Administrative fellowships in emergency medicine

Physicians today need to be effective managers, as well as clinicians. In previous years, physicians gained managerial experience either through on-the-job training, degree programs, or continuing medical education courses. The specialty of emergency medicine began its first administrative fellowship in 1990 in California. Currently, three administrative fellowships exist nationally in emergency medicine. This article will describe the purpose of the fellowships and their curricula. Each fellowship has a different emphasis, with the goal to educate physicians who are interested in developing administrative skills to manage emergency departments or management groups or accept roles in hospital leadership. The existence of these fellowships will ideally influence the establishment of administrative fellowships in other specialties.     

Evaluation through collaboration: a model program of agency-based training in geriatric social work

The Institute for Geriatric Social Work (IGSW), located at Boston University School of Social Work (BUSSW), formed a collaborative partnership with Elder Services of the Merrimack Valley (ESMV), a large urban Area Agency on Aging (AAA) near Boston to design, implement, and evaluate an innovative model program of agency-based training for practicing social workers. The collaboration facilitated and strengthened the development of a program that benefited the university-based program and the community-based agency. The training program comprises a "blended" model of core and elective online courses combined with face-to-face training. Evaluation of the model program is integral to its design, and includes a randomized control trial to test the effectiveness of the training program in increasing practice competencies.     

Validation of a measure of college students' intoxicated behaviors: associations with alcohol outcome expectancies, drinking motives, and personality

OBJECTIVE: The authors aimed to develop a measure of college students' intoxicated behaviors and to validate the measure using scales assessing alcohol outcome expectancies, motives for drinking, and personality traits. PARTICIPANTS AND METHOD SUMMARY: The authors administered these measures and an inventory describing 50 intoxicated behaviors to 198 college students and conducted factor analysis on intoxicated behaviors. Logistic regression models examined relationships between intoxicated behavior dimensions and expectances, motives, and personality traits. RESULTS: Self-reported behaviors during intoxication episodes were reducible to 3 basic dimensions that formed reliable and valid scales: social, antisocial, and emotionally labile intoxication. CONCLUSIONS: Researchers can use the Intoxicated Behaviors Inventory to evaluate the effectiveness of interventions targeting drinking or to identify college students at risk for problematic consequences of alcohol use. In addition, results point to the need for community efforts to encourage more moderate drinking among college students.     

Relational demography in the workplace and health: an analysis of gender and the subordinate-superordinate role-set

Using data from a 2005 national survey of working adults in the United States, we examine the effects of the gender composition of the superordinate-subordinate role-set on mental and physical health measures. Subordinates' and superordinates' genders are important determinants. Men who work in gender-mixed superordinate contexts (i.e., with one male and one female superior) report lower levels of distress and physical symptoms than men who work with one male superior. Women who work with one male superior report less distress and fewer physical symptoms compared to women who work with one female superior or in gender-mixed superordinate contexts. With a few exceptions, these observations generally hold net of occupation, job sector, and an array of work-related conditions. We discuss the implications of these findings in light of predictions derived from the similarity-attraction and role congruity theories. We also outline ways that theoretical development in relational demography can be refined by a more specific focus on the demographic characteristics--especially gender--of the superordinate-subordinate role-set.     

Frequency Domain Log-linear Models; Air Pollution and Mortality

Motivated by a study of the association between counts of daily mortality and air pollution, we present a frequency domain estimation approach for log-linear models that accounts for both overdispersion and autocorrelation. The methods also allow for the discounting or downweighting of information at particular frequencies at which, for example, confounding variables are likely to have greatest influence. This allows flexible sensitivity analyses to be carried out to assess the possible effect of confounders on the estimated effect. We apply the methods to estimate the association between counts of mortality and the concentration of airborne particles in Philadelphia, USA, for the years 1974–1988. We obtain an estimated effect of particulate air pollution on mortality that is significantly greater than zero but less than that obtained by a standard log-linear analysis.     

Simplifying Regression Models Using Dimensional Analysis

Dimensional analysis can make a contribution to model formulation when some of the measurements in the problem are of physical factors. The analysis constructs a set of independent dimensionless factors that should be used as the variables of the regression in place of the original measurements. There are fewer of these than the originals and they often have a more appropriate interpretation. The technique is described briefly and its proposed role in regression discussed and illustrated with examples. We conclude that dimensional analysis can be effective in the preliminary stages of regression analysis whendeveloping formulations involving continuous variables with several dimensions.     

THE ROLE OF THE GOLD STANDARD IN KEYNESIAN MONETARY THEORY

This paper shows that many of the most distinctive features of Keynesian economics are best understood if one views the General Theory as essentially a gold standard model. A close examination of Keynes's statements on contemporaneous policy issues suggests that the gold standard had a profound impact on his views on monetary policy effectiveness. In particular, I show that the liquidity trap has been widely misunderstood. Finally, I argue that post–General Theory developments in Keynesian economics are best understood as a response to the inapplicability of Keynes's original message to a world of fiat money regimes. ( JEL B22, E12, N1)     

Beyond taxonomy

Much of the considerable confusion about the definition of social entrepreneurship in academic literature stems from a lack of empirical research on the subject. This article advances social entrepreneurship research beyond conceptualization discussions by developing and validating an instrument that quantifies the incidence of nonprofit entrepreneurial behavior. Information from 145 Kansas City Metropolitan Area nonprofit organizations was collected to validate the underlying constructs represented in the instrument. Behavior differences were depicted between entrepreneurial and nonentrepreneurial nonprofits. Using principal component factor analysis, the research illustrates social entrepreneurship as a unique nonprofit behavior that occurs at the intersection of innovation, proactiveness, and risk taking.