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Sample records for remote consultation

  1. [Remote Slit Lamp Microscope Consultation System Based on Web].

    PubMed

    Chen, Junfa; Zhuo, Yong; Liu, Zuguo; Chen, Yanping

    2015-11-01

    To realize the remote operation of the slit lamp microscope for department of ophthalmology consultation, and visual display the real-time status of remote slit lamp microscope, a remote slit lamp microscope consultation system based on B/S structure is designed and implemented. Through framing the slit lamp microscope on the website system, the realtime acquisition and transmission of remote control and image data is realized. The three dimensional model of the slit lamp microscope is established and rendered on the web by using WebGL technology. The practical application results can well show the real-time interactive of the remote consultation system.

  2. Development of a Remote Consultation System Using Avatar Technology

    NASA Astrophysics Data System (ADS)

    Ohnishi, Tatsuya; Yajima, Hiroshi; Sawamoto, Jun

    The chance to use the Internet as a communications tool has been increasing, and the consultation businesses for customers at remote places are diversifying in their communication media and forms. In the remote consultation, the lack of non-verbal information is reported as one of the reasons for inefficiency and customer's dissatisfaction compared with the face-to-face consultation. The technique for supplementing non-verbal information with a TV telephone is proposed, and helps to confirm understanding degree or the utterance timing by watching the movement of the face. But the displayed face of the partner causes strong feeling of strain between strangers and the participants also care about background scene displayed on the monitor producing risks in the consultation tasks. In this paper, we propose a remote consultation method that uses avatar technology in the virtual space in order to provide non-verbal information and also avoiding the problem of TV telephone at the same time. The effectiveness of the proposed remote consultation method is confirmed by experiments.

  3. Computer system for remote consultations in the diagnosis of urological malignancies

    NASA Astrophysics Data System (ADS)

    Zaytsev, S. M.; Nikitaev, V. G.; Pronichev, A. N.; Onykiy, B. N.; Polyakov, E. V.; Kurdin, A. A.; Pushkar, D. Y.; Prilepskaya, E. A.; Kovilina, M. V.; Govorov, A. V.; Glotov, A. V.; Vasilyev, A. O.; Kolontarev, K. V.

    2017-01-01

    The complex for the decision support in diagnosis of prostate diseases with using expert knowledge and remote consultations in the process of urologic diseases diagnosis with using prostate preparation images was proposed. The complex allows to ensure consistency in the actions of doctors for remote consultation (areas of interest, marking, and search for informative objects in the preparation images) and to use experts knowledge in cases that are difficult to diagnose.

  4. Quality of care for remote orthopaedic consultations using telemedicine: a randomised controlled trial.

    PubMed

    Buvik, Astrid; Bugge, Einar; Knutsen, Gunnar; Småbrekke, Arvid; Wilsgaard, Tom

    2016-09-08

    Decentralised services using outreach clinics or modern technology are methods to reduce both patient transports and costs to the healthcare system. Telemedicine consultations via videoconference are one such modality. Before new technologies are implemented, it is important to investigate both the quality of care given and the economic impact from the use of this new technology. The aim of this clinical trial was to study the quality of planned remote orthopaedic consultations by help of videoconference. We performed a randomised controlled trial (RCT) with two parallel groups: video-assisted remote consultations at a regional medical centre (RMC) as an intervention versus standard consultation in the orthopaedic outpatient clinic at the University Hospital of North Norway (UNN) as a control. The participants were patients referred to or scheduled for a consultation at the orthopaedic outpatient clinic. The orthopaedic surgeons evaluated each consultation they performed by completing a questionnaire. The primary outcome measurement was the difference in the sum score calculated from this questionnaire, which was evaluated by the non-inferiority of the intervention group. The study design was based on the intention to treat principle. Ancillary analyses regarding complications, the number of consultations per patient, operations, patients who were referred again and the duration of consultations were performed. Four-hundred patients were web-based randomised. Of these, 199 (98 %) underwent remote consultation and 190 (95 %) underwent standard consultation. The primary outcome, the sum score of the specialist evaluation, was significantly lower (i.e. 'better') at UNN compared to RMC (1.72 versus 1.82, p = 0.0030). The 90 % confidence interval (CI) for the difference in score (0.05, 0.17) was within the non-inferiority margin. The orthopaedic surgeons involved evaluated 98 % of the video-assisted consultations as 'good' or 'very good'. In the ancillary

  5. Remote consulting based on ultrasonic digital immages and dynamic ultrasonic sequences

    NASA Astrophysics Data System (ADS)

    Margan, Anamarija; Rustemović, Nadan

    2006-03-01

    Telematic ultrasonic diagnostics is a relatively new tool in providing health care to patients in remote, islolated communities. Our project facility, "The Virtual Polyclinic - A Specialists' Consulting Network for the Islands", is located on the island of Cres in the Adriatic Sea in Croatia and has been extending telemedical services to the archipelago population since 2000. Telemedicine applications include consulting services by specialists at the University Clinical Hospital Center Rebro in Zagreb and at "Magdalena", a leading cardiology clinic in Croatia. After several years of experience with static high resolution ultrasonic digital immages for referral consulting diagnostics purposes, we now also use dynamic ultrasonic sequences in a project with the Department of Emmergency Gastroenterology at Rebro in Zagreb. The aim of the ongoing project is to compare the advantages and shortcomings in transmitting static ultrasonic digital immages and live sequences of ultrasonic examination in telematic diagnostics. Ultrasonic examination is a dynamic process in which the diagnostic accuracy is highly dependent on the dynamic moment of an ultrasound probe and signal. Our first results indicate that in diffuse parenchymal organ pathology the progression and the follow up of a disease is better presented to a remote consulting specialist by dynamic ultrasound sequences. However, the changes that involve only one part of a parenchymal organ can be suitably presented by static ultrasonic digital images alone. Furthermore, we need less time for digital imaging and such tele-consultations overall are more economical. Our previous telemedicine research and practice proved that we can greatly improve the level of medical care in remote healthcare facilities and cut healthcare costs considerably. The experience in the ongoing project points to a conclusion that we can further optimize remote diagnostics benefits by a right choice of telematic application thus reaching a

  6. Management of infectious diseases in remote northwestern Ontario with telemedicine videoconference consultations.

    PubMed

    Mashru, Jai; Kirlew, Michael; Saginur, Raphael; Schreiber, Yoko S

    2017-01-01

    Northwestern Ontario in Canada provides a unique clinical challenge for providing optimal medical care. It is a large geographic area (385,000 km(2)) and is home to 32 remote First Nations communities, most without road access. These communities suffer a heavy burden of infectious disease and specialist consultations are difficult to obtain. The Division of Infectious Diseases at the Ottawa Hospital and the Sioux Lookout Meno Ya Win Health Centre established a telemedicine-based infectious disease consultation service in July 2014. We describe the implementation of this service, types of cases seen and patient satisfaction, as well as some of the challenges encountered. Information on visits was prospectively collected through an administrative database, and patient satisfaction surveys were administered after each initial consultation. During our first year of operation, 191 teleconsultations occurred: 76 initial consultations, 82 follow-up appointments and 33 case conferences. The scope of cases has been broad, mostly involving musculoskeletal infections (26%), followed by skin and soft tissue infections (23%). HCV, acute rheumatic fever, and respiratory infections (including pulmonary tuberculosis) were other diagnoses. Patient satisfaction has been very high and 28 telemedicine patient visits have occurred in their remote home communities, minimizing travel. The infectious disease consulting service and local clinicians have succeeded in addressing needs for care in infectious diseases in northwestern Ontario, where important gaps in service to First Nations' communities continue to exist. Regular scheduled available access to an infectious disease specialist is a well-received advancement of care in this remote region of Canada.

  7. Remote consultation and diagnosis in medical imaging using a global PACS backbone network

    NASA Astrophysics Data System (ADS)

    Martinez, Ralph; Sutaria, Bijal N.; Kim, Jinman; Nam, Jiseung

    1993-10-01

    A Global PACS is a national network which interconnects several PACS networks at medical and hospital complexes using a national backbone network. A Global PACS environment enables new and beneficial operations between radiologists and physicians, when they are located in different geographical locations. One operation allows the radiologist to view the same image folder at both Local and Remote sites so that a diagnosis can be performed. The paper describes the user interface, database management, and network communication software which has been developed in the Computer Engineering Research Laboratory and Radiology Research Laboratory. Specifically, a design for a file management system in a distributed environment is presented. In the remote consultation and diagnosis operation, a set of images is requested from the database archive system and sent to the Local and Remote workstation sites on the Global PACS network. Viewing the same images, the radiologists use pointing overlay commands, or frames to point out features on the images. Each workstation transfers these frames, to the other workstation, so that an interactive session for diagnosis takes place. In this phase, we use fixed frames and variable size frames, used to outline an object. The data pockets for these frames traverses the national backbone in real-time. We accomplish this feature by using TCP/IP protocol sockets for communications. The remote consultation and diagnosis operation has been tested in real-time between the University Medical Center and the Bowman Gray School of Medicine at Wake Forest University, over the Internet. In this paper, we show the feasibility of the operation in a Global PACS environment. Future improvements to the system will include real-time voice and interactive compressed video scenarios.

  8. Impact of a Telehealth Program That Delivers Remote Consultation and Longitudinal Mentorship to Community HIV Providers

    PubMed Central

    Wood, Brian R.; Unruh, Kenton T.; Martinez-Paz, Natalia; Annese, Mary; Ramers, Christian B.; Harrington, Robert D.; Dhanireddy, Shireesha; Kimmerly, Lisa; Scott, John D.; Spach, David H.

    2016-01-01

    Background. To increase human immunodeficiency virus (HIV) care capacity in our region, we designed a distance mentorship and consultation program based on the Project ECHO (Extension for Community Healthcare Outcomes) model, which uses real-time interactive video to regularly connect community providers with a multidisciplinary team of academic specialists. This analysis will (1) describe key components of our program, (2) report types of clinical problems for which providers requested remote consultation over the first 3.5 years of the program, and (3) evaluate changes in participants′ self-assessed HIV care confidence and knowledge over the study period. Methods. We prospectively tracked types of clinical problems for which providers sought consultation. At baseline and regular intervals, providers completed self-efficacy assessments. We compared means using paired-samples t test and examined the statistical relationship between each survey item and level of participation using analysis of variance. Results. Providers most frequently sought consultation for changing antiretroviral therapy, evaluating acute symptomatology, and managing mental health issues. Forty-five clinicians completed a baseline and at least 1 repeat assessment. Results demonstrated significant increase (P < .05) in participants' self-reported confidence to provide a number of essential elements of HIV care. Significant increases were also reported in feeling part of an HIV community of practice and feeling professionally connected to academic faculty, which correlated with level of program engagement. Conclusions. Community HIV practitioners frequently sought support on clinical issues for which no strict guidelines exist. Telehealth innovation increased providers' self-efficacy and knowledge while decreasing professional isolation. The ECHO model creates a virtual network for peer-to-peer support and longitudinal mentorship, thus strengthening capacity of the HIV workforce. PMID

  9. Gold award: providing psychiatric care and consultation in remote Indian villages--Department of Psychiatry, University of Toronto, Toronto, Ontario.

    PubMed

    1978-10-01

    Faculty of the University of Toronto department of psychiatry take several trips a year to remote Indian villages in northwestern Ontario to deliver care to the Cree and Ojibway people and to provide consultation and training to the service delivery providers in the area. The program is part of a larger medical program operated by the university and financed by the Canadian government. Psychiatrists face numerous cultural and language obstacles in addition to harsh weather conditions and limited means of communication in the vast Sioux Lookout zone. When they are back in Toronto, they keep in touch via two-way radio with professional staff in the zone for ongoing consultations.

  10. PC-based workstation for global PACS remote consultation and diagnosis in rural clinics

    NASA Astrophysics Data System (ADS)

    Martinez, Ralph; Robles, Saul; Kim, Jinman

    1995-05-01

    Most rural clinics across the country have limited facilities to provide state-of-the-art medical services. The availability of enabling technologies, such as telecommunication networks, multimedia workstations, and telemedicine systems which provide medical services to patients without requiring them to travel from their cities represents a great step in patient care. In previous work, we have developed a distributed software for remote consultation and diagnosis (RCD) in a Global PACS environment over the Internet. The RCD system has been designed and tested on DEC and SUN workstations. In this paper, we present a Unix-PC based platform to implement the RCD over a standard telephone line and Serial Line Internet Protocol (SLIP). The Unix-PC platform offers an inexpensive option for telemedicine workstations in rural clinics, where no Internet is available. If an Internet connection is available at the rural clinic, full RCD multimedia services are possible. The Unix-PC platform has been developed by using Linux, a Unix-like operating system available from several public sites over the Internet. We call the system PC-PACS. The PC-PACS workstation has been tested from different rural sites by connecting the Unix-PC system to the Internet through SLIP. Once the system is connected, RCD sessions have been performed between the Unix- PC platform and SUN workstations. The tests have included diagnosis on radiology and pathology images. A separate telephone line for voice communications during the RCD session is required. This paper describes performance tests for the PC-based workstation and the RCD system over SLIP and Ethernet interfaces. Results show acceptable performance of the workstation and the RCD software.

  11. Remote Health Consultations Supported by a Diabetes Management Web Application With a New Glucose Meter Demonstrates Improved Glycemic Control.

    PubMed

    Grady, Mike; Cameron, Hilary; Levy, Brian L; Katz, Laurence B

    2016-05-01

    Cloud-connected diabetes applications enable health care professionals (HCPs) to monitor patient progress and offer the potential for remote consultations. OneTouch Reveal (OTR) is a cloud-based web application that aggregates data from blood glucose (BG) meters or insulin pumps and provides analytics to help patients and HCPs make more informed treatment and lifestyle decisions. This study assessed the experience of patients using OTR and the OneTouch Verio (OTV) BG meter and determined the extent of changes in glycemic control. Subjects with T1DM (23) or T2DM (17) uploaded BG meter results to OTR for 12 weeks. HCPs remotely reviewed progress using OTR and delivered telephone consultations at 4 and 8 weeks based on OTR insights. After 12 weeks, mean HbA1c decreased by 0.4% (P < .001) and 25% of subjects had a reduction of ≥1.0%. Reduction in HbA1c was similar in subjects with T1DM and T2DM, although subjects with T1DM started with higher baselines. In subjects with T2DM, mean BG decreased significantly from 175 to 161 mg/dl (P < .001) with the percentage of above-range BG results decreasing from 33% to 24%. 80% of subjects confirmed OTR detected out-of-range glucose patterns and 84% of these subjects were able to correct the underlying pattern to get BG back in-range. OTR web application in combination with the OTV meter helped subjects with T1DM and T2DM effectively manage their diabetes and was associated with improved BG control over 12 weeks. Real-time visibility to subject data may help HCPs deliver focused and effective remote consultations. © 2015 Diabetes Technology Society.

  12. Technology-based patient consultations: research findings from haematology patients in regional, rural and remote queensland.

    PubMed

    McGrath, Pam

    2015-04-01

    Many haematology patients living outside the metropolitan centres are stressed by the demands of travel for treatment and are seeking alternatives. This article provides the findings on the use of technology-based patient consultations for haematology patients in Queensland, Australia, from the perspective of the patients receiving the service. The research was based on a descriptive qualitative approach involving open-ended interviews with a purposive sample of 45 haematology patients living in Queensland. The findings indicate that the use of technology for patient consultations is still in its infancy, involving few haematologists and limited to landline and mobile telephone, texting and Skype. These strategies are described as being used for follow-up and review rather than active treatment. The strategies are not replacing face-to-face contact between the haematologist and patient, but rather extending the length of time between such contacts. Whilst patients have expressed enthusiasm for technology-assisted patient consultations, there are still obstacles to overcome as many who would like access to such a service delivery do not presently have these options available.

  13. Setting up a telemedicine service for remote real-time video-EEG consultation in La Rioja (Spain).

    PubMed

    Campos, C; Caudevilla, E; Alesanco, A; Lasierra, N; Martinez, O; Fernández, J; García, J

    2012-06-01

    The purpose of this paper is to report and discuss a successful experience in the setting up of a telemedicine solution for remote video-electroencephalography consultation (tele-EEG) in La Rioja, Spain. The setup has been implemented between a primary hospital situated in Calahorra (Calahorra Hospital Foundation, FHC) and a secondary hospital in Logroño (San Pedro Hospital, HSP), the capital city of the region of La Rioja. During the twelve first months of the setting-up a detailed evaluation study was performed. During this period we evaluated the technical aspects of the setup and also demonstrated the clinical viability of the system. The impact on hospital organization and the impact on patients regarding the improvement in their quality of life, as well as their financial savings, were also evaluated. During these twelve months a total of 259 consultations were conducted through the telemedicine system. The clinical viability study was completely successful, and technical problems were detected only during the first months of setting-up. Regarding patients' preferences (177 completed an opinion questionnaire), 99% expressed a high degree of satisfaction with the telemedicine service. They also remarked that they preferred the telemedicine service to previous methods for the EEG test, on the grounds that it provided a significant improvement in access to specialized medical care and important financial savings in terms of travel (around 30€ per visit) and of time (approximately 2h) invested in consultations. After one year of evaluation, we concluded that the tele-EEG system had been successfully introduced into the clinical routine. As a matter of fact, the success of the telemedicine system has led to its widespread use and it has now replaced the conventional EEG service for FHC patients almost completely. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  14. WhatsApp: a telemedicine platform for facilitating remote oral medicine consultation and improving clinical examinations.

    PubMed

    Petruzzi, Massimo; De Benedittis, Michele

    2016-03-01

    Increased use of smartphone and related software applications has created a new era in clinical data exchange among patients and clinicians. This study describes use of the smartphone-based application WhatsApp to share clinical oral medicine information. Clinical images and related questions were submitted by general dentists, physicians, dental hygienists, and patients to the authors via WhatsApp. For each submission, a clinical impression was made and categorized as traumatic, infective, neoplastic, autoimmune, or unclassified. Submissions were summarized by sender type, number of photographs per sender, and category of question. Patients were invited to undergo a clinical examination with biopsy, when indicated. The telemedicine impression was compared to the clinicopathologic diagnosis. Three hundred and thirty-nine images were received for 96 patients; 92 (95.8%) patients underwent clinicopathologic examination, and 45 (49%) received a biopsy. General dentists (62%) and dental hygienists (26%) were the most frequent senders. The most common question was related to diagnosis (56%). The telemedicine impression agreed with the clinicopathologic assessment for 82% of cases. Telemedicine applications, such as WhatsApp, can support communication about oral conditions among clinicians and patients. Telemedicine consultation reduced geographic barriers to initial clinical consultation and encouraged the significant majority of patients to pursue expert clinical examination. Copyright © 2016 Elsevier Inc. All rights reserved.

  15. Teleradiology for remote consultation using iPad improves the use of health system human resources for paediatric fractures: prospective controlled study in a tertiary care hospital in Italy.

    PubMed

    Zennaro, Floriana; Grosso, Daniele; Fascetta, Riccardo; Marini, Marta; Odoni, Luca; Di Carlo, Valentina; Dibello, Daniela; Vittoria, Francesca; Lazzerini, Marzia

    2014-07-28

    The growing cost of health care and lack of specialised staff have set e-Health high on the European political agenda. In a prospective study we evaluated the effect of providing images for remote consultation through an iPad on the number of in-hospital orthopaedic consultations for children with bone fractures. Children from 0 to 18 years diagnosed with a bone fracture by the radiologist during the hours when an orthopaedic service is provided only on-call were eligible for enrollment. Cases were enrolled prospectively during September and October 2013. A standard approach (verbal information only, no X-Ray provided remotely) was compared to an experimental approach (standard approach plus the provision of X-ray for remote consultation through an iPad). The primary outcome was the number of orthopaedic in-hospital consultations that occurred. Other outcomes included: immediate activation of other services; time needed for decision-making; technical difficulties; quality of images and diagnostic confidence (on a likert scale of 1 to 10). Forty-two children were enrolled in the study. Number of in-hospital consultancies dropped from 32/42 (76.1%) when no X-ray was provided to 16/42 (38%) when the X-rays was provided (p < 0.001). With remote X-ray consultation in 14/42 (33.3%) cases services such as surgery and plaster room could be immediately activated, compared to no service activated without teleradiology (p < 0.001). Average time for decision making was 23.4 ± 21.8 minutes with remote X-ray consultation, compared to 56.2 ± 16.1 when the X-ray was not provided (p < 0.001). The comparison between images on the iPad and on the standard system for X- Ray visualisation resulted in a non statistically significant difference in the quality of images (average score 9.89 ± 0.37 vs 9.91 ± 0.30; p = 0.79), and in non statistically significant difference in diagnostic confidence (average score 9.91 ± 0.32 vs 9.92 ± 0.31; p = 0.88). Remote X-ray consultation through

  16. Managing Consultants.

    ERIC Educational Resources Information Center

    Malinconico, S. Michael

    1983-01-01

    Guidelines for managing library consulting engagements effectively cover the decision to use a consultant, definition of the problem area, finding the consultant, interviewing and evaluating the consultant, the psychological contract, the formal contract, and abdication of responsibility for the consulting project by the client. Seventeen sources…

  17. Critical consulting

    SciTech Connect

    Hocker, C.

    1993-02-01

    With increasing complexity in the power industry, consultants have become an indispensible element of any project development team. Top engineers and consultants today bring added value to their clients' projects.

  18. Teleradiology for remote consultation using iPad improves the use of health system human resources for paediatric fractures: prospective controlled study in a tertiary care hospital in Italy

    PubMed Central

    2014-01-01

    Background The growing cost of health care and lack of specialised staff have set e-Health high on the European political agenda. In a prospective study we evaluated the effect of providing images for remote consultation through an iPad on the number of in-hospital orthopaedic consultations for children with bone fractures. Methods Children from 0 to 18 years diagnosed with a bone fracture by the radiologist during the hours when an orthopaedic service is provided only on-call were eligible for enrollment. Cases were enrolled prospectively during September and October 2013. A standard approach (verbal information only, no X-Ray provided remotely) was compared to an experimental approach (standard approach plus the provision of X-ray for remote consultation through an iPad). The primary outcome was the number of orthopaedic in-hospital consultations that occurred. Other outcomes included: immediate activation of other services; time needed for decision-making; technical difficulties; quality of images and diagnostic confidence (on a likert scale of 1 to 10). Results Forty-two children were enrolled in the study. Number of in-hospital consultancies dropped from 32/42 (76.1%) when no X-ray was provided to 16/42 (38%) when the X-rays was provided (p < 0.001). With remote X-ray consultation in 14/42 (33.3%) cases services such as surgery and plaster room could be immediately activated, compared to no service activated without teleradiology (p < 0.001). Average time for decision making was 23.4 ± 21.8 minutes with remote X-ray consultation, compared to 56.2 ± 16.1 when the X-ray was not provided (p < 0.001). The comparison between images on the iPad and on the standard system for X- Ray visualisation resulted in a non statistically significant difference in the quality of images (average score 9.89 ± 0.37 vs 9.91 ± 0.30; p =0.79), and in non statistically significant difference in diagnostic confidence (average score 9.91 ± 0.32 vs

  19. Ecological Consultancy

    ERIC Educational Resources Information Center

    Wilson, Scott McG.; Tattersfield, Peter

    2004-01-01

    This is the first of a new regular feature on careers, designed to provide those who teach biology with some inspiration when advising their students. In this issue, two consultant ecologists explain how their career paths developed. It is a misconception that there are few jobs in ecology. Over the past 20 or 30 years ecological consultancy has…

  20. Situational Consultation

    ERIC Educational Resources Information Center

    Rimehaug, Tormod; Helmersberg, Ingunn

    2010-01-01

    Situational Consultation (SC) is presented as a framework for flexible integration of several models and methodologies in consultation practice by choosing an approach adapted to the specific situation. In SC, models and their characteristic role positions are considered interchangeable tools with qualitative differences in strengths and…

  1. Lactation Consultant

    MedlinePlus

    ... human lactation. Job description Lactation consultants educate women, families, health professionals, and the community about breast feeding and human lactation; facilitate the development of policies which protect, promote, and support breastfeeding; ...

  2. [Teledermatological consultation].

    PubMed

    Knol, A; Damstra, R J; van den Akker, Th W; de Haan, J

    2004-02-14

    Teledermatological consultation can be effected in two ways. One is 'store-and-forward' which involves storing photographic digital images and sending them to a consultant dermatologist who then replies by e-mail, and the other is by videoconferencing using a real time interactive audiovisual link. In daily general practice the first method is the easiest to implement. In 76-90% of cases, a diagnosis or differential diagnosis made in this way corresponds with the diagnosis made at the more usual face-to-face examination. The advantage of teledermatological consultation is that diagnosis and therapy take place faster than after regular referral and it is better than no referral at all. The referring physician should deliver data on the patient's history and physical examination in a standardized format. The same is true for the encoded personal data, the working diagnosis, and referral request. One overview and 2 detailed photos from two angles are normally taken. The overview shows the extent and localization of the skin abnormality. The patient has to consent to a teledermatological consultation. The responsibility for the treatment lies with the doctor who sees the patient face-to-face. The data that is transmitted must be encrypted or coded in such a way that it cannot be traced back to one particular person.

  3. Consulting about consulting: challenges to effective consulting about public health research

    PubMed Central

    Graham, Janne; Broom, Dorothy; Whittaker, Andrea

    2008-01-01

    Objective To understand barriers to obtaining input from consumers in developing public health research. Methods Documentation of a failed attempt at consumer consultation supplies information on barriers to effective involvement and conditions that must prevail to improve consultation. Results People are keen to be heard in the formulation of health research. However, competing demands and limited resources make it difficult for community groups to allocate scarce resources to consultation. Sometimes research issues may seem ‘academic’ and thus remote from the urgent priorities of the people with whom researchers wish to consult. Consultation may require more time than researchers on limited budgets can afford. Conclusions Despite a general public health commitment to involving consumers in research development, obstacles to consultation make it difficult to incorporate it into the research agenda. Implications Researchers and funding bodies will need to allocate resources to consumer consultation if it is to become the rule rather than the exception in public health research. PMID:11703494

  4. Consulting in Collection Development.

    ERIC Educational Resources Information Center

    Ash, Lee

    1980-01-01

    Considers the role of the consultant in the areas of library collection development and weeding, and offers suggestions on determining the need for a consultant, obtaining one, and what to do when the consultant arrives. (FM)

  5. Skills for Effective Consultation.

    ERIC Educational Resources Information Center

    Dustin, Dick; Ehly, Stewart

    1984-01-01

    Discusses counselor skills that promote effective consultation. Reviews research on effective school consultation and presents a five-stage model which involves phasing in, problem identification, implementation, evaluation, and termination. Provides recommendations for the process and products of consultation. (JAC)

  6. Skills for Effective Consultation.

    ERIC Educational Resources Information Center

    Dustin, Dick; Ehly, Stewart

    1984-01-01

    Discusses counselor skills that promote effective consultation. Reviews research on effective school consultation and presents a five-stage model which involves phasing in, problem identification, implementation, evaluation, and termination. Provides recommendations for the process and products of consultation. (JAC)

  7. Consultation in Family Therapy.

    ERIC Educational Resources Information Center

    Nielsen, Elwin; Kaslow, Florence

    1980-01-01

    Discusses need for consultation and reviews a number of models currently being utilized. Emphasis is on preparing clients for consultation, providing background information and preparing with consultant for the session(s), and transferring "power" to the consultant and back again to the primary therapist. (Author)

  8. The ideal consultation.

    PubMed

    Nicola, Davies

    2012-09-19

    The consulting room used to be regarded as the doctor's preserve. Not any longer. Patients are increasingly consulting nurses for advice and treatment, especially in community settings or in the patient's home.

  9. Managing the Consultation.

    ERIC Educational Resources Information Center

    Enteman, Willard F.

    1991-01-01

    The college administration should use some simple procedures to manage a consultation actively, improving the likelihood of success. Issues to be addressed include focused administrative responsibility for the consultation, communication, information availability, campus constituency involvement, need identification, confidentiality, private and…

  10. Inpatient Consultative Dermatology.

    PubMed

    Biesbroeck, Lauren K; Shinohara, Michi M

    2015-11-01

    Dermatology consultation can improve diagnostic accuracy in the hospitalized patient with cutaneous disease. Dermatology consultation can streamline and improve treatment plans, and potentially lead to cost savings. Dermatology consultants can be a valuable resource for education for trainees, patients, and families. Inpatient consultative dermatology spans a breadth of conditions, including inflammatory dermatoses,infectious processes, adverse medication reactions, and neoplastic disorders, many of which can be diagnosed based on dermatologic examination alone, but when necessary, bedside skin biopsies can contribute important diagnostic information.

  11. Library Consultants: Client Views.

    ERIC Educational Resources Information Center

    Robbins-Carter, Jane

    1984-01-01

    Reviews the consulting process (two-way interaction focused on seeking, giving, and receiving of help) as it applies to library science and identifies nine process roles of the consultant as teacher, student, detective, barbarian, timekeeper, monitor, talisman, advocate, and ritual pig. Common errors in classifying consultant roles are noted. (9…

  12. Modeling the Teaching Consultant.

    ERIC Educational Resources Information Center

    Johnson, Brian L.; And Others

    1990-01-01

    Discusses the teaching consultant process in computer programing courses, describes a teaching consultant model from both the teachers' and students' perspectives, and shows how this model can be used to develop an intelligent teaching consultant (ITC). Differences between this collection of expert systems and conventional intelligent tutoring…

  13. Optimizing Consulting Delivery Systems.

    ERIC Educational Resources Information Center

    Spottswood, Curran

    1980-01-01

    Summarizes a study of several types of consulting groups in the Bell System and describes characteristics which are associated with high-impact consulting. A strategy which is designed for internal consulting organizations to maximize the likelihood of both initial success and long-term survival of the group is proposed. (Author/MER)

  14. Consultant survival guide.

    PubMed

    Haque, Sahena

    2014-04-01

    Taking up a new consultant post can be both exciting and daunting. Once the elation of completing years of training and successfully securing a valued position has subsided, the reality of the task ahead becomes apparent. A new consultant needs to develop a number of skills to develop as a clinical leader and understand the processes within the National Health Service (NHS) that enable service development and innovation. In a programme packed with esteemed speakers, the Royal College of Physicians' one-day conference, Consultants' survival guide: how to succeed as a new consultant provided practical tips and advice for senior trainees and new consultants.

  15. The art of consultation

    PubMed Central

    Bhangoo, Kulwant S.

    2014-01-01

    Sophisticated marketing and practice-enhancing strategies can help bring patients to a surgeon's practice. However, the ability to retain these patients and also convert the consultations into surgical procedures depends on the art of consultation. This very important aspect of clinical practice is seldom taught in the medical school. In this paper, the author discusses many aspects of the art of consultation, which he has learned in his practice over the years. PMID:25190910

  16. Directory of Environmental Consultants.

    ERIC Educational Resources Information Center

    Cate, Bill, Ed.

    Over 400 inter-field professionals are named as environmental consultants in this 1972 annual directory. Primarily, they are faculty members at colleges and universities in Canada, Puerto Rico, and the United States who will provide free environmental consulting services to interested government, industry, and citizen organizations, but are not…

  17. Bring in the Consultants!

    ERIC Educational Resources Information Center

    Haviland, Joseph E.

    1995-01-01

    To improve its reading program, a Pennsylvania district involved its teachers in retaining consultants who would work collaboratively with them. This model has been used in each of four elementary schools for the past seven years. The district allocates $1,800 per school for consultants, instructional materials, and substitutes who release…

  18. The Search Consultant's Obligations.

    ERIC Educational Resources Information Center

    Underwood, Kenneth

    1994-01-01

    The superintendent search consultant is employed by the board of education and must always act in the board's best interest. Boards want consultants to be friendly and courteous, provide information, and foster an aura of good feeling with candidates and the board. Candidates should receive accurate information, selection criteria briefings,…

  19. Directory of Environmental Consultants.

    ERIC Educational Resources Information Center

    Cate, Bill, Ed.

