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Federal safeguard officers say they want a crackdown on impaired and distracted drivers, wider use of collision-avoidance technology in automobiles, and tougher laws for operators of air tours and medical flights.
The national Transportation protection Board laid out a desire record Monday to improve safeguard on roads, trains and within the sky.
Chairman Robert Sumwalt talked about the checklist become driven by using information from accidents that the board investigates.
"it is written in blood," he pointed out.
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The protection board investigates accidents and suggests how you can avoid identical crashes. The agency planned to unveil its precise issues last month but was delayed through the government shutdown led to via a standoff over President Donald Trump's demand for border-wall funding.
Sumwalt mentioned the 35-day shutdown delayed the birth of ninety seven crash investigations. In some cases, he noted, wreckage turned into eliminated before investigators might ultimately arrive, and "We may have lost expertise reside-saving suggestions."
The safety board has no energy to write down laws, and over the years its information have commonly been rebuffed via different groups. The board has 1,200 pending recommendations that have not been acted on by corporations including the national highway site visitors protection Administration and the Federal Aviation Administration.
The board's frustration has grown deeper throughout the Trump administration, which has sought to cut back regulations on business. The administration has held up proposals to require digital speed-capping software in new heavy trucks and require auto makers to equip future automobiles and lightweight trucks with vehicle-to-automobile communications to evade collisions.
In Washington, board contributors introduced their checklist of issues they want addressed with the aid of new rules in the subsequent two years. The record would cover automobiles and vans, trains, planes and pipelines. They declined to rank the list. among the objects:
— A crackdown on distracted and impaired drivers. The board favors a ban on drivers the usage of either hand-held or arms-free cellphones apart from in emergencies. It recommends a blood-alcohol limit of 0.05 p.c — a common ordinary now could be 0.08 p.c — and requiring any driver convicted of inebriated riding to make use of a device that prevents him from beginning the automobile after ingesting.
— Require automakers to make collision-avoidance know-how normal in all new motors. Sumwalt stated such methods could store practically 1,000 lives a yr.
— greater practising and other requirements to enhance regulation of operators of charters, air excursions, air taxis and clinical flights. Passengers don't needless to say these operations aren't required to meet the equal defense specifications as airways, Sumwalt observed.
— installation GPS-based mostly expertise known as advantageous educate control it is designed to prevent collisions just like the Amtrak train that hit a parked CSX freight educate final 12 months in South Carolina, killing two Amtrak personnel. Congress mandated the know-how via the end of remaining 12 months, however compliance has been spotty and the time limit has been prolonged.
despite the fact a normal definition of nursing medical judgment has been elusive, three based and accredited paradigms for nursing medical judgment consist of the Intuitive-Humanistic mannequin (Benner, 1984), which became later built-in into the Tanner mannequin (2006); twin manner Reasoning thought (Croskerry, 2009; Pelaccia, Tardif, Triby, & Charlin, 2011), anchored in the cognitive continuum thought (Harbison, 2001); and the information Processing model (Oppenheimer & Kelso, 2015). Nursing educators have discovered each of these paradigms to be positive in getting ready students to turn into knowledgeable nurses.
The national Council of State Boards of Nursing (NCSBN) has developed a framework for outlining and assessing clinical judgment it is flexible and encompasses all three of the leading theoretical frameworks used by using nurse educators when educating clinical judgment in prelicensure and continuing education classes. this text items a framework of scientific judgment for use by way of educators and NCSBN when setting up formative and summative efficiency and licensure critiques and assessments. Such an integrated framework promotes the talents for congruence between tutorial and licensure reviews whereas improving the constancy and validity of nurses' school room, clinical, and regulatory contrast and assessment adventure.
