RESUMEN

Background General practice training in outer metropolitan (OM) areas contributes to patients' access to care. Differences in clinical practice and training in rural versus urban areas have been established, but less is known about OM versus inner metropolitan (IM) differences - whether they offer a trainee learning experience of populations with distinct demographics and healthcare characteristics. This study sought to identify the characteristics and associations of general practice training in New South Wales and Australian Capital Territory OM areas, compared to IM and rural areas. Methods Cross-sectional analyses of data (2016-2020) from the Registrar Clinical Encounters in Training (ReCEnT) study, an ongoing cohort study of Australian GP registrars' in-consultation clinical and educational experience and behaviours, were performed. Multinomial logistic regression assessed associations of rural/OM/IM practice location with registrar and practice factors, patient factors, consultation content factors and consultation action factors. Results Overall, 1308 registrars provided data from 177,026 consultations. For several variables, there was a pattern in the differences of associations across rural/OM/IM areas. Experience of care of older patients and Aboriginal and/or Torres Strait Islander health were more likely in OM than IM areas. Care of patients from non-English speaking background was more likely in OM than in rural areas. Possible markers of healthcare access (specialist referrals, and pathology and imaging requests) were less likely in OM than in both IM and rural areas. Conclusions OM areas are distinct (and educationally rich) clinical learning environments, with distinct demographic characteristics and seeming healthcare access limitations. This finding has implications for workforce support and health resource allocation.

Asunto(s)

Medicina General , Servicios de Salud Rural , Humanos , Estudios Transversales , Femenino , Masculino , Adulto , Persona de Mediana Edad , Servicios de Salud Rural/estadística & datos numéricos , Medicina General/estadística & datos numéricos , Nueva Gales del Sur , Anciano , Servicios Urbanos de Salud/estadística & datos numéricos , Adolescente , Adulto Joven , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Australia , Población Rural/estadística & datos numéricos , Niño , Territorio de la Capital Australiana , Preescolar , Lactante

RESUMEN

The COVID-19 pandemic forced teaching to be shifted to an online platform. Since the flipped teaching (FT) model has been shown to engage students through active learning strategies and adapt both synchronous and asynchronous components, it was a convenient choice for educators familiar with this instructional method. This study tested the effectiveness of a virtual FT method during the pandemic in a graduate-level physiology course. Besides assessing knowledge gained in the virtual FT format, student surveys were used to measure student perception of their adjustment to the new FT format, their confidence in completing the course successfully, and the usefulness of assessments and assignments in the remote FT. Students reported that they adjusted well to the remote FT method (P < 0.001), and their confidence in completing the course in this teaching mode successfully improved from the beginning to the end of the semester (P < 0.05). Students expressed a positive response to the synchronous computerized exams (90.32%) and the formative group (93.51%) and individual (80.65%) assessments. Both collaborative activities (93.55%) and in-class discussions (96.77%) were found to be effective. The course evaluations and the overall semester scores were comparable to the previous semesters of face-to-face FT. Overall, students' perceptions and performance suggested that they embraced the virtual FT method and the tested teaching method maintained the same strong outcome as before. Thus, this study presents a promising new instructional method in the teaching of future physiology courses.

Asunto(s)

COVID-19 , Pandemias , Educación de Postgrado , Humanos , Aprendizaje Basado en Problemas , SARS-CoV-2 , Enseñanza

RESUMEN

Forensic paint analysis heavily relies on population studies and creation of databases for estimating frequencies of apparition and perform discrimination studies. An important part of the paint market is currently led by household paints, that can be recovered in cases of burglaries of forced entries. Here, we present a database of 166 household paint samples collected at random in a waste recycling plant, and measured by infrared spectroscopy. We provide general demographic information on the paint such as their type, brand, model, and color. Based on their infrared spectra, we present the differentiation among samples and the calculation of the discriminating power for various attributes. We compare our visual discrimination results with a principal component analysis. This study provides valuable information for paint evaluation and association evidence, but will also be used to create a searchable database to tentatively determine the chemical composition, brand, or model of a questionned specimen in absence of reference material.