    Over 400 inter-field professionals are named as environmental consultants in this 1972 annual directory. Primarily, they are faculty members at colleges and universities in Canada, Puerto Rico, and the United States who will provide free environmental consulting services to interested government, industry, and citizen organizations, but are not…

  20. The Search Consultant's Obligations.

    ERIC Educational Resources Information Center

    Underwood, Kenneth

    1994-01-01

    The superintendent search consultant is employed by the board of education and must always act in the board's best interest. Boards want consultants to be friendly and courteous, provide information, and foster an aura of good feeling with candidates and the board. Candidates should receive accurate information, selection criteria briefings,…

  1. Architectural-acoustics consulting

    NASA Astrophysics Data System (ADS)

    Hoover, Anthony K.

    2004-05-01

    Consulting involves both the science of acoustics and the art of communication, requiring an array of inherent and created skills. Perhaps because consulting on architectural acoustics is a relatively new field, there is a remarkable variety of career paths, all influenced by education, interest, and experience. Many consultants juggle dozens of chargeable projects at a time, not to mention proposals, seminars, teaching, articles, business concerns, and professional-society activities. This paper will discuss various aspects of career paths, projects, and clients as they relate to architectural-acoustics consulting. The intended emphasis will be considerations for those who may be interested in such a career, noting that consultants generally seem to thrive on the numerous challenges.

  2. Remote sensing program

    NASA Technical Reports Server (NTRS)

    Philipson, W. R. (Principal Investigator)

    1983-01-01

    Built on Cornell's thirty years of experience in aerial photographic studies, the NASA-sponsored remote sensing program strengthened instruction and research in remote sensing, established communication links within and beyond the university community, and conducted research projects for or with town, county, state, federal, and private organizations in New York State. The 43 completed applied research projects are listed as well as 13 spinoff grants/contracts. The curriculum offered, consultations provided, and data processing facilities available are described. Publications engendered are listed including the thesis of graduates in the remote sensing program.

  3. Multilocation teleradiology system for emergency triage consultation

    NASA Astrophysics Data System (ADS)

    Herron, John M.; Yonas, Howard

    1996-05-01

    A remote consultation system is available at the University of Pittsburgh Medical Center (UPMC) which links four outlying hospitals in Western Pennsylvania and Eastern Ohio. This system has the potential to improve short and long term clinical outcomes and to reduce overall medical care cost by establishing improved emergency triage capability. An EMED, Inc. teleradiology system permits rapid, high-quality transfer of digitized film and CT images from the remote sites to the tertiary care center (UPMC). The images are sent over dial-on- demand ISDN and SW56 lines from the remote hospitals to a central server where they are transmitted to a dual 2K monitor workstation in the Emergency Department, thirteen Eastman Kodak PDS workstations within UPMC, and to three physician homes. Transmission to a workstation at each of the physician homes over ISDN lines enables `after hours' consultation. The radiographic images along with voice and fax communications provide a technique where physicians in outlying hospitals will be able to consult with specialists at any time. A study is in progress to evaluate the effectiveness of this system in terms of perception of utility and its potential to improve emergency triage capability, as well as selection of the appropriate transportation mode (helicopter versus ambulance).

  4. The Feasibility and Acceptability of Google Glass for Teletoxicology Consults.

    PubMed

    Chai, Peter R; Babu, Kavita M; Boyer, Edward W

    2015-09-01

    Teletoxicology offers the potential for toxicologists to assist in providing medical care at remote locations, via remote, interactive augmented audiovisual technology. This study examined the feasibility of using Google Glass, a head-mounted device that incorporates a webcam, viewing prism, and wireless connectivity, to assess the poisoned patient by a medical toxicology consult staff. Emergency medicine residents (resident toxicology consultants) rotating on the toxicology service wore Glass during bedside evaluation of poisoned patients; Glass transmitted real-time video of patients' physical examination findings to toxicology fellows and attendings (supervisory consultants), who reviewed these findings. We evaluated the usability (e.g., quality of connectivity and video feeds) of Glass by supervisory consultants, as well as attitudes towards use of Glass. Resident toxicology consultants and supervisory consultants completed 18 consults through Glass. Toxicologists viewing the video stream found the quality of audio and visual transmission usable in 89 % of cases. Toxicologists reported their management of the patient changed after viewing the patient through Glass in 56 % of cases. Based on findings obtained through Glass, toxicologists recommended specific antidotes in six cases. Head-mounted devices like Google Glass may be effective tools for real-time teletoxicology consultation.

  5. Consultants around the World.

    ERIC Educational Resources Information Center

    Vickers, Peter; And Others

    1988-01-01

    Three articles discuss information brokering in the United Kingdom, Canada, and Argentina. A sidebar describes the Working from Home Forum on CompuServe, which is available to information consultants/brokers worldwide. (MES)

  6. From Cosmology to Consulting

    NASA Astrophysics Data System (ADS)

    Nelson, William

    2014-03-01

    I will discuss my transition from Quantum Gravity and Cosmology to the world of consulting and describe the differences and similarities between academia and industry. I will give some dos and don'ts for industry interviews and jobs searches.

  7. Prevention Through Teacher Consultation

    ERIC Educational Resources Information Center

    Hansen, James C.

    1977-01-01

    A program of cooperation between teachers and professional consultants in the field of mental health made possible the identification of children with problems and the successful modification of their behavior. (JD)

  8. Resistance, Reactance, and Consultation.

    ERIC Educational Resources Information Center

    Hughes, Jan N.; Falk, Robert S.

    1981-01-01

    Presents a review of techniques for dealing with consultee resistance. Suggests the social psychological theory of reactance is a useful conceptual framework for considering resistance in consultation. Discusses examples of its application, variables that predict the likely effectiveness of a reactance utilization intervention, and ethical issues.…

  9. Consultation in Day Care.

    ERIC Educational Resources Information Center

    Kiester, Dorothy J.

    This handbook clarifies the responsibility, role and functions of the day care consultant. A chapter on the philosophy of day care is intended to stimulate thoughtful consideration of how existing patterns of day care affect children, parents, and the family. A variety of methods and strategies for translating day care philosophy into practice are…

  10. Consultancy pay for nurses.

    PubMed

    1998-01-01

    Nurses working for NHS Direct could be paid at medical consultant level based on equal pay for equal work initiatives, according to Rob Crouch, Deputy Director and Research Fellow (A&E), Centre for the Advancement of Clinical Practice, University of Surrey.

  11. Sharing Expertise: Consulting

    ERIC Educational Resources Information Center

    Graves, Bill

    2011-01-01

    A special breed of superintendents who have developed expertise in a particular area find ways of sharing it in other venues as outside consultants. They pull extra duty to put their special skills into practice, to give back to their communities, to stay current and grounded in the field, or to enhance their professional reputations. They teach…

  12. Community Consultation Kit.

    ERIC Educational Resources Information Center

    Boulder Area Growth Study Commission, CO.

    This kit, designed for leaders and participants, provides a model for organizing and taking part in Community Consultation Groups. The kit was designed to be used in connection with community concerns about growth in Boulder, Colorado. These groups build upon a previous survey to assist the Commission in determining specific growth concerns in the…

  13. The AV Consultant

    ERIC Educational Resources Information Center

    Wadsworth, Raymond H.

    1976-01-01

    An audiovisual communications consultant involved in planning a new facility is able to translate the needs of educators into integrated systems, and relate these to the architects and engineers in terms of working drawings, specifications, system descriptions, functional schematics, and block diagrams. (Author/MLF)

  14. Consultants, Consultancy and Consultocracy in Education Policymaking in England

    ERIC Educational Resources Information Center

    Gunter, Helen M.; Hall, David; Mills, Colin

    2015-01-01

    The role and contribution of consultants and consultancy in public services has grown rapidly and the power of consultants suggests the emergence of a "consultocracy". We draw on research evidence from the social sciences and critical education policy (CEP) studies to present an examination of the state of the field. We deploy a…

  15. Consultants, Consultancy and Consultocracy in Education Policymaking in England

    ERIC Educational Resources Information Center

    Gunter, Helen M.; Hall, David; Mills, Colin

    2015-01-01

    The role and contribution of consultants and consultancy in public services has grown rapidly and the power of consultants suggests the emergence of a "consultocracy". We draw on research evidence from the social sciences and critical education policy (CEP) studies to present an examination of the state of the field. We deploy a…

  16. Accompanied consultations in occupational health.

    PubMed

    Hobson, J; Hobson, H; Sharp, R

    2016-04-01

    Accompanied consultations are often reported as difficult by occupational physicians but have not been studied in the occupational health setting. To collect information about accompanied consultations and the impact of the companion on the consultation. We collected data on all accompanied consultations by two occupational physicians working in a private sector occupational health service over the course of 16 months. Accompanied consultations were matched to non-accompanied consultations for comparison. We collected data on 108 accompanied consultations. Accompanied consultations were more likely to be connected with ill health retirement (P < 0.01), have a neurological diagnosis or multiple diagnoses (P < 0.01), be rated as complex (P < 0.01) and take longer than 30 minutes (P < 0.01) than non-accompanied consultations. Over half of the companions (54%) were a spouse or partner. An impact by the companion was recorded in 81% of consultations but this was most frequently that they had provided information (56%) and in over a quarter the impact was recorded as helpful. Interruptions were recorded in 28% of accompanied consultations but only 6% of consultations had free text suggesting that the consultation or companion was difficult. Accompanied consultations are likely to be more challenging in terms of the reason for referral, the presenting medical problems, the complexity of the case and the duration of the consultation. However, the companion is more likely to be of benefit than cause difficulty. Occupational health practitioners may benefit from better understanding of accompanied consultations and guidance on their management. © The Author 2015. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  17. Mentoring for new consultants.

    PubMed

    Ackroyd, R; Adamson, K A

    2015-01-01

    There is increasing evidence of the benefits of having a mentor during the early years as a consultant. Mentoring encourages and provides support to an individual in their professional development. Although there are different forms of mentoring there is recognition that developing a formal mentoring scheme can provide a consistent approach and support within a framework. The Royal College of Physicians of Edinburgh has introduced a mentoring scheme for new consultants that provides a forum for supporting them in their ongoing professional wellbeing. There is potential that the process of mentoring can improve an individual's development, and motivate and encourage them to develop the skills needed to achieve their goals, thus having an impact on ultimately improving their ability to deliver an effective patient-centred service.

  18. Corrosion consultant expert system

    SciTech Connect

    Mo, Y.L.

    1994-12-31

    The development and use of an expert system to recommend coatings for flue gas desulfurization (FGD) plant is described. The system ranks coatings by their material properties, experimental test and plant performance scores when the component to be coated and its working environment are specified. The user interface, the inference engine, the knowledge base and the implementation of the expert system are presented with comments on its suitability and application for corrosion consultations.

  19. "Systematizing" ethics consultation services.

    PubMed

    Bruce, Courtenay R; Eves, Margot M; Allen, Nathan G; Smith, Martin L; Peña, Adam M; Cheney, John R; Majumder, Mary A

    2015-03-01

    While valuable work has been done addressing clinical ethics within established healthcare systems, we anticipate that the projected growth in acquisitions of community hospitals and facilities by large tertiary hospitals will impact the field of clinical ethics and the day-to-day responsibilities of clinical ethicists in ways that have yet to be explored. Toward the goal of providing clinical ethicists guidance on a range of issues that they may encounter in the systematization process, we discuss key considerations and potential challenges in implementing system-wide ethics consultation services. Specifically, we identify four models for organizing, developing, and enhancing ethics consultation activities within a system created through acquisitions: (1) train-the-trainer, (2) local capacity-building, (3) circuit-riding, and (4) consolidated accountability. We note each model's benefits and challenges. To our knowledge, this is the first paper to consider the broader landscape of issues affected by consolidation. We anticipate that clinical ethicists, volunteer consultants, and hospital administrators will benefit from our recommendations.

  20. NATO Politico-Military Consultation

    DTIC Science & Technology

    1984-01-01

    General Manlio Brosio has observed that for the larger allies, consultation is "a way to legitimize and rein- force their foreign policy initiatives...ested in the experiences of a skillful practitioner of consultation. 21. Manlio Brosio, "Consultation and the Atlantic Alliance," Survival 16 (May

  1. The Process of Psychological Consultation

    ERIC Educational Resources Information Center

    Nolan, Anna; Moreland, Neil

    2014-01-01

    Consultation is a key means of service delivery in many psychological services. However, the "process" of consultation is little explored in Educational Psychology literature, particularly in the United Kingdom (UK). This paper focuses on a small-scale qualitative research study of psychological consultation provided by educational…

  2. The Process of Psychological Consultation

    ERIC Educational Resources Information Center

    Nolan, Anna; Moreland, Neil

    2014-01-01

    Consultation is a key means of service delivery in many psychological services. However, the "process" of consultation is little explored in Educational Psychology literature, particularly in the United Kingdom (UK). This paper focuses on a small-scale qualitative research study of psychological consultation provided by educational…

  3. Management Consulting: Planning, Entry, Performance.

    ERIC Educational Resources Information Center

    Cosier, Richard A.; Dalton, Dan R.

    1993-01-01

    Contends that counseling has much in common with organizational consulting. Provides overview of consulting practices that counselors might find useful should they decide to investigate organizational consulting. Includes aspects of market research, gauging competition, and target markets. Considers promotion, networking, and elements of…

  4. The Consultant from Oz Syndrome.

    ERIC Educational Resources Information Center

    Smith, Garnett J.

    1998-01-01

    School leaders should realize that consultants cannot substitute for developing collective actions within the organization. The "Consultant from Oz Syndrome" stems from placing undue confidence in external sources, confusing consultants with magicians, and denying their limitations. While journeying down the yellow brick road of…

  5. Plastic surgery telehealth consultation expedites Emergency Department treatment.

    PubMed

    Paik, Angie M; Granick, Mark S; Scott, Sandra

    2017-02-01

    Plastic surgery is a field that is particularly amenable to a telehealth milieu, as visual exam and radiographs guide proper diagnosis and management. The goals of this study were to evaluate telehealth feedback executed through an iPad app for plastic surgery-related consultations. A Quality Assurance/Quality Improvement (QA/QI) study was conducted over a 1-month period during which patients with hand injuries, facial injuries, or acute wounds presenting to the Emergency Department (ED) of a level-one trauma centre and university hospital were monitored. The study utilized a commercial iPad application through which up to four images and a brief history could be sent to a remote Plastic Surgery Educator (PSE) for evaluation. The PSE would respond with best practice information, references and videos to assist ED point-of-care providers. During the 1-month period of this study, there were 42 ED consultations for plastic surgical conditions. There was a highly significant difference in overall mean response time between consultants and PSEs (48.3 minutes vs. 8.9 minutes respectively, p < 0.001). The agreement between PSEs and consultants regarding patient assessment and care was 85.7% for in-person consultations and 100% for phone consultations. In four cases of telephone consultations, the ED providers placed splints incorrectly on hand-injured patients. Our results show that telehealth consultations to a remote plastic surgeon based on digital images and a brief history were able to produce timely and accurate responses in an emergency care facility. This design may have significant impact in rural areas, underserved populations, or regions abroad.

  6. The Pretravel Consultation.

    PubMed

    Sanford, Christopher; McConnell, Adam; Osborn, Justin

    2016-10-15

    Key components of the pretravel consultation include intake questions regarding the traveler's anticipated itinerary and medical history; immunizations; malaria prophylaxis; and personal protection measures against arthropod bites, traveler's diarrhea, and injury. Most vaccinations that are appropriate for international travelers are included in the routine domestic immunization schedule; only a few travel-specific vaccines must also be discussed. The most common vaccine-preventable illnesses in international travelers are influenza and hepatitis A. Malaria prophylaxis should be offered to travelers to endemic regions. Personal protection measures, such as applying an effective insect repellent to exposed skin and permethrin to clothing and using a permethrin-impregnated bed net, should be advised for travelers to the tropics. Clinicians should offer an antibiotic prescription that travelers can take with them in case of traveler's diarrhea. Additional topics to address during the pretravel consultation include the risk of injury from motor vehicle crashes and travel-specific risks such as altitude sickness, safe sex practices, and emergency medical evacuation insurance.

  7. Inter-country consultation.

    PubMed

    Reid, E

    1993-01-01

    In December 1991, the UN Development Program (UNDP) organized the African Informal Consultation on Behavior Change as it relates to the HIV pandemic. Community-based organization and government representatives attended from Australia, Ghana, India, Jamaica, Malawi, Malaysia, Norway, Senegal, Sweden, Tanzania, Thailand, Uganda, the United Kingdom, Zambia, and Zimbabwe. Participants strongly endorsed the possibility for individuals and communities to change their attitudes and behaviors in response to HIV and AIDS, and stressed the importance of evaluating and documenting these changes and sharing lessons learned. The group concluded that research in the field of HIV should be action-oriented and participatory; new research methods and ways of presenting data are called for. Participants in the 2nd consultation held in the Asia/Pacific region in November 1992 also stressed the importance of developing community-based monitoring, evaluation, and program development methodologies. The UNDP responded by launching a number of initiatives in Africa, Asia and Central America to explore ways in which communities may be helped to document ongoing changes, assess their impact and efficacy, and share them with others. New approaches to evaluation are also being explored based upon processes of assessment and redesign already occurring in the communities.

  8. Development of a telepresence robot for medical consultation

    NASA Astrophysics Data System (ADS)

    Bugtai, Nilo T.; Ong, Aira Patrice R.; Angeles, Patrick Bryan C.; Cervera, John Keen P.; Ganzon, Rachel Ann E.; Villanueva, Carlos A. G.; Maniquis, Samuel Nazirite F.

    2017-02-01

    There are numerous efforts to add value for telehealth applications in the country. In this study, the design of a telepresence doctor to facilitate remote medical consultations in the wards of Philippine General Hospital is proposed. This includes the design of a robot capable of performing a medical consultation with clear audio and video information for both ends. It also provides the operating doctor full control of the telepresence robot and gives a user-friendly interface for the controlling doctor. The results have shown that it provides a stable and reliable mobile medical service through the use of the telepresence robot.

  9. Virtual online consultations: advantages and limitations (VOCAL) study

    PubMed Central

    Greenhalgh, Trisha; Vijayaraghavan, Shanti; Wherton, Joe; Shaw, Sara; Byrne, Emma; Campbell-Richards, Desirée; Bhattacharya, Satya; Hanson, Philippa; Ramoutar, Seendy; Gutteridge, Charles; Hodkinson, Isabel; Collard, Anna; Morris, Joanne

    2016-01-01

    Introduction Remote video consultations between clinician and patient are technically possible and increasingly acceptable. They are being introduced in some settings alongside (and occasionally replacing) face-to-face or telephone consultations. Methods To explore the advantages and limitations of video consultations, we will conduct in-depth qualitative studies of real consultations (microlevel) embedded in an organisational case study (mesolevel), taking account of national context (macrolevel). The study is based in 2 contrasting clinical settings (diabetes and cancer) in a National Health Service (NHS) acute trust in London, UK. Main data sources are: microlevel—audio, video and screen capture to produce rich multimodal data on 45 remote consultations; mesolevel—interviews, ethnographic observations and analysis of documents within the trust; macrolevel—key informant interviews of national-level stakeholders and document analysis. Data will be analysed and synthesised using a sociotechnical framework developed from structuration theory. Ethics approval City Road and Hampstead NHS Research Ethics Committee, 9 December 2014, reference 14/LO/1883. Planned outputs We plan outputs for 5 main audiences: (1) academics: research publications and conference presentations; (2) service providers: standard operating procedures, provisional operational guidance and key safety issues; (3) professional bodies and defence societies: summary of relevant findings to inform guidance to members; (4) policymakers: summary of key findings; (5) patients and carers: ‘what to expect in your virtual consultation’. Discussion The research literature on video consultations is sparse. Such consultations offer potential advantages to patients (who are spared the cost and inconvenience of travel) and the healthcare system (eg, they may be more cost-effective), but fears have been expressed that they may be clinically risky and/or less acceptable to patients or staff, and they

  10. Clinical ethics consultation in oncology.

    PubMed

    Shuman, Andrew G; Montas, Sacha M; Barnosky, Andrew R; Smith, Lauren B; Fins, Joseph J; McCabe, Mary S

    2013-09-01

    There is limited empirical research exploring the nature of clinical ethical consultations within the oncology population. Our objective was to review and describe clinical ethics consultations at two National Cancer Institute-designated comprehensive cancer centers to identify opportunities for systems improvement in clinical care and opportunities for staff education. This case series is derived from two institutional prospectively maintained clinical ethics consultation databases. All ethics consultations from 2007 through 2011 that related to adult patients with cancer were included. A total of 208 eligible patient cases were identified. The most common primary issues leading to ethics consultation were code status and advance directives (25%), surrogate decision making (17%), and medical futility (13%). Communication lapses were identified in 45% of patient cases, and interpersonal conflict arose in 51%. Before ethics consultation, 26% of patients had do-not-resuscitate orders, which increased to 60% after ethics consultation. Palliative care consultation occurred in 41% of patient cases. Ethics consultations among patients with cancer reflect the complexities inherent to their clinical management. Appropriately honoring patients' wishes within the context of overall goals of care is crucial. Thoughtful consideration of the role of and relationship with palliative care experts, communication barriers, sources of interpersonal conflict, symptom control, and end-of-life care is paramount to optimal management strategies in this patient population.

  11. Educating Consultants for Multicultural Practice of Consultee-Centered Consultation

    ERIC Educational Resources Information Center

    Ingraham, Colette L.

    2017-01-01

    Literature about educating consultants with knowledge, skills, and dispositions to work effectively within culturally and linguistically diverse schools is scarce. Research suggests that additional attention is needed on the preparation of consultants to practice with multicultural competence. This article reviews theories and research and…

  12. Responsive Systems Consultation: A Model for Conjoint Consultation Preliminary Results.

    ERIC Educational Resources Information Center

    Prasad-Gaur, Archna; And Others

    Responsive Systems Consultation (RSC) is an approach for enhancing children's developmental outcomes and involves a psychological or educational consultant working jointly with a child's parents and teachers. The impact of the RSC on parent and teacher consultees' attitudes toward home-school collaboration and their evaluation of the consultation…

  13. Neurotology telemedicine consultation.

    PubMed

    Arriaga, Moisés; Nuss, Daniel; Arriaga, Rebecca Y

    2011-12-01

    The opportunity to treat neurotologic patients when the patient and physician are in separate locations is an important clinical delivery mechanism. The authors developed their applications of neurotologic telemedicine in the aftermath of Hurricane Katrina and found this to be an effective way to deliver clinical care, develop a clinical neurotology practice, and train residents and fellows and to manage a growing neurotologic clinical practice remotely. This article outlines the technical requirements, current uses, clinical applicability, and implementation details of the Our Lady of the Lake - LSU neurotology telemedicine program; administrative issues surrounding telemedicine; and future considerations. Copyright © 2011 Elsevier Inc. All rights reserved.

  14. 77 FR 16120 - Tribal Consultations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-19

    ... Tribal Consultation on the following VA programs: Native American Direct Loan Program, Tribal Cemetery... discussed during consultation: National Cemetery Administration: In January 2012, VA issued a final rule, 77... improvement of veterans cemeteries. This final rule implemented through regulation section 403 of...

  15. Collaborative Relationships in Evaluation Consulting

    ERIC Educational Resources Information Center

    Maack, Stephen C.; Upton, Jan

    2006-01-01

    People are often driven to become "independent" as part of the desire to go out on their own. Independent evaluation consultants, however, frequently collaborate with others on evaluation projects. This chapter explores such collaborative relationships from both sides: those leading evaluations with subcontracted consultants and those who work as…

  16. Caveats in the Consultation Process.

    ERIC Educational Resources Information Center

    Davis, Doryn Z.; And Others

    1981-01-01

    Discusses potential problems in the application of mental health consultation to other departments within an umbrella institution such as a university. Highlights possible hazardous consequences to the consultee, to the consultant, and to the organizational systems. Presents some remedies and precautionary measures. (Author/RC)

  17. The new consultant survey 2005

    PubMed Central

    Beckett, M; Hulbert, D

    2006-01-01

    Background Consultants in emergency medicine have to deal with a wide range of problems, many of which they will not have encountered during their training. One way to assess the adequacy of specialist training is to ask recently appointed consultants whether or not they feel adequately prepared for their role. Methods A questionnaire was sent out to 60 newly appointed consultants in emergency medicine in January and February 2005 and the results analysed. Results Many respondents feel that there should be greater emphasis on acquiring clinical skills, partly by greater consultant supervision and partly by providing more experience of anaesthetics and intensive care. New consultants also feel inadequately prepared for their management responsibilities, and this is a source of great stress. Conclusions Specialist training in emergency medicine needs to pay more attention to the acquisition of clinical skills and to preparation for management responsibility. PMID:16714509

  18. 29 CFR 1908.8 - Consultant specifications.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 5 2012-07-01 2012-07-01 false Consultant specifications. 1908.8 Section 1908.8 Labor... CONSULTATION AGREEMENTS § 1908.8 Consultant specifications. (a) Number. (1) The number of consultant positions... may be adjusted periodically. (2) States shall make efforts to utilize consultants with the safety and...

  19. 29 CFR 1908.8 - Consultant specifications.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 5 2013-07-01 2013-07-01 false Consultant specifications. 1908.8 Section 1908.8 Labor... CONSULTATION AGREEMENTS § 1908.8 Consultant specifications. (a) Number. (1) The number of consultant positions... may be adjusted periodically. (2) States shall make efforts to utilize consultants with the safety and...

  20. 29 CFR 1908.8 - Consultant specifications.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 5 2011-07-01 2011-07-01 false Consultant specifications. 1908.8 Section 1908.8 Labor... CONSULTATION AGREEMENTS § 1908.8 Consultant specifications. (a) Number. (1) The number of consultant positions... may be adjusted periodically. (2) States shall make efforts to utilize consultants with the safety and...

  1. 29 CFR 1908.8 - Consultant specifications.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 5 2014-07-01 2014-07-01 false Consultant specifications. 1908.8 Section 1908.8 Labor... CONSULTATION AGREEMENTS § 1908.8 Consultant specifications. (a) Number. (1) The number of consultant positions... may be adjusted periodically. (2) States shall make efforts to utilize consultants with the safety and...

  2. Video Consultation Use by Australian General Practitioners: Video Vignette Study

    PubMed Central

    2013-01-01

    Background There is unequal access to health care in Australia, particularly for the one-third of the population living in remote and rural areas. Video consultations delivered via the Internet present an opportunity to provide medical services to those who are underserviced, but this is not currently routine practice in Australia. There are advantages and shortcomings to using video consultations for diagnosis, and general practitioners (GPs) have varying opinions regarding their efficacy. Objective The aim of this Internet-based study was to explore the attitudes of Australian GPs toward video consultation by using a range of patient scenarios presenting different clinical problems. Methods Overall, 102 GPs were invited to view 6 video vignettes featuring patients presenting with acute and chronic illnesses. For each vignette, they were asked to offer a differential diagnosis and to complete a survey based on the theory of planned behavior documenting their views on the value of a video consultation. Results A total of 47 GPs participated in the study. The participants were younger than Australian GPs based on national data, and more likely to be working in a larger practice. Most participants (72%-100%) agreed on the differential diagnosis in all video scenarios. Approximately one-third of the study participants were positive about video consultations, one-third were ambivalent, and one-third were against them. In all, 91% opposed conducting a video consultation for the patient with symptoms of an acute myocardial infarction. Inability to examine the patient was most frequently cited as the reason for not conducting a video consultation. Australian GPs who were favorably inclined toward video consultations were more likely to work in larger practices, and were more established GPs, especially in rural areas. The survey results also suggest that the deployment of video technology will need to focus on follow-up consultations. Conclusions Patients with minor self

  3. Video consultation use by Australian general practitioners: video vignette study.

    PubMed

    Jiwa, Moyez; Meng, Xingqiong

    2013-06-19

    There is unequal access to health care in Australia, particularly for the one-third of the population living in remote and rural areas. Video consultations delivered via the Internet present an opportunity to provide medical services to those who are underserviced, but this is not currently routine practice in Australia. There are advantages and shortcomings to using video consultations for diagnosis, and general practitioners (GPs) have varying opinions regarding their efficacy. The aim of this Internet-based study was to explore the attitudes of Australian GPs toward video consultation by using a range of patient scenarios presenting different clinical problems. Overall, 102 GPs were invited to view 6 video vignettes featuring patients presenting with acute and chronic illnesses. For each vignette, they were asked to offer a differential diagnosis and to complete a survey based on the theory of planned behavior documenting their views on the value of a video consultation. A total of 47 GPs participated in the study. The participants were younger than Australian GPs based on national data, and more likely to be working in a larger practice. Most participants (72%-100%) agreed on the differential diagnosis in all video scenarios. Approximately one-third of the study participants were positive about video consultations, one-third were ambivalent, and one-third were against them. In all, 91% opposed conducting a video consultation for the patient with symptoms of an acute myocardial infarction. Inability to examine the patient was most frequently cited as the reason for not conducting a video consultation. Australian GPs who were favorably inclined toward video consultations were more likely to work in larger practices, and were more established GPs, especially in rural areas. The survey results also suggest that the deployment of video technology will need to focus on follow-up consultations. Patients with minor self-limiting illnesses and those with medical

  4. Starting a nursing consultation practice.

    PubMed

    Schulmeister, L

    1999-03-01

    Because the clinical nurse specialist (CNS) role has been changed or eliminated in many hospital organizations, many CNSs in career transition are considering establishing collaborative or independent nursing consultation practices. Opportunities for consultants exist in diverse practice settings and specialties. Before starting a consultation practice, the CNS should carefully examine goals, identify resources, and begin contacting potential referral sources. He or she must also decide what form of business organization to establish and write a business plan to solidify ideas and prepare for the unexpected. Most CNS consultants rely on personal savings to cover initial business and personal expenses, and many continue working as a CNS until the consultation practice is established. Fees can be set based on community standards, what the market will bear, desired projected income, or a third-party payor's fee schedule. The consultation practice can be marketed by word of mouth, inexpensive advertising techniques such as distributing flyers and business cards, direct mall, and media advertising. In today's healthcare marketplace, opportunities abound for the CNS risk-taker interested in starting a nursing consultation practice.

  5. 34 CFR 200.63 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ....63 Consultation. (a) In order to have timely and meaningful consultation, an LEA must consult with... the right to complain to the SEA that the LEA did not— (1) Engage in timely and meaningful...

  6. When the CNS needs a consultant.

    PubMed

    Norwood, S L

    1998-03-01

    Although advanced practice nurses (APNs) are accustomed to providing consultation about patient care issues, they may be less comfortable seeking consultation and working with consultants. Being a savvy consumer of consultation services, however, is an essential skill for APNs and can help them avoid problems that may arise when practicing outside their realm of expertise. Consultants can also help APNs develop intra- and entrepreneurial practice opportunities. This article describes how to determine the necessity of a consultation, how to choose a consultant, and how to get the most out of a consulting relationship.

