.D. colleagues to consider the challenges and benefits of teaching, and the status of postgraduates as educators.
A discipline cannot pretend to be such if political borders are reflected in its organisation, methodologies or practices. While pluralistic approaches are highly desirable, it is crucial for any discipline worthy of the name to professionalise itself. This article argues that in spite of imperfections, drawbacks and differentiated development, huge progress has been made towards this goal through the setting up of common standards, improved Ph.D. and post-doctoral training and international mobility. Cross-national organisations or pan-European programmes have played a major role in this (incomplete) transformation.
Drawing from decolonizing and Indigenous research methodologies, I examine field linguistic training in US linguistics programs and how it approaches collaborative language research. I argue that the current praxis still reflects a linguist-focused model resulting in linguistic extraction (Davis 2017). I provide three recommendations for transforming linguistic field methods training: (i) the recognition of linguistics as a discipline rooted in colonization and the implications of this for speakers/community members, (ii) the incorporation and explicit discussion of language research frameworks that include Indigenous research methodologies, and (iii) the recognition and valorization of Indigenous epistemologies via decolonizing ‘language’ (Leonard 2017).
The authors reflect on the potential of simulation games for teaching the European Union. They argue that when developing or using simulations it is imperative to decide, first of all, on the learning objective(s). The authors distinguish games geared primarily towards conveying knowledge from those aimed at training soft skills. The former can focus on teaching the processes and dynamics of European politics (politics), on teaching factual knowledge about a given policy field (policy) or on teaching the Union’s institutional aspects (polity). The second category concerns objectives such as training teamwork, communication and negotiation skills, as well as empathy, the ability to deal with complexity and making decisions under stress. The relevance of these objectives for teaching and training students is assessed on the basis of case studies describing different simulation game concepts. Although the authors acknowledge that simulation games enjoy an increasing popularity within academic teaching, they maintain that their use in European Studies is largely restricted to classical concepts and argue for a more extensive use of more experimental simulation games.
The risk of Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) incidents is increasing due to terrorism, technological advancements, conflicts, and emerging diseases. Hospitals, as critical response centers, face unique challenges during such events. Comprehensive training is crucial to ensure effective response and protect both patients and staff. This scoping review assesses the effectiveness of CBRNE training in enhancing knowledge, competencies, and preparedness among hospital-based health care providers.
Methods
Comprehensive searches were conducted in Ovid MEDLINE, Ovid Embase, Scopus, Web of Science Core Collection, and CINAHL using targeted keywords. Papers were screened using Covidence. Data were analyzed to evaluate the effectiveness of various training methods used in hospital settings.
Results
A total of 23 papers were included in this review. Training effectiveness was reported in 91% of the reviewed articles. Nurses were the predominant group participating in hospital-based training programs. Tabletop exercises were the most commonly used training method, and biological hazards were the most frequent scenario type. No study identified a single superior method for improving training effectiveness.
Conclusions
CBRNE training incorporating diverse modalities improves health care providers’ knowledge and competencies. Enhanced preparedness supports better responses to disasters, potentially leading to improved patient outcomes and public safety.
The apogee of the Australian infantry’s development on the Western Front came in 1918, after its amalgamation as a five division corps under Sir John Monash. In an Australian dress rehearsal for its part the coming Battle of Amiens in August, the Australians conducted a limited offensive at the Battle of Hamel on 4 July 1918. Thereafter, the Australian Corps maintained a level of battlefield effectiveness that was in keeping with the entire fielded British Expeditionary Force (BEF). By this point in the conflict, the longest serving Australian troops had been on the Western Front for about twenty months. British enabled, using British technology and tactics, the Australian infantryman individually and collectively had undergone the same learning process as the entire British Army. Australian troops were engulfed in the ‘industrialised-scale’ combat of the Somme campaign during 1916. These events precipitated the learning process. The year 1917 was a crucible in which newly introduced training, tactics and technology were refined and endorsed. Australians took part in the ill-conceived use of armour at Bullecourt during the Battle of Arras in 1917, and in the burgeoning use of bite-and-hold tactics at Messines in June 1917.
