OBJECTIVE:To formulate the first clinical practice guideline for the treatment of cough using Chinese medicine based on the grading of recommendations assessment,development,and evaluation(GRADE)systematic approach,in...OBJECTIVE:To formulate the first clinical practice guideline for the treatment of cough using Chinese medicine based on the grading of recommendations assessment,development,and evaluation(GRADE)systematic approach,including clinical evidence,evaluation of ancient literature,and expert consensus.METHODS:In the process of development,the regulation of"evidence-based,consensus-assisted,and empirical"was followed,and a comprehensive systematic approach of recommendation assessment,GRADE,evidence-based evaluation,expert consensus,and the Delphi method was used.In the process of guideline development,evidence-based evaluation of ancient literature was included for the first time,and clinical evidence was fully integrated with clinical expert consensus.RESULTS:The clinical practice guidelines for the treatment of cough with Chinese herbal medicine were developed after a comprehensive consideration of evidence-based evaluation and expert opinions.The guideline recommendations focused on recommending herbal compound decoctions and Chinese patent medicines for cough in different conditions.Based on the GRADE systematic approach,we conducted an evidence-based evaluation of the recommended Chinese patent medicines one by one;meanwhile,the expert consensus method was used to unify the recommendations of both.CONCLUSION:Based on clinical evidence,ancient literature evaluation,and expert consensus,a clinical practice guideline for Traditional Chinese Medicine(TCM)in the treatment of cough was developed,providing the first current clinical practice guideline for domestic and foreign TCM and Western medicine practitioners,especially respiratory professionals at home and abroad.展开更多
Purpose:Strong primary health care(PHC)systems require well‐established PHC education systems to enhance the skills of general practitioners(GPs).However,the literature on the experiences of international collaborati...Purpose:Strong primary health care(PHC)systems require well‐established PHC education systems to enhance the skills of general practitioners(GPs).However,the literature on the experiences of international collaboration in primary care education in low‐and middle‐income countries remains limited.The purpose of this study was to evaluate the implementation and perceived impact of the McGill‐Tongji Blended Education Program for Teacher Leaders in General Practice(referred to as the“Tongji Program”).Methods:In 2020–2021,the McGill Department of Family Medicine(Montreal,Canada)and Tongji University School of Medicine(TUSM,Shanghai,China)jointly implemented the Tongji Program in Shanghai,China to improve the teaching capacity of PHC teachers.We conducted an exploratory longitudinal case study with a mixed methods design for the evaluation.Quantitative(QUAN)data was collected through questionnaire surveys and qualitative(QUAL)data was collected through focus group discussions.Results:The evaluation showed that learners in Tongji Program were primarily female GPs(21/22,95%)with less than 4 years of experience in teaching(16/22,73%).This program was considered a successful learning experience by most participants(19/22,86%)with higher order learning tasks such as critical thinking and problem‐solving.They also agreed that this program helped them feel more prepared to teach(21/22,95%),and developed a positive attitude toward primary care(21/22,95%).The QUAL interview revealed that both the Tongji and McGill organizers noted that TUSM showed strong leadership in organization,education,and coordination.Both students and teachers agreed that by adapting training content into contextualized delivery formats and settings,the Tongji Program successfully overcame language and technology barriers.Conclusions:Committed partnerships and contextualization were key to the success of the Tongji Program.Future research should focus on how international primary care education programs affect learners'behavior in their practice settings,and explore barriers and facilitators to change.展开更多
This study represents empirical research that aims to investigate how the labor market for the financial-accounting segment in Romania requires professional and personal skills developed within the accounting educatio...This study represents empirical research that aims to investigate how the labor market for the financial-accounting segment in Romania requires professional and personal skills developed within the accounting education curriculum in the Romanian universities of this profile, or these produce young practitioners inappropriate from the curricular point of view to the employers＇ demands. The study develops a statistical analysis of frequencies, aiming to find an importance stratification of the professional and personal characteristics in the employers＇ demands. The study groups the job advertisements into three categories： for financial accounting, managerial accounting and audit, and seeks to identify specific curriculum descriptors for these categories of professional development. At the same time, the study does a frequency analysis of curriculum descriptors and job execution, comparatively to the management jobs, attempting to do a hierarchy of professional and personal skills, depending on the wording of notices by employers. The conclusions of the report attempts to be a synthesis of the study assumptions results that lead to the idea that the curricular programs of the universities of this profile, though responding in terms of theoretical knowledge, should be extended in practice, but particularly in the personal skills development, which are defining in a competitive selection process.展开更多
The setting-up of the Malaysian Audit Oversight Board （AOB） in 2010 under the Securities Commission Amendment Act 2010 has extended the role of regulators into the statutory audit domain for public listed companies....The setting-up of the Malaysian Audit Oversight Board （AOB） in 2010 under the Securities Commission Amendment Act 2010 has extended the role of regulators into the statutory audit domain for public listed companies. Although the auditing profession in Malaysia has International Auditing Standards as prescribed minimum level of quality in the delivery of audit assurance services, self-regulation by the profession alone appears inadequate to ensure the delivery of quality audit services. With co-regulation, auditors now are monitored not just by the profession but also by a new statutory body with considerable regulatory powers to sanction auditors where quality of the audit process has been found wanting. This study solicits the opinions of auditors on their expectations of what the new regulator can achieve. Based on interviews with a sample of 30 auditors, the study finds that the majority believe that audit quality will be taken to a new level following AOB＇s remit of registration of auditors, compliance inspection with International Standard on Quality Control （ISQC）, monitoring of financial statement quality, and its power of sanctions. A review of AOB＇s early years＇ inspection confirms these expectations.展开更多
基金National Key R&D Plan:Development of International Standards for Traditional Chinese Medicine Technology(No.2019YFC1712003)。
文摘OBJECTIVE:To formulate the first clinical practice guideline for the treatment of cough using Chinese medicine based on the grading of recommendations assessment,development,and evaluation(GRADE)systematic approach,including clinical evidence,evaluation of ancient literature,and expert consensus.METHODS:In the process of development,the regulation of"evidence-based,consensus-assisted,and empirical"was followed,and a comprehensive systematic approach of recommendation assessment,GRADE,evidence-based evaluation,expert consensus,and the Delphi method was used.In the process of guideline development,evidence-based evaluation of ancient literature was included for the first time,and clinical evidence was fully integrated with clinical expert consensus.RESULTS:The clinical practice guidelines for the treatment of cough with Chinese herbal medicine were developed after a comprehensive consideration of evidence-based evaluation and expert opinions.The guideline recommendations focused on recommending herbal compound decoctions and Chinese patent medicines for cough in different conditions.Based on the GRADE systematic approach,we conducted an evidence-based evaluation of the recommended Chinese patent medicines one by one;meanwhile,the expert consensus method was used to unify the recommendations of both.CONCLUSION:Based on clinical evidence,ancient literature evaluation,and expert consensus,a clinical practice guideline for Traditional Chinese Medicine(TCM)in the treatment of cough was developed,providing the first current clinical practice guideline for domestic and foreign TCM and Western medicine practitioners,especially respiratory professionals at home and abroad.