  7. Virtual online consultations: advantages and limitations (VOCAL) study.

    PubMed

    Greenhalgh, Trisha; Vijayaraghavan, Shanti; Wherton, Joe; Shaw, Sara; Byrne, Emma; Campbell-Richards, Desirée; Bhattacharya, Satya; Hanson, Philippa; Ramoutar, Seendy; Gutteridge, Charles; Hodkinson, Isabel; Collard, Anna; Morris, Joanne

    2016-01-29

    Remote video consultations between clinician and patient are technically possible and increasingly acceptable. They are being introduced in some settings alongside (and occasionally replacing) face-to-face or telephone consultations. To explore the advantages and limitations of video consultations, we will conduct in-depth qualitative studies of real consultations (microlevel) embedded in an organisational case study (mesolevel), taking account of national context (macrolevel). The study is based in 2 contrasting clinical settings (diabetes and cancer) in a National Health Service (NHS) acute trust in London, UK. Main data sources are: microlevel--audio, video and screen capture to produce rich multimodal data on 45 remote consultations; mesolevel--interviews, ethnographic observations and analysis of documents within the trust; macrolevel--key informant interviews of national-level stakeholders and document analysis. Data will be analysed and synthesised using a sociotechnical framework developed from structuration theory. City Road and Hampstead NHS Research Ethics Committee, 9 December 2014, reference 14/LO/1883. We plan outputs for 5 main audiences: (1) academics: research publications and conference presentations; (2) service providers: standard operating procedures, provisional operational guidance and key safety issues; (3) professional bodies and defence societies: summary of relevant findings to inform guidance to members; (4) policymakers: summary of key findings; (5) patients and carers: 'what to expect in your virtual consultation'. The research literature on video consultations is sparse. Such consultations offer potential advantages to patients (who are spared the cost and inconvenience of travel) and the healthcare system (eg, they may be more cost-effective), but fears have been expressed that they may be clinically risky and/or less acceptable to patients or staff, and they bring significant technical, logistical and regulatory challenges. We

  8. Telemedicine for clinical management of diabetes - a process analysis of video consultations.

    PubMed

    Fatehi, Farhad; Gray, Leonard C; Russell, Anthony W

    2013-10-01

    We analysed 56 video consultations provided in a 5-month period by two endocrinologists from the tele-endocrinology clinic of a tertiary teaching hospital in Brisbane. The patients were suffering from type 1 or type 2 diabetes, and 41% of them had at least one diabetic complication. Their mean age was 51 years and 45% were female. The consultations were provided to ten cities located 210-1800 km from Brisbane. A questionnaire was developed for analysing the video visits. It comprised 26 questions, arranged in six sections: (1) Patient characteristics, (2) Reason for referral, (3) Procedures and findings, (4) Recommendations, (5) Telehealth logistics, (6) Consultant's opinion. In 66% of consultations a nurse accompanied the patient. The specialist requested the nurse to perform a physical examination in 18% of these cases. No change in medications was made in 36% of the consultations. The most frequent recommendations were requesting laboratory tests (75%), insulin dose adjustments (39%) and referrals to an allied health professional (13%). Out of 56 consultations, the specialists indicated the need to perform a physical examination for 12 patients that was not possible remotely. However, they requested an in-person (face-to-face) visit for three patients. Nevertheless they believed that in 34% of the cases they could have made a better decision if the consultation had been in-person. Video consultation can substitute for a large proportion of in-person specialist consultations for people with diabetes who are referred to endocrinology specialists.

  9. Consults for conflict: the history of ethics consultation

    PubMed Central

    2013-01-01

    The very existence of ethics consultation reflects both the increasing complexity of modern medicine's ethical questions and our discomfort with the prospect of answering them alone. Two developments in the past century were instrumental in driving the development of ethics consultation—organ replacement therapy and intensive care. With the proliferation of extreme life-prolonging measures came the thorny difficulties in the withdrawal of such services or rationing when resources were poor. Insofar as “someone must,” lamented Dr. Karen Teel (a pioneer of ethics consultation), the physician “is charged with the responsibility of making ethical judgments which we are sometimes ill-equipped to make.” More than anything, ethics consultation has come to best satisfy a central desire of American health care—sharing the responsibility for tough decisions. PMID:24082425

  10. Communication Consulting as Persuasion: Issues and Implications.

    ERIC Educational Resources Information Center

    Ross, Roseanna G.

    Focusing on the issue of the training and preparation of the communication specialist in communication consulting, an investigation of the persuasive elements in the client-consulting relationship suggests that more direct focus on consulting as persuasion can lead to more responsible and effective enactment of the role of both consultant and…

  11. Trust and the Client-Consultant Relationship

    ERIC Educational Resources Information Center

    Solomonson, William L.

    2012-01-01

    This study seeks to improve the contributions of performance consultants, instructional design consultants, and training consultants by explaining the effect that several variables have on trust as a mediator to relationship commitment within the context of the client-consultant relationship. The participants were 228 college students from two…

  12. 7 CFR 1789.157 - Consultant contract.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 12 2012-01-01 2012-01-01 false Consultant contract. 1789.157 Section 1789.157... AGRICULTURE (CONTINUED) USE OF CONSULTANTS FUNDED BY BORROWERS Policy and Procedures With Respect to Consultant Services Funded by Borrowers-General § 1789.157 Consultant contract. (a) The Federal Acquisition...

  13. 7 CFR 1789.157 - Consultant contract.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 12 2011-01-01 2011-01-01 false Consultant contract. 1789.157 Section 1789.157... AGRICULTURE (CONTINUED) USE OF CONSULTANTS FUNDED BY BORROWERS Policy and Procedures With Respect to Consultant Services Funded by Borrowers-General § 1789.157 Consultant contract. (a) The Federal Acquisition...

  14. 7 CFR 1789.157 - Consultant contract.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 12 2014-01-01 2013-01-01 true Consultant contract. 1789.157 Section 1789.157... AGRICULTURE (CONTINUED) USE OF CONSULTANTS FUNDED BY BORROWERS Policy and Procedures With Respect to Consultant Services Funded by Borrowers-General § 1789.157 Consultant contract. (a) The Federal Acquisition...

  15. 21 CFR 211.34 - Consultants.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 4 2013-04-01 2013-04-01 false Consultants. 211.34 Section 211.34 Food and Drugs... Consultants. Consultants advising on the manufacture, processing, packing, or holding of drug products shall... qualifications of any consultants and the type of service they provide. ...

  16. 7 CFR 1789.157 - Consultant contract.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 12 2010-01-01 2010-01-01 false Consultant contract. 1789.157 Section 1789.157... AGRICULTURE (CONTINUED) USE OF CONSULTANTS FUNDED BY BORROWERS Policy and Procedures With Respect to Consultant Services Funded by Borrowers-General § 1789.157 Consultant contract. (a) The Federal Acquisition...

  17. 7 CFR 1789.157 - Consultant contract.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 12 2013-01-01 2013-01-01 false Consultant contract. 1789.157 Section 1789.157... AGRICULTURE (CONTINUED) USE OF CONSULTANTS FUNDED BY BORROWERS Policy and Procedures With Respect to Consultant Services Funded by Borrowers-General § 1789.157 Consultant contract. (a) The Federal Acquisition...

  18. 21 CFR 211.34 - Consultants.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 4 2012-04-01 2012-04-01 false Consultants. 211.34 Section 211.34 Food and Drugs... Consultants. Consultants advising on the manufacture, processing, packing, or holding of drug products shall... qualifications of any consultants and the type of service they provide. ...

  19. Trust and the Client-Consultant Relationship

    ERIC Educational Resources Information Center

    Solomonson, William L.

    2012-01-01

    This study seeks to improve the contributions of performance consultants, instructional design consultants, and training consultants by explaining the effect that several variables have on trust as a mediator to relationship commitment within the context of the client-consultant relationship. The participants were 228 college students from two…

  20. 21 CFR 211.34 - Consultants.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 4 2014-04-01 2014-04-01 false Consultants. 211.34 Section 211.34 Food and Drugs... Consultants. Consultants advising on the manufacture, processing, packing, or holding of drug products shall... qualifications of any consultants and the type of service they provide. ...

  1. Practice Parameter for Psychiatric Consultation to Schools

    ERIC Educational Resources Information Center

    Journal of the American Academy of Child and Adolescent Psychiatry, 2005

    2005-01-01

    This practice parameter reviews the topic of psychiatric consultation to schools. The review covers the history of school consultation and current consultative models; the process of developing a consultative relationship; school administrative procedures, personnel, and milieu; legal protections for students with mental disabilities; and issues…

  2. Prospective comparison of curbside versus formal consultations.

    PubMed

    Burden, Marisha; Sarcone, Ellen; Keniston, Angela; Statland, Barbara; Taub, Julie A; Allyn, Rebecca L; Reid, Mark B; Cervantes, Lilia; Frank, Maria G; Scaletta, Nicholas; Fung, Philip; Chadaga, Smitha R; Mastalerz, Katarzyna; Maller, Nancy; Mascolo, Margherita; Zoucha, Jeff; Campbell, Jessica; Maher, Mary P; Stella, Sarah A; Albert, Richard K

    2013-01-01

    Curbside consultations are commonly requested during the care of hospitalized patients, but physicians perceive that the recommendations provided may be based on inaccurate or incomplete information. To compare the accuracy and completeness of the information received from providers requesting a curbside consultation of hospitalists with that obtained in a formal consultation on the same patients, and to examine whether the recommendations offered in the 2 consultations differed. Prospective cohort. University-affiliated, urban safety net hospital. Proportion of curbside consultations with inaccurate or incomplete information; frequency with which recommendations in the formal consultation differed from those in the curbside consultation. Curbside consultations were requested for 50 patients, 47 of which were also evaluated in a formal consultation performed on the same day by a hospitalist other than the one performing the curbside consultation. Based on information collected in the formal consultation, information was either inaccurate or incomplete in 24/47 (51%) of the curbside consultations. Management advice after formal consultation differed from that given in the curbside consultation for 28/47 patients (60%). When inaccurate or incomplete information was received, the advice provided in the formal versus the curbside consultation differed in 22/24 patients (92%, P < 0.0001). Information presented during inpatient curbside consultations of hospitalists is often inaccurate or incomplete, and this often results in inaccurate management advice. Copyright © 2012 Society of Hospital Medicine.

  3. Academic Development for Careers in Management Consulting

    ERIC Educational Resources Information Center

    Adams, Susan M.; Zanzi, Alberto

    2004-01-01

    Explores the extent to which academic offerings are serving the consulting industry and identifies ways that academia can help. The numbers of management consulting courses, field experiences in consulting and consulting concentrations by graduate business schools were tracked over a three-year period to assess the current state of offerings. A…

  4. Nephropathology consultation via digitized images.

    PubMed

    Cronenberger, J H; Hsiao, H; Falk, R J; Jennette, J C

    1992-12-17

    Investigations into a digitized image communications system were prompted by a need to bring expert consultation to physicians in community practice. Pathologists desired the capability to concomitantly view, annotate, and discuss images with referring physicians at distant sites. Methods included evaluation of the human and procedural domain into which the system was to be integrated. The GDCN computer consultation system has the consultant nephropathologist first evaluate the processed biopsy slides, digitize representative images, transmit them with the diagnosis to referring nephrologist, and, finally, conduct an interactive consultation and review of the biopsy and case. Image resolution and compression variables must be set for each individual medical consulting application. For the GDCN, it was found that the 640 x 496 x unlimited color with compression ratios not exceeding 1:32 are acceptable. An obvious improvement of this computerized system over the noncomputerized review sessions is the ability to immediately share and discuss a new image that had not been previously sent. In the old noncomputerized consultation, only images that had been mailed could be discussed. The computerized sessions allow transmission (10 sec) of a new image that the consultation might demand. The computerized sessions also provide the ability to show the referring nephrologist an area of biopsy interest that the pathologist had not previously transmitted. Biopsy slides can be viewed during the consultation, an area digitized, and that image transmitted to the nephrologist during the consultation. Hardware and costs for the sending station were: [table: see text] This system far exceeds the requirements for this particular application; however, it is sufficient to support future, higher-technology computer applications. If necessary, this same system could be used with a less expensive computer, a less expensive camera, software compression, and a single monitor. These

  5. Psychological consultation with substance abusers.

    PubMed

    Rogalski, C J

    1987-05-01

    Previous work has documented that compliance rates of substance abusers undergoing inpatient detoxification could be influenced by professional psychological consultation. The administrative structure has been previously described as well as a clinical/humanistic component within the administrative structure. This report describes the individualized psychological consultation. This consultative intervention is in accord with the tripartite model of mental health which views the assessment of pathology from the perspectives of the mental health practitioner, the patient, and the culture; and the recent advances within self-psychology. A self-psychological model is suggested to understand the detoxifying substance abuser, from a stage of loss of cohesiveness to one of personality stabilization. The hospital environment and persons within the environment provide both a framework and self-object functions (mirroring, idealizing, and alter ego) during detoxification. Research recommendations are made to collect empirical data on the psychology of the detoxifying addict.

  6. Special Education Consultation: Interactive Video Simulation: Adults, Teachers & Consultants.

    ERIC Educational Resources Information Center

    Evans, Robert J.

    A microcomputer controlled interactive videotape program is described as one way to supply special education teachers with inservice and/or consultation services. The approach allows inservice teachers to strengthen classroom teaching skills outside of the classroom. Programing directions are offered written in the SuperPILOT Authoring Language on…

  7. Remote Sensing.

    ERIC Educational Resources Information Center

    Williams, Richard S., Jr.; Southworth, C. Scott

    1983-01-01

    The Landsat Program became the major event of 1982 in geological remote sensing with the successful launch of Landsat 4. Other 1982 remote sensing accomplishments, research, publications, (including a set of Landsat worldwide reference system index maps), and conferences are highlighted. (JN)

  8. Remote Sensing.

    ERIC Educational Resources Information Center

    Williams, Richard S., Jr.; Southworth, C. Scott

    1983-01-01

    The Landsat Program became the major event of 1982 in geological remote sensing with the successful launch of Landsat 4. Other 1982 remote sensing accomplishments, research, publications, (including a set of Landsat worldwide reference system index maps), and conferences are highlighted. (JN)

  9. Training interventions for improving telephone consultation skills in clinicians.

    PubMed

    Vaona, Alberto; Pappas, Yannis; Grewal, Rumant S; Ajaz, Mubasshir; Majeed, Azeem; Car, Josip

    2017-01-05

    validated tool to assess the effects of a training intervention on paediatric residents' history-taking and case management skills. It reported no difference compared to no intervention, but authors did not report any quantitative analyses and could not supply additional data. We rated this study as being at high risk of bias. Based on GRADE, we assessed the certainty of the evidence as very low, and consequently it is uncertain whether this intervention improves clinicians' telephone skills.We did not find any study assessing the effect of training interventions for improving clinicians' telephone communication skills on patient primary outcomes (health outcomes measured by validated tools or biomedical markers or patient behaviours, patient morbidity or mortality, patient satisfaction, urgency assessment accuracy or adverse events). Telephone consultation skills are part of a wider set of remote consulting skills whose importance is growing as more and more medical care is delivered from a distance with the support of information technology. Nevertheless, no evidence specifically coming from telephone consultation studies is available, and the training of clinicians at the moment has to be guided by studies and models based on face-to-face communication, which do not consider the differences between these two communicative dimensions. There is an urgent need for more research assessing the effect of different training interventions on clinicians' telephone consultation skills and their effect on patient outcomes.

  10. Consultancy on Strategic Information Planning.

    ERIC Educational Resources Information Center

    Pejova, Zdravka, Ed.; Horton, Forest W., Ed.

    At the workshop, better management through strategic planning of information and consultancy was discussed as one way in which developing and Eastern European countries could tackle the complex information problems they are facing during the transition to a market economy. The sixteen papers in this volume are grouped into three basic categories:…

  11. Narrative and Structure in Consultation

    ERIC Educational Resources Information Center

    Hadley, David

    2012-01-01

    This article explores the process of consultation to professional networks, teams, groups and individuals concerned with the mental health of children and young people in the care system, and those adopted. Frequently there are significant elements of early trauma suffered by the young people and disruption in the professional organisation. The…

  12. Consultancy on Strategic Information Planning.

    ERIC Educational Resources Information Center

    Pejova, Zdravka, Ed.; Horton, Forest W., Ed.

    At the workshop, better management through strategic planning of information and consultancy was discussed as one way in which developing and Eastern European countries could tackle the complex information problems they are facing during the transition to a market economy. The sixteen papers in this volume are grouped into three basic categories:…

  13. Innovative Models for School Consultation.

    ERIC Educational Resources Information Center

    Schlozman, Steven C.

    2003-01-01

    Describes common characteristics of two innovative models of student mental-health consultation programs: One, organized by two Harvard Medical School psychiatrists, operates in two Boston-area inner-city charter schools; the other, Responsive Advocacy for Life and Learning (RALLY), launched by a Harvard Medical School developmental psychologist,…

  14. Faculty Consulting: Responsibility or Promiscuity?

    ERIC Educational Resources Information Center

    Boyer, Carol M; Lewis, Darrell R.

    1984-01-01

    The potential benefits--to the individual, the institution, and society--and the potential costs of faculty consulting are examined. A review of the relevant literature and data precedes a presentation of new findings and a taxonomy for developing institutional guidelines. (Author/MLW)

  15. Consultants Help Modernize Arab Schools

    ERIC Educational Resources Information Center

    Zehr, Mary Ann

    2008-01-01

    It's no accident that in undertaking improvements to its school system, the Ministry of Education in this small, oil-rich Persian Gulf country has made the most progress so far with an initiative to retrain school principals. After all, Vincent L. Ferrandino, the American consultant the ministry hired to help develop the school improvement…

  16. Making Human Resource Consulting Visible.

    ERIC Educational Resources Information Center

    Kaufmann, Ken; Weaver, Carol L.

    2000-01-01

    Discusses the need for human resources consulting to be seen and understood in order to help achieve business objectives. Presents a model that uses core competencies to tie human resources programs to business strategies, thus positioning human resources as a strategic partner in an enterprise. (LRW)

  17. Pharmacy Program Review. Consultant's Report.

    ERIC Educational Resources Information Center

    Gibson, Robert D.; And Others

    Site visits were made by a team of consultants to Florida A&M University (FAMU) and the University of Florida (UF), the two institutions providing pharmacy education in Florida, to review programs and assess issues relating to entry-level degrees, manpower needs, and delivery systems. After a brief history of academic programs in pharmacy, the…

  18. Consultative Instructor Supervision and Evaluation

    ERIC Educational Resources Information Center

    Lee, William W.

    2010-01-01

    Organizations vary greatly in how they monitor training instructors. The methods used in monitoring vary greatly. This article presents a systematic process for improving instructor skills that result in better teaching and better learning, which results in better-prepared employees for the workforce. The consultative supervision and evaluation…

  19. The Consultants' Corner: Vendor Viability.

    ERIC Educational Resources Information Center

    Drabenstott, Jon, Ed.

    1987-01-01

    Three library consultants--Rick Richmond, Wilson Stahl, and Jose-Marie Griffiths--discuss the implications of six issues for the success and stability of library automation vendors: (1) vendor business characteristics; (2) competitive advantage; (3) the library marketplace; (4) system selection; (5) corporate planning; and (6) library interests.…

  20. Educational Consulting: Justification to Partnership

    ERIC Educational Resources Information Center

    Sklarow, Mark H.

    2012-01-01

    This paper is a response to Steven R. Antonoff's article, "Educational Consulting: A Focus for the Profession." More than 20 years ago, when this article first appeared in "The Journal of College Admission," "for profit counselors" (as they were then called by NACAC) were not welcome partners. It was acceptable practice to publicly denigrate the…

  1. When consultants and clients clash.

    PubMed

    Kesner, I F; Fowler, S

    1997-01-01

    This fictitious case study explores the issues that surround the relationships between consultants and their clients, as well as the dynamics of a newly merged organization. Susan Barlow, a senior consultant with the Statler Group, dreaded her upcoming status meeting. She had thought it a lucky break when she got assigned to the Kellogg-Champion project. Royce Kellogg, the CEO of the newly merged firm, had engaged the Statler Group for what seemed a simple project: to reconcile the policies and practices of the two former firms now that they had become one. But once on the job, Barlow realized that the issues were much more complex than they had seemed. The new firm needed help badly-but not the kind of help that the client had led Barlow to believe it needed. What would she and Jim Roussos, her partner on the assignment, tell Kellogg at the meeting? Kellogg, for his part, was not looking forward to the status meeting, either. From his point of view, the consultants had caused more problems than they had solved. What's more, he wasn't even dealing with the consultants he had hired. Where was George Gray, the senior partner he had met with originally? Maybe Barlow and Roussos were just too young and inexperienced. Kellogg felt he was getting a raw deal. How would he approach them in the morning? Should he fire them or make an attempt at damage control? Two experts advise the consultants and two advise the client on how to handle the status meeting.

  2. Telemedicine and international disaster response: Medical consultation to Armenia and Russia via a telemedicine spacebridge

    NASA Technical Reports Server (NTRS)

    Houtchens, Bruce A.; Clemmer, Terry P.; Holloway, Harry C.; Kiselev, Alexander A.; Logan, James S.; Merrell, Ronald C.; Nicogossian, Arnauld E.; Nikogossian, Haik A.; Rayman, Russell B.; Sarkisian, Ashot E.

    1991-01-01

    The Telemedicine Spacebridge, a satellite mediated audio-video-fax link between four U.S. and two Armenian and Russian medical centers, permitted remote American consultants to assist Armenian and Russian physicians in the management of medical problems following the December 1988 earthquake in Armenia and the June 1989 gas explosion near Ufa. During 12 weeks of operations, 247 Armenian and Russian and 175 American medical professionals participated in 34 half-day clinical conferences. 209 patients were discussed, requiring expertise in 20 specialty areas. Telemedicine consultations resulted in altered diagnoses for 54, new diagnostic studies for 70, altered diagnostic processes for 47, and modified treatment plans for 47 of 185 Armenian patients presented. Simultaneous participation of several U.S. medical centers was judged beneficial; quality of data transmission was judged excellent. These results suggest that interactive consultation by remote specialists can provide valuable assistance to onsite physicians and favorably influence clinical decisions in the aftermath of major disasters.

  3. Consultation Barriers between Teachers and External Consultants: A Grounded Theory of Change Resistance in School Consultation

    ERIC Educational Resources Information Center

    Thornberg, Robert

    2014-01-01

    The aim of this study, conducted in Sweden, was to investigate the cultural barriers between school personnel (teachers and principals) and nonschool personnel (a resource team), who were external to the school system, regarding consultation about challenging or difficult-to-teach students. Focus groups with teachers, principals, and the resource…

  4. Consultation Barriers between Teachers and External Consultants: A Grounded Theory of Change Resistance in School Consultation

    ERIC Educational Resources Information Center

    Thornberg, Robert

    2014-01-01

    The aim of this study, conducted in Sweden, was to investigate the cultural barriers between school personnel (teachers and principals) and nonschool personnel (a resource team), who were external to the school system, regarding consultation about challenging or difficult-to-teach students. Focus groups with teachers, principals, and the resource…

  5. [Teledermatology versus consultations--a comparative study of 120 consultations].

    PubMed

    Herrmann, F E; Sönnichsen, K; Blum, A

    2005-10-01

    Dermatology fulfills the prerequisites for telemedicine. An important application of telemedicine might be the field of dermatologic consultations. In this comparative study images of skin disease were taken of 120 patients hospitalized in the University Hospitals of Tuebingen to answer the following questions: (1) are the preconditions in daily routine given for teledermatology, (2) is there adequate agreement between the diagnoses reached in dermatologic consultations and with teledermatology, and (3) can the images be utilized for teaching purposes. Patient acceptance was very good and the images captured with a digital camera were easily obtained. The results of intraobserver analysis for the two teledermatologists without any knowledge of the patients' history were 70.2% and 46.4%, respectively, and with knowledge of the history 76.6% and 64.3%. The results of interobserver analysis without any knowledge of the patients' history were 46.4% and 57.2% and with knowledge of the history 64.3% and 66%, respectively. With the reduction of the image quality, reduced reliability of the diagnoses was observed. Seven of ten images could be used for teaching purposes. It was demonstrated that in dermatology telemedicine is applicable in many, but not in all patients who are referred for dermatologic consultations.

  6. Simulated consultations: a sociolinguistic perspective.

    PubMed

    Atkins, Sarah; Roberts, Celia; Hawthorne, Kamila; Greenhalgh, Trisha

    2016-01-15

    Assessment of consulting skills using simulated patients is widespread in medical education. Most research into such assessment is sited in a statistical paradigm that focuses on psychometric properties or replicability of such tests. Equally important, but less researched, is the question of how far consultations with simulated patients reflect real clinical encounters--for which sociolinguistics, defined as the study of language in its socio-cultural context, provides a helpful analytic lens. In this debate article, we draw on a detailed empirical study of assessed role-plays, involving sociolinguistic analysis of talk in OSCE interactions. We consider critically the evidence for the simulated consultation (a) as a proxy for the real; (b) as performance; (c) as a context for assessing talk; and (d) as potentially disadvantaging candidates trained overseas. Talk is always a performance in context, especially in professional situations (such as the consultation) and institutional ones (the assessment of professional skills and competence). Candidates who can handle the social and linguistic complexities of the artificial context of assessed role-plays score highly--yet what is being assessed is not real professional communication, but the ability to voice a credible appearance of such communication. Fidelity may not be the primary objective of simulation for medical training, where it enables the practising of skills. However the linguistic problems and differences that arise from interacting in artificial settings are of considerable importance in assessment, where we must be sure that the exam construct adequately embodies the skills expected for real-life practice. The reproducibility of assessed simulations should not be confused with their validity. Sociolinguistic analysis of simulations in various professional contexts has identified evidence for the gap between real interactions and assessed role-plays. The contextual conditions of the simulated

  7. CRP for Pesticides - Child Resistant Packaging Consultants

    EPA Pesticide Factsheets

    This list includes consultants who have indicated an expertise in the area of child-resistant packaging. This list is not intended to indicate EPA approval, certification, or endorsement of these consultants, nor is it necessarily comprehensive.

  8. 34 CFR 75.191 - Consultation costs.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Development of Curricula Or Instructional Materials § 75.191 Consultation costs. An applicant may budget reasonable consultation fees or planning costs in connection with the development of curricula or...

  9. 34 CFR 75.191 - Consultation costs.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Development of Curricula Or Instructional Materials § 75.191 Consultation costs. An applicant may budget reasonable consultation fees or planning costs in connection with the development of curricula or...

  10. 34 CFR 75.191 - Consultation costs.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Development of Curricula Or Instructional Materials § 75.191 Consultation costs. An applicant may budget reasonable consultation fees or planning costs in connection with the development of curricula or...

  11. 34 CFR 75.191 - Consultation costs.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Development of Curricula Or Instructional Materials § 75.191 Consultation costs. An applicant may budget reasonable consultation fees or planning costs in connection with the development of curricula...

  12. Videoconference as a tool for European interhospital consultations in radiology

    NASA Astrophysics Data System (ADS)

    Bartsch, Frank-Reinhard; Gerneth, Marlene; Schosser, Rudolf

    1993-10-01

    In the frame of the EC-sponsored TELEMED project, videoconferencing was evaluated as a tool for Remote Expert Consultation (REC) in radiology. The REC environment has been established as a pan-European demonstrator for advanced telecommunication applications in medicine. Five European university hospitals have been interconnected using broadband networks at a speed of 2 Mbit/s and 140 Mbit/s. Videoconference was evaluated in more than 120 sessions. In the experiments, videoconference proved to be a useful tool for teleconsultations, providing a set of requirements identified as indispensable for medical videoconference such as remotely adjustable iris for the document camera are fulfilled. Diagnostic reliability of images recorded with our equipment proved acceptable for digitally acquired images while reliability is limited for conventional images with a high demand of spatial and contrast resolution. Regional spin-off applications that have been established at some participating sites underline the potential of videoconference in health care.

  13. Perceived incivility during emergency department phone consultations.

    PubMed

    Shetty, Amith L; Vaghasiya, Milan; Boddy, Rachel; Byth, Karen; Unwin, Danielle

    2016-06-01

    Perceived incivility during ED medical phone consultations is poorly researched. We aimed to determine frequency and factors influencing perceived incivility during ED phone consultations. We conducted a prospective self-reported survey of 40 consecutive phone consultations for 21 ED volunteer doctors. Consultations were classified based on the aim of consultation and deemed as 'positive', 'neutral' or 'negative' based on the perceptions of the consulting doctor. Training levels, time bands and specialty data were collected for both consulting and consulted parties. Fifty-seven of 714 included consultations (7.98%, 95% CI 6.2-10.2%) were reported as negative by ED medical staff. Factors associated with significant incidence of negative grading of consultation involved requests for investigations (19.3% vs 5.3%, P < 0.01), consultations with specialist trainees postgraduate year > 4 (9.1% vs 3.8%, P < 0.01) and those involving radiology specialty (18% vs 5.32%, P < 0.01). The risk was lower when the consulted professional was a specialist medical practitioner as compared to specialist trainee (4.1% vs 9.4%, P = 0.02). Multiple logistical modelling suggests that female (adjusted OR 2.4, 95% CI 1.1-5.2) medical staff are more likely to report perceived incivility during ED phone consultations. Perceived incivility occurs infrequently during ED phone consultations. ED female medical staff are at an increased risk of perceived incivility during phone consultations with non-ED medical professionals. Health organisations should actively pursue programmes to investigate the occurrence of incivility during healthcare consultations and implement programmes to mitigate the risk of developing a negative workplace culture. © 2016 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

  14. Biostatistical consultation for dental research.

    PubMed

    Clive, Jonathan

    2002-01-01

    Dental science researchers do not really need a detailed, ready-at-hand knowledge of statistics to design and perform high quality scientific research. Although the acquisition and utilization of such knowledge by dental researchers is not discouraged, it is proposed that it is more important for dental researchers to be committed to developing and maintaining a long term, ongoing, interactive consulting relationship with a biostatistician. The nature of this relationship will depend in large part on the complexity of the dental research being conducted. While the statistical consultant will assist in interpreting analytic results for the dental researcher, the latter will need to provide extensive input in assisting in the estimation of sample size and power, and for expressing scientific hypotheses in statistical terms so that the appropriate data analytic methodology can be specified.

  15. [Teenagers' drawings in transcultural consultations].

    PubMed

    Simon, Amalini; Titia Rizzi, Alice

    The place of teenagers' drawings has been studied as part of a transcultural consultation, based on the creativity of the children of migrants. When speaking is difficult, drawings enable teenagers to show another dimension of their internal world. Aravin, a young Tamil boy, who lacked the necessary words, was able to express all the complexity of his thoughts through his drawings, finally being able to formulate in the group the difficult situations which he was drawing.

  16. Ultrasound for the Pulmonary Consultant

    PubMed Central

    Chichra, Astha; Makaryus, Mina; Chaudhri, Parag; Narasimhan, Mangala

    2016-01-01

    Bedside ultrasonographic assessment of the lung and pleura provides rapid, noninvasive, and essential information in diagnosis and management of various pulmonary conditions. Ultrasonography helps in diagnosing common conditions, including consolidation, interstitial syndrome, pleural effusions and masses, pneumothorax, and diaphragmatic dysfunction. It provides procedural guidance for various pulmonary procedures, including thoracentesis, chest tube insertion, transthoracic aspiration, and biopsies. This article describes major applications of ultrasonography for the pulmonary consultant along with illustrative figures and videos. PMID:27398039

  17. [Cognitive methods during medical consultation].

    PubMed

    Lähteenmäki, Antti

    2012-01-01

    An essential method of cognitive psychotherapy is a precise, situation-focused interview, during which interpretations, emotions and behavior are taken into account. This work mode is also suited for medical consultation. In cognitive psychology, schemes and modes are identified that may be helpful for analyzing the patient-doctor relationship. Empathy may improve patient outcome. Properly applied cognitive methods facilitate the evolution of empathy.

  18. Design and implementation of multimedia display system for electronic cardiovascular conferences with radiological consultation services

    NASA Astrophysics Data System (ADS)

    Zhang, Jianguo; Stahl, Johannes N.; Li, Gaoping; Huang, H. K.; Liu, Jun; Li, Jian; Zhou, Peng

    2000-04-01

    We present a networked multimedia display system based on component technologies for the electronic cardiovascular conferences with radiological consultation services. The system consists of two parts: a data acquisition gateway and a multimedia display workstation. The acquisition gateway is used to collect digital data from difference modalities and authorize them in different sessions for conference presentation. The display workstation is used to display static/dynamic radiographic images, or video sequences, ECG and other text information. The display program is designed with functions of image processing, multimedia data manipulation and visualization. In addition, the workstation also integrates with a real time tele-consultation component for the necessary consultation between cardiologists and remote radiologists equipped with a tele-consultation workstation. Finally, we discuss the system clinical performance and the applications.

  19. 50 CFR 402.11 - Early consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.11 Early consultation. (a) Purpose. Early consultation is designed to reduce the likelihood of conflicts between listed species or critical...

  20. 50 CFR 402.13 - Informal consultation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ..., DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.13 Informal consultation. (a..., that the action is not likely to adversely affect listed species or critical habitat, the consultation...