Leadership was central to the development of Australian infantry on the Western Front. Even Haig, who most often has the blame for the conduct of the war laid at his feet, realised the importance of leadership and training. There was an absolute ‘need for the training of battalion commanders’, he wrote in February 1918, ’who in their turn must train their company and platoon commanders. This is really a platoon commanders’ war’ Nevertheless, popular history today reviles British generals of the Great War as callous and negligent. The background for such perceptions is decades old and lies in the prose of a generation of war poets who wrote prolifically in the aftermath of the conflict. An infantry officer in 1917, Owen was diagnosed as suffering from shell shock and sent to Craiglockhart War Hospital in Edinburgh, Scotland where he wrote extensively. The difficulties faced by British commanders on the Western Front were significant and numerous. After 1916, the British high command was required to regenerate an army, grow a competent officer corps and develop and disseminate the doctrine necessary to win the war. Australian leadership shaped these events in the development of Australian infantry on the Western Front.
Since the introduction of health technology assessment (HTA) in Ukraine, the international technical assistance project “Safe, Affordable, and Effective Medicines for Ukrainians” with financial contributions of the United States Agency for International Development has supported capacity building activities. In 2020, the main HTA stakeholders expressed interest in a comprehensive training program for HTA doers, users, and trainers.
Approach
To inform the design of a training program, the needs of forty HTA doers, users, and potential trainers were assessed using validated surveys. Identified knowledge gaps included comparative effectiveness, health economics, qualitative evidence synthesis, patient and public involvement, and ethical issues. Based on these results a tailored training program consisting of five modules was developed, including an introduction to HTA, as well as a train-the-trainers program.
Results
During January–July 2023, seventy-five persons participated in the training program, while twelve HTA professionals followed the train-the-trainer program. We evaluated participants’ self-reported knowledge and skill gains by asking about their confidence level in each learning objective at the beginning and end of each training module. For each module, a learning effect was observed among participants. Furthermore, the majority of trainers felt confident to provide the introductory module on HTA, while for the other modules only one or two trainers felt completely confident to teach the content.
Conclusion
Establishing a training program based on the needs of HTA doers, users, and trainers as developed for Ukraine can serve as inspiration for other countries that wish to attain sustainable HTA capacity.
Resource restrictions and changes to the ways in which psychiatrists are managed threaten professional autonomy and motivation. With examples from English National Health Service practice, maintaining knowledge and expertise, involvement in education and training, supporting research delivery and developing active followership skills represent transferable and realistic strategies that can improve psychiatrists’ autonomy wherever they work.
We aimed to investigate the effects of the COVID-19 pandemic on the education and professional development, working conditions, and wellbeing of early career psychiatrists (ECPs) in Europe, as well as their attitudes to telepsychiatry.
Methods
A questionnaire comprising 24 items was designed by the Early Career Psychiatrists Committee of the European Psychiatric Association. Data were collected online from June 2020 to September 2021. A series of multiple regression analyses were conducted to determine variables that could predict the dependent variables.
Results
Data were obtained from 517 early career psychiatrists from 39 different countries. Men were more confident than women in their knowledge of COVID-19 symptoms and management, including in managing patients with a comorbidity of COVID-19 and a mental disorder. Providing specific recommendations during the COVID-19 pandemic, access to additional educational activities for ECPs, following COVID-19-related recommendations and access to protective equipment were the significant predictors of a higher confidence in managing patients with comorbidity of COVID-19 and mental disorders. The obligation to change the place of work predicted a decreased satisfaction with telepsychiatry as well as a decreased willingness to use telepsychiatry after the COVID-19 pandemic, while a diagnosis of COVID-19, having recommendations for telepsychiatry and access to dedicated platform for telemedicine were predictors of an increased satisfaction with telepsychiatry.
Conclusions
The COVID-19 pandemic has affected ECPs in Europe to varying degrees. The results point to areas where decision-makers can improve the working conditions for ECPs.
This short essay provides a concise top-down picture of the Red Army during the Great Patriotic War, 1941–1945. It looks at not only its leadership and command (including the State Defence Committee, Stavka, and General Staff) but also size and structure, political supervision, mobilisation and training, and military equipment. When looking at mobilisation and training, it briefly considers not only wider issues but also the mobilisation of specific national groups and women. When considering equipment it identifies some key pieces of equipment that the Soviet Union was able to produce in large numbers, and that proved to be not only relatively easy to manufacture but also rugged and effective.
