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1.
In order to meet the significant staffing challenges to health care provision in South Africa, the need to support the training and retention of Black medical specialists has been identified. This small qualitative study aimed to explore experiences of mentorship among a group of Black medical specialists in hopes of understanding the value and potential challenges that these relationships raise. Ten Black medical specialists were interviewed about their experiences of being mentored during their registrar training. The interview data was analysed using discourse analysis, and the results comprise of three main themes, namely: Difficulty accessing mentorship, a lack of Black and/or female role models and finally, experiences of feeling excluded from soft networks. The experiences explored in this study indicate the need for open dialogue within the mentorship dyad regarding certain taken-for-granted assumptions surrounding race, so as to aid the provision of more effective and satisfying mentorship outcomes. 相似文献
2.
Stephen J. Ruberg Frank E. Harrell Jr. Margaret Gamalo-Siebers Lisa LaVange J. Jack Lee Karen Price 《The American statistician》2019,73(1):319-327
ABSTRACTThe cost and time of pharmaceutical drug development continue to grow at rates that many say are unsustainable. These trends have enormous impact on what treatments get to patients, when they get them and how they are used. The statistical framework for supporting decisions in regulated clinical development of new medicines has followed a traditional path of frequentist methodology. Trials using hypothesis tests of “no treatment effect” are done routinely, and the p-value < 0.05 is often the determinant of what constitutes a “successful” trial. Many drugs fail in clinical development, adding to the cost of new medicines, and some evidence points blame at the deficiencies of the frequentist paradigm. An unknown number effective medicines may have been abandoned because trials were declared “unsuccessful” due to a p-value exceeding 0.05. Recently, the Bayesian paradigm has shown utility in the clinical drug development process for its probability-based inference. We argue for a Bayesian approach that employs data from other trials as a “prior” for Phase 3 trials so that synthesized evidence across trials can be utilized to compute probability statements that are valuable for understanding the magnitude of treatment effect. Such a Bayesian paradigm provides a promising framework for improving statistical inference and regulatory decision making. 相似文献
3.
《Social Development》2018,27(3):495-509
Parents' reactions to children's emotions shape their psychosocial outcomes. Extant research on emotion socialization primarily uses variable‐centered approaches. This study explores family patterns of maternal and paternal responses to children's sadness in relation to psychosocial outcomes in middle childhood. Fifty‐one families with 8‐ to 12‐year‐old children participated. Mothers and fathers reported their reactions to children's sadness and children's social competence and psychological adjustment. Cluster analyses revealed three family patterns: Supportive (high supportive and low non‐supportive reactions from both parents), Not Supportive (low supportive reactions from both parents), and Father Dominant (high paternal supportive and non‐supportive reactions, low maternal supportive and non‐supportive reactions). Supportive families had children with higher social competence and more internalizing symptoms whereas Father Dominant families had children with lower social competence and fewer internalizing symptoms. Not Supportive families had children with average social competence and fewer internalizing symptoms. Findings are discussed in relation to the “divergence model” which proposes that a diverse range of parental responses to children's sadness, rather than a uniformly supportive approach, may facilitate children's psychosocial adjustment. 相似文献
4.
佘军 《吉林师范大学学报》2002,(3):83-85
大学英语四级考试有着很强的权威性与可信度,但其负面影响越来越突出,尤其是学生英语能力并没有根本上得到提高。本文从学生、教师、大学英语管理考核层三个方面来论述如何提高我国学生的外语能力,以便适应新世纪大学英语教与学的需求。 相似文献
5.
现代教育技术对创新人才的创新精神和创新能力两大核心要素的培养上,尤其是对创造性思维能力的培养具有无可比拟的独特作用。具有智能模拟功能的教育技术能够促进学习者对知识的自主建构,有力激发学习者的创造动机和创造灵感。协作式学习、多媒体课件以及教师指导的相互配合,能够促进学习者求异发散思维、直觉形象思维和抽象逻辑思维的整全发展,从而提升创新能力。 相似文献
6.
王江 《东北大学学报(社会科学版)》2003,5(3):196-198
阐述了企业过程再造(BPR)和核心能力的内涵及本质,分析了核心过程与核心能力二者之间的关系,指出企业过程再造不能脱离核心能力这一本质,BPR本质上应该是基于核心能力的再造。给出了基于核心能力实施BPR的6个具体步骤:即识别核心能力,识别核心过程,定义经营业绩,找出问题,确定方案和实施方案。 相似文献
7.
徐兆勇 《中北大学学报(社会科学版)》2003,19(3):76-78
企业核心能力要准确理解 ,应区分“资源”与“能力”、“基本能力”与“核心能力”以及基于动态的一些观点 ,由此 ,对企业核心能力进行了界定。企业核心能力的逻辑结构应考虑到企业 /行业的技术经济特征、生命周期 ,不能理解为几项关键技能的简单组合。最后指出中国企业培育核心能力的战略选择。 相似文献
8.
John D. Emerson David C. Hoaglin Frederick Mosteller 《Statistical Methods and Applications》1993,2(3):269-290
Summary Meta-analyses of sets of clinical trials often combine risk differences from several 2×2 tables according to a random-effects
model. The DerSimonian-Laird random-effects procedure, widely used for estimating the populaton mean risk difference, weights
the risk difference from each primary study inversely proportional to an estimate of its variance (the sum of the between-study
variance and the conditional within-study variance). Because those weights are not independent of the risk differences, however,
the procedure sometimes exhibits bias and unnatural behavior. The present paper proposes a modified weighting scheme that
uses the unconditional within-study variance to avoid this source of bias. The modified procedure has variance closer to that
available from weighting by ideal weights when such weights are known. We studied the modified procedure in extensive simulation
experiments using situations whose parameters resemble those of actual studies in medical research. For comparison we also
included two unbiased procedures, the unweighted mean and a sample-size-weighted mean; their relative variability depends
on the extent of heterogeneity among the primary studies. An example illustrates the application of the procedures to actual
data and the differences among the results.
This research was supported by Grant HS 05936 from the Agency for Health Care Policy and Research to Harvard University. 相似文献
9.
刘建新陈雪阳 《北京工商大学学报(社会科学版)》2006,21(6):21-27
随着市场竞争环境变化的加剧,企业战略竞争的基点正在从企业内部的资源转移到企业适应外部环境的动态能力上,顾客资源因能有效地衔接企业内部资源和外部环境机会而成为弥足珍贵的战略性资源,以顾客资源为基础构筑的核心竞争力正日益体现出强大的动态竞争优势。因此,企业只有通过加快转变企业的战略管理理念、重构企业内部的业务流程、改革传统的价值链模式和实施企业的顾客忠诚化管理等途径构筑基于顾客资源的动态竞争优势,才能将企业立于竞争的不败之地。 相似文献
10.
西部高校文化艺术素质教育现状考察与对策研究 总被引:1,自引:1,他引:0
李万斌 《西华师范大学学报(自然科学版)》2003,(1):119-124
西部高校文化艺术素质教育现状可概括为:思想认识有待提高;实践范围有待拓展;运作机制有待创新;发展条件有待改善。推进西部高校文化艺术素质教育的对策有:(一)努力构建文化艺术素质教育的生态圈,包括:优化文化艺术素质教育的内结构;强化文化艺术素质教育的外结构;新化文化艺术素质教育联结销。(二)积极探索文化艺术素质教育的有效途径和方式方法。 相似文献