  1. 50 CFR 402.11 - Early consultation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.11 Early consultation. (a) Purpose. Early consultation is designed to reduce the likelihood of conflicts between listed species or critical...

  2. 50 CFR 402.13 - Informal consultation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ..., DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.13 Informal consultation. (a..., that the action is not likely to adversely affect listed species or critical habitat, the consultation...

  3. 50 CFR 402.11 - Early consultation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.11 Early consultation. (a) Purpose. Early consultation is designed to reduce the likelihood of conflicts between listed species or critical...

  4. 50 CFR 402.13 - Informal consultation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ..., DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.13 Informal consultation. (a..., that the action is not likely to adversely affect listed species or critical habitat, the consultation...

  5. 50 CFR 402.11 - Early consultation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.11 Early consultation. (a) Purpose. Early consultation is designed to reduce the likelihood of conflicts between listed species or critical...

  6. 50 CFR 402.13 - Informal consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ..., DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.13 Informal consultation. (a..., that the action is not likely to adversely affect listed species or critical habitat, the consultation...

  7. 50 CFR 402.11 - Early consultation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.11 Early consultation. (a) Purpose. Early consultation is designed to reduce the likelihood of conflicts between listed species or critical...

  8. 50 CFR 402.13 - Informal consultation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.13 Informal consultation. (a..., that the action is not likely to adversely affect listed species or critical habitat, the consultation...

  9. Prioritizing Reading Consultants' Roles in Central Florida.

    ERIC Educational Resources Information Center

    Thompson, Richard A.

    What reading consultants do varies considerably from person to person as there is variability in the role each reading consultant perceives as his or her responsibility. To assist reading consultants in prioritizing their roles to meet their constituents' needs, 113 elementary teachers enrolled in graduate reading classes at the University of…

  10. Entry-Level Activities in System Consultation

    ERIC Educational Resources Information Center

    Hylander, Ingrid

    2014-01-01

    System-level consultation or organizational development in schools is an area in great need of theoretical models and definitions. The three articles in this special issue provide a unique learning opportunity not only for consultation across borders but also for consultation within the same nation. In my commentary, I limit my remarks to a few…

  11. Special Education Teacher Consultant: Idealism versus Realism.

    ERIC Educational Resources Information Center

    Haight, Sherrel Lee

    1984-01-01

    A review of literature on topics of teacher consultant roles, cross-categorical services, approval criteria, and caseloads suggests the position of teacher consultant as it is being implemented may be untenable. There is a critical lack of role definition at state and local levels and a dearth of professional preparation in consultation skills.…

  12. Core Competencies for Training Effective School Consultants

    ERIC Educational Resources Information Center

    Burkhouse, Katie Lynn Sutton

    2012-01-01

    The purpose of this research was to develop and validate a set of core competencies of effective school-based consultants for preservice school psychology consultation training. With recent changes in service delivery models, psychologists are challenged to engage in more indirect, preventative practices (Reschly, 2008). Consultation emerges as…

  13. 22 CFR 401.21 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 2 2014-04-01 2014-04-01 false Consultation. 401.21 Section 401.21 Foreign Relations INTERNATIONAL JOINT COMMISSION, UNITED STATES AND CANADA RULES OF PROCEDURE Applications § 401.21 Consultation. The Commission may meet or consult with the applicant, the Governments and other persons or...

  14. 22 CFR 401.21 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 2 2011-04-01 2009-04-01 true Consultation. 401.21 Section 401.21 Foreign Relations INTERNATIONAL JOINT COMMISSION, UNITED STATES AND CANADA RULES OF PROCEDURE Applications § 401.21 Consultation. The Commission may meet or consult with the applicant, the Governments and other persons or...

  15. 22 CFR 401.21 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 2 2012-04-01 2009-04-01 true Consultation. 401.21 Section 401.21 Foreign Relations INTERNATIONAL JOINT COMMISSION, UNITED STATES AND CANADA RULES OF PROCEDURE Applications § 401.21 Consultation. The Commission may meet or consult with the applicant, the Governments and other persons or...

  16. 22 CFR 401.21 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 2 2013-04-01 2009-04-01 true Consultation. 401.21 Section 401.21 Foreign Relations INTERNATIONAL JOINT COMMISSION, UNITED STATES AND CANADA RULES OF PROCEDURE Applications § 401.21 Consultation. The Commission may meet or consult with the applicant, the Governments and other persons or...

  17. 24 CFR 92.358 - Consultant activities.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 1 2012-04-01 2012-04-01 false Consultant activities. 92.358... Development HOME INVESTMENT PARTNERSHIPS PROGRAM Other Federal Requirements § 92.358 Consultant activities. No person providing consultant services in an employer-employee type relationship shall receive more than a...

  18. 24 CFR 92.358 - Consultant activities.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 1 2011-04-01 2011-04-01 false Consultant activities. 92.358... Development HOME INVESTMENT PARTNERSHIPS PROGRAM Other Federal Requirements § 92.358 Consultant activities. No person providing consultant services in an employer-employee type relationship shall receive more than a...

  19. 24 CFR 92.358 - Consultant activities.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 1 2013-04-01 2013-04-01 false Consultant activities. 92.358... Development HOME INVESTMENT PARTNERSHIPS PROGRAM Other Federal Requirements § 92.358 Consultant activities. No person providing consultant services in an employer-employee type relationship shall receive more than a...

  20. 24 CFR 92.358 - Consultant activities.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 1 2014-04-01 2014-04-01 false Consultant activities. 92.358... Development HOME INVESTMENT PARTNERSHIPS PROGRAM Other Federal Requirements § 92.358 Consultant activities. No person providing consultant services in an employer-employee type relationship shall receive more than a...

  1. 24 CFR 92.358 - Consultant activities.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Consultant activities. 92.358... Development HOME INVESTMENT PARTNERSHIPS PROGRAM Other Federal Requirements § 92.358 Consultant activities. No person providing consultant services in an employer-employee type relationship shall receive more than a...

  2. Observed Consultation: Confidence and Accuracy of Assessors

    ERIC Educational Resources Information Center

    Tweed, Mike; Ingham, Christopher

    2010-01-01

    Judgments made by the assessors observing consultations are widely used in the assessment of medical students. The aim of this research was to study judgment accuracy and confidence and the relationship between these. Assessors watched recordings of consultations, scoring the students on: a checklist of items; attributes of consultation; a…

  3. 34 CFR 75.191 - Consultation costs.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 1 2011-07-01 2011-07-01 false Consultation costs. 75.191 Section 75.191 Education... Development of Curricula Or Instructional Materials § 75.191 Consultation costs. An applicant may budget reasonable consultation fees or planning costs in connection with the development of curricula...

  4. The Consultation Role of a Nurse Educator.

    ERIC Educational Resources Information Center

    Forsyth, Diane McNally; Rhudy, Lori; Johnson, LeAnn M.

    2002-01-01

    In educational consultation, responsibility for identifying and refining problems and modifying solutions remains with the consultee. Five steps of consultation are gaining entry, identifying the problem, engaging in action planning, evaluating, and disengaging. Consultant and consultee are in a nonhierarchical relationship. (SK)

  5. 22 CFR 401.21 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Consultation. 401.21 Section 401.21 Foreign Relations INTERNATIONAL JOINT COMMISSION, UNITED STATES AND CANADA RULES OF PROCEDURE Applications § 401.21 Consultation. The Commission may meet or consult with the applicant, the Governments and other persons or their...

  6. Observed Consultation: Confidence and Accuracy of Assessors

    ERIC Educational Resources Information Center

    Tweed, Mike; Ingham, Christopher

    2010-01-01

    Judgments made by the assessors observing consultations are widely used in the assessment of medical students. The aim of this research was to study judgment accuracy and confidence and the relationship between these. Assessors watched recordings of consultations, scoring the students on: a checklist of items; attributes of consultation; a…

  7. Entry-Level Activities in System Consultation

    ERIC Educational Resources Information Center

    Hylander, Ingrid

    2014-01-01

    System-level consultation or organizational development in schools is an area in great need of theoretical models and definitions. The three articles in this special issue provide a unique learning opportunity not only for consultation across borders but also for consultation within the same nation. In my commentary, I limit my remarks to a few…

  8. Strangers at the Benchside: Research Ethics Consultation

    PubMed Central

    Cho, Mildred K.; Tobin, Sara L.; Greely, Henry T.; McCormick, Jennifer; Boyce, Angie; Magnus, David

    2008-01-01

    Institutional ethics consultation services for biomedical scientists have begun to proliferate, especially for clinical researchers. We discuss several models of ethics consultation and describe a team-based approach used at Stanford University in the context of these models. As research ethics consultation services expand, there are many unresolved questions that need to be addressed, including what the scope, composition, and purpose of such services should be, whether core competencies for consultants can and should be defined, and how conflicts of interest should be mitigated. We make preliminary recommendations for the structure and process of research ethics consultation, based on our initial experiences in a pilot program. PMID:18570086

  9. Psychiatric consultation in problem employee situations.

    PubMed

    Schouten, Ronald

    2012-12-01

    This article focuses on psychiatric consultation in "problem employee situations," a broad term that refers to any situation in which there is conflict between an employee and the employer or coworkers. It summarizes key principles and observations that are common to psychiatric consultations in the workplace and then offers case examples that are representative of such consultations and highlights those principles. Although the focus is on psychiatric consultation to employers, an employee may seek consultation himself or herself, especially when prospects for adversarial proceedings arise. The principles described here apply in both sets of circumstances.

  10. Paediatric palliative care by video consultation at home: a cost minimisation analysis.

    PubMed

    Bradford, Natalie K; Armfield, Nigel R; Young, Jeanine; Smith, Anthony C

    2014-07-28

    In the vast state of Queensland, Australia, access to specialist paediatric services are only available in the capital city of Brisbane, and are limited in regional and remote locations. During home-based palliative care, it is not always desirable or practical to move a patient to attend appointments, and so access to care may be even further limited. To address these problems, at the Royal Children's Hospital (RCH) in Brisbane, a Home Telehealth Program (HTP) has been successfully established to provide palliative care consultations to families throughout Queensland. A cost minimisation analysis was undertaken to compare the actual costs of the HTP consultations, with the estimated potential costs associated with face-to face-consultations occurring by either i) hospital based consultations in the outpatients department at the RCH, or ii) home visits from the Paediatric Palliative Care Service. The analysis was undertaken from the perspective of the Children's Health Service. The analysis was based on data from 95 home video consultations which occurred over a two year period, and included costs associated with projected: clinician time and travel; costs reimbursed to families for travel through the Patients Travel Subsidy (PTS) scheme; hospital outpatient clinic costs, project co-ordination and equipment and infrastructure costs. The mean costs per consultation were calculated for each approach. Air travel (n = 24) significantly affected the results. The mean cost of the HTP intervention was $294 and required no travel. The estimated mean cost per consultation in the hospital outpatient department was $748. The mean cost of home visits per consultation was $1214. Video consultation in the home is the most economical method of providing a consultation. The largest costs avoided to the health service are those associated with clinician time required for travel and the PTS scheme. While face-to-face consultations are the gold standard of care, for families located

  11. Paediatric palliative care by video consultation at home: a cost minimisation analysis

    PubMed Central

    2014-01-01

    Background In the vast state of Queensland, Australia, access to specialist paediatric services are only available in the capital city of Brisbane, and are limited in regional and remote locations. During home-based palliative care, it is not always desirable or practical to move a patient to attend appointments, and so access to care may be even further limited. To address these problems, at the Royal Children’s Hospital (RCH) in Brisbane, a Home Telehealth Program (HTP) has been successfully established to provide palliative care consultations to families throughout Queensland. Methods A cost minimisation analysis was undertaken to compare the actual costs of the HTP consultations, with the estimated potential costs associated with face-to face-consultations occurring by either i) hospital based consultations in the outpatients department at the RCH, or ii) home visits from the Paediatric Palliative Care Service. The analysis was undertaken from the perspective of the Children’s Health Service. The analysis was based on data from 95 home video consultations which occurred over a two year period, and included costs associated with projected: clinician time and travel; costs reimbursed to families for travel through the Patients Travel Subsidy (PTS) scheme; hospital outpatient clinic costs, project co-ordination and equipment and infrastructure costs. The mean costs per consultation were calculated for each approach. Results Air travel (n = 24) significantly affected the results. The mean cost of the HTP intervention was $294 and required no travel. The estimated mean cost per consultation in the hospital outpatient department was $748. The mean cost of home visits per consultation was $1214. Video consultation in the home is the most economical method of providing a consultation. The largest costs avoided to the health service are those associated with clinician time required for travel and the PTS scheme. Conclusion While face-to-face consultations are

  12. GIS technology transfer for use in private sector consulting

    NASA Astrophysics Data System (ADS)

    Gibas, Dawn R.; Davis, Roger J.

    1996-03-01

    Summit Envirosolutions, Inc. (Summit) is an EOCAP '93 company working in partnership with NASA's Commercial Remote Sensing Program to integrate the use of Geographic Information Systems (GIS) and Remote Sensing (RS) technology into our environmental consulting business. The EOCAP program has allowed us to obtain the hardware and software necessary for this technology that would have been difficult for a small company, such as Summit, to purchase outright. We are integrating GIS/RS into our consulting business in several areas including wellhead protection and environmental assessments. The major emphasis in the EOCAP project is to develop a system, termed RealFlowSM. The goals of RealFlowSM are to reduce client costs associated with environmental compliance (in particular preparation of EPA-mandated Wellhead Protection Plans), more accurately characterize aquifer parameters, provide a scientifically sound basis for delineating Wellhead Protection Areas, and readily assess changes in well field operations and potential impacts of environmental stresses. RealFlowSM utilizes real-time telemetric data, digital imagery, GIS, Global Positioning System (GPS), and field data to characterize a study area at a lower cost. In addition, we are applying this technology in other service areas and showing a reduction in the overall costs for large projects.

  13. Surgical Pathology and Intraoperative Consultation: An Audit

    PubMed Central

    GOLAM, Mostafa; QUEEN, Zarat

    2015-01-01

    Background: While intraoperative consultation has been used in Bangladesh for a long period of time, to date, there has been no published reporting on the performance of frozen sections. The current audit evaluates the performance of frozen sections in a well reputed medical center in Bangladesh, Anowara Medical Services. Objective: This retrospective study has been designed to measure the accuracy of frozen section diagnosis in a medical center in a third-world country, where many surgical procedures rely on intraoperative consultation. Methods: A series of 1379 intra- and peri-operative frozen section cases, from 2007 to 2014, was reviewed. Intraoperative tissue specimens received at Anowara Medical Services were processed for frozen sections. After examination of the frozen section that yielded the initial frozen section diagnoses, the frozen tissues were reprocessed for regular paraffin sectioning. These paraffin sections were examined by a second pathologist, and a final diagnosis was issued. The frozen section diagnosis and final diagnoses of all cases were retrospectively analysed to determine the accuracy of frozen section examination. Results: Overall, accurate diagnosis was made on frozen sections in 98.2% of the cases. The discrepant diagnoses were all clinically significant, i.e., there were discrepancies between benign and malignant diagnoses on frozen and paraffin sections. In 1% of the cases, diagnosis was deferred. Fifty percent of the deferred cases were benign. Two cases, received in formalin, were excluded. In both cases, the diagnosis was positive for malignancy. The number of false negative results (4 false negatives) was slightly lower than that of false positives (5 false positives). Specificity and sensitivity of 99.3% and 99.4% were achieved, respectively. In this study, the positive predictive value was 99.2% and the negative predictive value was 99.5%. Over the years, the number of discrepant diagnoses remained fairly constant. Conclusion

  14. Letter: Feedback on abortion consultation.

    PubMed

    Harper, D M

    1974-07-01

    The author agree's with C.M. Friedman's article ("Making Abortion Consultation Therapeutic," November 1973) that psychiatrists should stop prostituting themselves by claiming an abortion is necessary to safeguar d the woman's mental health. However, he feels the real human issue is whether a lift whould be destroyed simply because it is inconvenient for the mother and not, as Dr. Friedman suggests, because of "her mature longings for a child, her present capacity to love and give, her present reality, and a weighing of her morality."

  15. [Virtual polyclinic--consultant health service for rural areas and islands].

    PubMed

    Margan, Anamarija; Rustemović, Nadan; Loncarić, Sven

    2005-01-01

    The development of medical sciences and digital revolution in health care have made possible the creation of new models for hospital care and primary health care. Health care management usually does not follow all possible solutions of new computer technology. Croatian health system is based on large hospital centers in the mainland and small, poorly equipped remote medical units. The possibility of sharing medical information using telematic technologies brings all knowledge of the large, powerful hospital centers close to remote medical units. Working in a small, remote consultation office on the island Cres, the author A. M. became part of medical periphery far from the security of hospital on the mainland. After five years of the work on telemedicine projects for the islands, we have introduced a new medical practice concept of communication between remote medical units and clinical hospital centers in the mainland. The pilot project Virtual Polyclinic-Medical Consultation System for the Islands and Remote Areas is a good example of the possible new models in health care structure. Our experience indicates that organization of health care in remote areas depends not only on advanced technical solutions but also on team work and medical professionals.

  16. Physician Preferences for Elements of Effective Consultations

    PubMed Central

    Boulware, David R.; Dekarske, Adrienne S.

    2009-01-01

    Background Effective communication is vital for optimal medical consultation, but there is little current information about physician preferences for effective consultation. Methods We invited physicians with at least one post-graduate year of experience at four Minnesota teaching hospitals to complete a 16-question Internet questionnaire about inpatient consultations. Results E-mail requests were received by an estimated 651 physicians. Questionnaires were completed by 323 (50%). Of these, 54% had completed training >5 years before, 17% had completed training <5 years before, and 30% were residents or fellows. Three elements were considered essential in consultation requests by most respondents: the specific question to be addressed (94%), whom to call with the response (68%), and consultation urgency (66%). In the consultation note, 71% of subjects placed high importance on simple, concise recommendations and 64% on the rationale behind them, while only 7% placed high importance on citing references. Most (69%) preferred that assessments and recommendations be written in bulleted or numbered format. A plurality (48%) preferred that assessments and recommendations be separated. Most placed high value on recommendations regarding drug therapy that specify dose (80%), duration (80%), and generic medication name (62%). Requesters placed greater importance than consultants (87% vs. 65%, respectively, P = 0.004) on recommendations that included duration of therapy. The majority (63%) stated that telephone requests were needed for emergent or urgent consultations. Those who usually requested consultations were more likely than those who usually responded to consultation requests to prefer telephone requests for routine consultations (43% vs. 20%, P < 0.001). Conclusions Physicians agreed on many essential elements for effective consultations. These results should guide efforts to improve communication in the consultation process and design electronic medical

  17. The effect of parallel consulting on the quality of consultations in regional general practice.

    PubMed

    Tran, Peter Duy; Laurence, Jerome Martin; Weston, Kathryn M; McLennan, Peter L

    2012-05-01

    The sustainability of community-based medical education relies on maintaining consultation quality as perceived by patients. This study aims to investigate the effect of an alternative model (parallel consultation) of teaching on patients' views of consultation quality as compared to the conventional consultation model in a general practice setting. A cross-sectional questionnaire study. Patients attending a regional general practice in the Southern Highlands of New South Wales between February and May 2010, who consented to student involvement in their consultation. Instruments to measure 'empathy' (CARE score) and 'enablement' (PEI score) as markers for consultation quality were administered after patient consultations. There was no difference in consultation length between the two groups. There was a small increase in the level of empathy experienced by patients attending parallel consultations compared to conventional consultations (P<0.05). The level of enablement did not differ between the groups. Although generally encouraging towards student involvement, patients' attitudes were significantly more positive towards students involved in the parallel consultation group (P<0.01). There is no loss in consultation quality, as experienced by the patient, when using the parallel consulting model. Parallel consulting does not change the length of time a patient spends with their doctor, and patients have a positive perception of the students involved in this model of clinical teaching.

  18. Quality of consultation and the project 'Support and Consultation on Euthanasia in the Netherlands' (SCEN).

    PubMed

    Jansen-van der Weide, Marijke Catharina; Onwuteaka-Philipsen, Bregje Dorien; van der Wal, Gerrit

    2007-01-01

    Consultation of another physician is one of the requirements for prudent practice. The project 'Support and Consultation on Euthanasia in the Netherlands' (SCEN) is aimed at professionalizing consultation. The objective of this study is to assess whether the quality of consultation was improved through SCEN. In four districts all general practitioners (GPs) received a pre-test questionnaire approximately six weeks before the start of the project in the period (n=1224, response 71%). In the period from April 2000 to December 2002, all GPs in districts in which SCEN had been implemented received a written post-test questionnaire one and a half years after the start of the project. This post-test questionnaire was returned by 60% of the GPs (n=3614). In SCEN consultations the attending physicians has no specific relation to the attending physician in 85% of consultations, while this is the case for 31% of other consultations. While before the start of SCEN in 71% of consultations six or seven of the seven criteria for good consultation were met, in SCEN consultations 83% of cases six or seven of these requirements were met. GPS who had consulted a SCEN physician generally were more positive about different aspects than those who consulted another consultant, such as considering the consultant to be able to make an independent judgement (totally agree 74% versus 59%). Although the quality of consultation appears to be high for both SCEN physicians and other consultants, the SCEN project further contributed to the quality of consultation. Since GPs attach importance to judgement of SCEN physician and have the intention to use it in future, and the quality of consultation stays high over time, this project is expected to maintain its value.

  19. Remote BCDGs

    NASA Astrophysics Data System (ADS)

    Erastova, L. K.

    2017-07-01

    The remote BCDGs with z>0.05 from the Second Byurakan Survey (SBS) are extracted. They are analogs of similar BCDGs in low-z Universe. The properties of these objects are discussed. Definitions of other physical types of active galaxies are considered and also clarified.

  20. [Systemic consultation--about possibilities and limitations].

    PubMed

    Rostworowska, Maria; Opoczyńska, Małgorzata; de Barbaro, Bogdan

    2002-01-01

    The paper presents the role of systemic consultation in the diagnostic and therapeutic process of the people hospitalised for the first time because of a psychotic episode. The following questions are going to be put: What is the role of systemic family consultation in the diagnostic and therapeutic process on the inpatient ward? What are the differences between systemic consultation and others forms of family interventions f.e. family interviews, psycho--education, systemic therapy? What are possibilities and limitations of consultation? What does it invite to? These are only some of those questions, which are typical for daily clinical practice, in which the family consultation takes an important part. In this paper according to our clinical experience, we would like to share some of our thoughts on the questions put. In spite of difficulties the family consultation confronts us with, we are deeply convinced that it has an important part in therapeutic and diagnostic process.

  1. Consultation to residential psychosocial rehabilitation agencies.

    PubMed

    Kupers, T A

    1996-08-01

    As non-profit psychosocial rehabilitation agencies take over providing many of the services once provided by governmental facilities in some locales, consultation to the staff of these agencies can be very productive. Using a revised community consultation model, the author lists some of the issues that are regularly raised by staff, and discusses the functions that this kind of consultation can fulfill in this important sector of community mental health services.

  2. 76 FR 18583 - Draft Tribal Consultation Policy

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-04

    ... tribal populations and are authorized to speak for ONDCP; and Ensures ONDCP's component heads and program... consultation sessions, summarizing the discussion, recommendations, responses, and soliciting feedback...

  3. Nurse education consultancy: a new role.

    PubMed

    Jenkins, D A

    1996-12-01

    Market philosophy is transforming nurse education, an arena where alternative values and beliefs have been important. Such philosophy challenges nurse teachers to rethink their roles and consider what they might have to offer the profession either working within an institution or independently. This paper will explore the role of the nurse education consultant, examining what is implied by the term 'consultation' and what this might mean within a consultation process. Consultancy may be used to help colleges to market effectively and ethically, when the benefits of long term investment in education may not otherwise be apparent.

  4. 15 CFR 286.6 - Public consultation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... OF STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE ACCREDITATION AND ASSESSMENT PROGRAMS NATIONAL VOLUNTARY CONFORMITY ASSESSMENT SYSTEM EVALUATION (NVCASE) PROGRAM § 286.6 Public consultation. NIST...

  5. 15 CFR 286.6 - Public consultation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... OF STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE ACCREDITATION AND ASSESSMENT PROGRAMS NATIONAL VOLUNTARY CONFORMITY ASSESSMENT SYSTEM EVALUATION (NVCASE) PROGRAM § 286.6 Public consultation. NIST...

  6. 15 CFR 286.6 - Public consultation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... OF STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE ACCREDITATION AND ASSESSMENT PROGRAMS NATIONAL VOLUNTARY CONFORMITY ASSESSMENT SYSTEM EVALUATION (NVCASE) PROGRAM § 286.6 Public consultation. NIST...

  7. 15 CFR 286.6 - Public consultation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... OF STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE ACCREDITATION AND ASSESSMENT PROGRAMS NATIONAL VOLUNTARY CONFORMITY ASSESSMENT SYSTEM EVALUATION (NVCASE) PROGRAM § 286.6 Public consultation. NIST...

  8. 15 CFR 286.6 - Public consultation.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... OF STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE ACCREDITATION AND ASSESSMENT PROGRAMS NATIONAL VOLUNTARY CONFORMITY ASSESSMENT SYSTEM EVALUATION (NVCASE) PROGRAM § 286.6 Public consultation. NIST...

  9. How to write a psychiatric consultation.

    PubMed

    Garrick, T R; Stotland, N L

    1982-07-01

    The written psychiatric consultation is the distillation, the official permanent record, and the one universal element of the consultation process. Both the document and process present a good and growing opportunity for service and teaching. The authors offer a conceptual and practical scheme to help potential consultants make decisions about the content, style, and wording of their written communications. Each of the components of the consultation document, including headings, openings, history, examination, and formulations, is considered in terms of its effects on the liaison with the consultee and the care of the patient.

  10. Fewer users seen turning to energy consultants

    SciTech Connect

    Ulanoff, J.

    1983-06-20

    Energy-consulting firms are having to adjust to a drop in business because of dissatisfaction among their customers with the recommendations they have made and the fact that companies have developed better in-house expertise. Some consulting firms are going out of business, while others are restructuring and shifting their emphasis from energy management to equipment replacement. Consultants also blame user indifference to energy matters because of the current fuel prices, but users cite their own financial problems and in-place conservation programs as reasons for turning away from the consultants. (DCK)

  11. Consulting--Part 2. The art and science of using consultants.

    PubMed

    Lister, E D; Pirrotta, S

    1996-11-01

    Part I of this series described a research project--a survey of more than 300 physician executives. Asked to share their personal experiences of unsuccessful consultations, our correspondents painted a clear picture of what can go wrong when organizational consultants enter health care systems, and described the lasting destructive sequelae to failed consultations. The two issues responsible for most failed consultations were the intrusion of internal politics into the process and the failure to clearly establish and maintain consensual goals. In Part 2, the consultation process is explored from a very different perspective. What are the issues that often trigger requests for consultation services, as well as the dynamics that can foreshadow success or failure before consultants are even engaged? What are the pitfalls and pointers for the successful use of consultation services?

  12. Palliative Care Consultations in Hospitalized Stroke Patients

    PubMed Central

    Ladwig, Susan; Robb, Jessica; Kelly, Adam; Nielsen, Eric; Quill, Timothy E.

    2010-01-01

    Abstract Objective To determine the pattern and characteristics of palliative care (PC) consultations in patients with stroke and compare them with the characteristics of nonstroke consultations. Methods The palliative care program at Strong Memorial Hospital (SMH) was established in October 2001. SMH is a 765-bed academic medical center with approximately 38,000 discharges. For each consult from 2005 to 2007, we collected demographic, clinical, and service-related information. We explored similarities and differences in patients with different types of stroke, including patients with ischemic stroke, intracerebral hemorrhage, subarachnoid hemorrhage, and subdural hematoma. In addition, we compared these data to the nonstroke patients who had a palliative care consultation during the same time period. Results Over the 3-year period from 2005 to 2007, there were a total of 101 consultations in patients with stroke (6.3% of all PC consultations). Of the 101 consultations, 31 were in patients with ischemic stroke, 26 in patients with intracerebral hemorrhage, 30 in patients with subarachnoid hemorrhage, and 14 in patients with subdural hematoma. Patients with stroke who had a PC consult were more functionally impaired, less likely to have capacity, more likely to die in the hospital, and to have fewer traditional symptom burdens than other common diagnoses seen on the PC consultation service. The most common trajectory to death was withdrawal of mechanical ventilation, but varied by type of stroke. Common treatments negotiated in these consultations included mechanical ventilation, artificial nutrition, tracheostomy, and less likely antibiobics, intravenous fluids, and various neurosurgical procedures. Conclusions Patients with stroke are a common diagnosis seen on an inpatient palliative care consult service. Each stroke type represents patients with potentially distinct palliative care needs. PMID:20384501

  13. Emerging trends in environmental consultant liability

    SciTech Connect

    Witkin, J.B.

    1995-12-01

    Two federal district judges have recently opened the door for negligence suits aimed specifically an environmental consultants. In William Levy and Harper Realty, Inc. v. Versar, Inc., the respective courts allowed negligence-based claims to survive motions to dismiss, suggesting environmental consultants who fail to discover and/or disclose contamination on the properties they are investigating may be liable for considerable damages, including remediation costs and the economic losses suffered as a result of a claimant`s reliance on the environmental consultant`s work product. These cases poses great concern for environmental consultants. This paper will review these cases in detail, and other legal issues of concern to environmental consultants. It will also review the steps consultants can take to limit their liability, including obtaining errors and omissions insurance, using properly drafted environmental services agreements, properly training their employees, effectively communicating about risks with their clients, and other risk management techniques. In light of the exorbitant costs of environmental clean up, and the expansive breadth of liability imposed by federal environmental laws, consultants need to understand the potential causes of action that can be brought against them. Two federal district judges from Illinois have recently opened the door for negligence suits aimed specifically at environmental consultants, in William Levy and Harper Realty, Inc. v. Versar Inc. This paper will analyze the versar and Mobil Oil cases in detail. It will also explore other issues on professional liability generally of concern to environmental consultants. Finally, suggestion are briefly offered to guide environmental consultants as they embark on clean up activities, to reduce their potential liability to third parties.

  14. Competency-Based Behavior Consultation Training: An Evaluation of Consultant Outcomes, Treatment Effects, and Consumer Satisfaction

    ERIC Educational Resources Information Center

    Lepage, Kathy; Kratochwill, Thomas R.; Elliott, Stephen N.

    2004-01-01

    Assessments of consultants, clients, and consumer satisfaction were used to examine the effects of a competency-based consultation training program conducted over 4 years. Using a multiple-baseline framework to assess training effects on consultants and single-case study designs to evaluate changes in client behavior, a number of significant…

  15. Finalizing the Consultant Effectiveness Scale: An Analysis and Validation of the Characteristics of Effective Consultants.

    ERIC Educational Resources Information Center

    Knoff, Howard M.; Hines, Constance V.; Kromrey, Jeffrey D.

    1995-01-01

    Proposes that as consultation becomes a larger part of the school psychologist's role and function, the need to empirically identify characteristics of effective consultants is increasingly important. Describes the Consultant Effectiveness Scale (CES) and reexamines it with a national sample of school psychologists. Evaluates discriminate validity…

  16. Developing Knowledge and Value in Management Consulting. Research in Management Consulting.

    ERIC Educational Resources Information Center

    Buono, Anthony F., Ed.

