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A manager in a local authority offers her own approach to time management. Her starting point is to stop doing things which are ineffective by setting aside time to review. The author outlines a very personal model which rejects ordered approaches often taught within training courses. The model represents a way of working based on personal style, planning and values.

The Snyder Leadership Legacy Fellows is a year-long program for undergraduate students entering into their final year at Kansas State University. Students are selected from across the university each spring to deepen their knowledge of leadership, connect with mentors to explore the transition from student to professional life, elevate their passion for service, and experience real-world opportunities to exercise leadership skills. Snyder Fellows experience personal and professional development rooted in Hall of Fame Football Coach Bill Snyder’s 16 Goals for Success. The ultimate goal of the program is to develop change agents on campus, in the community, throughout the state and beyond. An important component of the program is providing the students with leadership coaches that meet with the students once a month, focusing on transitioning to career or graduate school and leadership challenges students are facing. Over time the structure of the coaching has changed and lessons have been learned. This work examines how coaching can benefit students and lessons learned from coaching as part of a co-curricular student leadership program.

Reports on an audit of service organizations, clinical care and casemix. The sample included up to 40 consecutive cases of acute stroke (1CD10 161‐164) from each trust, admitted from 1 January to 31 March 1998 and 1 August to 31 October 1999. Feedback consisted of individualized reports showing participants’ own results compared to the national data, and regional multidisciplinary workshops between audit rounds. A total of 197 (81 per cent) trusts (6,894 cases) in England, Wales and Northern Ireland participated in the first round, and 175 (72 per cent) (5,823 cases) in the second. Of the 38 organisational standards, 29 improved between 1998 and 1999 (range 1‐20 per cent, median 5 per cent); 64 of the 71 process standards improved (range 1‐20 per cent, median 8 per cent). Inter‐rater reliability was good with kappa scores of 0.49 to 0.87. National multidisciplinary, cross sector audit is feasible and can promote service improvements. Comparison of participants’ results to national data is a useful way of identifying areas needing change at local level.

Globally, traditional and online doctoral programs face difficulties with student persistence and progression. An online doctoral school implemented a first-year program sequence taught by a cadre of 20 specialized faculty members who engage in best practices to assist students in persisting and progressing toward program completion.

This qualitative program assessment using content analysis examined the program effectiveness of one online doctoral program's first-year program sequence. Two research questions guided this program assessment, they were: RQ1. Based on online doctoral students' perspectives, what motivators contribute to online doctoral student persistence and progression in an online doctoral program? RQ2. How do online faculty contribute to online doctoral student persistence and progression? Data collection included myriad of program metrics: content area meetings (CAMs); closing the loop assessment data; faculty and student end of course survey data; and faculty and student semistructured interviews.

The resultant themes indicated that students are motivated by support from family, friends and religious beliefs; and students persist based on support from fellow doctoral students and faculty members. Additional themes revealed that faculty members motivate students through building faculty–student relationships, individual coaching, providing university resources and through clarification of program requirements; and faculty members perceive that face-to-face doctoral residencies greatly contribute to student persistence and progression through interpersonal interaction and through improved clarity.

Implications of this program assessment have far-reaching impact on how doctoral granting institutions can structure small cadres of faculty to develop interpersonal relationships with doctoral students with focus on support and development.

