Search results

The purpose of this paper is to consider the medicolegal aspects of working as a GP trainer.

A brief review of the legislation and guidance affecting GP trainers. From this, an analysis of the major risks GP trainers face, and the steps they should take to minimise those risks, is conducted.

There are a number of high‐risk areas for GP trainers. Lack of awareness of a GP registrar's competencies can lead to problems. There is risk in a GP registrar being unfamiliar with the practice, its procedures and physical layout. Out‐of‐hours training is particularly hazardous. A GP registrar who is poorly performing can present a serious risk to patient safety.

GP trainers should put in place procedures to mitigate these risks. A realistic assessment of a GP registrar's skills; a comprehensive induction; adequate supervision out of hours and systems for dealing with poor performance are essential elements of a GP trainer's role.

The paper highlights the benefit for GP trainers in considering the risks they may face and taking steps to address them.

The purpose of this paper is to contribute to the current debate about problems with the NHS complaints system.

The paper examines, in light of a recent audit of NHS complaint handling by the Healthcare Commission, the underlying reasons for complaints and for dissatisfaction with the way a complaint is handled. It discusses the implications of various recommendations and research findings for enhancing and improving complaints handling.

More emphasis is needed on the quality of interpersonal interaction with complainants for successful resolution of complaints. Attending to the process alone will not reduce dissatisfaction among complainants.

Learning from complaints to improve services is important to complainants as well as to healthcare providers and communicating this should be an integral part of the process.

The value of the paper is that it re‐emphasises the important role that complaints can play in the continuous improvement of services. It also sheds light on possible reasons for dissatisfaction with the way complaints are handled.

The thesis of this commentary is that the institution of war could be abolished through a combination of constructive programmes and obstructive programmes. Good works alone won't end war. To transform dominator, warring cultures into egalitarian and nonwarring ones, constructive programmes are needed to prepare the way, to establish the groundwork for a new lifestyle. But, alone, they will not result in a paradigm shift on earth to a Gene Roddenberry‐style Star Trek future in which there is gender and racial equality, poverty has been eliminated and conflicts are resolved by the rule of law instead of through military force. Paradoxically, unless paired with the force of obstructive programmes, constructive programmes can enable dominator cultures to remain firmly in place. Moreover, to bring about a major social transformation, we will need leaders to unite men and women as full partners in shaping a massive cultural shift to a more egalitarian, just and nonwarring future.Can the people of Earth bring an end to the barbaric practice of war? Or is making war ‐ assembling armed groups that go forth to indiscriminately kill members of other groups ‐ something that evolution built into our biology, an inescapable, inevitable curse that at best can only be managed and mitigated?

The purpose of this paper is to explore a novel measurement approach for wheel-terrain contact angle using laser scanning sensors based on near-terrain perception. Laser scanning sensors have rarely been applied to the measurement of wheel-terrain contact angle for wheeled mobile robots (WMRs) in previous studies; however, it is an effective way to measure wheel-terrain contact angle directly with the advantages of simple, fast and high accuracy.

First, kinematics model for a WMR moving on rough terrain was developed, taking into consideration wheel slip and wheel-terrain contact angle. Second, the measurement principles of wheel-terrain contact angle using laser scanning sensors was presented, including “rigid wheel - rigid terrain” model and “rigid wheel - deformable terrain” model.

In the proposed approach, the measurement of wheel-terrain contact angle using laser scanning sensors was successfully demonstrated. The rationality of the approach was verified by experiments on rigid and sandy terrains with satisfactory results.

This paper proposes a novel, fast and effective wheel-terrain contact angle measurement approach for WMRs moving on both rigid and deformable terrains, using laser scanning sensors.

The purpose of this paper is to investigate the effect of staffing levels (one or two staff) on the amount of assistance provided to residents in one group home, and associated levels of resident engagement in activities prior to and following the implementation of active support.

Data on staff assistance and resident engagement were gathered by direct observation across six pre‐test and post‐test 80‐minute sessions, using palmtop computers. Percentage of all non‐overlapping data, an index of effect size, was used to analyse these data.

There was no clear benefit from additional staffing prior to active support training, in terms of staff assistance or resident engagement in activity. However, at post‐test, having two staff yielded increased staff assistance, but with limited evidence of increased resident engagement, despite more continuous staff assistance.

This is the first active support study to examine the impact of staffing levels on resident engagement and staff assistance. Implications for service management and research are presented.

Purpose – Prior research suggests that high school experiences shape young adult political behaviors, particularly among immigrant youth. The U.S. social studies classroom, focused on democratic citizenship education, proves an interesting socializing institution.Methods – Through qualitative inquiry, we interviewed Latino immigrant young adults and their former teachers regarding their high school social studies experiences and evolving political and civic engagement.Findings – Armed with experience bridging the worlds of the school and home, immigrant students respond and relate to the content and pedagogy of the social studies classroom in such a way that they (1) participate in civic discourse and (2) nurture a disposition toward leadership through teachers’ civic expectations of them and instructional emphasis on critical thinking skills.Social implications – The ability to engage in civic discourse and a disposition toward leadership are both necessary to foster America's democratic ideals, and to take on leadership roles during adulthood. With focused effort on the unique perspective of immigrant youth, high school social studies teachers can nurture in these students the ability to become leaders in young adulthood, broadening the potential leadership pool.Originality – This study highlights how the social studies curriculum may be particularly salient to Latino immigrant youth as they transition from adolescence to young adulthood and develop their political and civic identities.