    This document contains 11 papers that explore knowledge and value development in the field of management consulting, with particular emphasis on trends and techniques in the practice of management consulting and the current theory and dynamics of management consulting. The following papers are included: "Introduction" (Anthony F. Buono);…

  17. Competent Consultation: Developing Self-Efficacy for Process and Problem Aspects of Consultation

    ERIC Educational Resources Information Center

    Guiney, Meaghan C.; Zibulsky, Jamie

    2017-01-01

    Using samples of novice and advanced consultants in training (CITs), this study explored the development of consultation self-efficacy (CSE) for both process-oriented and problem-oriented aspects of consultation. Regardless of experience level, self-efficacy in both domains increased with training. However, significantly greater gains were made by…

  18. Characteristics of Consultants and Consultees and Success in Mental Health Consultation.

    ERIC Educational Resources Information Center

    Alpert, Judith L.; And Others

    1981-01-01

    Considered selected attitudinal and value characteristics of high and low successful consultants. Consultants (N=12) and consultees (N=15) completed six measures. Results indicated that more successful consultants have consultees who are more authoritarian and dogmatic, and are dissimilar to consultees in level of dogmatism and reported need for…

  19. The Consulting Role in a Response-to-Intervention Context: An Exploratory Study of Instructional Consultation

    ERIC Educational Resources Information Center

    Newman, Daniel S.; Salmon, Diane; Cavanaugh, Kate; Schneider, Mary Frances

    2014-01-01

    Response to intervention (RtI) is an influential system of service delivery in contemporary schools, but the specific role of school consultation in RtI implementation is not clearly defined. Instructional consultation provides a potential meeting point between consultation and RtI practices. Through a mixed-methods approach, this study explored…

  20. Developing Knowledge and Value in Management Consulting. Research in Management Consulting.

    ERIC Educational Resources Information Center

    Buono, Anthony F., Ed.

    This document contains 11 papers that explore knowledge and value development in the field of management consulting, with particular emphasis on trends and techniques in the practice of management consulting and the current theory and dynamics of management consulting. The following papers are included: "Introduction" (Anthony F. Buono);…

  1. Cultural Modifications to Current School-Based Consultation Approaches Reported by Culturally Diverse Beginning Consultants.

    ERIC Educational Resources Information Center

    Tarver Behring, Shari; Cabello, Beverly; Kushida, Doreen; Murguia, Annette

    2000-01-01

    Examines the use of current consultation approaches and modifications with European-American, African-American, Asian-American or Latino consultants and students in interviews of cases in which the consultant and student were from the same or different cultural background. The results, illustrated by case descriptions, strongly suggest that…

  2. Consulting Foresters' View of Professional Forestry Education

    ERIC Educational Resources Information Center

    Straka, Thomas J.; Childers, Christopher J.

    2006-01-01

    Consulting forestry is an attractive professional specialization and expanding employment opportunities have made it a popular option for forestry students. Association of Consulting Foresters members were asked to rank the importance of the traditional forestry and other courses in the standard accredited forestry curriculum, where additional…

  3. 50 CFR 402.14 - Formal consultation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.14 Formal consultation. (a... time to determine whether any action may affect listed species or critical habitat. If such a...

  4. 50 CFR 402.14 - Formal consultation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ..., DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.14 Formal consultation. (a... time to determine whether any action may affect listed species or critical habitat. If such a...

  5. 50 CFR 402.14 - Formal consultation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ..., DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.14 Formal consultation. (a... time to determine whether any action may affect listed species or critical habitat. If such a...

  6. 50 CFR 402.14 - Formal consultation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.14 Formal consultation. (a... time to determine whether any action may affect listed species or critical habitat. If such a...

  7. 50 CFR 402.14 - Formal consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ..., DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.14 Formal consultation. (a... time to determine whether any action may affect listed species or critical habitat. If such a...

  8. Advising Consultations: Spectral Images of Faculty Power.

    ERIC Educational Resources Information Center

    Kramer, Howard C.

    A perception of "faculty power" frequently expressed during consultant/consultee interactions is analyzed, and approaches to dealing with the perception and also meeting the consultation objectives are suggested. This commonly expressed perception is that faculty hold untested strength that should not be bothered, challenged, or antagonized. In a…

  9. 76 FR 55678 - Tribal Consultation Policy

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-08

    ... youth services bureau (FYSB). Office of the deputy assistant secretary for early childhood development..., Minnesota, to continue development of the draft ACF Tribal Consultation Policy. September 28, 2010, ACF held... the current Administration as the impetus for the development of this consultation policy. 2. Purpose...

  10. Consultant/Linker Knowledge and Skills Inventory.

    ERIC Educational Resources Information Center

    Smink, Jay

    The Consultant/Linker Knowledge and Skills Inventory is used to assess both existing and needed levels of knowledge and skills for consulting with school staff. The inventory is self-administered, and requires 20 to 30 minutes to complete. For each item, knowledge and skill are rated low, medium, or high; and need for improvement is rated none,…

  11. Linking Knowledge and Action: PRI's Community Consultant.

    ERIC Educational Resources Information Center

    Spencer, Gregory P.

    Within the Partnership for Rural Improvement (PRI), community consultants operate within three complex sets of relationships: client groups, the organizational structure of PRI, and the local operational base. Community consultants are responsible for developing and facilitating rural development and for providing assistance in community and…

  12. The Consulting Challenge: A Case Competition

    ERIC Educational Resources Information Center

    Sachau, Daniel A.; Naas, Patricia A.

    2010-01-01

    The Consulting Challenge is a yearly case competition in which teams of graduate students respond to a request for proposals (RFP) for consulting services. The case and RFP are based on a problem that a host organization has experienced. Over 3 days, students meet with representatives of the host organization, analyze data, prepare a proposal for…

  13. Using Technology in Consultation: Enhancing Relationships

    ERIC Educational Resources Information Center

    Pease, Terrie; Copa, Annette; Proulx, Gregory A.; Boss, Jennifer

    2004-01-01

    Jennifer Boss, Senior Program Associate at ZERO TO THREE, spoke with three infant mental health consultants who worked with three different Early Head Start programs as part of the Pathways to Prevention (PTP) initiative. The interviews particularly focused on how to infuse technology into consultation arrangements that center around building and…

  14. 78 FR 11891 - Tribal Consultation Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-20

    ... Robert Bialas at Robert.Bialas@acf.hhs.gov . Proposals must be submitted at least 3 days in advance of... Robert.Bialas@acf.hhs.gov either prior to the Consultation Session or within 30 days after the meeting... given of two 1-day Tribal Consultation Sessions to be held between the Department of Health and Human...

  15. Consulting Careers: A Profile of Three Occupations

    ERIC Educational Resources Information Center

    Mullins, John

    2011-01-01

    Choosing an industry in which to work is often as important as choosing an occupation. And over the next several years, the best advice for some workers may be to choose an industry that sells advice: consulting. The management, scientific, and technical consulting services industry comprises businesses that offer specialized advice to other…

  16. ETP and Its Subcontractors and Consultants.

    ERIC Educational Resources Information Center

    Moore, Richard W.; Blake, Daniel R.; Anacker, Christopher; Cohen, Michael D.

    This study examined the role of subcontractors and consultants in California's Employment Training Panel (ETP) program. Methods included interviews, focus groups, a phone survey, and a survey of projects without subcontractors. Results indicated that the market in which administrative and training consultants sell their services to employers is…

  17. 18 CFR 806.11 - Preliminary consultations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... COMMISSION REVIEW AND APPROVAL OF PROJECTS Application Procedure § 806.11 Preliminary consultations. (a) Any... Commission staff for an informal discussion of preliminary plans for the proposed project. To facilitate preliminary consultations, it is suggested that the project sponsor provide a general description of...

  18. 18 CFR 806.11 - Preliminary consultations.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... COMMISSION REVIEW AND APPROVAL OF PROJECTS Application Procedure § 806.11 Preliminary consultations. (a) Any... Commission staff for an informal discussion of preliminary plans for the proposed project. To facilitate preliminary consultations, it is suggested that the project sponsor provide a general description of...

  19. Linking Knowledge and Action: PRI's Community Consultant.

    ERIC Educational Resources Information Center

    Spencer, Gregory P.

    Within the Partnership for Rural Improvement (PRI), community consultants operate within three complex sets of relationships: client groups, the organizational structure of PRI, and the local operational base. Community consultants are responsible for developing and facilitating rural development and for providing assistance in community and…

  20. Faculty Consulting and Supplemental Income. ERIC Digest.

    ERIC Educational Resources Information Center

    Boyer, Carol M.; Lewis, Darrell R.

    Although consulting has long been recognized as a legitimate faculty role in most colleges, concern has arisen about the appropriateness of "double dipping," and particularly whether consulting and other supplemental income activities result in shirking other university responsibilities. The debate centers on six basic issues: who…

  1. Consulting Foresters' View of Professional Forestry Education

    ERIC Educational Resources Information Center

    Straka, Thomas J.; Childers, Christopher J.

    2006-01-01

    Consulting forestry is an attractive professional specialization and expanding employment opportunities have made it a popular option for forestry students. Association of Consulting Foresters members were asked to rank the importance of the traditional forestry and other courses in the standard accredited forestry curriculum, where additional…

  2. Mental Health Consultation in Early Childhood Classrooms

    ERIC Educational Resources Information Center

    Bernzweig, Jane; Ramler, Malia; Alkon, Abbey

    2009-01-01

    Early childhood mental health consultation is a relationship-based intervention that promotes children's social and emotional development. Benefits include improved childhood behaviors, improved staff self-efficacy, and lowered parental stress. Child care center directors are more likely to be satisfied with consultation when they are involved in…

  3. Review of Research: Report on Consultation.

    ERIC Educational Resources Information Center

    Higher Education Funding Council for England, Bristol.

    This document reports the results of the consultation (questionnaire responses from higher education institutions) on a review of research policy and funding by the Higher Education Funding Council for England (HEFCE) published in September 2000 and outlines the HEFCE response to the review and the consultation. Responses were received from 164…

  4. Tribal Consultation Booklet: January 1991-March 1994.

    ERIC Educational Resources Information Center

    Bureau of Indian Affairs (Dept. of Interior), Washington, DC. Office of Indian Education Programs.

    "Tribal Consultation Booklets" are the records and background materials of the meetings between Bureau of Indian Affairs (BIA) staff and tribal representatives, parents, school boards, and other interested parties in ten states, concerning potential changes or issues relating to Indian Education Programs. Such consultation meetings are…

  5. 43 CFR 23.13 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Consultation. 23.13 Section 23.13 Public Lands: Interior Office of the Secretary of the Interior SURFACE EXPLORATION, MINING AND RECLAMATION OF LANDS § 23.13 Consultation. Whenever the lands included in a permit, lease, or contract are under the...

  6. How to Hire a Search Consultant.

    ERIC Educational Resources Information Center

    Lester, Virginia L.

    1993-01-01

    Increasingly, colleges and universities are using consultants to help search committees find the right president for the institution. Search consultants bring experience, historical and national perspectives, objectivity, personal knowledge of candidates, and a professional approach. Energy, enthusiasm, and style are important consultant…

  7. Utilization of Consultants in Inservice Training.

    ERIC Educational Resources Information Center

    Theimer, William C., Jr.

    The misuse of outside consultants by most school districts has led to a disenchantment with inservice training in general. By using careful planning and evaluation techniques, the problems which have been caused by the inappropriate use of consultants and the unreal expectations of local school district personnel can be avoided. The process model…

  8. Lessons Learned from a Consultation Process Overseas

    ERIC Educational Resources Information Center

    Merino-Soto, César

    2014-01-01

    In this commentary I discuss three international school consultation experiences, highlighting aspects that serve as lessons for professional development and the implementation of effective and helpful strategies that meet the needs of children and youth in school systems. Relationships developed and maintained between the consulting teams and the…

  9. Lessons Learned from a Consultation Process Overseas

    ERIC Educational Resources Information Center

    Merino-Soto, César

    2014-01-01

    In this commentary I discuss three international school consultation experiences, highlighting aspects that serve as lessons for professional development and the implementation of effective and helpful strategies that meet the needs of children and youth in school systems. Relationships developed and maintained between the consulting teams and the…

  10. Counselors as Consultants during a National Crisis.

    ERIC Educational Resources Information Center

    Kaplan, Leslie S.; And Others

    1993-01-01

    Describes how counselors served as consultants to school division that had large student population of military dependents during Persian Gulf War. Examines impact of Persian Gulf War on the school division and its students and presents model for counselors who serve as consultants during crisis. Discusses counselors working as team with teachers,…

  11. 10 CFR 110.91 - Commission consultations.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 2 2010-01-01 2010-01-01 false Commission consultations. 110.91 Section 110.91 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) EXPORT AND IMPORT OF NUCLEAR EQUIPMENT AND MATERIAL Public Participation Procedures Concerning License Applications § 110.91 Commission consultations. The Commission...

  12. 10 CFR 960.3-3 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Consultation. 960.3-3 Section 960.3-3 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Implementation Guidelines § 960.3-3 Consultation. The DOE shall provide to designated officials of the...

  13. 10 CFR 960.3-3 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false Consultation. 960.3-3 Section 960.3-3 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Implementation Guidelines § 960.3-3 Consultation. The DOE shall provide to designated officials of the...

  14. 10 CFR 960.3-3 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Consultation. 960.3-3 Section 960.3-3 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Implementation Guidelines § 960.3-3 Consultation. The DOE shall provide to designated officials of the...

  15. 10 CFR 960.3-3 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Consultation. 960.3-3 Section 960.3-3 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Implementation Guidelines § 960.3-3 Consultation. The DOE shall provide to designated officials of the...

  16. 10 CFR 960.3-3 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Consultation. 960.3-3 Section 960.3-3 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Implementation Guidelines § 960.3-3 Consultation. The DOE shall provide to designated officials of the...

  17. Timer: a new objective measure of consultation content and its application to computer assisted consultations.

    PubMed Central

    Pringle, M; Robins, S; Brown, G

    1986-01-01

    As part of the research into the effect in the consultation of the use of a computer to prompt opportunistic preventive care a valid, objective, and practical measure of the consultation process was required. After a review of the alternative methods the Time Interval Medical Event Recorder (Timer) was developed, its reliability tested, and applied to 93 control consultations and 49 computer assisted consultations. Timer records, every five seconds, four consultation events: the problems being dealt with, the physical activity, the verbal activity, and the secondary tasks being attempted. Timer showed that control consultations lasted an average of 6 minutes 58 seconds. The doctors spent 35% of their time on administration, and patients and doctors were both conversational for just 33% of the consultation. Giving information was the most common verbal activity (48% of the duration of the consultation) with silence accounting for 21% of the time. When the computer was used the average consultation was longer, at 7 minutes and 46 seconds. The doctor's contribution to the consultation appeared to have increased. Patient centred speech fell from 36% in controls to 28% of the duration of the consultation when the computer was used, while doctor centred speech rose from 30% to 34.5%. Secondary tasks (exploring patient concepts, education, management sharing, and prevention) were attempted during 28% of the control consultations and 40% of the computer consultations. This was accounted for by the increase in prevention (p less than 0.001). Timer is a reliable and practical tool for researching the consultation, and though it has shown validity in detecting differences between consultations that use a computer and those that do not, further applications are required to establish its full value. PMID:3089391

  18. [Medicating outside the consulting room].

    PubMed

    Major, Csilla; Vincze, Zoltán; Meskó, Attiláné; Balogh, Judit; Zelkó, Romána; Németh, Erzsébet

    2007-02-18

    Self-medication is a means, besides changing one's lifestyle, of buying and taking non-prescription medicaments. This practice has several advantages. People save time and energy by not sitting for hours in the consulting room of the doctor with a simple ailment, and the doctors also have more time to deal with those requiring more serious treatment. Moreover, the expenditures of the state also decrease, as patients do not visit the doctor but buy non-prescription, i.e. non-supported, medicaments. The authors surveyed the habits and demands of a survey population concerning non-prescription medicaments, primarily in the pharmacies of Fejér county. A marketing research programme was completed in order to establish better co-operation between patients and pharmacists, within the framework of which 1450 questionnaires were distributed from March to June in 2005, 743 of which were completed and evaluated. The authors examined, whether there were differences within the answers given to professional questions (questions 1-25 of the questionnaire) through sex, age, qualifications and earning power. Answers were analyzed by statistical methods. Statistical analyses were carried out with the SPSS 13.0 program group. Those results were published, where significant differences were found. Half of the respondents take medicaments regularly, 65% of them watch advertisements about medicaments several times a day. 40% of those surveyed consult a professionally-qualified person about their decision before buying non-prescription medicaments. The population obtains much information from the brochures enclosed with medicaments, and almost 70% of them read these brochures. According to their opinions, when buying non-prescription products, pharmacists always recommend other possibilities as well, and they give details about the information concerning the application of the medicaments. In order for people to use non-prescription products properly, it would be definitely necessary to

  19. Patient expectations from consultation with family physician.

    PubMed

    Tähepold, Heli; van den Brink-Muinen, Atie; Maaroos, Heidi-Ingrid

    2006-02-01

    To assess patient expectations from a consultation with a family physician and determine the level and area of patient involvement in the communication process. We videotaped 403 consecutive patient-physician consultations in the offices of 27 Estonian family physicians. All videotaped patients completed a questionnaire about their expectations before and after the consultation. Patient assessment of expected and obtained psychosocial support and biomedical information during the consultation with physician were compared. Two investigators independently assessed patient involvement in the consultation process on the basis of videotaped consultations, using a 5-point scale. Receiving an explanation of biomedical information and discussing psychosocial aspects was assessed as important by 57.4-66.8% and 17.8-36.1% patients, respectively. The physicians did not meet patient expectations in the case of three biomedical aspects of consultation: cause of symptoms, severity of symptoms, and test results. Younger patients evaluated the importance of discussing psychological problems higher than older patients. The involvement of the patients was high in the problem defining process, in the physicians' overall responsiveness to the patients, and in their picking up of the patient's cues. The patients were involved less in the decision making process. Discussing biomedical issues was more important for the patients than discussing psychological issues. The patients wanted to hear more about the cause and seriousness of their symptoms and about test results. The family physicians provided more psychosocial care than the patients had expected. Considering high patient involvement in the consultation process and the overall responsiveness of the family physicians to the patients during the consultation, Estonian physicians provide patient-centered consultations.

  20. Consulting by Business College Academics: Lessons for Business Communication Courses

    ERIC Educational Resources Information Center

    Dave, Anish

    2009-01-01

    Business communication (BC) is a crucial aspect of management consulting. BC scholars have widely studied the relationship between BC and management consulting, including consulting by BC academics. A limited review of the studies of management consulting, including consulting done by business college academics, hereafter referred to simply as…

  1. Consulting by Business College Academics: Lessons for Business Communication Courses

    ERIC Educational Resources Information Center

    Dave, Anish

    2009-01-01

    Business communication (BC) is a crucial aspect of management consulting. BC scholars have widely studied the relationship between BC and management consulting, including consulting by BC academics. A limited review of the studies of management consulting, including consulting done by business college academics, hereafter referred to simply as…

  2. CONSULTATION ON UPDATED METHODOLOGY FOR ...

    EPA Pesticide Factsheets

    The National Academy of Sciences (NAS) expects to publish the Biological Effects of Ionizing Radiation (BEIR) committee's report (BEIR VII) on risks from ionizing radiation exposures in calendar year 2005. The committee is expected to have analyzed the most recent epidemiology from the important exposed cohorts and to have factored in any changes resulting from the updated analysis of dosimetry for the Japanese atomic bomb survivors. To the extent practical, the Committee will also consider any relevant radiobiological data, including those from the Department of Energy's low dose effects research program. Based on their evaluation of relevant information, the Committee is then expected to propose a set of models for estimating risks from low-dose ionizing radiation. ORIA will review the BEIR VII report and consider revisions to the Agency's methodology for estimating cancer risks from exposure to ionizing radiation in light of this report and other relevant information. This will be the subject of the Consultation. This project supports a major risk management initiative to improve the basis on which radiation risk decisions are made. This project, funded by several Federal Agencies, reflects an attempt to characterize risks where there are substantial uncertainties. The outcome will improve our ability to assess risks well into the future and will strengthen EPAs overall capability for assessing and managing radiation risks. the BEIR VII report is funde

  3. CONSULTATION ON UPDATED METHODOLOGY FOR ...

    EPA Pesticide Factsheets

    The National Academy of Sciences (NAS) expects to publish the Biological Effects of Ionizing Radiation (BEIR) committee's report (BEIR VII) on risks from ionizing radiation exposures in calendar year 2005. The committee is expected to have analyzed the most recent epidemiology from the important exposed cohorts and to have factored in any changes resulting from the updated analysis of dosimetry for the Japanese atomic bomb survivors. To the extent practical, the Committee will also consider any relevant radiobiological data, including those from the Department of Energy's low dose effects research program. Based on their evaluation of relevant information, the Committee is then expected to propose a set of models for estimating risks from low-dose ionizing radiation. ORIA will review the BEIR VII report and consider revisions to the Agency's methodology for estimating cancer risks from exposure to ionizing radiation in light of this report and other relevant information. This will be the subject of the Consultation. This project supports a major risk management initiative to improve the basis on which radiation risk decisions are made. This project, funded by several Federal Agencies, reflects an attempt to characterize risks where there are substantial uncertainties. The outcome will improve our ability to assess risks well into the future and will strengthen EPAs overall capability for assessing and managing radiation risks. the BEIR VII report is funde

  4. An automated consultant for MACSYMA

    NASA Technical Reports Server (NTRS)

    Genesereth, M. R.

    1977-01-01

    A consultant is necessary whenever on is faced with a problem solving situation in a domain one does not fully understand. The lack of knowledge may be incidental, as it is when the domain or device is fairly simple but time constraints make it impossible for the user to learn all that is necessary. Computer systems like MACSYMA in which the level of commands is so close to the level of the task environment that the user is apt to confuse a simply defined procedure (like COEFF) with its mathematical counterpart (here coefficient) that it at best approximates. A computer program is described which has the capability of conversing with its user in English about a difficulty he has encountered, and providing information tailored to his need. The MACSYMA Advisor is a program distinct from MACSYMA with its own separate data base and expertise. For convenience the program can be called directly from MACSYMA and can access the user's data structures contained therein. The Advisor described here deals only with the "straightline" or nested use of MACSYMA commands and not loops or user-defined functions. The implementation of the Advisor relies heavily on an explict, internal "model" of the user's state of knowledge, his goals, and his "plan" for achieving them.

  5. An automated consultant for MACSYMA

    NASA Technical Reports Server (NTRS)

    Genesereth, M. R.

    1977-01-01

    A consultant is necessary whenever on is faced with a problem solving situation in a domain one does not fully understand. The lack of knowledge may be incidental, as it is when the domain or device is fairly simple but time constraints make it impossible for the user to learn all that is necessary. Computer systems like MACSYMA in which the level of commands is so close to the level of the task environment that the user is apt to confuse a simply defined procedure (like COEFF) with its mathematical counterpart (here coefficient) that it at best approximates. A computer program is described which has the capability of conversing with its user in English about a difficulty he has encountered, and providing information tailored to his need. The MACSYMA Advisor is a program distinct from MACSYMA with its own separate data base and expertise. For convenience the program can be called directly from MACSYMA and can access the user's data structures contained therein. The Advisor described here deals only with the "straightline" or nested use of MACSYMA commands and not loops or user-defined functions. The implementation of the Advisor relies heavily on an explict, internal "model" of the user's state of knowledge, his goals, and his "plan" for achieving them.

  6. Cornell University remote sensing program. [New York State

    NASA Technical Reports Server (NTRS)

    Liang, T.; Philipson, W. R. (Principal Investigator); Stanturf, J. A.

    1980-01-01

    High altitude, color infrared aerial photography as well as imagery from Skylab and LANDSAT were used to inventory timber and assess potential sites for industrial development in New York State. The utility of small scale remotely sensed data for monitoring clearcutting in hardwood forests was also investigated. Consultation was provided regarding the Love Canal Landfill as part of environment protection efforts.

  7. Consultation in adolescence: hurried, terminable, interminable.

    PubMed

    Ruggiero, Irene

    2006-04-01

    The physiological ambivalence displayed by adolescents towards dependence on adults is an obstacle, at least initially, to a course of psychotherapy. A consultation is often the only thing that can be offered to start with, and constitutes an essential stage even for those teenagers who go on to prove themselves able to benefit from therapy or analysis. The way this first meeting is handled is therefore crucial. The author investigates the difficulties and paradoxes of this consultation, the particular nature of the 'time' of the consultation compared to that of therapy, and the different internal attitude this requires of the analyst. She thus identifies two separate configurations--a hurried consultation and an interminable consultation--which can result when the consultation fails in its primary objectives. Both are connected with possible collusive elements in the professional linked to specific adolescent angst. The very detailed account of a consultation shows the 'journey' made by a 14 yearold starting from her urgent request to be freed from a symptom experienced as an incomprehensible obstacle, to her gradual development of curiosity towards herself and towards her own mental and emotional make-up, resulting in her acceptance of therapeutic treatment, which would initially have been impossible.

  8. Postpartum consultation: Occurrence, requirements and expectations

    PubMed Central

    Carlgren, Ingrid; Berg, Marie

    2008-01-01

    Background As a matter of routine, midwives in Sweden have spoken with women about their experiences of labour in a so-called 'postpartum consultation'. However, the possibility of offering women this kind of consultation today is reduced due to shortage of both time and resources. The aim of this study was to explore the occurrence, women's requirements of, and experiences of a postpartum consultation, and to identify expectations from women who wanted but did not have a consultation with the midwife assisting during labour. Methods All Swedish speaking women who gave birth to a live born child at a University Hospital in western Sweden were consecutively included for a phone interview over a three-week period. An additional phone interview was conducted with the women who did not have a postpartum consultation, but who wanted to talk with the midwife assisting during labour. Data from the interviews were analysed using qualitative content analysis. Results Of the 150 interviewed women, 56% (n = 84) had a postpartum consultation of which 61.9% (n = 52) had this with the midwife assisting during labour. Twenty of the 28 women who did not have a consultation with anyone still desired to talk with the midwife assisting during labour. Of these, 19 were interviewed. The content the women wanted to talk about was summarized in four categories: to understand the course of events during labour; to put into words, feelings about undignified management; to describe own behaviour and feelings, and to describe own fear. Conclusion The survey shows that the frequency of postpartum consultation is decreasing, that the majority of women who give birth today still require it, but only about half of them receive it. It is crucial to develop a plan for these consultations that meets both the women's needs and the organization within current maternity care. PMID:18651967

  9. Transnational telepathology consultations using a basic digital microscope: experience in the Italy-Slovenjia INTERREG project "patient without borders".

    PubMed

    Intersimone, Donatella; Snoj, Viviana; Riosa, Franca; Bortolotti, Nicola; Sverko, Sandi; Beltrami, Carlo A; Della Mea, Vincenzo

    2011-03-30

    In recent years, a number of technological advancements started to modify the long standing appearance and functionalities of traditional optical microscopes used in Pathology and other medical fields. In fact, at present many new tools for microscopical visualization exist that are based on digital imaging, robotization, and remote communication. Such tools are typically adopted in activities ranging from education to telediagnosis to remote consultation. Present paper describes the features of a basic digital microscope that has been tested to verify its performance for occasional remote consultation inside an international project between Italy and Slovenija, funded by Interreg initiative of the European Regional Development Fund. The system is composed by a pair of digital microscopes (Leica DMD108, Leitz Microsystems, Wetzlar, Germany) associated to a high resolution videoconferencing systems (Tandberg 990, Lysaker, Norway). The systems are connected through the Internet. Sixty histology and cytology cases have been collaboratively diagnosed between two Pathology Institutes to verify the diagnostic performance of the system, regarding the image quality point of view as well as time needed for diagnosis. The system has also been tested for compatibility with standard videoconferencing software. No discrepancies between local and remote diagnoses have been identified, with diagnosis time reasonably close to typical microscope observation times. Time needed for most operations is not far from that needed on a traditional microscope, except for startup. The system can be considered usable as a standard microscope, and also for occasional remote consultations.

  10. Electronic Medical Consultation: A New Zealand Perspective

    PubMed Central

    Brebner, Campbell; Jones, Raymond; Marshall, Wendy; Parry, Graham

    2001-01-01

    Electronic medical consultation is available worldwide through access to the World Wide Web (WWW). This article outlines a research study on the adoption of electronic medical consultation as a means of health delivery. It focuses on the delivery of healthcare specifically for New Zealanders, by New Zealanders. It is acknowledged that the WWW is a global marketplace and that it is therefore difficult to identify New Zealanders' use of such a global market; nevertheless, we attempt to provide a New Zealand perspective on electronic medical consultation. PMID:11720955

  11. Overcoming Barriers to Palliative Care Consultation.

    PubMed

    Perrin, Kathleen Ouimet; Kazanowski, Mary

    2015-10-01

    Palliative care consultations for patients with life-threatening illnesses provide benefits for the patients and their families as well as for the health care team. Patients have better quality of life and live longer but cost the health care system less. Still, many patients are not offered the opportunity to receive a palliative care consultation. Barriers to palliative care consultation for patients in critical care units include misunderstandings about palliative care and not having agreed upon criteria for referral. Critical care nurses can assist in overcoming these barriers.

  12. Consultant relationships may pose liability risk.

    PubMed

    Imperato, Gabriel L

    2003-01-01

    Providers participating in Medicare, Medicaid, and other federal healthcare programs can be held liable for False Claims Act (FCA) violations committed by third-party consultants. No proof of intent to defraud is required to establish FCA liability. Providers can be fined triple the government's payment if they are found in violation of the FCA. Providers should examine prospective consultants' qualifications and ethical standards before entering into a contractual relationship. Providers that contract with attorneys, accountants, payment experts, and/or other third-party consultants need to monitor these relationships on an ongoing basis.

  13. [Structured electronic consultation letter for shoulder disorders].

    PubMed

    Paloneva, Juha; Oikari, Marjo; Ylinen, Jari; Ingalsuo, Minna; Ilkka, Kunnamo; Ilkka, Kiviranta

    2012-01-01

    Referral to a specialist has a significant influence on management of the patient and costs associated with the treatments. However, development and research of the process by which patients are referred has been almost neglected. Expectations considering the purpose, contents, and timing of the referral of the consulting physician and the consultant do not always meet. A structured, electronic consultation letter was developed to respond this need. Functionality and interactivity are the key elements of the referral, including (1) an electronic referral letter to a specialist, (2) interactive education in clinical examination and management of shoulder disorders, and (3) an instrument of clinical examination and documentation of shoulder disorders.

  14. A system for telephone and secure email consultations, with automatic billing.

    PubMed

    Rutland, Jonathan; Marie, Catherine; Rutland, Benjamin

    2004-01-01

    Doctors have traditionally provided medical advice during face-to-face consultations. A new remote consultation service has been developed based on an interactive voice response system and Internet-based technologies. If the doctor is unavailable, a return call can be requested at a mutually convenient time. The patient's credit card is billed automatically. All that is required of the doctor and patient is access to any telephone. A dial-in dictation and transcription facility allows documentation. The service was launched in late 2003. After six months, there were approximately 55 doctors registered in five Australian states and approximately 500 patients registered. Two hundred and fifty consultations were selected randomly for analysis. Of these, 84% were conducted by telephone and 16% by email. The mean fees charged were AUS$17.11 for telephone and AUS$12.93 for email consultations. The mean duration of telephone consultations was 4.3 min. Call duration ranged from a few seconds to 20.5 min.

  15. Remote Sensing

    NASA Technical Reports Server (NTRS)

    Rickman, Douglas

    2008-01-01

    Remote sensing is measuring something without touching it. Most methods measure a portion of the electro-magnetic spectrum using energy reflected from or emitted by a material. Moving the instrument away makes it easier to see more at one time. Airplanes are good but satellites are much better. Many things can not be easily measured on the scale of an individual person. Example - measuring all the vegetation growing at one time in even the smallest country. A satellite can see things over large areas repeatedly and in a consistent way. Data from the detector is reported as digital values for a grid that covers some portion of the Earth. Because it is digital and consistent a computer can extract information or enhance the data for a specific purpose.

  16. US--Japan energy policy consultations

    SciTech Connect

    Not Available

    1989-01-01

    These papers, from the US--Japan Energy Policy Consultations Meeting in Hawaii, deal with topics relating to: energy outlook; electric utilities; nuclear energy; coal and petroleum based energies; and new energy source development. (JF)

  17. 7 CFR 372.7 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 5 2014-01-01 2014-01-01 false Consultation. 372.7 Section 372.7 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE... Endangered Species Act....