Erica S. Breslau, Ph.D., M.P.H. is a scientific program director in the Applied Cancer Screening Research Branch, in the Behavioral Research Program within the Division of Cancer Control and Population Sciences at the National Cancer Institute. Dr. Breslau’s research interests focus on women’s oncology issues in general, and specifically as they pertain to the social, behavioral, and psychological influences associated with breast, gynecological and colorectal cancer screening. Recent efforts include ensuring that research is able to inform and improve the quality of health services among women disproportionately affected with breast and cervical cancer through the dissemination of evidence-based intervention approaches. She has conducted population-based research in the area of infectious diseases, including HIV/AIDS and sexually transmitted diseases in military populations, and has implemented large-scale health promotion approaches to improve the adoption of prevention practices. Dr. Breslau received her Ph.D. in Public Health from The Johns Hopkins Bloomberg School of Public Health, and her Master’s in Public Health from Tulane University, School of Public Health and Tropical Medicine.Vasilikie Demos is a Professor of Sociology at the University of Minnesota-Morris. She has studied ethnicity and gender in the United States and is currently completing a monograph on her study of Kytherian Greek women based on interviews in Greece and among immigrants in the United States and Australia. With Marcia Texler Segal, she is co-editor of the Advances in Gender Research series and Ethnic Women: A Multiple Status Reality (General Hall, 1994). She is a past president of Sociologists for Women in Society and of the North Central Sociological Association, and has been an Honorary Visiting Professor at the University of New South Wales in Australia.Heather Hartley is an Assistant Professor of Sociology at Portland State University. Dr. Hartley’s research interests include the sociology of health and medicine, the sociology of gender, the sociology of sexualities, and political sociology. Within these general specialty areas, her work focuses on the politics of women’s health, the pharmaceutical industry and the changing distribution of power within the health care system.Beth E. Jackson is a Doctoral Student in Sociology at York University in Toronto, Canada. Drawing on the traditions of feminist epistemologies and critical social studies of science, her dissertation research puts questions of epistemic authority and the nature of evidence into the specific context of public health and epidemiology. Specifically, she explores the conditions, contexts, tools and processes through which public health knowledge claims are made, by focusing on a particular technology of “population health” i.e. the National Population Health Survey (NPHS) (a longitudinal, biennial survey of the mental and physical health of Canadians and their use of health care services). Her research also speaks to policy implications of “situated” data and evidence – in this case, the implications of how “women’s health” is defined, and the extent to which a gendered analysis of health is considered in the construction and analysis of the NPHS.Jennie Jacobs Kronenfeld is a Professor in the Department of Sociology, Arizona State University. She conducts research in the areas of health policy, health across the life course, health behavior including preventive health behavior, and research into AIDS in geographically mobile populations. She has recently authored Health Care Policy: Issues and Trends (Praeger, 2002). She has conducted research in a variety of topics related to child health, including recruitment into CHIP (child health insurance program) and has published a book on the impact of school based health clinics, Schools and the Health of Children (Sage, 2000). She is a past president of Sociologists for Women in Society and past chair of the Medical Sociology Section of the American Sociological Association.Nancy Luke is an Assistant Professor of Research in the Population Studies and Training Center at Brown University and a Research Fellow in the Center for Population and Development Studies at Harvard University. Her primary research interest is the impact of social organization on health and well-being, particularly among women and adolescents. She is presently co-Principal Investigator of two research projects, both of which include collection of household survey and ethnographic data. A project in Kenya studies the influence of marriage and economic transactions on sexual behavior in an area of high HIV/AIDS prevalence, and a project in India examines women’s empowerment in a context where norms sanction intimate partner violence. She has also collaborated with numerous non-governmental organizations on research projects pertaining to reproductive health and gender equity in developing countries. Dr. Luke has a Ph.D. in Demography and Sociology from the University of Pennsylvania and an M.A. from Johns Hopkins School of Advanced International Studies.Deborah Parra-Medina, Ph.D., M.P.H., is Assistant Professor at the University of South Carolina with joint appointments in the Department of Health Promotion, Education and Behavior (HPEB) and Women’s Studies. She received her Ph.D. in Epidemiology at the UC San Diego, an M.P.H. in Health Promotion