the first step in developing a framework for clinical judgment involved building a conceptual model. because scientific judgment is an improved-order cognitive assemble, the NCSBN-clinical Judgment mannequin (NCSBN-CJM) needed to synthesize cognitive theories of the construct from the literature, facilitate an knowing of the assemble, and lay theoretical grounds for outlining and assessing clinical judgment (Dickison et al., 2016). Nurses with the skills to recognize, analyze, hypothesize, respond, and consider as it should be should be in a position to deliver astonishing care inside a mess of contexts on account that they are more likely to make good medical judgments (Dickison et al., 2016).The NCSBN-CJM
The NCSBN-CJM (determine 1) is a multilayered mannequin that comprises statement (Layer 0), cognitive operations (Layers 1–three), and contextual components (Layer 4) (Dickison et al., 2016). Layer 0 incorporates two naturally observable entities: client needs that provoke the system of scientific judgment and scientific choices to finished the manner. Layers 1–three (the cognitive layers) depict the evaluation of an iterative or recursive sequence of cognitive operations. Layer 1 is a single entity that contains the entirety of clinical judgment, which is defined by way of the observable entities depicted in Layer 0 and the unobservable cognitive operations depicted in Layers 2–3. Layer 2 represents an iterative system of three cognitive operations: form hypotheses, refine hypotheses, and evaluate hypotheses. Layer three divides these operations into independent, recursive operations essential for completion of every Layer 2 operation. as an instance, admire cues and analyze cues (Layer 3) are quintessential to form hypotheses (Layer 2). Layer four (the context layer) contains a set of contextual elements that may also affect the efficiency of the cognitive operations in the model. There are two types of contextual components: individual components and environmental elements.
The country wide Council of State Boards of Nursing-scientific Judgment model.
Examples of particular person elements consist of expertise, abilities, uniqueness, candidate characteristics, prior event, and stage of event. Examples of environmental elements encompass physical environment, client statement, elements, clinical facts, penalties and risks, time drive, project complexity, and cultural consideration. These components (particular person and environmental) are not vital to interpretation of the rankings bought from goal scoring models however are primary to the construction of assessments as a result of they be sure that contextual constancy is considered in any evaluation of medical judgment.
youngsters Layer four should still be modified as the scope of nursing follow alterations or emerging research suggests extra individual and environmental components, the scoring mannequin is still intact (Dickison et al., 2016). The price of this layered model is that it affords evaluation developers and users first-rate flexibility in identifying the degree of measurement in line with the purpose of the assessment. as an example, the evaluation developer and user may additionally decide to best focal point on Layer 1 to make an ordinary pass/fail choice, which is commonplace in high-stakes licensure examinations. Conversely, educators may also make a decision to focal point on Layer three for formative assessment throughout a pupil's matriculation via a module of instruction for finer levels of diagnostic suggestions however use Layer 2 for summative examinations to ascertain attainment of educational goals and objectives.Integration of the NCSBN-CJM With Three medical Reasoning Frameworks
Nursing educators have adopted a variety of tutorial frameworks to enhance pupil acquisition of clinical reasoning advantage. The building of foundational capabilities, talents, and potential necessary by nurses to independently consider complicated assistance and instances to make applicable scientific selections requires prelicensure courses to comprise a call-making framework into their curricula (Smith, Thurkettle, & Dela Cruz, 2004; Thompson, Dowding, & McCaughan, 2004). Nursing training in the united states uses three primary teaching-learning frameworks for presenting the decision-making ideas to prelicensure nursing students: Intuitive-Humanistic model, dual system Reasoning conception, and information-Processing mannequin. These fashions supply frameworks that let the identification of subcomponents of the common determination-making method, thus permitting educators to plan educational actions and subsequent lecture room evaluation on the mastery of those subcomponents.
it can be acknowledged that the nursing method at first changed into synonymous with clinical judgment and reasoning, and blanketed five accessories of difficulty fixing: assessment, nursing diagnosis, planning, implementation, and evaluation. because the nursing system received acceptance in the profession, nurses stated that even though it was a useful tool for starting students as a basis for fixing client problems, the mannequin didn't encompass the complexities of medical reasoning and the components that have an effect on it (Tanner, 2006). therefore, it was not protected as a number one mannequin listed here.