  18. 7 CFR 372.7 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 5 2010-01-01 2010-01-01 false Consultation. 372.7 Section 372.7 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE... Endangered Species Act....

  19. 7 CFR 372.7 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 5 2011-01-01 2011-01-01 false Consultation. 372.7 Section 372.7 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE... Endangered Species Act....

  20. Quality Attestation for Clinical Ethics Consultants

    PubMed Central

    BRADDOCK, CLARENCE; COHN, FELICIA; DUBLER, NANCY NEVELOFF; DANIS, MARION; DERSE, ARTHUR R.; PEARLMAN, ROBERT A.; SMITH, MARTIN; TARZIAN, ANITA; YOUNGNER, STUART; KUCZEWSKI, MARK G.

    2016-01-01

    Given the importance of clinical ethics consultation to patient care, the people doing it should be asked to show that they do it well. An ASbH task force proposes a method for assessing them. PMID:24092588

  1. US--Japan energy policy consultations

    SciTech Connect

    Not Available

    1989-01-01

    These papers, from the US--Japan Energy Policy Consultations Meeting in Hawaii, deal with topics relating to: energy outlook; electric utilities; nuclear energy; coal and petroleum based energies; and new energy source development. (JF)

  2. 29 CFR 1691.12 - Interagency consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... enforcement procedures on that basis, an agency shall, to the extent practical, consult with the Chairman of... unlawful employment practices, the Department of Justice and/or EEOC shall, to the extent practical,...

  3. 30 CFR 35.3 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... MINING PRODUCTS FIRE-RESISTANT HYDRAULIC FLUIDS General Provisions § 35.3 Consultation. By appointment... Administration, Approval and Certification Center, 765 Technology Drive, Triadelphia, WV 26059, to discuss with...

  4. 30 CFR 35.3 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... MINING PRODUCTS FIRE-RESISTANT HYDRAULIC FLUIDS General Provisions § 35.3 Consultation. By appointment... Administration, Approval and Certification Center, 765 Technology Drive, Triadelphia, WV 26059, to discuss with...

  5. 30 CFR 35.3 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... MINING PRODUCTS FIRE-RESISTANT HYDRAULIC FLUIDS General Provisions § 35.3 Consultation. By appointment... Administration, Approval and Certification Center, 765 Technology Drive, Triadelphia, WV 26059, to discuss with...

  6. 30 CFR 35.3 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... MINING PRODUCTS FIRE-RESISTANT HYDRAULIC FLUIDS General Provisions § 35.3 Consultation. By appointment... Administration, Approval and Certification Center, 765 Technology Drive, Triadelphia, WV 26059, to discuss with...

  7. 30 CFR 35.3 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... MINING PRODUCTS FIRE-RESISTANT HYDRAULIC FLUIDS General Provisions § 35.3 Consultation. By appointment... Administration, Approval and Certification Center, 765 Technology Drive, Triadelphia, WV 26059, to discuss with...

  8. 30 CFR 27.3 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... MINING PRODUCTS METHANE-MONITORING SYSTEMS General Provisions § 27.3 Consultation. By appointment... qualified MSHA personnel proposed methane-monitoring systems to be submitted in accordance with...

  9. A Taoist Paradigm of EAP Consultation.

    ERIC Educational Resources Information Center

    Gerstein, Lawrence H.; Sturmer, Paul

    1993-01-01

    Describes new Taoist model as alternative approach to conceptualizing consultation process and to formulating successful, isomorphic interventions constructed to facilitate four change processes. Presents model stressing importance of interrelationships between individuals and groups; integrating repulsion and assimilation forces; balancing human…

  10. Technical Consulting: The African-American Perspective

    ERIC Educational Resources Information Center

    Whitfield, Tracy N.

    2010-01-01

    The qualitative research study explored the organizational characteristics necessary in addressing the low concentration of African American technical consultants employed in the information technology industry. Using research participants' professional experience, participants responded to a developed questionnaire. African American technical…

  11. 34 CFR 75.190 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Curricula Or Instructional Materials § 75.190 Consultation. Each applicant that intends to develop curricula or instructional materials under a grant is encouraged to assure that the curricula or materials...

  12. 30 CFR 27.3 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... MINING PRODUCTS METHANE-MONITORING SYSTEMS General Provisions § 27.3 Consultation. By appointment... qualified MSHA personnel proposed methane-monitoring systems to be submitted in accordance with...

  13. 30 CFR 27.3 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... MINING PRODUCTS METHANE-MONITORING SYSTEMS General Provisions § 27.3 Consultation. By appointment... qualified MSHA personnel proposed methane-monitoring systems to be submitted in accordance with the...

  14. 30 CFR 27.3 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... MINING PRODUCTS METHANE-MONITORING SYSTEMS General Provisions § 27.3 Consultation. By appointment... qualified MSHA personnel proposed methane-monitoring systems to be submitted in accordance with the...

  15. 30 CFR 27.3 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... MINING PRODUCTS METHANE-MONITORING SYSTEMS General Provisions § 27.3 Consultation. By appointment... qualified MSHA personnel proposed methane-monitoring systems to be submitted in accordance with the...

  16. Technical Consulting: The African-American Perspective

    ERIC Educational Resources Information Center

    Whitfield, Tracy N.

    2010-01-01

    The qualitative research study explored the organizational characteristics necessary in addressing the low concentration of African American technical consultants employed in the information technology industry. Using research participants' professional experience, participants responded to a developed questionnaire. African American technical…

  17. 31 CFR 561.803 - Consultations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Consultations. In implementing sections 104 and 104A of the Comprehensive Iran Sanctions, Accountability, and Divestment Act of 2010 (Pub. L. 111-195) (22 U.S.C. 8501-8551), as amended by the Iran Threat Reduction and...

  18. 31 CFR 561.803 - Consultations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Consultations. In implementing sections 104 and 104A of the Comprehensive Iran Sanctions, Accountability, and Divestment Act of 2010 (Pub. L. 111-195) (22 U.S.C. 8501-8551), as amended by the Iran Threat Reduction and...

  19. 34 CFR 75.190 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Curricula Or Instructional Materials § 75.190 Consultation. Each applicant that intends to develop curricula or instructional materials under a grant is encouraged to assure that the curricula or materials will...

  20. Nurse consultants. Room at the top.

    PubMed

    Reid, B; Metcalfe, A

    2001-07-12

    The role of nurse consultant needs to be embedded in trust culture if it is to achieve its potential. The process of defining key competencies can enhance the organisation's ownership. The post needs to be evaluated at local level.

  1. From staff nurse to nurse consultant.

    PubMed

    Fowler, John

    John Fowler Independent education consultant, continues his series for clinical nurses hoping to share their experiences with a wider audience, with advice on developing a potential article for a professional journal.

  2. 24 CFR 91.110 - Consultation; states.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... of homelessness, the State must consult with: (1) Each Continuum of Care within the state; (2) Public... systems of care that may discharge persons into homelessness (such as health-care facilities,...

  3. 24 CFR 91.110 - Consultation; States.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... of homelessness, the State must consult with: (1) Each Continuum of Care within the state; (2) Public... systems of care that may discharge persons into homelessness (such as health-care facilities,...

  4. 24 CFR 91.110 - Consultation; States.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... of homelessness, the State must consult with: (1) Each Continuum of Care within the state; (2) Public... systems of care that may discharge persons into homelessness (such as health-care facilities,...

  5. Teaching Medical Students, what do Consultants think?

    PubMed

    Darragh, Lynn; Baker, Robin; Kirk, Stephen

    2015-01-01

    The approach to and delivery of medical student education has undergone significant change within the last decade. There has been a shift away from didactic lectures to small group tutorials, facilitated by clinicians. Anecdotally there is an impression that enthusiasm for teaching is waning. The aim of this qualitative study is to assess the current attitudes of consultants, across all specialities, to teaching medical students in small group settings. A Likert scale questionnaire, relating to teaching medical students in small group tutorials, was distributed via email to all consultants working in one region. Questions considered the categories: attitudes to teaching, financial considerations, time constraints and attitudes to students. 367 responses were received. 72% of responders were actively involved in teaching. 72% of respondents indicated that medical students should be taught by consultants and 80% felt that teaching medical students was enjoyable. 60% felt they were not financially remunerated for teaching and 50% indicated teaching was not included in job plans; despite this a significant proportion of these respondents remain involved in teaching (68%). Non-teachers were more likely to indicate that teaching was not paid for (p=0.003). 78% indicated consultants do not have adequate time to teach medical students. 82% felt that medical students appreciate consultant led teaching but only 55% felt students had an appropriate level of enthusiasm for learning. Consultants in this Deanery are actively involved in medical student teaching and enjoy it. Consultants perceive that they are not adequately financially rewarded but for the most part this is not a deterrent. Time constraints are an issue and there is a desire to have teaching included in job plans to counteract this. Most consultants are complimentary about student attitudes but there is a perception that medical students need to contribute more to their own learning.

  6. Global Grid Telemedicine System: Expert Consult Manager

    DTIC Science & Technology

    2000-10-01

    system, and the Consult Broker has to use its knowledge of dental procedures to identify patients most 9 similar to the new consultation (case-based...contains a specific set of functionality that helps enable the GGTS to manage the communications network. 19 Forward Health Care Patient Movement...Form 513). The fields of the dentistry system contain patient demographic data, patient location, referring physician data and location, 37

  7. Verbal prescribing in general practice consultations.

    PubMed

    Gibson, Mark; Neil Jenkings, K; Wilson, Rob; Purves, Ian

    2006-09-01

    This paper looks at aspects of doctor-patient communication and focuses on how prescribing decisions fit into the consultation within the context of the use (and non-use) of a technological clinical decision support system (CDSS) in the UK. Analysis of 6 simulated consultations filmed as part of the evaluation of a CDSS system indicated that the general practitioners (GPs) used their computers for a short time during consultations. The data showed that doctors' utterances, occurring at an early stage of the consultations, signalled the prescribing decision and eventual outcome of the consultation. The concept of 'verbal prescriptions' is used to describe these utterances of the GPs, and facilitates an understanding of how prescribing decisions are routinely achieved. Prescribing decisions can occur in the relatively early stages of the consultation, and both prior to and independently of the CDSS. Consequently, we suggest that the pattern of GP decision-making needs to be taken into account in CDSS design. However, this is not just an issue for CDSS design and implementation, as the verbal prescription phenomenon may impact upon patient involvement in decision-making, and even the appropriate use of evidence based medicine.

  8. Remote microscopy through the internet.

    PubMed

    Szymaś, J; Wolf, G

    1999-01-01

    A fully robotic microscope Axioplan2 (Zeiss) and CCD camera (RGB-Sony) mounted on this microscope have been connected to a computer dedicated as an Internet server. This server is available by means of an Internet browser with an interpreter of the Java programming language. We have used Java technology for remote control this full-motorized telemicroscope. The Java program for microscope control is automatically downloaded and started when the user selects the Web site of the corresponding microscope server with his Internet browser. At the client's side, there is no need for any additional software except for what is included in Netscape Navigator 3.0, Microsoft Explorer 3.0 or its later versions. Our remote microscope can be remotely controlled from any place in the world through the Internet. The user can move the microscope stage, change the magnification or can execute any other microscope operations by pressing the related buttons of the downloaded telemicroscopy client program. The microscope server receives the commands from the client program, executes the operation on the microscope and after every new command distributes the next microscope image to the connected telemicroscopy clients. There are also software modules which allow marking a field of interest in the image and discuss. Every Internet user can control the remote microscope and discuss the images with others who have direct access to the Internet on-line, or are connected by modem or ISDN. The quality of the transferred microscopic images and response time is sufficient for practical use. No complicated installation processes are necessary and the system is easy to use. The system design makes every pathologist, who is the Internet user, to be a possible consultant.

  9. Remote Observational Techniques in Education

    NASA Astrophysics Data System (ADS)

    Thieman, J.; Mayo, L.

    2002-09-01

    The ability to observe celestial objects remotely is making a major impact into classroom access to astronomical instrumentation previously impossible to encorporate into curriculum. Two programs, Radio Jove and Telescopes In Education have made important contributions in this field. Radio JOVE is an interactive, hands-on, educational activity for learning the scientific method through the medium of radio observations of Jupiter, the Sun, and the galactic radio background. Students build radio receivers from relatively inexpensive non-profit kits (about \\$125 plus shipping) and use them to record data, analyze the data, and share the results with others. Alternatively, for no cost, the students can record and analyze data from remote radio receivers connected to the web. The projects are useful adjuncts to activities in optical observing since students should recognize that we learn about the universe through more than just the optical spectrum. The projects are mini-electronics courses and also teach about charged particles and magnetic fields. The Radio JOVE web site (http://radiojove.gsfc.nasa.gov) should be consulted for further information. The NASA-sponsored Telescopes In Education (TIE) network (http://tie.jpl.nasa.gov) has been wildly successful in engaging the K-12 education community in real-time, hands-on, interactive astronomy activities. Hundreds of schools in the US, Australia, Canada, England, and Japan have participated in the TIE program, remotely controlling the 24-inch telescope at the Mount Wilson Observatory from their classrooms. In recent years, several (approximately 20 to date) other telescopes have been, or are in the process of being, outfitted for remote use as TIE affiliates. These telescopesare integrated seamlessly into one virtual observatory providing the services required to operate this facility, including a scheduling service, tools for data manipulation, an online proposal review environment, an online "Virtual TIE Student Ap J

  10. Multiple node remote messaging

    DOEpatents

    Blumrich, Matthias A.; Chen, Dong; Gara, Alan G.; Giampapa, Mark E.; Heidelberger, Philip; Ohmacht, Martin; Salapura, Valentina; Steinmacher-Burow, Burkhard; Vranas, Pavlos

    2010-08-31

    A method for passing remote messages in a parallel computer system formed as a network of interconnected compute nodes includes that a first compute node (A) sends a single remote message to a remote second compute node (B) in order to control the remote second compute node (B) to send at least one remote message. The method includes various steps including controlling a DMA engine at first compute node (A) to prepare the single remote message to include a first message descriptor and at least one remote message descriptor for controlling the remote second compute node (B) to send at least one remote message, including putting the first message descriptor into an injection FIFO at the first compute node (A) and sending the single remote message and the at least one remote message descriptor to the second compute node (B).

  11. Early e-consultation face-to-face conversions.

    PubMed

    Pecina, Jennifer L; North, Frederick

    2016-07-01

    E-consultations are asynchronous, text-based consultations. The specialist e-consultant answers clinical questions in a similar way to a standard consultation but the questions and answers are sent electronically. The e-consultant has access to some or all of the medical record but does not have contact with the patient. Although e-consultations are meant to substitute for face-to-face (F2F) consultations, a significant proportion of e-consultations are converted to F2F consultations. We examined e-consultation content from a sample of e-consultations that had subsequent F2F visits in the same specialty as the e-consultation within 28 days of the e-consultation. Out of 5115 e-consultations, there were a total of 547 (10.7%) early F2F conversions. One hundred and fifty-one e-consultations with subsequent early F2F conversions were reviewed in eight specialties. In 64% of the F2F conversions, specialists recommended the F2F consultations. In 75% there were complex diagnostic or treatment considerations. In only 1% was there a sense of medical urgency or a stated need for physical examination. E-consultations convert to F2F consultations primarily at the request of the specialist. Diagnostic and treatment complexity appear to be the main reasons. We found little evidence that patients decided independently to get a F2F visit or that specialists needed a F2F visit to perform a physical examination. Although e-consultations might not be a complete substitute for F2F consultations, they may serve as an entry level consultation that could be supplemented by a video consultation as needed for cases with more diagnostic and treatment complexity. © The Author(s) 2015.

  12. Propagation Limitations in Remote Sensing.

    DTIC Science & Technology

    Contents: Multi-sensors and systems in remote sensing ; Radar sensing systems over land; Remote sensing techniques in oceanography; Influence of...propagation media and background; Infrared techniques in remote sensing ; Photography in remote sensing ; Analytical studies in remote sensing .

  13. Nurse consultants: organizational influences on role achievement.

    PubMed

    Woodward, Valerie A; Webb, Christine; Prowse, Morag

    2006-03-01

    This paper reports on organizational influences on nurse consultant post holders. The influence of individual characteristics has been the subject of another paper. Nurse consultant posts were set up in the United Kingdom from the late 1990s onwards and, therefore, there has been little opportunity to report on evaluations of these innovative initiatives. A cross-sectional design, using a convenience sample, was adopted. Ten nurse consultants working in a variety of settings and specialties participated in in-depth, tape-recorded interviews. The data were analysed using the Framework approach. Support systems were important influences on nurse consultants' role achievement levels. These took the form of internal trust networks, nurse consultant forums and links with higher education institutions. Post holders both gave and received support and acted to empower other nurses. Thus, relationships were vital to successful role integration. The culture and structures of the National Health System were also a powerful influence in terms of local and national modernization policies, and participants had to be careful in their choice of strategies to deal with the traditional medically dominated culture. The new nurse consultant role is challenging and innovative, but a major area of contention is how much post holders are expected to take on work previously done by doctors rather than developing their nursing role. Organizational support and commitment are needed if nurse consultants are to maximize the benefits of this innovation. The findings show that new nursing roles are not always easily accepted in multidisciplinary settings and that holders of such post need to have the appropriate previous knowledge, skills and personal characteristics, as well as the ability to negotiate their way through organizational influences.

  14. Principles of effective consultation: an update for the 21st-century consultant.

    PubMed

    Salerno, Stephen M; Hurst, Frank P; Halvorson, Stephanie; Mercado, Donna L

    2007-02-12

    Little information in the literature exists to guide consult interactions between different medical specialties. A total of 323 general internists, family medicine physicians, general surgeons, orthopedic surgeons, and obstetricians/gynecologists (OB/GYNs) from 3 academic medical centers completed a survey addressing their ideal relationship with consultants. Differences between surgeons and nonsurgeons were calculated using logistic regression, adjusting for location and trainee status. Differences between different specialties of surgeons were calculated using analysis of variance with Scheffe post hoc analysis There was a 72% response rate. About half of respondents were surgeons and the rest were general internists and family medicine physicians. More nonsurgeons (69%) desired the consultant to focus on a narrow question than did surgeons (41%). Over half (59%) of family medicine physicians and internists preferred to retain order-writing authority on their patients compared with 37% of surgeons (P<.001). Of the surgeons preferring to retain authority, 70% believed it was appropriate for consultants to write orders after a verbal discussion. Orthopedic surgeons desired consultants to write orders and co-manage patients significantly more compared with general surgeons and OB/GYNs (P<.001). Only 29% of physicians thought literature references were useful in consultations. Most physicians (75%) desired direct verbal communication with the specialist providing the consultation. Most family physicians (78%) believed there was little need for general internal medicine input, preferring to consult medicine subspecialists directly. Specialty-dependent differences exist in consult preferences of physicians. These differences vary from the extremes of orthopedic surgeons desiring a comprehensive co-management approach with the consultant to general internists and family medicine physicians desiring to retain control over order writing and have a more focused consultant

  15. [Thematic Issue: Remote Sensing.

    ERIC Educational Resources Information Center

    Howkins, John, Ed.

    1978-01-01

    Four of the articles in this publication discuss the remote sensing of the Earth and its resources by satellites. Among the topics dealt with are the development and management of remote sensing systems, types of satellites used for remote sensing, the uses of remote sensing, and issues involved in using information obtained through remote…

  16. [Thematic Issue: Remote Sensing.

    ERIC Educational Resources Information Center

    Howkins, John, Ed.

    1978-01-01

    Four of the articles in this publication discuss the remote sensing of the Earth and its resources by satellites. Among the topics dealt with are the development and management of remote sensing systems, types of satellites used for remote sensing, the uses of remote sensing, and issues involved in using information obtained through remote…

  17. Developing Levels of Consultation in an Inner London Borough

    ERIC Educational Resources Information Center

    Dowd, Rose; Thorne, Hilary

    2007-01-01

    Many educational psychology services across the country have changed or are in the process of changing to a consultation approach to service delivery. This paper outlines the experiences of an inner city service in the development of consultation particularly in the area of group consultation. Group consultation involves a pair of educational…

  18. Integrative Learning at Work: Theory into Practice at Andersen Consulting.

    ERIC Educational Resources Information Center

    Montgomery, Joel R.

    Andersen Consulting is a global training firm with more than 20,000 consultants serving clients from 151 officers in 46 countries. In 1995, Andersen Consulting introduced a career development model (CDM) as a new organizing structure for its consultants in North and South America. The CDM, which translates the findings of research on integrative…

  19. Language in Consultation: The Effect of Affect and Verb Tense

    ERIC Educational Resources Information Center

    Newman, Daniel S.; Guiney, Meaghan C.; Barrett, Courtenay A.

    2017-01-01

    This study was an exploration of school consultation interactions between instructional consultants and consultees. Of specific interest was how consultants (n = 18) and consultees (n = 18) used verb tense and emotion words during the problem identification and analysis instructional consultation stage, similarities and differences in…

  20. Consultation: Enhancing Leisure Service Delivery to Handicapped Children and Youth.

    ERIC Educational Resources Information Center

    Goldstein, Judith E., Ed.

    The document provides guidelines for consultants in the area of consultation in delivery of leisure services for handicapped children and youth. Included are chapters with the following titles and authors: "The Consultant-Consultee Relationship" (G. O'Morrow), "A Special Education Viewpoint: Consultation in the Public Schools" (S. Brannan),…

  1. 42 CFR 493.1457 - Standard; Clinical consultant responsibilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Standard; Clinical consultant responsibilities. 493... Testing Laboratories Performing High Complexity Testing § 493.1457 Standard; Clinical consultant responsibilities. The clinical consultant provides consultation regarding the appropriateness of the...

  2. 42 CFR 493.1419 - Standard; Clinical consultant responsibilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Standard; Clinical consultant responsibilities. 493... Testing Laboratories Performing Moderate Complexity Testing § 493.1419 Standard; Clinical consultant responsibilities. The clinical consultant provides consultation regarding the appropriateness of the...

  3. 42 CFR 493.1419 - Standard; Clinical consultant responsibilities.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Standard; Clinical consultant responsibilities. 493... Testing Laboratories Performing Moderate Complexity Testing § 493.1419 Standard; Clinical consultant responsibilities. The clinical consultant provides consultation regarding the appropriateness of the testing...

  4. 49 CFR 260.29 - Third party consultants.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Third party consultants. 260.29 Section 260.29... consultants. Applicants may utilize independent third-party consultants to prepare a financial evaluation of... to process the application. We encourage the use of third party consultants. ...

  5. 24 CFR 200.192 - Removal of 203(k) consultant.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 2 2011-04-01 2011-04-01 false Removal of 203(k) consultant. 200... Participation in FHA Programs Section 203(k) Rehabilitation Loan Consultants § 200.192 Removal of 203(k) consultant. (a) Cause for removal. HUD may remove a consultant from the list for any cause that HUD...

  6. 42 CFR 493.1417 - Standard; Clinical consultant qualifications.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Standard; Clinical consultant qualifications. 493... Testing Laboratories Performing Moderate Complexity Testing § 493.1417 Standard; Clinical consultant qualifications. The clinical consultant must be qualified to consult with and render opinions to the laboratory's...

  7. 42 CFR 493.1457 - Standard; Clinical consultant responsibilities.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Standard; Clinical consultant responsibilities. 493... Testing Laboratories Performing High Complexity Testing § 493.1457 Standard; Clinical consultant responsibilities. The clinical consultant provides consultation regarding the appropriateness of the testing...

  8. 24 CFR 200.191 - Placement of 203(k) consultant.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 2 2014-04-01 2014-04-01 false Placement of 203(k) consultant. 200... Participation in FHA Programs Section 203(k) Rehabilitation Loan Consultants § 200.191 Placement of 203(k) consultant. (a) Application. To be considered for placement on the list, a consultant must apply to HUD using...

  9. 42 CFR 493.1417 - Standard; Clinical consultant qualifications.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Standard; Clinical consultant qualifications. 493... Testing Laboratories Performing Moderate Complexity Testing § 493.1417 Standard; Clinical consultant qualifications. The clinical consultant must be qualified to consult with and render opinions to the laboratory's...

  10. 49 CFR 260.29 - Third party consultants.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Third party consultants. 260.29 Section 260.29... consultants. Applicants may utilize independent third-party consultants to prepare a financial evaluation of... to process the application. We encourage the use of third party consultants. ...

  11. 42 CFR 493.1419 - Standard; Clinical consultant responsibilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Standard; Clinical consultant responsibilities. 493... Testing Laboratories Performing Moderate Complexity Testing § 493.1419 Standard; Clinical consultant responsibilities. The clinical consultant provides consultation regarding the appropriateness of the testing...

  12. 24 CFR 200.191 - Placement of 203(k) consultant.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 2 2012-04-01 2012-04-01 false Placement of 203(k) consultant. 200... Participation in FHA Programs Section 203(k) Rehabilitation Loan Consultants § 200.191 Placement of 203(k) consultant. (a) Application. To be considered for placement on the list, a consultant must apply to HUD using...

  13. 49 CFR 260.29 - Third party consultants.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 4 2014-10-01 2014-10-01 false Third party consultants. 260.29 Section 260.29... consultants. Applicants may utilize independent third-party consultants to prepare a financial evaluation of... to process the application. We encourage the use of third party consultants. ...

  14. 24 CFR 200.192 - Removal of 203(k) consultant.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 2 2012-04-01 2012-04-01 false Removal of 203(k) consultant. 200... Participation in FHA Programs Section 203(k) Rehabilitation Loan Consultants § 200.192 Removal of 203(k) consultant. (a) Cause for removal. HUD may remove a consultant from the list for any cause that HUD...

  15. 42 CFR 493.1419 - Standard; Clinical consultant responsibilities.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Standard; Clinical consultant responsibilities. 493... Testing Laboratories Performing Moderate Complexity Testing § 493.1419 Standard; Clinical consultant responsibilities. The clinical consultant provides consultation regarding the appropriateness of the testing...

  16. 42 CFR 22.3 - Appointment of special consultants.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Appointment of special consultants. 22.3 Section 22... OTHER THAN COMMISSIONED OFFICERS Special Consultants § 22.3 Appointment of special consultants. (a) When the Public Health Service requires the services of consultants who cannot be obtained when needed...

  17. Participants' Evaluation of Consultation: Implications for Training in School Psychology

    ERIC Educational Resources Information Center

    Klose, Laurie McGarry; Plotts, Cynthia; Lasser, Jon

    2012-01-01

    Evaluation of graduate students' consultation skills is essential to competent practice in school settings. Congruence of evaluation of the consultation experience has been shown as an important factor in the development of competent consultants in other, related disciplines. The current study analysed student consultant and teacher consultee…

  18. 42 CFR 493.1417 - Standard; Clinical consultant qualifications.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Standard; Clinical consultant qualifications. 493... Testing Laboratories Performing Moderate Complexity Testing § 493.1417 Standard; Clinical consultant qualifications. The clinical consultant must be qualified to consult with and render opinions to the laboratory's...

  19. 42 CFR 22.3 - Appointment of special consultants.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Appointment of special consultants. 22.3 Section 22... OTHER THAN COMMISSIONED OFFICERS Special Consultants § 22.3 Appointment of special consultants. (a) When the Public Health Service requires the services of consultants who cannot be obtained when needed...

  20. 42 CFR 493.1413 - Standard; Technical consultant responsibilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Standard; Technical consultant responsibilities... consultant responsibilities. The technical consultant is responsible for the technical and scientific oversight of the laboratory. The technical consultant is not required to be onsite at all times testing is...

  1. 42 CFR 493.1413 - Standard; Technical consultant responsibilities.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Standard; Technical consultant responsibilities... consultant responsibilities. The technical consultant is responsible for the technical and scientific oversight of the laboratory. The technical consultant is not required to be onsite at all times testing is...

  2. 42 CFR 493.1457 - Standard; Clinical consultant responsibilities.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Standard; Clinical consultant responsibilities. 493... Testing Laboratories Performing High Complexity Testing § 493.1457 Standard; Clinical consultant responsibilities. The clinical consultant provides consultation regarding the appropriateness of the testing...

  3. 42 CFR 493.1419 - Standard; Clinical consultant responsibilities.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Standard; Clinical consultant responsibilities. 493... Testing Laboratories Performing Moderate Complexity Testing § 493.1419 Standard; Clinical consultant responsibilities. The clinical consultant provides consultation regarding the appropriateness of the testing...

  4. 24 CFR 200.192 - Removal of 203(k) consultant.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 2 2014-04-01 2014-04-01 false Removal of 203(k) consultant. 200... Participation in FHA Programs Section 203(k) Rehabilitation Loan Consultants § 200.192 Removal of 203(k) consultant. (a) Cause for removal. HUD may remove a consultant from the list for any cause that HUD...

  5. 42 CFR 22.3 - Appointment of special consultants.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Appointment of special consultants. 22.3 Section 22... OTHER THAN COMMISSIONED OFFICERS Special Consultants § 22.3 Appointment of special consultants. (a) When the Public Health Service requires the services of consultants who cannot be obtained when needed...

  6. 49 CFR 260.29 - Third party consultants.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 4 2013-10-01 2013-10-01 false Third party consultants. 260.29 Section 260.29... consultants. Applicants may utilize independent third-party consultants to prepare a financial evaluation of... to process the application. We encourage the use of third party consultants. ...

  7. 24 CFR 200.192 - Removal of 203(k) consultant.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 2 2013-04-01 2013-04-01 false Removal of 203(k) consultant. 200... Participation in FHA Programs Section 203(k) Rehabilitation Loan Consultants § 200.192 Removal of 203(k) consultant. (a) Cause for removal. HUD may remove a consultant from the list for any cause that HUD...

  8. 42 CFR 493.1417 - Standard; Clinical consultant qualifications.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Standard; Clinical consultant qualifications. 493... Testing Laboratories Performing Moderate Complexity Testing § 493.1417 Standard; Clinical consultant qualifications. The clinical consultant must be qualified to consult with and render opinions to the laboratory's...

  9. 42 CFR 493.1413 - Standard; Technical consultant responsibilities.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Standard; Technical consultant responsibilities... consultant responsibilities. The technical consultant is responsible for the technical and scientific oversight of the laboratory. The technical consultant is not required to be onsite at all times testing is...

  10. 42 CFR 493.1413 - Standard; Technical consultant responsibilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Standard; Technical consultant responsibilities... consultant responsibilities. The technical consultant is responsible for the technical and scientific oversight of the laboratory. The technical consultant is not required to be onsite at all times testing is...

  11. 42 CFR 493.1457 - Standard; Clinical consultant responsibilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Standard; Clinical consultant responsibilities. 493... Testing Laboratories Performing High Complexity Testing § 493.1457 Standard; Clinical consultant responsibilities. The clinical consultant provides consultation regarding the appropriateness of the testing...

  12. 42 CFR 493.1417 - Standard; Clinical consultant qualifications.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Standard; Clinical consultant qualifications. 493... Testing Laboratories Performing Moderate Complexity Testing § 493.1417 Standard; Clinical consultant qualifications. The clinical consultant must be qualified to consult with and render opinions to the laboratory's...

  13. 42 CFR 493.1413 - Standard; Technical consultant responsibilities.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Standard; Technical consultant responsibilities... consultant responsibilities. The technical consultant is responsible for the technical and scientific oversight of the laboratory. The technical consultant is not required to be onsite at all times testing is...

  14. 24 CFR 200.191 - Placement of 203(k) consultant.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 2 2011-04-01 2011-04-01 false Placement of 203(k) consultant. 200... Participation in FHA Programs Section 203(k) Rehabilitation Loan Consultants § 200.191 Placement of 203(k) consultant. (a) Application. To be considered for placement on the list, a consultant must apply to HUD using...

  15. 42 CFR 22.3 - Appointment of special consultants.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Appointment of special consultants. 22.3 Section 22... OTHER THAN COMMISSIONED OFFICERS Special Consultants § 22.3 Appointment of special consultants. (a) When the Public Health Service requires the services of consultants who cannot be obtained when needed...