at San Diego State University and a B.A. in Social Science at UC Berkeley. She has extensive experience working with under-served communities, having worked in several chronic disease prevention and control efforts including cancer screening, tobacco control, weight loss and nutrition. Her research based on a participatory action model emphasizes the intersections of race, class and gender and the influence of socio-cultural environment on adaptive and maladaptive health behaviors. This perspective is exemplified in her current research. She is Principle Investigator of the SC American Legacy Empowerment (SCALE) Evaluation Project that is examining how to effectively engage youth as agents for social change within the context of tobacco prevention and control. Dr. Parra-Medina was recently awarded a pilot study grant from NCI, the broad goal of this project is to foster individual and organizational empowerment among the emerging Hispanic population in South Carolina in relation to cancer prevention and health promotion through the development of the South Carolina Hispanic Health Coalition: Partnership for Cancer Prevention (PCP).Colleen Reid recently completed her Ph.D. in Interdisciplinary Studies in health promotion research at the University of British Columbia in Vancouver, Canada. Her doctoral dissertation was a feminist action research project with a group of women on low income. Together they examined the relationship between exclusion and health, the women’s varied discourses of poverty and health, and the promises and challenges of engaging in feminist action research. Dr. Reid has also been involved in community health research projects with organizations including the Vancouver YWCA, AIDS Vancouver, Literacy B.C., and the B.C. Centre of Excellence for Women’s Health.Elianne Riska is von Willebrand-Fahlbeck Professor of Sociology at Åbo Akademi University, Finland since 1985. She has been Chairperson of the Department of Sociology 1985–1997 and Director of the Institute of Women’s Studies at Åbo Akademi University 1986–1993. Elianne Riska received her Ph.D. in Sociology at the State University of New York at Stony Brook in 1974. She was an Assistant Professor and an Associate Professor of Sociology in the Department of Sociology and College of Human Medicine at Michigan State University from 1974 to 1981. She was Academy Professor of the Academy of Finland 1997–2002. She is currently the President of the Research Committee of the Sociology of Health (RC15) of the International Sociological Association (2002–2006). Her most recent books are Gender, Work and Medicine (Sage, 1993), Gendered Moods (Routledge, 1995) and Medical Careers and Feminist Agendas: American, Scandinavian, and Russian Women Physicians (Aldine de Gruyter, 2001).Marcia Texler Segal is Associate Vice-Chancellor for Academic Affairs, Dean for Research and a Professor of Sociology at Indiana University Southeast. Her research and consulting focus on education and on women in Sub-Saharan Africa and on ethnic women in the United States. With Vasilikie Demos, she is co-editor of the Advances in Gender Research series and Ethnic Women: A Multiple Status Reality (General Hall, 1994). She is a past president of the North Central Sociological Association and past chair of the American Sociological Association Sections on Sex and Gender and Race, Gender and Class.Lynn Weber is a Director of the Women’s Studies Program and Professor of Sociology at the University of South Carolina. For the 2002–2003 year, she is Visiting Professor in the Consortium for Research on Race, Gender, and Ethnicity and the Department of Women’s Studies at the University of Maryland. Her research and teaching explore the intersections of race, class, gender, and sexuality particularly as they are manifest in women’s health, in the process of upward social mobility and work, and in the creation of an inclusive classroom environment. In 2001 and 2002, she published two books, Understanding Race, Class, Gender, and Sexuality: A Conceptual Framework and Understanding Race, Class, Gender, and Sexuality: Case Studies (NY: McGraw-Hill) which are intended to move the field of intersectional scholarship ahead by serving as a guide to facilitate intersectional analyses and to foster more integrative thinking in the classroom. Dr. Weber is also co-author of The American Perception of Class.

The Department of Health has suggested that organizations should develop mechanisms to ensure successful input from patients and carers into clinical audit processes, advocating the involvement of consumers at all stages of the audit cycle. Two national surveys, of Trust Clinical Audit Committees and Medical Audit Advisory Groups respectively, explored the extent to which audit committees involve users, either as committee members or in relation to other methods of involvement in the audit process. The results indicate limited but increasing involvement of users as audit committee members, but there are benefits, limitations and barriers to user membership. Other reported activities suggest that the most widespread method of involving users is in user satisfaction surveys with little systematic evidence of input to the decision‐making stage and negotiation of topics for audit. The research suggests that guidance is needed on how to involve users effectively at different stages in the audit cycle.