Intuitive-Humanistic mannequin. Benner (1984) delivered the concept whereby the nurse strikes from newbie to skilled through experiential growth in capabilities and advantage. Thompson (1999) recognized this conception as probably the most most fulfilling examples of the Intuitive-Humanistic mannequin. Benner referred to that nursing apply had expanded in each complexity (acuity tiers of clients, diminished size of hospital stays) and accountability (career construction, adjustments between newbie and skilled nurses), and realized that the exigencies of medical practice can not be described by way of idea on my own. due to this fact, Benner used the Dreyfus model of skill Acquisition (DMSA), which states that the nurses transitions via 5 ranges of skillability: novice, advanced beginner, competent, expert, and expert (Benner, 1984; Dreyfus & Dreyfus, 1987). Benner included these 5 tiers of skill acquisition into her definition of nursing scientific judgment.
Tanner (2006), in setting up the model of scientific Judgment, recognized intuitive-humanistic as one class of reasoning that nurses use moreover analytic and narrative reasoning, acknowledging that nurses go from side to side amongst these kinds of reasoning. Tanner defined that much less skilled nurses, including students, may additionally count more closely on analytic reasoning, whereas skilled nurses usually tend to use intuitive reasoning in line with their clinical experiences. Lasater's (2007) research expanded Tanner's aspects of medical judgment, according to experienced nurses, to explain a trajectory of medical judgment development for college students. Tanner recognized that nurses' backgrounds, each medical and private, have an effect on what they observe about sufferers. An example of here is when an authority nurse accurately anticipates the wants of a consumer in line with his or her previous experiences.
within the NCSBN-CJM, Layers 2, three, and 4 help and clarify these underlying cognitive tactics for nursing clinical judgment and are complementary to Benner and Tanner in that nursing consists of both theoretical capabilities and functional experiences. Nurses require deep knowledge to make selections that influence in top-quality client consequences (Benner, Tanner, & Chesla, 2009). As nursing college students movement on the continuum from amateur to more suitable advantage in follow, their potential to appreciate and analyze cues, prioritize hypotheses, and generate solutions for purchasers, based mostly in evidence and experiences with valued clientele, raises. Their concrete experiences in clinical apply serve to ebook their moves and enrich their clinical judgment.
dual method Reasoning conception. This theory arose from Hammond's cognitive continuum theory (1978) that defined scientific judgment as an adaptive approach that lies between analytic considering and intuitive thinking, reckoning on the context. The cognitive continuum concept cautioned nursing actions that require determination making will also be viewed on a continuum ranging from intuitive notion to analytical thought, based on the elements of the action (complexity, ambiguity, and presentation) that have an impact on the considering techniques of the nurse.
extra lately, experiences have recognized and mentioned the twin manner Reasoning thought of clinical reasoning. Two kinds of reasoning are discretely identified, nonanalytical reasoning (e.g., sample cognizance, gut emotions, experiential) and analytical reasoning (e.g., speculation-pushed, purposeful) (Croskerry, 2009; Durham, Fowler, & Kennedy, 2014; Pellacia, Tardif, Triby, & Charlin, 2011). according to Croskerry (2009), the previous is regularly quick, more reflexive, and based on previous experiences, whereas the latter comprises a more deliberate, purposeful category of reasoning, including generating hypotheses and critically pondering them. despite the fact these are distinct forms of reasoning, the underlying idea is that used together, fitness care practitioners are in a position to motive extra precisely in clinical situations. Croskerry (2009) cautioned towards entirely counting on one or the other process, which may also lead to unfortunate errors; reasonably, he endorsed that nonanalytical reasoning and analytical reasoning may still be used to cross-determine every different to arrive at the most accurate judgments or selections. in the beginning, researchers presumed that learners did not use pattern awareness or intuition for reasoning on account of their lack of health care experiences; youngsters, Ark, Brooks, and Eva (2007) found that all stages are capable of use nonanalytical methods. This supports Tanner's (2006) idea that the professional or very own historical past of the nurse influences what the nurse notices in regards to the patient.