  16. 42 CFR 493.1457 - Standard; Clinical consultant responsibilities.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Standard; Clinical consultant responsibilities. 493... Testing Laboratories Performing High Complexity Testing § 493.1457 Standard; Clinical consultant responsibilities. The clinical consultant provides consultation regarding the appropriateness of the testing...

  17. 49 CFR 260.29 - Third party consultants.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Third party consultants. 260.29 Section 260.29... consultants. Applicants may utilize independent third-party consultants to prepare a financial evaluation of... to process the application. We encourage the use of third party consultants. ...

  18. 24 CFR 200.191 - Placement of 203(k) consultant.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 2 2013-04-01 2013-04-01 false Placement of 203(k) consultant. 200... Participation in FHA Programs Section 203(k) Rehabilitation Loan Consultants § 200.191 Placement of 203(k) consultant. (a) Application. To be considered for placement on the list, a consultant must apply to HUD using...

  19. 42 CFR 22.3 - Appointment of special consultants.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Appointment of special consultants. 22.3 Section 22... OTHER THAN COMMISSIONED OFFICERS Special Consultants § 22.3 Appointment of special consultants. (a) When the Public Health Service requires the services of consultants who cannot be obtained when needed...

  20. An Exploratory Study in School Counselor Consultation Engagement

    ERIC Educational Resources Information Center

    Perera-Diltz, Dilani M.; Moe, Jeffry L.; Mason, Kimberly L.

    2011-01-01

    Consultation, an indirect school counselor service, is provided by 79% (n = 998) school counselor currently. Most frequently consultation occurs with teachers, parents, and principals. MANOVA and post hoc analysis indicate differences in consultation practices across academic levels. Choosing a consultation model based on the type of service…

  1. School Consultation Research: Methodological Critique and Future Research Directions.

    ERIC Educational Resources Information Center

    Gresham, Frank M.; Kendell, Ginger K.

    1987-01-01

    This article reviews the current status of school consultation research and critiques the research methodologies used in consultation research. Major theoretical models in which consultation research has been conducted are briefly described. Consultation research is reviewed in three primary areas of investigation: (1) outcome research; (2)…

  2. Educational Consultation: A Summary of Four Alberta Studies.

    ERIC Educational Resources Information Center

    Holdaway, Edward A.; Millikan, Ross H.

    1980-01-01

    Evaluates the effectiveness of the consultative process, as determined by four reviewed studies. Discusses consultative needs and practices of teachers in schools of different grade levels, and stresses the importance of peer consultation. Suggests recommendations for improving the practice of educational consultation. (JD)

  3. 29 CFR 1690.303 - Consultation with affected agencies.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 4 2012-07-01 2012-07-01 false Consultation with affected agencies. 1690.303 Section 1690....303 Consultation with affected agencies. At the start of consultation, the EEOC shall determine which other agencies would be affected by the proposed issuance, and the initiating agency shall consult with...

  4. 29 CFR 1690.303 - Consultation with affected agencies.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 4 2010-07-01 2010-07-01 false Consultation with affected agencies. 1690.303 Section 1690....303 Consultation with affected agencies. At the start of consultation, the EEOC shall determine which other agencies would be affected by the proposed issuance, and the initiating agency shall consult with...

  5. 29 CFR 1690.303 - Consultation with affected agencies.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 4 2014-07-01 2014-07-01 false Consultation with affected agencies. 1690.303 Section 1690....303 Consultation with affected agencies. At the start of consultation, the EEOC shall determine which other agencies would be affected by the proposed issuance, and the initiating agency shall consult with...

  6. 29 CFR 1690.303 - Consultation with affected agencies.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 4 2013-07-01 2013-07-01 false Consultation with affected agencies. 1690.303 Section 1690....303 Consultation with affected agencies. At the start of consultation, the EEOC shall determine which other agencies would be affected by the proposed issuance, and the initiating agency shall consult with...

  7. 29 CFR 1690.303 - Consultation with affected agencies.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 4 2011-07-01 2011-07-01 false Consultation with affected agencies. 1690.303 Section 1690....303 Consultation with affected agencies. At the start of consultation, the EEOC shall determine which other agencies would be affected by the proposed issuance, and the initiating agency shall consult with...

  8. How to Find and Use a Good Consultant.

    ERIC Educational Resources Information Center

    Richards, Dennis E.

    Guidelines which explain five phases of the consulting process are offered to educators contemplating the employment of consultants. Discussion of the first phase, "contact/entry," contains seven tips to consider before hiring a consultant and six tips on forming the base of the working relationship with the consultant. The second phase,…

  9. 41 CFR 102-78.30 - Who are consulting parties?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Who are consulting... Preservation § 102-78.30 Who are consulting parties? As more particularly described in 36 CFR 800.2(c), consulting parties are those parties having consultative roles in the Section 106 process (i.e., Section 106...

  10. Participants' Evaluation of Consultation: Implications for Training in School Psychology

    ERIC Educational Resources Information Center

    Klose, Laurie McGarry; Plotts, Cynthia; Lasser, Jon

    2012-01-01

    Evaluation of graduate students' consultation skills is essential to competent practice in school settings. Congruence of evaluation of the consultation experience has been shown as an important factor in the development of competent consultants in other, related disciplines. The current study analysed student consultant and teacher consultee…

  11. Therapists’ Perspectives on the Effective Elements of Consultation Following Training

    PubMed Central

    Beidas, Rinad S.; Edmunds, Julie M.; Cannuscio, Carolyn C.; Gallagher, Mark; Downey, Margaret Mary; Kendall, Philip C.

    2013-01-01

    Consultation is an effective implementation strategy to improve uptake of evidence-based practices for youth. However, little is known about what makes consultation effective. The present study used qualitative methods to explore therapists’ perspectives about consultation. We interviewed 50 therapists who had been trained 2 years prior in cognitive-behavioral therapy for child anxiety. Three themes emerged regarding effective elements of consultation: (1) connectedness with other therapists and the consultant, (2) authentic interactions around actual cases, and (3) the responsiveness of the consultant to the needs of individual therapists. Recommendations for the design of future consultation endeavors are offered. PMID:23435832

  12. The professional status of bioethics consultation.

    PubMed

    Cummins, Deborah

    2002-01-01

    Is bioethics consultation a profession? With few exceptions, the arguments and counterarguments about whether healthcare ethics consultation is a profession have ignored the historical and cultural development of professions in the United States, the ways social changes have altered the work and boundaries of all professions, and the professionalization theories that explain how modern societies institutionalize expertise in professions. This interdisciplinary analysis begins to fill this gap by framing the debate within a larger theoretical context heretofore missing from the bioethics literature. Specifically, the question of whether ethics consultation is a profession is examined from the perspectives of trait theory, Wilensky's five-stage process of professionalization, Abbott's interdependent system of professions, and Haug's deprofessionalization thesis. While healthcare ethics consultation does not meet the criteria to claim professional status, neither could most professions pass these ideal theoretical standards. Instead of a yes or no dichotomous response to the question, it is more helpful to envision a professionalization continuum with sales clerks or carpenters at one end and medicine or law at the other. During the past decade healthcare ethics consultation has been moving along this continuum toward greater professional status.

  13. Assessment of Consultation and Intervention Implementation: A Review of Conjoint Behavioral Consultation Studies

    ERIC Educational Resources Information Center

    Collier-Meek, Melissa A.; Sanetti, Lisa M. H.

    2014-01-01

    Reviews of treatment outcome literature indicate treatment integrity is not regularly assessed. In consultation, two levels of treatment integrity (i.e., consultant procedural integrity [CPI] and intervention treatment integrity [ITI]) provide relevant implementation data. Specifically, assessment of CPI and ITI are necessary to conclude (a)…

  14. Assessment of Consultation and Intervention Implementation: A Review of Conjoint Behavioral Consultation Studies

    ERIC Educational Resources Information Center

    Collier-Meek, Melissa A.; Sanetti, Lisa M. H.

    2014-01-01

    Reviews of treatment outcome literature indicate treatment integrity is not regularly assessed. In consultation, two levels of treatment integrity (i.e., consultant procedural integrity [CPI] and intervention treatment integrity [ITI]) provide relevant implementation data. Specifically, assessment of CPI and ITI are necessary to conclude (a)…

  15. Improving consultations in oncology: the development of a novel consultation aid.

    PubMed

    Furber, L; Murtagh, G M; Bonas, S A; Bankart, J G; Thomas, A L

    2014-03-04

    The way in which patients receive bad news in a consultation can have a profound effect in terms of anxiety, depression and subsequent adjustment. Despite investment in well-researched communication skills training and availability of decision-making aids, communication problems in oncology continue to be encountered. We conducted a mixed-methods study in a large UK Cancer Centre to develop a novel consultation aid that could be used jointly by patients and doctors. Consultations were audio-recorded and both the doctors and the patients were interviewed. We used conversation analysis to analyse the consultation encounter and interpretative phenomenological analysis to analyse the interviews. Key themes were generated to inform the design of the aid. A total of 16 doctors were recruited into the study along with 77 patients. Detailed analysis from 36 consultations identified key themes (including preparation, information exchange, question-asking and decision making), which were subsequently addressed in the design of the paper-based aid. Using detailed analysis and observation of oncology consultations, we have designed a novel consultation aid that can be used jointly by doctors and patients. It is not tumour-site specific and can potentially be utilised by new and follow-up consultations.

  16. The Relationship between Gender of Consultant and Social Power Perceptions within School Consultation. Research Brief

    ERIC Educational Resources Information Center

    Erchul, William P.; Raven, Bertram H.; Wilson, Kristen E.

    2004-01-01

    This study's focus was on school psychologists' perceived effectiveness of 11 social power bases (Raven, 1993) that may be drawn upon when consulting with initially resistant teachers. Specifically, the relationship between consultant gender and perceptions of power base effectiveness was examined. The Interpersonal Power Inventory-Form CT…

  17. Improving consultations in oncology: the development of a novel consultation aid

    PubMed Central

    Furber, L; Murtagh, G M; Bonas, S A; Bankart, J G; Thomas, A L

    2014-01-01

    Background: The way in which patients receive bad news in a consultation can have a profound effect in terms of anxiety, depression and subsequent adjustment. Despite investment in well-researched communication skills training and availability of decision-making aids, communication problems in oncology continue to be encountered. Methods: We conducted a mixed-methods study in a large UK Cancer Centre to develop a novel consultation aid that could be used jointly by patients and doctors. Consultations were audio-recorded and both the doctors and the patients were interviewed. We used conversation analysis to analyse the consultation encounter and interpretative phenomenological analysis to analyse the interviews. Key themes were generated to inform the design of the aid. Results: A total of 16 doctors were recruited into the study along with 77 patients. Detailed analysis from 36 consultations identified key themes (including preparation, information exchange, question-asking and decision making), which were subsequently addressed in the design of the paper-based aid. Conclusions: Using detailed analysis and observation of oncology consultations, we have designed a novel consultation aid that can be used jointly by doctors and patients. It is not tumour-site specific and can potentially be utilised by new and follow-up consultations. PMID:24548856

  18. Telemedicine for ophthalmic consultation services: use of a portable device and layering information for graders.

    PubMed

    Woodward, Maria A; Bavinger, J Clay; Amin, Sejal; Blachley, Taylor S; Musch, David C; Lee, Paul P; Newman-Casey, Paula Anne

    2017-02-01

    Introduction We compared remote, image-based patient consultations to in-person consultations at emergency department and inpatient hospital settings. Methods Patients evaluated by the ophthalmic consultation services (gold standard) were imaged over a two-week period. A trained study coordinator took anterior segment photographs (AS) and posterior segment photographs (PS) with a portable camera (PictorPlus, Volk Optical, Cleveland, OH). Ophthalmologists (graders) determined photograph quality, presence of pathology, and their confidence in disease detection. At a separate session, graders reassessed photographs accompanied by a one-sentence summary of demographics and chief complaint (CHx). We computed accuracy and reliability statistics. Results We took AS photographs of 24 eyes of 15 patients and PS photographs of 39 eyes of 20 patients. The majority of images were rated as acceptable or excellent in quality (AS: 89-96%; PS: 70-75%). Graders detected AS pathology with 62-81% sensitivity based on photographs, increasing to 87-88% sensitivity with photographs plus CHx. Graders detected PS pathology with 79-86% sensitivity based on a photograph only, increasing to 100% sensitivity with photographs plus CHx. Discussion In this pilot study, there is evidence that portable ophthalmic imaging technologies could enable ophthalmologists to remotely evaluate anterior and posterior segment eye diseases with good sensitivity. The ophthalmologist could detect ocular pathology on photographs more accurately if they were provided brief clinical information.

  19. Guidelines for Education and Training at the Doctoral and Postdoctoral Levels in Consulting Psychology/Organizational Consulting Psychology

    ERIC Educational Resources Information Center

    American Psychologist, 2007

    2007-01-01

    The purpose of these "Guidelines for Education and Training at the Doctoral and Postdoctoral Levels in Consulting Psychology/Organizational Consulting Psychology" is to provide a common framework for use in the development, evaluation, and review of education and training in consulting psychology/organizational consulting psychology (CP/OCP). The…

  20. Warwickshire consultants' 'training the trainers' course.

    PubMed Central

    Whitehouse, A.

    1997-01-01

    To train junior hospital doctors more quickly and effectively as envisaged by the Calman reforms, consultants will need to develop their adult education skills. This paper describes a course set up and attended by a mixed group of Warwickshire consultants to improve their understanding of these skills. The course organisation and content is described and the 'learner-centred education' model, educational supervision techniques, giving feedback on performance, goal setting, learning contracts and other topics covered are explained. A 12-month interval questionnaire evaluation by attendants shows that the principles taught in the course were being widely applied a year later. Thus, at a modest cost, consultants can receive a valuable basic training in adult education. PMID:9039408

  1. [Participated observation of nursing child health consultation].

    PubMed

    Loureiro, Fernanda Manuela; da Silva, José António Neto Ferreira; Quitério, Margarida Maria de Sousa Lourenço; Charepe, Zaida Borges

    2012-12-01

    Situation diagnosis using exploratory and descriptive scientific methodology (participant observation with descriptive statistical treatment) in order to identify nursing' practices in the area of health promotion during a nursing child health consultation. The 31 consultations observed (n = 31) showed that the majority of observations occurred in children younger than 2 years being the most discussed topic feed with predominant use of expository methodology. There was also little use of informational support and when used relate to the themes of security and nutrition. Most providers raised questions and there was limited registration of the interaction between provider and child with an expenditure averaging of 23 minutes per consultation. Given the results and reflecting about them stands out as intervention the construction of a health promotion manual with the integration of theory and evidence of good practice in this area.

  2. Consulting as a strategy for knowledge transfer.

    PubMed

    Jacobson, Nora; Butterill, Dale; Goering, Paula

    2005-01-01

    Academic researchers who work on health policy and health services are expected to transfer knowledge to decision makers. Decision makers often do not, however, regard academics' traditional ways of doing research and disseminating their findings as relevant or useful. This article argues that consulting can be a strategy for transferring knowledge between researchers and decision makers and is effective at promoting the "enlightenment" and "interactive" models of knowledge use. Based on three case studies, it develops a model of knowledge transfer-focused consulting that consists of six stages and four types of work. Finally, the article explores how knowledge is generated in consulting and identifies several classes of factors facilitating its use by decision makers.

  3. Consulting as a Strategy for Knowledge Transfer

    PubMed Central

    Jacobson, Nora; Butterill, Dale; Goering, Paula

    2005-01-01

    Academic researchers who work on health policy and health services are expected to transfer knowledge to decision makers. Decision makers often do not, however, regard academics’ traditional ways of doing research and disseminating their findings as relevant or useful. This article argues that consulting can be a strategy for transferring knowledge between researchers and decision makers and is effective at promoting the “enlightenment” and “interactive” models of knowledge use. Based on three case studies, it develops a model of knowledge transfer–focused consulting that consists of six stages and four types of work. Finally, the article explores how knowledge is generated in consulting and identifies several classes of factors facilitating its use by decision makers. PMID:15960773

  4. Longer-term impact of cardiology e-consults.

    PubMed

    Wasfy, Jason H; Rao, Sandhya K; Kalwani, Neil; Chittle, Melissa D; Richardson, Calvin A; Gallen, Kathleen M; Isselbacher, Eric M; Kimball, Alexandra B; Ferris, Timothy G

    2016-03-01

    Cardiac e-consults may be an effective way to deliver value-oriented outpatient cardiology care in an accountable care organization. Initial results of cardiac e-consults have demonstrated high satisfaction among both patients and referring providers, no known adverse events, and low rates of diagnostic testing. Nevertheless, differences between e-consults and traditional consults, effects of e-consults on traditional consult volume, and whether patients seek traditional consults after e-consults are unknown. We established a cardiac e-consult program on January 13, 2014. We then conducted detailed medical record reviews of all patients with e-consults to detect any adverse clinical events and detect subsequent traditional visits to cardiologists. We also performed 2 comparisons. First, we compared age, gender, and referral reason for e-consults vs traditional consults. Second, we compared changes in volume of referrals to cardiology vs other medical specialties that did not have e-consults. From January 13 to December 31, 2014, 1,642 traditional referrals and 165 e-consults were requested. The proportion of e-consults of all evaluations requested over that period was 9.1%. Gender balance was similar among traditional consults and e-consults (44.8% male for e-consults vs 45.0% for traditional consults, P = .981). E-consult patients were younger than traditional consult patients (55.3 vs 60.4 years, P < .001). After the introduction of cardiac e-consults, the increase in traditional cardiac visit requests was less than the increase in traditional visit requests for control specialties (4.5% vs 10.1%, P < .001). For e-consults with at least 6 months of follow-up, 75.6% patients did not have any type of traditional cardiology visit during the follow-up period. E-consults are an effective and safe mechanism to enhance value in outpatient cardiology care, with low rates of bounceback to traditional consults. E-consults can account for nearly one-tenth of total

  5. Childhood adversity and frequent medical consultations.

    PubMed

    Fiddler, Maggie; Jackson, Judy; Kapur, Navneet; Wells, Adrian; Creed, Francis

    2004-01-01

    We assessed possible psychological mediators of the relationship between childhood adversity and frequent medical consultations among new outpatients at neurology, cardiology, and gastroenterology clinics. We assessed whether these differed in patients with and without organic disease that explained their symptoms. At first clinic visit we recorded Hospital Anxiety and Depression scale (HADS--anxiety and depression subscale scores), Illness Perception Questionnaire (IPQ--four subscales: consequences, cure, identity, timeline), Health Anxiety Questionnaire (total score), and Symptom Amplification Scale (total score). Subjects were divided into two groups according to whether they had experienced any type of childhood adversity using the Childhood Experience of Care and Abuse Schedule. Outcome was the (log) number of medical consultations for 12 months before and 6 months after the index clinic visits. Multiple regression analysis was used to determine mediators; this was performed separately for patients with symptoms explained and not explained by organic disease. One-hundred and twenty-nine patients (61% response) were interviewed. Fifty-two (40.3%) had experienced childhood adversity; they made a median of 16 doctor visits compared with 10 for those without adversity (adjusted P=.026). IPQ identity score (number of symptoms attributed to the illness) and HAD depression scores were significantly associated with both childhood adversity and number of medical consultations and these variables acted as mediators between childhood adversity and frequency of consultation in the multiple regression analyses. This association was limited to patients with medically unexplained symptoms and was mediated by IPQ Identity Score (number of symptoms attributed to the patient's illness) and HAD depression score. Sexual abuse and overt neglect were the adversities most closely associated with frequent consultations. In patients with medically unexplained symptoms the association

  6. Otolaryngology consultations by real-time telemedicine.

    PubMed Central

    Ullah, R.; Gilliland, D.; Adams, D.

    2002-01-01

    We aimed to assess the value of real-time telemedicine using low cost videoconferencing equipment for otorhinolaryngology consultations. A general practitioner, using low cost videoconferencing equipment, presented patients to an otorhinolaryngologist. After history taking and clinical examination, investigations were requested if required and a diagnosis and management plan formulated. The patients were then seen, by the same otorhinolaryngologist, for a conventional face-to-face consultation. Differences in the history, clinical examination and investigation requests were reported. The accuracy of diagnosis and correlation of management plans between the two consultations were analysed. Forty-three patients were admitted to the study but one, a young child, refused examination either by tele-link or the conventional approach and had to be excluded. There were thus 42 patients with 55 diagnoses included in the trial, 26 (62%) females and 16 (38%) males. Age range was 5 months to 70 years. There was no difficulty with any of the patients in obtaining an accurate history and ordering investigations, if required, via the telelink. Clinical examination during the tele-link consultation was inadequate for eight out of the first 20 patients, resulting in a wrong diagnosis in three patients and a missed diagnosis in five patients. All of the next 22 patients had a correct diagnosis and management plan. Comparison of data from the two types of consultation showed that a correct diagnosis and management plan was made in 34 patients. Low cost real-time telemedicine is a useful technique, providing reliable otorhinolaryngology consultations in a general practice setting. However initial difficulties due to inexperience in using the equipment need to be overcome. PMID:12137160

  7. The choice of career of consultant psychiatrists.

    PubMed

    Brook, P

    1981-04-01

    All consultants in general psychiatry appointed in Britain between 1 October 1975 and 30 September 1978 were sent a questionnaire asking about their training and adequacy of experience before making a final decision. Over a quarter of the respondents were women, of whom a third had trained part-time. Family circumstances and availability of part-time posts were important determinants. Overseas graduates formed another quarter. For many psychiatry was not their first love but availability of posts and status were important factors in choice of career. Many consultants felt they lacked experience in the subspecialties within psychiatry.

  8. Telehematopathology in a clinical consultative practice.

    PubMed

    Fisher, S I; Nandedkar, M A; Williams, B H; Abbondanzo, S L

    2001-12-01

    We studied a series of 60 telepathology cases sent in consultation to the Department of Hematopathology from January 1, 1995, through July 31, 2000. Cases from the United States and the world representing academic, private, military, and federal sectors were reviewed. Ninety percent of patients were adults (54 of 60), and male patients outnumbered female patients 2 to 1. Ages were from 1 to 79 years (mean, 42 years). Forty-three cases were lymph nodes (72%), 14 were bone marrow or peripheral blood (23%), and 3 were from other sites (5%). Twenty-seven of the consultant diagnoses were benign (27 of 60). Twenty-nine were malignant (non-Hodgkin lymphoma, Hodgkin disease, and "other malignancy" groups), and 4 were nondiagnostic. Glass slide/paraffin tissue blocks were available in only 35 (58%) of 60 cases. The concordance rate for diagnostic telehematopathology cases with subsequent glass slide/paraffin block follow-up was 91% (29 of 32 cases). The discordance rate was 9% (3 of 32). This finding shows a high degree of diagnostic accuracy for consultative telehematopathology. Of 118 images analyzed, 58 were considered very good/good (49%), 32 were poor/very poor (27%), and 28 were fair (24%). Poor images had suboptimal resolution, color, or technical quality of transmission, and most poor images were low-power images. Additional case problems included insufficient immunoperoxidase stain availability, selection, and labeling; transmitted field selection; specimen preparation and staining; presence or absence of accompanying clinical data; and availability of ancillary studies such as flow cytometric, cytogenetic, and molecular data. From this analysis, the following recommendations are offered. To optimize telehematopathology consultation, include any additional information that have a significant influence on the final consultant diagnosis. Include any pertinent clinical information, laboratory data, special stains, immunoperoxidase stains, and molecular data. Select

  9. Digital pathology consultations-a new era in digital imaging, challenges and practical applications.

    PubMed

    Romero Lauro, Gonzalo; Cable, William; Lesniak, Andrew; Tseytlin, Eugene; McHugh, Jeff; Parwani, Anil; Pantanowitz, Liron

    2013-08-01

    Digital pathology has grown dramatically in the last 10 years and has created opportunities to not only support the triaging of difficult cases among specialists within an organization, but also enable remote pathology consultations with external organizations across the world. This study investigated one organization's need for a vendor agnostic Digital Pathology Consultation workflow solution that overcomes the challenges associated with the transfer of large studies across a local area network or across the Internet. The organization investigated is a large multifacility healthcare organization that consists of 20 hospitals spread across a wide geographical area. The organization has one of the largest academic pathology departments in the USA, with more than 100 diagnostic anatomic pathologists. This organization developed a set of web-based tools to support the workflow of digital pathology consultations and allow the viewing of whole slide images. The challenges and practical implementations of two different use cases are addressed: the occasional end user (professional or patient) requesting a second opinion and the external laboratory or hospital looking for an established consultative relationship with a large volume of cases. The solution presented in this study addresses the challenges associated with the distribution of large images and the lack of established imaging standards, while providing for a convenient and secure portal for pathologist report entry and distribution.

  10. Three models of child abuse consultations: A qualitative study of inpatient child abuse consultation notes.

    PubMed

    Keenan, Heather T; Campbell, Kristine A

    2015-05-01

    Child abuse pediatricians have multiple roles in caring for abused children, including prevention, diagnosis, treatment, and, when needed, expert legal opinion. The child physical abuse consultation differs from the traditional medical consultation in that it has medical, investigative and legal audiences, all of whom have different information needs. How child abuse pediatricians approach their cases and how they document their initial inpatient consultations that will be used by such a diverse audience is currently unexplored. We used content analysis to examine 37 child physical abuse consultation notes from a national sample of child abuse pediatricians in order to understand physicians' approaches to these consultations. Three commonly used models of child physical abuse consultation were identified in the data that we named the base model, the investigative model, and the family-dynamic model. While model types overlap, each is distinguished by key features including the approach used to gather information, the information recorded, and the language used in documentation. The base model most closely mirrors the traditional medical approach; the investigative model concentrates on triangulation of sources of information; and, the family-dynamic model concentrates on physician perceptions of family relationships. The three models of consultations for child physical abuse mirror the areas of child abuse pediatrics: diagnostic, forensic and therapeutic. These models are considered in relationship to best practice from other medical specialties with forensic components.

  11. Framing the consultation: the role of the referral in surgeon-patient consultations.

    PubMed

    White, Sarah J; Stubbe, Maria H; Macdonald, Lindsay M; Dowell, Anthony C; Dew, Kevin P; Gardner, Rod

    2014-01-01

    This study describes and analyzes the impact of the referral process on communication at the beginning of surgeon-patient consultations. We used conversation analysis to analyze the opening interactional activities of surgeon-patient consultations in New Zealand. This study focuses on 20 video-recorded consultations recorded between 2004 and 2006. Participants in surgeon-patient consultations began referred consultations by discussing the referral letter in what we have termed "referral recognition sequences." These sequences are coconstructed activities that can be implicit or explicit and address the minimized epistemic distance between surgeons and patients that is caused by the referral process. These sequences can be simple or complex, and this complexity may be determined by the quality of the referral letter received. Acknowledgment of the referral letter assists in achieving alignment between surgeon, patient, and referring doctor regarding the presenting problem. If this alignment is not achieved, progressivity of the consultation is affected, as there is disagreement as to why the patient is seeing the surgeon. This research shows that to assist in the progressivity of surgeon-patient consultations, referral letters should be clear and patients made aware of the reason for referral. Surgeons should also overtly address the minimized epistemic distance caused by the referral letter to ensure patients present their problems in full.

  12. Young people's views on the potential use of telemedicine consultations for sexual health: results of a national survey

    PubMed Central

    2011-01-01

    Background Young people are disproportionately affected by sexually transmissible infections in Australia but face barriers to accessing sexual health services, including concerns over confidentiality and, for some, geographic remoteness. A possible innovation to increase access to services is the use of telemedicine. Methods Young people's (aged 16-24) pre-use views on telephone and webcam consultations for sexual health were investigated through a widely-advertised national online survey in Australia. Descriptive statistics were used to describe the study sample and chi-square, Mann-Whitney U test, or t-tests were used to assess associations. Multinomial logistic regression was used to explore the association between the three-level outcome variable (first preference in person, telephone or webcam, and demographic and behavioural variables); odds ratios and 95%CI were calculated using in person as the reference category. Free text responses were analysed thematically. Results A total of 662 people completed the questionnaire. Overall, 85% of the sample indicated they would be willing to have an in-person consultation with a doctor, 63% a telephone consultation, and 29% a webcam consultation. Men, respondents with same-sex partners, and respondents reporting three or more partners in the previous year were more willing to have a webcam consultation. Imagining they lived 20 minutes from a doctor, 83% of respondents reported that their first preference would be an in-person consultation with a doctor; if imagining they lived two hours from a doctor, 51% preferred a telephone consultation. The main objections to webcam consultations in the free text responses were privacy and security concerns relating to the possibility of the webcam consultation being recorded, saved, and potentially searchable and retrievable online. Conclusions This study is the first we are aware of that seeks the views of young people on telemedicine and access to sexual health services

  13. School Neuropsychology Consultation in Neurodevelopmental Disorders

    ERIC Educational Resources Information Center

    Decker, Scott L.

    2008-01-01

    The role of school psychologists with training in neuropsychology is examined within the context of multitiered models of service delivery and educational reform policies. An expanded role is suggested that builds on expertise in the assessment of neurodevelopmental disorders and extends to broader tiers through consultation practice. Changes in…

  14. 18 CFR 16.8 - Consultation requirements.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... OF LICENSED PROJECTS Applications for Projects Subject to Sections 14 and 15 of the Federal Power Act... this part, a surrender of a project, a potential applicant must consult with the relevant Federal... the project, the appropriate state fish and wildlife agencies, the appropriate State water resource...

  15. 18 CFR 16.8 - Consultation requirements.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... OF LICENSED PROJECTS Applications for Projects Subject to Sections 14 and 15 of the Federal Power Act... this part, a surrender of a project, a potential applicant must consult with the relevant Federal... the project, the appropriate state fish and wildlife agencies, the appropriate State water resource...

  16. 21 CFR 211.34 - Consultants.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Consultants. 211.34 Section 211.34 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Organization and Personnel §...

  17. School Neuropsychology Consultation in Neurodevelopmental Disorders

    ERIC Educational Resources Information Center

    Decker, Scott L.

    2008-01-01

    The role of school psychologists with training in neuropsychology is examined within the context of multitiered models of service delivery and educational reform policies. An expanded role is suggested that builds on expertise in the assessment of neurodevelopmental disorders and extends to broader tiers through consultation practice. Changes in…

  18. 34 CFR 300.134 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... DISABILITIES State Eligibility Children with Disabilities Enrolled by Their Parents in Private Schools § 300..., must consult with private school representatives and representatives of parents of parentally-placed private school children with disabilities during the design and development of special education and...

  19. 34 CFR 200.63 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Programs Operated by Local Educational Agencies Participation of Eligible Children in Private Schools § 200... appropriate officials of private schools during the design and development of the LEA's program for eligible private school children. (b) At a minimum, the LEA must consult on the following: (1) How the LEA will...

  20. FICS: An Expanded View of Counselor Consultation

    ERIC Educational Resources Information Center

    Shelton, Judith E.; Dobson, Russell L.

    1973-01-01

    The Family Involvement Communication System (FICS) model provides a human relations umbrella'' approach for parent and teacher input and participation in a school's elementary guidance program. FICS is designed as an ongoing consultative services program in which the counselor functions as the initial trainer of paraprofessionals and as…

  1. 43 CFR 10.5 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 1 2011-10-01 2011-10-01 false Consultation. 10.5 Section 10.5 Public Lands: Interior Office of the Secretary of the Interior NATIVE AMERICAN GRAVES PROTECTION AND REPATRIATION REGULATIONS Human Remains, Funerary Objects, Sacred Objects, or Objects of Cultural Patrimony...

  2. 43 CFR 10.5 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 1 2012-10-01 2011-10-01 true Consultation. 10.5 Section 10.5 Public Lands: Interior Office of the Secretary of the Interior NATIVE AMERICAN GRAVES PROTECTION AND REPATRIATION REGULATIONS Human Remains, Funerary Objects, Sacred Objects, or Objects of Cultural Patrimony...

  3. 43 CFR 10.5 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 1 2014-10-01 2014-10-01 false Consultation. 10.5 Section 10.5 Public Lands: Interior Office of the Secretary of the Interior NATIVE AMERICAN GRAVES PROTECTION AND REPATRIATION REGULATIONS Human Remains, Funerary Objects, Sacred Objects, or Objects of Cultural Patrimony...

