Understanding the lean philosophy -- Representing corporations with a business process model -- Creating and using hierarchies -- Decoupling systems and processes -- Requirement roll-down using the design for six sigma approach -- Discovering your business processes -- Reengineering your business processes -- Implementing new business processes -- The lean corporation -- An example of discovering your business processes -- An example of reengineering your business processes -- An example of implementing new business processes.
Background: Caribbean offshore medical schools are for-profit, private institutions that provide undergraduate medical education to primarily international students, including from the United States or Canada. Despite the growing role that offshore medical schools play in training Canadian physicians, little is known about how these institutions are perceived by those in professional and decision-making positions where graduates intend to practice.Methods: The authors interviewed 13 Canadian medical education stakeholders whose professional positions entail addressing the medical education system or physician workforce. Participants were employed in academic, governmental, and non-governmental organizations in leadership roles.Results: Thematic analysis revealed three cross-cutting perceptions of offshore medical schools: (a) they are at the bottom of an international hierarchy of medical schools; (b) they are heterogeneous in quality of education and student body; and (c) they have a unique business model, characterized by profit-generating and serving international students.Conclusion: Consistent growth of the offshore medical school industry in the Caribbean may result in adverse reputational harms for well-established offshore or regional medical schools. Both comparative (e.g., USMLE pass rate) and intuitive factors (e.g., professional familiarity) informed participants' perceptions. Participants believed that core principles of social accountability in medical education are incompatible with the offshore medical school model.
In many deployed locations, access to expert medical advice can be limited. The expansion of telemedicine has bridged this gap; however, the large and costly technology required to perform telemedical activities hinders its accessibility. This study aimed to develop a low-cost telemedicine method in order to perform tele ENT consultations for deployed military personnel. The results indicated an ability to transmit clear endoscopic images between deployed and garrison locations using low weight/volume/cost laptop based telemedicine technology.
A perennial criticism regarding the use of social media in social science research is the lack of demographic information associated with naturally occurring mediated data such as that produced by Twitter. However the fact that demographics information is not explicit does not mean that it is not implicitly present. Utilising the Cardiff Online Social Media ObServatory (COSMOS) this paper suggests various techniques for establishing or estimating demographic data from a sample of more than 113 million Twitter users collected during July 2012. We discuss in detail the methods that can be used for identifying gender and language and illustrate that the proportion of males and females using Twitter in the UK reflects the gender balance observed in the 2011 Census. We also expand on the three types of geographical information that can be derived from Tweets either directly or by proxy and how spatial information can be used to link social media with official curated data. Whilst we make no grand claims about the representative nature of Twitter users in relation to the wider UK population, the derivation of demographic data demonstrates the potential of new social media (NSM) for the social sciences. We consider this paper a clarion call and hope that other researchers test the methods we suggest and develop them further.
Abstract. Background: Gatekeeper training is a widely recommended suicide prevention intervention that encourages the development of knowledge and the identification and support of those at risk of suicide. Yet, this strategy has not been implemented among sexual and gender minorities (SGM), a group at high risk of suicide. Aim: The aim of this study was to describe the readiness and interest of SGM in supporting peers experiencing suicide-related behaviors. Method: We analyzed data from an online cross-sectional survey of Canadian SGM ( n = 2778). Results: In total, 90% of participants had ≥1 SGM peer with depression, and 73% had ≥1 SGM peer who had previously attempted suicide; 74% said they knew what to do to support a peer experiencing suicide risk, and 77% indicated they knew where to refer them. Furthermore, 94% were interested in learning how to recognize signs of suicidality, while 95% were interested in learning skills to support a peer struggling with suicidality and 81% of those indicated a preference to learn these skills online. Limitations: The study used a nonprobability sample and cross-sectional design. Conclusion: SGM are largely interested in learning suicide prevention skills and, as such, more resources are needed to implement and scale up evidence-based approaches for gatekeeper training among SGM.