An illustration of nurse moves resulting in analytic thinking could be adjusting ventilator settings for a shopper with a background of persistent obstructive pulmonary disorder. The nurse could at once identify that the client is hypoxic, according to observations made while caring for the client for a few days and noting a metamorphosis in the customer's degree of attention. a quick pattern attention from outdated experiences often results in intuitive considering or nonanalytical reasoning (Durham, et al., 2014). once the immediate motion is taken, the nurse may function a greater purposeful and thorough evaluation, compare latest records with outdated records, and improve a hypothesis about the explanation for the customer's signs, which is analytical reasoning (Durham et al., 2014)
The NCSBN-CJM enhances the twin technique Reasoning concept in that it develops a cognitive mannequin inside nursing contexts of care (Muntean, 2012). The NCSBN-CJM at Layers 2 and three acknowledges that although some ingredients of clinical judgment, akin to recognizing and analyzing cues, frequently turn up on the intuitive (or nonanalytical) layer, extra complicated elements of choices, corresponding to producing hypotheses and options, and evaluating outcomes, may require in-depth advantage derived from scientific information (analytical). in addition, in Layer 4, the NCSBN-CJM explicitly references the content material or exterior components that affect scientific judgments. simply as Tanner (2006) emphasized the connection between what the nurse notices and the context of care, the dual system Reasoning thought, mainly nonanalytical reasoning, acknowledges the importance of context (i.e., client and environmental components, and traits of the nurse him- or herself) to a nurse's clinical choice-making capability (Croskerry, 2009).
information-Processing model. Oppenheimer and Kelso (2015) posit that throughout professions, determination making should still be modeled from “basic cognitive building blocks” together with memory, consideration, and causal reasoning and that resolution techniques are finest understood by means of developing fashions of how choice-central information is sampled, retrieved, and built-in. This position implies that nursing scientific judgment is particularly correlated with standard cognition.
Dickison et al. (2016) used the advice-Processing framework to propose a nursing scientific judgment model with five iterative approaches: admire cues, generate hypotheses, decide hypotheses, take action, and evaluate results. This mannequin allows for for identification of the procedure and identification of aspects of error. Clinicians ought to use prerequisite advantage and capabilities to book them when organizing advice, and since of this, NCSBN concentrated on decision making situated within context-certain situations. The assemble of resolution making is regular in that choices are made in all kinds of professions: health care providers (Botti & Reeve, 2003), auditors (Libby, 1985), mechanics (Mehle, 1982), and scientists (Fischhoff, 1977). youngsters, every self-discipline must specify the way to implement a choice-making mannequin. despite the fact resolution making is ordinary to all professions, every occupation requires deep knowledge and need to focal point on the resolution-making features most relevant to their career.
Describing medical judgment through the use of an advice-processing mannequin allows for for specification of the mental add-ons worried in decision making and the interactions between them. the first assumption in the NCSBN-CJM is that the world is represented as a group of movements that can be observed, equivalent to customer needs and responses to those needs or to medical decisions. NCSBN additional developed the model (determine 1) to explain the underlying cognitive approaches that nurses use when getting into a condition that requires a decision (Muntean, 2012). Clinicians must first admire and analyze the cues linked to the clinical difficulty. Hypotheses are activated and generated based on the cue inputs. After hypotheses are prioritized, nurses will attempt to get to the bottom of the existing difficulty through taking action according to the leading speculation. within the simplest case, a hypothesis could be linked to a single action; when it's judged as most likely, just one outcomes naturally follows. One instance often is the need to verify a diabetic client's blood glucose if the customer complained of lightheadedness.putting It collectively: NCSBN-CJM instance
An illustration of how nurse educators can use the NCSBN-CJM to assemble beneficial assessments of medical judgment is proven in table 1, which offers a hypothetical motion model for a pediatric atmosphere. one of these mannequin may also be used to verify even if students are in a position to make an acceptable nursing scientific judgment inside a given scenario by way of following the cognitive operation steps through a complete case examine or deciding upon one or extra of them to target for evaluation purposes. The cognitive operations in the first column in the desk 1 represent critical operations described in Layer 3 of the NCSBN-CJM. The column for factor conditioning describes the context (Layer 4 of the NCSBN-CJM) that directs the content material of scholars' assessment. This context will also be used to write distinctive-choice test items or to improve case-examine or simulation actions designed to elicit the observable outcomes or behaviors. finally, the column for expected habits/actions describes acceptable scholar actions, or observable results, that can also be measured.
