Search

Pharmacology is taught on a dedicated module for nurse prescribers who have a limited physical science background. To facilitate learning a problem-based approach was adopted. However, to enhance students' knowledge of drug action a PharmaCALogy software package from the British Pharmacological Society was used. Students were alternately given a lecture or encountered the software as a prelude to a short test a week later. The process was repeated with their roles reversed, followed by use of a questionnaire to evaluate user experience. Generally students receiving the lecture first performed better on the test but after experiencing both forms of learning there was little difference in performance. Response was positive with regard to the software especially the aspect of visualising drug interactions. However, lack of prior knowledge and paucity of time on task were seen as negative features. The responses indicate measures that may improve the student experience by taking greater note of learning styles and existing IT skills. (Contains 7 tables.)

Objectives: Research has identified a decline in home advantage (HA) in a number of professional leagues since World War 2 (WW2). The purpose of the current study was to identify whether the decline in HA in English and Scottish Professional Football Leagues is mirrored by the radical transformation in the training of referees post-WW2, thus providing a new insight into the cause of HA. Design: A longitudinal quasi-experimental design. Methods: HA was calculated for each team at the end of every season for the four English and the Scottish Premier League post-WW2. We also compiled a list of events, statements and quotations to illustrate the dramatic change in the way referees have been trained (physically and psychologically), and assessed over the same period. Results: We observed a systematic decline in HA in professional English and Scottish leagues post-WW2, but with the steepest decline observed in lower divisions with smaller crowds. Of the factors thought to influence HA, crowd support appears the most consistent with these observations. Crowds are known to influence referees'' decisions to favour the home side. However we argue that improved training of referees since WW2 has contributed to an improved ability to make objective decisions and a greater resilience to crowd influence, which explains the decline in HA but also accounts for the steeper decline observed with smaller crowds. Conclusions: The continued existence of HA, and the less steep decline observed in top leagues suggests that referees'' judgements are still not immune to the influence of larger crowds. [Copyright &y& Elsevier]

Background: Shoulder arthroplasty incidence is projected to continue its exponential growth and the resultant burden of monitoring patients with shoulder arthroplasty implants creates significant pressure on orthopaedic services. Surveillance offers the opportunity to study implant longevity, detect failing implants and potentially perform revision at lower morbidity and cost. There is a paucity of evidence to support recommendations on long-term follow-up in shoulder arthroplasty. Prospective studies comparing long-term follow-up and structure are impractical from time, resource and cost perspectives. A real-time Delphi technique represents a mechanism by which experts involved in long-term follow-up of primary shoulder arthroplasty can formulate recommendations via a transparent, reproducible and efficient process. We outline the protocol for a real-time Delphi study seeking consensus on long-term follow-up and surveillance of primary shoulder arthroplasty ., Methods: A real-time Delphi technique will be used. A planning committee will design the Delphi statements. A steering committee will supervise and monitor the real-time Delphi process. Participants will be asked to rate their agreement with statements using a 5-point Likert scale. The Delphi statements will be derived from review of published literature, and the strength of evidence available for each statement will be provided. We will offer participation to all surgeons and extended-scope practitioners who are current members of the British Elbow & Shoulder Society (BESS) and have clinical practice involving shoulder arthroplasty follow-up. The questionnaire will be active for 4 weeks and requires a minimum of 20 participants. Consensus agreement is defined as 70% of participants selecting at least a 4-point on a 5-point Likert scale., Discussion: We anticipate the outlined study will achieve consensus on long-term follow-up and surveillance of primary shoulder arthroplasty. We intend to use the expert consensus recommendations achieved, in addition to the limited applicable published evidence available, to produce BESS-affiliated guidelines on long-term follow-up and surveillance of primary shoulder arthroplasty.EthicsEthical approval is not required for the real-time Delphi study.We expect the results of this initiative will be published in a peer-reviewed, high-impact journal., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)