基金China Scholarship Council,Grant/Award Number:202000610047McGill University+4 种基金Fonds de recherche du Québec–Santé,Grant/Award Number:315852Québec Ministry of HealthCanadian Institutes for Health Research,Strategy for Patient‐Oriented Research Mentorship ChairGlobal Health Scholars ProgramFonds de recherche du Québec‐Santé,Grant/Award Number:311200。
文摘Purpose:Strong primary health care(PHC)systems require well‐established PHC education systems to enhance the skills of general practitioners(GPs).However,the literature on the experiences of international collaboration in primary care education in low‐and middle‐income countries remains limited.The purpose of this study was to evaluate the implementation and perceived impact of the McGill‐Tongji Blended Education Program for Teacher Leaders in General Practice(referred to as the“Tongji Program”).Methods:In 2020–2021,the McGill Department of Family Medicine(Montreal,Canada)and Tongji University School of Medicine(TUSM,Shanghai,China)jointly implemented the Tongji Program in Shanghai,China to improve the teaching capacity of PHC teachers.We conducted an exploratory longitudinal case study with a mixed methods design for the evaluation.Quantitative(QUAN)data was collected through questionnaire surveys and qualitative(QUAL)data was collected through focus group discussions.Results:The evaluation showed that learners in Tongji Program were primarily female GPs(21/22,95%)with less than 4 years of experience in teaching(16/22,73%).This program was considered a successful learning experience by most participants(19/22,86%)with higher order learning tasks such as critical thinking and problem‐solving.They also agreed that this program helped them feel more prepared to teach(21/22,95%),and developed a positive attitude toward primary care(21/22,95%).The QUAL interview revealed that both the Tongji and McGill organizers noted that TUSM showed strong leadership in organization,education,and coordination.Both students and teachers agreed that by adapting training content into contextualized delivery formats and settings,the Tongji Program successfully overcame language and technology barriers.Conclusions:Committed partnerships and contextualization were key to the success of the Tongji Program.Future research should focus on how international primary care education programs affect learners'behavior in their practice settings,and explore barriers and facilitators to change.
文摘This study represents empirical research that aims to investigate how the labor market for the financial-accounting segment in Romania requires professional and personal skills developed within the accounting education curriculum in the Romanian universities of this profile, or these produce young practitioners inappropriate from the curricular point of view to the employers＇ demands. The study develops a statistical analysis of frequencies, aiming to find an importance stratification of the professional and personal characteristics in the employers＇ demands. The study groups the job advertisements into three categories： for financial accounting, managerial accounting and audit, and seeks to identify specific curriculum descriptors for these categories of professional development. At the same time, the study does a frequency analysis of curriculum descriptors and job execution, comparatively to the management jobs, attempting to do a hierarchy of professional and personal skills, depending on the wording of notices by employers. The conclusions of the report attempts to be a synthesis of the study assumptions results that lead to the idea that the curricular programs of the universities of this profile, though responding in terms of theoretical knowledge, should be extended in practice, but particularly in the personal skills development, which are defining in a competitive selection process.
文摘The setting-up of the Malaysian Audit Oversight Board （AOB） in 2010 under the Securities Commission Amendment Act 2010 has extended the role of regulators into the statutory audit domain for public listed companies. Although the auditing profession in Malaysia has International Auditing Standards as prescribed minimum level of quality in the delivery of audit assurance services, self-regulation by the profession alone appears inadequate to ensure the delivery of quality audit services. With co-regulation, auditors now are monitored not just by the profession but also by a new statutory body with considerable regulatory powers to sanction auditors where quality of the audit process has been found wanting. This study solicits the opinions of auditors on their expectations of what the new regulator can achieve. Based on interviews with a sample of 30 auditors, the study finds that the majority believe that audit quality will be taken to a new level following AOB＇s remit of registration of auditors, compliance inspection with International Standard on Quality Control （ISQC）, monitoring of financial statement quality, and its power of sanctions. A review of AOB＇s early years＇ inspection confirms these expectations.