Hypothetical action mannequin for a Pediatric Case look at
As this illustration indicates, the NCSBN-CJM can aid nurse educators and producers of nursing tutorial substances design useful tools for assessing scientific judgment by assisting them goal selected cognitive operations (e.g., examining cues to generate observable moves that mirror students' clinical judgment potential). These assessments can also be used to assess the place the manner turned into reinforced or broken down. The layered design of the model (determine 1) enables educators to assess even if pupil mistakes are concerning cognitive operations (Layers 1–three) or contextual factors (Layer 4). After the focal point of the students' errors had been recognized, educators can use the action mannequin to guide concentrated comparison and remediation plans (individualized or neighborhood) on the selected areas of the of the NCSBN-CJM (Layer 3).
in additional complicated scenarios, however, a hypothesis can be associated with a number of competitively priced actions. In these situations, nurses set off and generate a group of reasonably-priced moves and then rank them. as a consequence, much like speculation generation and refining speculation, the equal underlying intellectual procedures happen for producing and rating a group of economical actions. it's important to be aware that a nonaction, similar to waiting and collecting more tips (e.g., hypothesis guided search) (Thomas, Dougherty, Sprenger, & Harbison, 2008), is itself a decision.
household physicians can appear back with satisfaction on all that they and their predecessors have accomplished during the past half-century as the distinctiveness of household drugs celebrates its 50th anniversary(www.aafpfoundation.org) on Feb. eight. and they can be emboldened realizing that the AAFP is marking the milestone with a focus on the long run, redoubling its work to ensure that FPs -- nowadays and 50 years down the road -- have the resources they deserve to proceed giving sufferers the highest-fine fitness care.
it's work this is essential to the fitness of the nation, and it's taking vicinity day by day on many fronts. AAFP govt family members experts nudge Congress and the administration towards a health care device founded on simple care. observe development experts map out the highest quality techniques for FPs to get paid fairly. the entire whereas, different Academy workforce is busy growing the premier carrying on with scientific training, journal content material, clinical instructions, conferences and greater to assist household physicians in offering their trademark cradle-to-grave care.
a vital part of the Academy's efforts to shape the way forward for household medication is a task focused on encouraging greater of essentially the most promising medical college students to choose careers in family unit medicine. The AAFP joined a number of different family medication agencies to launch the the united states wants extra family unit docs: 25 x 2030 collaborative, which goals to be sure that 25 % of mixed U.S. allopathic and osteopathic clinical school seniors choose family unit drugs as their strong point by using 2030.
And to be certain the fitness IT of the close future ultimately lives as much as its talents of constructing family unit physicians greater helpful, the AAFP is gearing up to shape it through a miles-accomplishing effort spearheaded by way of the Academy's newly appointed chief scientific informatics officer.
These efforts will greater equip FPs to master the challenges that their predecessors set for the area of expertise 50 years in the past.The morning time of family unit drugs
or not it's challenging to agree with it now, however there changed into a time when family unit medication didn't have its personal certifying board. What may well be even harder to accept as true with is that within the 1960s, a number of family physicians didn't even want a certifying board.