Obstetric emergencies are frequently encountered on labour wards and in maternity units across the world. To manage these emergencies safely, a maternity team is required to demonstrate excellent collaboration to care for mothers, birthing people and babies in challenging circumstances. Such skills can be learnt and developed through simulation training. Yet, improvements in team working, and the need to transform the working culture of maternity organisations have been recurrently recommended following several high-profile inquiries and national reviews of care (Saving Babies’ Lives Version Three 2023, Ockenden Report 2022, Kirkup Report 2015). In this chapter, we explore the benefits of maternity training, and consider how to establish and ensure the success of a training programme. We reflect on the limitations of current simulation training in the UK, then look ahead to an exciting future of innovation in the field which aims to make birth safer for mothers, birthing people and babies globally.
Self-reflection is central to the development of psychotherapeutic competence. Given the positive reports of video analysis use in psychotherapy training, we suggest that self-reflection based on video analysis may be particularly effective. The aim of this study was to test whether video-based structured self-reflection (VSR) is superior to memory-based structured self-reflection (MSR) in terms of its effect on students’ psychotherapeutic competence and the therapeutic alliance. As part of a university seminar within a Master’s program, N=34 psychology students (M=25 years; n=32 identifying as female) were randomly assigned to 4 weeks of practice with either VSR (n=16) or MSR (n=18). Independent raters assessed students’ psychotherapeutic competence and the alliance before and after the practice phase (pre- and post-assessment). Students additionally rated their own competence during the practice phase. The written self-reflections were analysed using qualitative content analysis and frequency analysis. A repeated measures MANOVA revealed no significant differences between the study groups in the development of externally rated psychotherapeutic competencies from pre- to post-assessment. An analysis of students’ self-reported competencies during the practice phase revealed a significant time effect (η2G=0.12). Analysis of the written self-reflections showed that students focused mainly on the positive aspects of their behavior. The assumption that VSR is particularly beneficial was not confirmed. It seems that self-reflection requires additional guidance, feedback, and a sufficient time frame to effectively improve trainee skills.
Key learning aims
(1) To find out whether video-based structured self-reflection is an effective means of developing students’ psychotherapeutic skills and the therapeutic alliance.
(2) To identify the main characteristics of students’ self-reflections and the benefits and challenges they perceive during the self-reflection process.
(3) To draw methodologically valid conclusions for the implementation of self-reflection in the university context.
This chapter analyzes the Selbstzeugnisse of the eight merchants at the center of this study, along with a few others still in manuscript or not available in the source collection deployed in this book, to sketch the model of mercantile honor the men claimed. The chapter emphasizes that the training the merchants received was fundamental to their sense of self and that they fashioned a model of mercantile honor based on their hard work, courage, skill, honesty, and prudence. As they described their life in trade, the merchants also often took the opportunity to describe the dishonorable behavior of other merchants, thus drawing a clear contrast between themselves and the men who failed to meet their standards.
CBT for psychosis is an established and evolving psychological therapy. Historical controversies about the nature of psychosis persist, and more recent debates about the outcome literature lack precision, muddying the waters further. Based on our experience as clinicians, teachers and supervisors, and following NHS and national lead roles, we describe ten common misconceptions about CBT for psychosis. These include misconceptions about the evidence, the focus of therapy, ‘thinking positively’, and the nature of collaboration and the therapeutic relationship. We refute these misconceptions based on current theory, research, and best practice guidelines. We highlight the need to get out of the clinic room, measure the impact of therapy on personal recovery and autonomy, and meet training and governance requirements. It is essential that clinicians, service leads, and our professional bodies uphold core standards of care if people with psychosis are to have access to high quality CBT of the standard we would be happy to see offered to our own family and friends.
Key learning aims
(1) To recognise common misconceptions about CBT for psychosis.
(2) To counter these misconceptions theoretically and empirically – to inform ourselves, colleagues and service leads committed to ensuring high quality CBT for psychosis.
(3) To highlight statutory and professional body responsibilities to ensure parity of esteem for people with psychosis, who deserve high quality, ‘full dose’ treatments delivered by appropriately trained clinicians, and supported by robust governance systems, just as we would expect for people with physical health conditions.