One handiest has to move back to 1962, when the AAFP turned into still typical as the American Academy of time-honored apply, or AAGP. In June of that 12 months, GP (the forerunner to American family health practitioner) posted an editorial, "An American Board of regular apply for family unit Physicians,"(5 MB PDF) that contained an inventory of 10 points for -- and 9 elements towards -- the advent of a board for typical practitioners.
here yr, the AAGP Board of directors adopted a resolution recommending that the Academy create a certifying board. Most individuals at that year's Congress of Delegates, then again, hostile the idea. In 1964, the board took a cue from the delegates and issued a statement displaying they also have been unanimously adversarial to the creation of a board of ordinary apply.
In April 1965, youngsters, the Congress of Delegates modified path and directed the Academy's leaders to proceed with the institution of a certifying board. very nearly four years later -- after evaluate via a litany of committees, commissions, councils, advisory boards and study groups; after the production of numerous reviews, resolutions and recommendations; and even after some heated debate about what family physicians should still call themselves -- the American Board of scientific Specialties approved an utility submitted via the AAGP and the AMA part on time-honored observe, and officially centered the American Board of family practice (now the American Board of family drugs) on Feb. eight, 1969.
again then, the distinctiveness confronted a few limitations. There became significant difficulty about declines within the number of practising GPs. There changed into the becoming specter of specialization, and the sensation that GPs would quickly be considered "second-type" physicians by means of the public, and their friends, if their diplomates weren't certified. And there turned into be troubled that certification would not do anything to assure GPs sanatorium privileges -- an argument that had been lingering because the end of World struggle II.(www.aafpfoundation.org)
most of the issues that bothered family unit medication in those early days have gone by the wayside, however they have got been changed via new challenges. Chief among them are the recruitment of scientific college students to support the specialty develop and raise its presence, and the use of health IT and its effect on how FPs observe.
The Academy is taking daring steps to address both of these considerations and confirm that family drugs is as robust 50 years from now as it is nowadays.energy in Numbers: The 25 x 2030 Collaborative
The 25 x 2030 collaborative kicked off in August with an ambitious goal: by using 2030, 25 p.c of U.S. medical students will pursue family medicine careers, a soar from the present price of 12.6 percent. This enormous raise is critical for family medicine to do its part in building the mighty basic care team of workers this nation so desperately wants.
The collaborative is definitely a gaggle effort, with the AAFP basis, the American Board of family medicine, the American faculty of Osteopathic family Physicians, the association of Departments of household medicine, the association of family drugs Residency directors, the North American simple Care research neighborhood and the Society of lecturers of household medicine all working mutually to prioritize and execute initiatives obviously to create precise exchange.
The collaborative is building on the development made through family unit medicine for the usa's fitness(fmahealth.org) in expanding clinical students' option of household medicine.
just last month, the household drugs Working celebration held a gathering to share ideas and form the route of the 25 x 2030 venture. each and every organization within the collaborative has unique body of workers and individuals (or diplomates) to a steerage committee to be able to meet in March. as the collaborative establishes its priorities and begins work on distinct initiatives, other groups -- together with some from outdoor family unit medicine -- can be engaged for his or her input and collaboration.
in keeping with Ashley Bentley, M.B.A., an AAFP pupil interest strategist and the application manager of 25 x 2030, reaching the collaborative's aim will take efforts in communities across the country.
"Over the last 50 years, family unit medication has proven its dedication to primary care, making up the majority of the primary care health care provider body of workers with family unit physicians disbursed to replicate the U.S. inhabitants greater than another fitness occupation body of workers," Bentley instructed AAFP news.
"At a time when a shortage of more than 52,000 simple care physicians is predicted in the close future and specialists demand forty percent of the general practitioner personnel to be in basic care -- up from a existing expense of 32 % -- family medication is uniquely called to steer the charge," she persevered. "Efforts of this collaborative will equip household physicians and family medicine allies in and outdoors of medicine who care about constructing a strong and diverse simple care staff to inspire, aid and encourage students and create and recommend for guidelines and standards that develop fundamental care."
And these physicians should be stronger capable of look after their patients when they've more desirable tools.Making health IT Work for family unit Physicians
It wasn't too long in the past that health information know-how became being hailed as a savior of varieties(www.healthaffairs.org) for the usual family physician. It turned into believed that incorporating health IT into one's follow would assist physicians more without difficulty diagnose patients, cut down on blunders and provide more desirable care, all whereas reducing charges.
As a number of fresh studies have shown, it's commonly no longer the case. In some cases, digital health facts (EHRs), a critical element of health IT, may cause greater damage than good. by way of requiring physicians to spend greater time on administrative initiatives and fewer time speakme with and caring for sufferers, facts has advised that instead of decreasing health care provider burnout, EHRs may also in fact contribute to the issue.
To in reality make health IT work, household physicians can't be bystanders; they ought to power the fitness IT dialog and take a greater active function in the way EHRs and other features of fitness IT are created. because of this, the AAFP is coming near fitness IT from diverse angles to form the expertise from interior as well as backyard.
On Jan. 28, the AAFP sent a letter(eight web page PDF) offering to work with the workplace of the country wide Coordinator for fitness IT (ONC) on policies that:
Steven Waldren, M.D., M.S., an Academy vice chairman and the AAFP's chief scientific informatics officer, adopted up the letter with an in-grownup meeting on Jan. 30 with ONC group of workers, including the office's chief scientific officer, Tom Mason, M.D. Waldren advised AAFP news that the meeting went smartly, and that he became capable of hear at once from the ONC about their efforts to in the reduction of administrative burden.
other AAFP efforts to enhance the health IT panorama are taking area in-condominium. Waldren outlined many of those efforts in a Jan. 2 interview with AAFP news.
amongst different work, the Academy is within the technique of creating an innovation laboratory to inspire developers to construct greater person-friendly fitness IT items that help family medication practices, with direct input from FPs practising within the box. toward that conclusion, the AAFP will fund a new problem software for developers in an effort to award the corporations and innovators who bring the most efficient products and features to family physicians.
Watch AAFP information for ongoing updates on the Academy's efforts to shape the future of household medicine.
related AAFP news CoverageEHR Interoperability important for much less Burnout, more desirable CareNational Academy of medication document Echoes AAFP's demand stronger IT (eleven/28/2018)
AAFP to shape future of health Care With New Informatics PushVP Steven Waldren, M.D., Named to go Effort (10/15/2018)
chief Voices blog: Who Will Mentor the next technology of family medical doctors?(1/19/2017)
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NORTHBROOK, Ill., Jan. 31, 2019 /PRNewswire/ -- Hilco Global is pleased to announce that Thomas A. Greco, CEO Hilco Valuation and Industrial Services, will be honored by the financial services industry and recognized by National Jewish Health - the nation's leading respiratory hospital - and is set to receive the 2019 Humanitarian Award for his outstanding leadership in the community and financial industry.
Mr. Greco has been with Hilco Global since 2010 and has over 30 years of financial services experience. He has led valuation, lending and investment teams across multiple industries, has managed large business groups on a global scale and holds a Six Sigma Black Belt in quality management. Prior to joining Hilco, Mr. Greco was an executive with GE Capital where he was a customer of Hilco Global for fifteen years. This helped him form a unique perspective on the requisites and fundamentals of a best-in-class valuation services provider, which form the backbone of his leadership strategy today.
"I've been involved with National Jewish Health for many years and have seen first-hand how the incredible medical professionals and hospital leadership are committed to treating, studying and solving many of the most challenging respiratory diseases in the world and saving lives." Mr. Greco continues, "I am honored to receive this award and raise money to help them continue their important mission of helping others afflicted with lung, heart and immune diseases."
Mr. Greco is active in community causes including serving on the President's Board for UCAN, an organization that helps at-risk children, youth and families through more than 30 programs that create a healing process for those who have experienced trauma.
The Financial Industries Dinner event supports medical research, clinical and educational programs for National Jewish Health. The financial services industry annual event began in 1977 and has become one of the largest events supporting the hospital each year. Since its inception, the event has raised more than $15 million.
The National Jewish Health Humanitarian Award recognizes individuals who have made significant civic and charitable contributions and are leaders in their communities and industries. The award will be presented to Mr. Greco during the annual National Jewish Health Financial Industries Dinner on Thursday, March 14, 2019, at the Grand Hyatt New York in New York City. To make a donation, please visit nyfid.org.
About Hilco Global: Hilco Global (www.hilcoglobal.com) is a privately held diversified financial services company and the world's preeminent authority on maximizing the value of assets for both healthy and distressed companies. Hilco Global operates as a holding company comprised of over twenty specialized business units that work to help companies understand the value of their assets and then monetize that value. Hilco Global has a 30-year track record of acting as an advisor, agent, investor and/or principal in any transaction. Hilco Global works to deliver the best possible result by aligning interests with clients and providing them strategic insight, advice, and, in many instances, the capital required to complete the deal. Hilco Global is based in Northbrook, Illinois and has 600 professionals operating on five continents.
This post was contributed by a community member.
WATERBURY- The Respiratory Care Program at Naugatuck Valley Community College was honored by the Commission on Accreditation for Respiratory Care (CoARC). The Distinguished RRT Credentialing Success Award is "presented as a part of the CoARC's continued efforts to value the registered respiratory therapist (RRT) credential as a standard of professional achievement. From a program effectiveness perspective, the CoARC views theRRT credential as a measure of a program's success in inspiring its graduates to achieve their highest educational and professional aspirations."
The criteria for selection are based on objective accreditation metrics documented in the 2017 Annual Report of Current Status RCS (Respiratory Care Services). Programs are required to have three or more years of outcomes data, hold accreditation without a progress report, document RRT credentialing success of 90% or above, and meet or exceed established CoARC thresholds for CRT credentialing success, retention, on-time graduation rate, and overall employer and graduate satisfaction. Margaret Guerrera, Professor of Respiratory Care, commented on the award. "Receiving this award from their accrediting body not only speaks to the quality of the education their graduates receive here at NVCC but it speaks to their initiative to reach for higher goals. They are proud to receive it. It is a testament to their program, the faculty, and most especially their graduates."
The Respiratory Care program at NVCC, housed in the new Center for Health Sciences on the Waterbury campus, is part of NVCC's Allied Health Center. Similar trends are consistent across all programs: Allied Health licensure and certification pass rates for the Class of 2017 continued to demonstrate the strength of the College's programs. Results above the national average were reported with 100% pass rates for the Radiologic Technology and Respiratory Care, a 95.5% pass rate for Physical Therapy Assistant programs and a 95% pass rate for the Nursing Program.
The Respiratory Care program at NVCC is designed to prepare students to enter the field with the skills necessary to practice as proficient and competent respiratory therapists. It is designed to meet the evolving health care needs of their diverse community and their faculty are committed to a student-centered approach to teaching and learning that focuses on the development of evidenced-based, ethical and collaborative practice among their graduates and student. Students graduate with an in A.S. Respiratory Care. They are prepared to take the National Board for Respiratory Care Entry Level (CRT) and the Advanced Practitioner (RRT) Examinations. NVCC Students also earn clinical experience at the following agencies: Bridgeport Hospital, Charlotte Hungerford Hospital, Connecticut Children's Medical Center, Danbury Hospital, Gaylord Specialty Health Care, Hospital for Special Care, Waterbury Pulmonary Associates, St. Mary's Hospital, Waterbury Hospital and Yale New Haven Hospital.
A Handbook for Respiratory Care is available on the College website. https://www.nv.edu/Portals/0/Documents/AcademicPrograms/RespiratoryCare/RespiratoryCareHandbook16.pdf
Students interested in learning more about the program may contact Margaret Guerrera, Professor, Respiratory Care at 203-596-8662 or MGuerrera@nvcc.commnet.edu.Get the Naugatuck newsletterSubscribe
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