  4. 43 CFR 10.5 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 1 2013-10-01 2013-10-01 false Consultation. 10.5 Section 10.5 Public Lands: Interior Office of the Secretary of the Interior NATIVE AMERICAN GRAVES PROTECTION AND REPATRIATION REGULATIONS Human Remains, Funerary Objects, Sacred Objects, or Objects of Cultural Patrimony...

  5. 7 CFR 372.7 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 5 2012-01-01 2012-01-01 false Consultation. 372.7 Section 372.7 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE... Endangered Species Act. [60 FR 6002, Feb. 1, 1995; 60 FR 13212, Mar. 10, 1995]...

  6. A Database Model for Medical Consultation.

    ERIC Educational Resources Information Center

    Anvari, Morteza

    1991-01-01

    Describes a relational data model that can be used for knowledge representation and manipulation in rule-based medical consultation systems. Fuzzy queries or attribute values and fuzzy set theory are discussed, functional dependencies are described, and an example is presented of a system for diagnosing causes of eye inflammation. (15 references)…

  7. 15 CFR 923.57 - Continuing consultation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... program must establish a procedure whereby local governments with zoning authority are notified of State management program decisions which would conflict with any local zoning ordinance decision. (1) “Management... consultation mechanisms. A State management program decision is in conflict with a local zoning ordinance...

  8. 20 CFR 410.472 - Consultative examinations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Consultative examinations. 410.472 Section 410.472 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, TITLE IV-BLACK LUNG BENEFITS (1969- ) Total Disability or Death Due to Pneumoconiosis §...

  9. 34 CFR 75.190 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... the Secretary, Department of Education DIRECT GRANT PROGRAMS How To Apply for a Grant Development of Curricula Or Instructional Materials § 75.190 Consultation. Each applicant that intends to develop curricula or instructional materials under a grant is encouraged to assure that the curricula or materials will...

  10. 34 CFR 75.190 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... the Secretary, Department of Education DIRECT GRANT PROGRAMS How To Apply for a Grant Development of Curricula Or Instructional Materials § 75.190 Consultation. Each applicant that intends to develop curricula or instructional materials under a grant is encouraged to assure that the curricula or materials will...

  11. 34 CFR 75.190 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... the Secretary, Department of Education DIRECT GRANT PROGRAMS How To Apply for a Grant Development of Curricula Or Instructional Materials § 75.190 Consultation. Each applicant that intends to develop curricula or instructional materials under a grant is encouraged to assure that the curricula or materials will...

  12. 18 CFR 4.38 - Consultation requirements.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 18 Conservation of Power and Water Resources 1 2013-04-01 2013-04-01 false Consultation requirements. 4.38 Section 4.38 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION... National Marine Fisheries Service, the United States Fish and Wildlife Service, the National Park Service...

  13. 18 CFR 16.8 - Consultation requirements.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 18 Conservation of Power and Water Resources 1 2013-04-01 2013-04-01 false Consultation requirements. 16.8 Section 16.8 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION... States Fish and Wildlife Service, the National Park Service, the United States Environmental Protection...

  14. 18 CFR 16.8 - Consultation requirements.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 18 Conservation of Power and Water Resources 1 2012-04-01 2012-04-01 false Consultation requirements. 16.8 Section 16.8 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION... States Fish and Wildlife Service, the National Park Service, the United States Environmental Protection...

  15. 18 CFR 4.38 - Consultation requirements.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 18 Conservation of Power and Water Resources 1 2012-04-01 2012-04-01 false Consultation requirements. 4.38 Section 4.38 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION... National Marine Fisheries Service, the United States Fish and Wildlife Service, the National Park Service...

  16. The art of the successful consultation.

    PubMed

    Haggerty, Lou

    2010-11-01

    The current trends in the patients options for making decisions to have cosmetic surgeries have made the provider-closing process more intense and complicated. These trends include, but are not limited to, increased price shopping, more comparison shopping, increased use of the internet versus word of mouth and more knowledge available in conventional media. This discussion focuses on the process that takes place in the practice after the first ringing of the phone and after having successfully gotten the word out. After the deployment of positive and result-oriented advertisements, staff consultation closure skills determine your economic success. Included are discussions of major challenges in executing successful consultations related to getting the entire practice, including the doctor, to accept and employ a wellexecuted consultation. Four essentials of the successful and artful consultation are discussed: the phone inquiry, the follow-up after the phone call, the in-person contact, and the follow-up after the in-person contact, with the ultimate goal of a continual flow of paying patients.

  17. 29 CFR 1691.12 - Interagency consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 4 2010-07-01 2010-07-01 false Interagency consultation. 1691.12 Section 1691.12 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR COMPLAINTS OF...) Prior to the initiation of any legal action against a recipient of Federal financial assistance alleging...

  18. Integrating Corpus Consultation in Language Studies

    ERIC Educational Resources Information Center

    Chambers, Angela

    2005-01-01

    Alongside developments in language research, the potential of corpora as a resource in language learning and teaching has been evident to researchers and teachers since the late 1960s. Despite publications which emphasise the benefits of corpus consultation for language learners (Bernardini, 2002; Kennedy & Miceli, 2001), there is little evidence…

  19. 18 CFR 806.11 - Preliminary consultations.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... any proposed structures, anticipated water needs, and the environmental impacts. (b) Preliminary... 18 Conservation of Power and Water Resources 2 2013-04-01 2012-04-01 true Preliminary consultations. 806.11 Section 806.11 Conservation of Power and Water Resources SUSQUEHANNA RIVER...

  20. 18 CFR 806.11 - Preliminary consultations.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... any proposed structures, anticipated water needs, and the environmental impacts. (b) Preliminary... 18 Conservation of Power and Water Resources 2 2014-04-01 2014-04-01 false Preliminary consultations. 806.11 Section 806.11 Conservation of Power and Water Resources SUSQUEHANNA RIVER...

  1. 18 CFR 806.11 - Preliminary consultations.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... any proposed structures, anticipated water needs, and the environmental impacts. (b) Preliminary... 18 Conservation of Power and Water Resources 2 2012-04-01 2012-04-01 false Preliminary consultations. 806.11 Section 806.11 Conservation of Power and Water Resources SUSQUEHANNA RIVER...

  2. Writing Comprehensive Behavioral Consultation Reports: Critical Elements

    ERIC Educational Resources Information Center

    Brinkman, Tara M.; Segool, Natasha K.; Pham, Andy V.; Carlson, John S.

    2007-01-01

    The accountability movement in psychology has resulted in practitioners increasingly using evidence-based interventions and treatment modalities to treat client problems. Behavioral consultation is one framework that practitioners can utilize in providing empirically supported services. In order to demonstrate the use of effective, evidence-based…

  3. The Role of the Organisational Development Consultant

    ERIC Educational Resources Information Center

    Simmons, Mike

    1972-01-01

    The consultant's concern is to increase an organization's capacity to initiate and manage change through an integrated approach to the company's social, economic, technical, and organizational systems, and to improve the performance and value of its human resources, using measurable criteria whenever possible. (Author/JB)

  4. National Consultation on National Directory for Catechesis.

    ERIC Educational Resources Information Center

    Mulhall, Daniel S.; Shaughnessy, Maureen

    2002-01-01

    Describes the revision of the National Catechetical Directory (NCD), an ongoing project of the U.S. Conference of Catholic Bishops Committee on Education, in conjunction with a bishops' editorial oversight board (EOB). States that writing is underway and will be completed following consultations with Catholic communities and organizations. (NB)

  5. Science Consultants, Fictional Films, and Scientific Practice.

    ERIC Educational Resources Information Center

    Kirby, David A.

    2003-01-01

    Proposes films to be successful communicative devices within the scientific community by showing that other scientists respond to depictions in films and how they respond. Demonstrates that science consultants use fictional films as promotional devices for their research fields. (Author/NB)

  6. Delivering an MBA Management Consulting Experience

    ERIC Educational Resources Information Center

    LeMaire, Ryan; Fisher, Kirk; Watson, Edward F., III

    2017-01-01

    This article reports on an innovative MBA elective consulting course that attempts to address how to better prepare inexperienced MBA students for a competitive job market. This article is a best practice paper designed to provide insights and encouragement to educators.

  7. 77 FR 19020 - Tribal Consultation Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-29

    ... Act of 2007, Public Law 110-134, notice is hereby given of a one-day Tribal Consultation Session to be... into consideration funding allocations, distribution formulas, and other issues affecting the delivery... children and families, taking into consideration funding allocations, distribution formulas, and...

  8. 76 FR 12967 - Tribal Consultation Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-09

    ... School Readiness Act of 2007, Public Law 110-134, notice is hereby given of one-day Tribal Consultation... needs of American Indian and Alaska Native children and their families, taking into consideration... Native children and families, taking into consideration funding allocations, distribution formulas,...

  9. The Psychologist Consultant in Educational Design.

    ERIC Educational Resources Information Center

    McKee, John M.; Moon, Jeanne P.

    The technology of educational design includes skills in solving performance problems, establishing training objectives, appropriate teaching strategies, course content, best teaching sequence(s), appropriate presentation mode, and type of feedback to give and when. A consulting psychologist can, through application of behavioral science, assist in…

  10. Consultation in the Inner-City School

    ERIC Educational Resources Information Center

    Moss, Alice Foster

    1976-01-01

    The urban ghetto experience can play havoc with the educational process unless teachers understand the effect this experience has on their students. The author presents a framework by which the social work consultant can help teachers recognize their students' problems and create an environment that supports learning and growth. (Author)

  11. A Database Model for Medical Consultation.

    ERIC Educational Resources Information Center

    Anvari, Morteza

    1991-01-01

    Describes a relational data model that can be used for knowledge representation and manipulation in rule-based medical consultation systems. Fuzzy queries or attribute values and fuzzy set theory are discussed, functional dependencies are described, and an example is presented of a system for diagnosing causes of eye inflammation. (15 references)…

  12. Psychiatric consultation of patients with hyperemesis gravidarum.

    PubMed

    Kim, Deborah R; Connolly, K R; Cristancho, Pilar; Zappone, Mark; Weinrieb, Robert M

    2009-04-01

    The request for a psychiatric examination of patients with hyperemesis gravidarum (HG) is a unique challenge for the psychiatric consultant. Unfortunately, there are little data in the psychosomatic medicine literature to guide diagnostic evaluations and treatment of patients with HG. In this article, we summarize the existing literature and propose a practical approach to such patients based on the literature and our clinical experience.

  13. Guidelines for conducting TMDL consultations on selenium

    Treesearch

    Dennis A. Lemly

    2000-01-01

    This report was prepared to provide Environmental Contaminants Specialists in the U.S. Fish and Wildlife Service (Service) with a step-by-step procedure for consultations involving Total Maximum Daily Loads (TMDL's) for selenium. The need for this information stems from recent actions taken by the U.S. Environmental Protection Agency (EPA) that will involve the...

  14. Service Learning In Physics: The Consultant Model

    NASA Astrophysics Data System (ADS)

    Guerra, David

    2005-04-01

    Each year thousands of students across the country and across the academic disciplines participate in service learning. Unfortunately, with no clear model for integrating community service into the physics curriculum, there are very few physics students engaged in service learning. To overcome this shortfall, a consultant based service-learning program has been developed and successfully implemented at Saint Anselm College (SAC). As consultants, students in upper level physics courses apply their problem solving skills in the service of others. Most recently, SAC students provided technical and managerial support to a group from Girl's Inc., a national empowerment program for girls in high-risk, underserved areas, who were participating in the national FIRST Lego League Robotics competition. In their role as consultants the SAC students provided technical information through brainstorming sessions and helped the girls stay on task with project management techniques, like milestone charting. This consultant model of service-learning, provides technical support to groups that may not have a great deal of resources and gives physics students a way to improve their interpersonal skills, test their technical expertise, and better define the marketable skill set they are developing through the physics curriculum.

  15. 29 CFR 1908.4 - Offsite consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... on occupational safety and health issues by telephone and correspondence, and at locations other than... 29 Labor 5 2010-07-01 2010-07-01 false Offsite consultation. 1908.4 Section 1908.4 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF...

  16. 29 CFR 1908.4 - Offsite consultation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... on occupational safety and health issues by telephone and correspondence, and at locations other than... 29 Labor 5 2012-07-01 2012-07-01 false Offsite consultation. 1908.4 Section 1908.4 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF...

  17. 29 CFR 1908.4 - Offsite consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... on occupational safety and health issues by telephone and correspondence, and at locations other than... 29 Labor 5 2011-07-01 2011-07-01 false Offsite consultation. 1908.4 Section 1908.4 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF...

  18. 29 CFR 1908.4 - Offsite consultation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... on occupational safety and health issues by telephone and correspondence, and at locations other than... 29 Labor 5 2013-07-01 2013-07-01 false Offsite consultation. 1908.4 Section 1908.4 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF...

  19. 29 CFR 1908.4 - Offsite consultation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... on occupational safety and health issues by telephone and correspondence, and at locations other than... 29 Labor 5 2014-07-01 2014-07-01 false Offsite consultation. 1908.4 Section 1908.4 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF...

  20. 30 CFR 18.3 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Consultation. 18.3 Section 18.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS ELECTRIC MOTOR-DRIVEN MINE EQUIPMENT AND ACCESSORIES General Provisions § 18.3...

  1. 30 CFR 18.3 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Consultation. 18.3 Section 18.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS ELECTRIC MOTOR-DRIVEN MINE EQUIPMENT AND ACCESSORIES General Provisions § 18.3...

  2. 18 CFR 5.7 - Tribal consultation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Tribal consultation. 5.7 Section 5.7 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER THE FEDERAL POWER ACT INTEGRATED LICENSE APPLICATION PROCESS § 5.7...

  3. The Writing Consultation: Developing Academic Writing Practices

    ERIC Educational Resources Information Center

    Murray, Rowena; Thow, Morag; Moore, Sarah; Murphy, Maura

    2008-01-01

    This article describes and analyses a specific mechanism, the writing consultation, designed to help academics to prioritise, reconceptualise and improve their writing practices. It makes the case for its potential to stimulate consideration of writing practices and motivations, a possible precondition for creating time for writing in academic…

  4. Behavior Analytic Consultation for Academic Referral Concerns

    ERIC Educational Resources Information Center

    Dufrene, Brad A.; Zoder-Martell, Kimberly A.; Dieringe, Shannon Titus; Labrot, Zachary

    2016-01-01

    Applied behavior analysis provides a technology of human behavior that demonstrates great potential for improving socially important outcomes for individuals. School-based consultation may provide a vehicle for delivering applied behavior analysis services in schools to address academic referral concerns. In this article, we propose that…

  5. 21 CFR 211.34 - Consultants.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 4 2011-04-01 2011-04-01 false Consultants. 211.34 Section 211.34 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Organization and Personnel § 211.34...

  6. Teacher Utilization of Instructional Consultation Teams

    ERIC Educational Resources Information Center

    Berger, Jill; Yiu, Ho Lam; Nelson, Deborah; Vaganek, Megan; Rosenfield, Sylvia; Gravois, Todd; Gottfredson, Gary; Vu, Phuong; Shanahan, Kate; Hong, Vanessa

    2014-01-01

    Data regarding intervention utilization among the target population are critical to interpret evidence from efficacy trials for school-based interventions. When use of the intervention is voluntary, intervention diffusion becomes a particularly critical variable. We examined the use of Instructional Consultation Teams (IC Teams), a voluntary…

  7. Individualizing Language Strategies Using CONSULT-I.

    ERIC Educational Resources Information Center

    Newman, Anabel P.; Metz, Elizabeth

    This handbook offers suggestions for implementing actions (termed variously in other settings as treatments, interventions, methods, techniques, strategies or activities) recommended for individual learners by CONSULT-I (R), a computer program created by James Fattu and Edward Patrick. Application of the program described in the handbook was under…

  8. Behavior Analytic Consultation for Academic Referral Concerns

    ERIC Educational Resources Information Center

    Dufrene, Brad A.; Zoder-Martell, Kimberly A.; Dieringe, Shannon Titus; Labrot, Zachary

    2016-01-01

    Applied behavior analysis provides a technology of human behavior that demonstrates great potential for improving socially important outcomes for individuals. School-based consultation may provide a vehicle for delivering applied behavior analysis services in schools to address academic referral concerns. In this article, we propose that…

  9. Behavioral Consultant Application. PRISM Project Technical Report.

    ERIC Educational Resources Information Center

    Smith, Jesse

    This brief paper describes the Peer Coaching Rural In-Service Model (PRISM) Behavioral Consultant (PBC) program, an online tool for teachers that provides advice on handling simple classroom behavior problems. PBC's advice is based on a series of rules and expressions used by the computer program to make inferences and eliminate inappropriate…

  10. 30 CFR 18.3 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Consultation. 18.3 Section 18.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS ELECTRIC MOTOR-DRIVEN MINE EQUIPMENT AND ACCESSORIES General Provisions §...

  11. 30 CFR 18.3 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Consultation. 18.3 Section 18.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS ELECTRIC MOTOR-DRIVEN MINE EQUIPMENT AND ACCESSORIES General Provisions §...

  12. 30 CFR 18.3 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Consultation. 18.3 Section 18.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS ELECTRIC MOTOR-DRIVEN MINE EQUIPMENT AND ACCESSORIES General Provisions §...

  13. 18 CFR 5.7 - Tribal consultation.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 18 Conservation of Power and Water Resources 1 2013-04-01 2013-04-01 false Tribal consultation. 5.7 Section 5.7 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER THE FEDERAL POWER ACT INTEGRATED LICENSE APPLICATION PROCESS §...

  14. 18 CFR 5.7 - Tribal consultation.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 18 Conservation of Power and Water Resources 1 2012-04-01 2012-04-01 false Tribal consultation. 5.7 Section 5.7 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER THE FEDERAL POWER ACT INTEGRATED LICENSE APPLICATION PROCESS §...

  15. Nurses lead the way with webcam consultations.

    PubMed

    Pearce, Lynne

    2017-09-06

    More than a decade ago, Airedale NHS Foundation Trust in West Yorkshire began using a video link to deliver consultations to prisoners at a high-security jail. It meant prisoners no longer had to be escorted to the outpatient department.

  16. The Role of Consultants in Institutional Research

    ERIC Educational Resources Information Center

    Milam, John

    2008-01-01

    Institutional research (IR) is a multifaceted function, occurring at many levels and in many types of settings, addressing numerous audiences, and embracing an almost infinite array of topics. The IR community is well served by understanding the role that consultants play in the panoply of postsecondary education. With the growing complexity and…

  17. 77 FR 23283 - Tribal Consultation Policy

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-18

    ... Department of Labor (DOL) has collaborated extensively with American Indians and Alaska Natives (AI/AN) for... Council for Tribal Employment Rights to increase the employment of AI/ANs by federal contractors and.... Submission of Comments by Other AI/AN Organizations. The primary focus of formal consultation activities...

  18. Effective School Consultation: An Interactive Approach.

    ERIC Educational Resources Information Center

    Sugai, George M.; Tindal, Gerald A.

    This book shows how the process of consultation can be applied to persistent academic and social behavior problems. It emphasizes a behavior-analytic, best-practice approach to solving student, classroom, and school challenges, demonstrating the learned nature and lawfulness of behavior and the importance of the immediate environment. Part I…

  19. Psychoanalytic School Consultation: A Collaborative Approach

    ERIC Educational Resources Information Center

    Kerzner, Stephen

    2009-01-01

    This article describes a psychoanalytic consultation model to an independent grade 7-12 school that offers a practical and efficient approach to improve school climate. This model may stand alone or complement other approaches, and it can be implemented in both independent and public school settings. It focuses not only on "at risk" students,…

  20. Teacher Utilization of Instructional Consultation Teams

    ERIC Educational Resources Information Center

    Berger, Jill; Yiu, Ho Lam; Nelson, Deborah; Vaganek, Megan; Rosenfield, Sylvia; Gravois, Todd; Gottfredson, Gary; Vu, Phuong; Shanahan, Kate; Hong, Vanessa

    2014-01-01

    Data regarding intervention utilization among the target population are critical to interpret evidence from efficacy trials for school-based interventions. When use of the intervention is voluntary, intervention diffusion becomes a particularly critical variable. We examined the use of Instructional Consultation Teams (IC Teams), a voluntary…

  1. Aviation Education: Perceptions of Airport Consultants.

    ERIC Educational Resources Information Center

    Fuller, Michelle; Truitt, Lawrence J.

    1997-01-01

    Airport consultants (54 responses from 251 surveyed) in the United States and Canada evaluated a proposed master's of public administration in aviation. They considered the curriculum adequate. State/local government operations and oral/written communication were important content areas. Aviation-specific software may grow in importance. (SK)

  2. 45 CFR 155.130 - Stakeholder consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 1 2012-10-01 2012-10-01 false Stakeholder consultation. 155.130 Section 155.130 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS... health coverage; (c) Advocates for enrolling hard to reach populations, which include individuals with...

  3. Consulting Secondary School Pupils about Their Learning

    ERIC Educational Resources Information Center

    Thompson, Paul

    2009-01-01

    This paper reports on the findings of a research project which explored the value for secondary school teachers of consulting with pupils about the curriculum. Twenty volunteer teachers across a range of subject areas in an 11-18 and three 11-16 secondary schools in a city in the East Midlands of England were given an open-ended remit to…

  4. Negotiating the Dance: Consulting with Adoptive Systems.

    ERIC Educational Resources Information Center

    Becker, Kent W.; Carson, David K.; Seto, Atsuko; Becker, Carol A.

    2002-01-01

    For marriage and family therapists and educators who train future marriage and family therapists, families formed by means of adoption offer an abundance of learning opportunities in both the areas of assessment and intervention. The following consultation case represents a composite family designed to highlight the unique features of adoptive…

  5. Educational Consulting: A Focus for the Profession

    ERIC Educational Resources Information Center

    Antonoff, Steven R.

    2012-01-01

    The role of the educational consultant in the college admission scene warrants discussion and analysis. Although several recent national and local ACAC meetings have included discussions of the role's parameters, the writing in professional journals is quite limited. Boothroyd, Chapman, and Kaufman (1987) presented the results of a survey about…

  6. Working Together: The Art of Consulting & Communicating.

    ERIC Educational Resources Information Center

    DeBoer, Anita

    Productive learning occurs when educators work together to create new visions, analyze important issues, and evaluate outcomes. This book explores how educators can effectively engage in peer problem solving, focusing on three aspects of the process: (1) models for consulting with colleagues in problem solving; (2) communication skills necessary…

  7. Organizational Factors Influencing Consultation in Schools

    ERIC Educational Resources Information Center

    Gallessich, June

    1973-01-01

    This paper presents a framework for gathering and organizing data related to organizational phenomena in a school or school district. The implications of these data for the consultant in determining priorities, assessing strengths and weaknesses, generating problem-solving strategies, and predicting consequents are discussed. The dilemma of the…

  8. 48 CFR 32.108 - Financial consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 1 2012-10-01 2012-10-01 false Financial consultation. 32... CONTRACTING REQUIREMENTS CONTRACT FINANCING Non-Commercial Item Purchase Financing 32.108 Financial... personnel competent to evaluate credit and financial problems. In resolving any questions concerning (a)...

  9. 48 CFR 32.108 - Financial consultation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 1 2014-10-01 2014-10-01 false Financial consultation. 32... CONTRACTING REQUIREMENTS CONTRACT FINANCING Non-Commercial Item Purchase Financing 32.108 Financial... personnel competent to evaluate credit and financial problems. In resolving any questions concerning (a)...

  10. 48 CFR 32.108 - Financial consultation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 1 2013-10-01 2013-10-01 false Financial consultation. 32... CONTRACTING REQUIREMENTS CONTRACT FINANCING Non-Commercial Item Purchase Financing 32.108 Financial... personnel competent to evaluate credit and financial problems. In resolving any questions concerning (a)...

  11. 48 CFR 32.108 - Financial consultation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Financial consultation. 32... CONTRACTING REQUIREMENTS CONTRACT FINANCING Non-Commercial Item Purchase Financing 32.108 Financial... personnel competent to evaluate credit and financial problems. In resolving any questions concerning (a)...

  12. 48 CFR 32.108 - Financial consultation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 1 2011-10-01 2011-10-01 false Financial consultation. 32... CONTRACTING REQUIREMENTS CONTRACT FINANCING Non-Commercial Item Purchase Financing 32.108 Financial... personnel competent to evaluate credit and financial problems. In resolving any questions concerning (a)...

  13. 30 CFR 33.3 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Consultation. 33.3 Section 33.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS DUST COLLECTORS FOR USE IN CONNECTION WITH ROCK DRILLING IN COAL MINES General Provisions...

  14. 30 CFR 33.3 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Consultation. 33.3 Section 33.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS DUST COLLECTORS FOR USE IN CONNECTION WITH ROCK DRILLING IN COAL MINES General Provisions...

  15. 30 CFR 33.3 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Consultation. 33.3 Section 33.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS DUST COLLECTORS FOR USE IN CONNECTION WITH ROCK DRILLING IN COAL MINES General Provisions...

  16. 30 CFR 33.3 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Consultation. 33.3 Section 33.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS DUST COLLECTORS FOR USE IN CONNECTION WITH ROCK DRILLING IN COAL MINES General Provisions...

  17. 30 CFR 33.3 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Consultation. 33.3 Section 33.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS DUST COLLECTORS FOR USE IN CONNECTION WITH ROCK DRILLING IN COAL MINES General Provisions...

  18. Graduate Students Serve Extension as Evaluation Consultants

    ERIC Educational Resources Information Center

    McClure, Megan; Fuhrman, Nicholas E.

    2011-01-01

    In an effort to provide graduate students at a distance with field-based learning experiences and evaluation resources to statewide Extension programs, 24 Master's students participating in a distance-delivered program evaluation course served as evaluation consultants for Extension programs. State evaluation specialists unable to conduct…

  19. The Role of Consultants in Institutional Research

    ERIC Educational Resources Information Center

    Milam, John

    2008-01-01

    Institutional research (IR) is a multifaceted function, occurring at many levels and in many types of settings, addressing numerous audiences, and embracing an almost infinite array of topics. The IR community is well served by understanding the role that consultants play in the panoply of postsecondary education. With the growing complexity and…

  20. [Paediatric emergency: creation of an independent nurse practitioner consultation].

    PubMed

    Rey-Bellet Gasser, C; Gehri, M; Yersin, C

    2015-01-14

    Consultations in the Paediatric Emergency Department (PED) continue to climb regularly. Emergency Nurse Practitioner consultations have long been created in the English speaking countries. Since January 2013, an indepen- dent nurse consultation, under delegated medical responsibility, exists in the multidisciplinary PED of the Children's Hospital of Lausanne. The mean consultation time is the same as the medical consultation and the overall waiting time hasn't decreased yet. But a well definite working frame, a systematic approach, as well as the continual medical supervision possibility, make it a safe, efficient and appreciated consultation, by both patients and professionals.

  1. Tropospheric Passive Remote Sensing

    NASA Technical Reports Server (NTRS)

    Keafer, L. S., Jr. (Editor)

    1982-01-01

    The long term role of airborne/spaceborne passive remote sensing systems for tropospheric air quality research and the identification of technology advances required to improve the performance of passive remote sensing systems were discussed.

  2. Use of specialty OB consults during high-risk pregnancies in a Medicaid-covered population: initial impact of the Arkansas ANGELS intervention.

    PubMed

    Bronstein, Janet M; Ounpraseuth, Songthip; Jonkman, Jeffrey; Fletcher, David; Nugent, Richard R; McGhee, Judith; Lowery, Curtis L

    2012-12-01

    This study examines the impact of a Medicaid-supported intervention (Antenatal and Neonatal Guidelines, Education and Learning System) to expand a high-risk obstetrics consulting service on the use of specialty consults between 2001 and 2006. Using a Medicaid claims-birth certificate data set, we find a decline over time in use of specialty consults for lower risk diagnoses and a shift to remote modalities for contact. Local physician participation in grand rounds via teleconference was associated both with specialty contact and use of remote modalities. Local physician use of a Call Center service was also associated with patient specialty contact. Expansion of telemedicine remote sites did not increase the likelihood of contact but was associated with the shift toward remote modalities. Specialty consult use and modality were influenced by the care context of the patient, particularly level of pregnancy risk, the specialty of the primary prenatal care provider, the timing of her prenatal care, and her ethnicity and education level.

  3. Medical planning for extended remote expeditions.

    PubMed

    Iserson, Kenneth V

    2013-12-01

    Remote extended expeditions often support scientific research and commercial resource exploration or extraction in hostile environments. Medical support for these expeditions is inherently complex and requires in-depth planning. To be successful, this planning must include substantial input from clinicians with experience in remote, emergency, and prehospital medicine and from personnel familiar with the proposed working environment. Using the guidelines discussed in this paper will help ensure that planners consider all necessary, medically relevant elements before launching an extended remote expedition. The 10 key elements of a workable remote healthcare system are to: 1. Optimize workers’ fitness. 2. Anticipate treatable problems. 3. Stock appropriate medications. 4. Provide appropriate equipment. 5. Provide adequate logistical support. 6. Provide adequate medical communications. 7. Know the environmental limitations on patient access and evacuation. 8. Use qualified providers. 9. Arrange for knowledgeable and timely consultations. 10. Establish and distribute rational administrative rules. Planners using these guidelines may better be able to generate a strategy that optimizes the participants' health benefits, the expedition's productivity, and the expedition sponsor's cost savings.

  4. Recent activities of the Priroda State Remote Sensing Center

    USGS Publications Warehouse

    Morrison, J.L.; Bond, A.R.

    1989-01-01

    At present the Priroda State Remote Sensing Center is the largest entity in the USSR responsible for the receipt and processing of space imagery. Besides the aforementioned consulting and training functions, Priroda, upon user request: a) processes multispectral, band-specific, and other remote sensing imagery and supplies a broad range of primary and derivative information in the form of image copies [prints and transparencies] and digital products; and b) cooperates with other GUGK bodies in the compilation of thematic map series on diverse topics. -from Authors

  5. [Reasons why musicians consult hand surgeons].

    PubMed

    Nourissat, G; Chamagne, P; Dumontier, C

    2003-10-01

    Musicians occasionally consult orthopedic surgeons, particularly upper limb specialists. We wanted to learn more about the reasons why musicians attend orthopedic clinics. We analyzed retrospectively 227 case files of musicians who consulted our center between 1994 and 2001. We noted patient related factors (age, gender, musical experience, level of performance, daily practice schedule) and their reasons for consulting (pain, discomfort, advice). We studied the medical history of the patients and searched for predisposing or triggering elements. We also recorded therapeutic options proposed. Our series included 119 men (52%) and 108 women, mean age 35 years with 27 years of musical experience on the average. Instruments played were mainly the piano (41%), the violin (19%), and the guitar (15%). Patients playing wind instruments, who consult more often for ENT problems, were exceptional. On the average, the patients played their instrument 4 hours daily. One-third of the patients were high-level amateurs, one-third were professionals, and one-quarter were lower-level amateurs. There was a small proportion of soloists or professors. Two-thirds of the musicians presented disorders of the musculoskeletal system, particularly trauma sequelae. Signs of overuse were present in 18% of the patients, mainly women, signs of misuse due to inappropriate or defective technique in 8.8%, and dystonia in 5.7%. Psychological problems were noted in 4 patients. More than one half of the patients had obtained medical advice prior to consulting an orthopedic surgeon and the very large majority had been referred by specialized physical therapists. A surgical procedure was proposed for only 19% of the patients presenting an orthopedic disorder. This study presents a diversified panel of musicians consulting orthopedic surgery clinics. Practicing schedules varied in the study population from one to five hours daily. More than half the patients complained of pain but 18% consulted because

  6. Audit of the consultation process on general internal medicine services.

    PubMed

    Conley, J; Jordan, M; Ghali, W A

    2009-02-01

    To determine the proportion of consultations requested by general internal medicine services that communicate key components of the consultation process to medical subspecialists. Retrospective chart review by two researchers, using a standardised chart abstraction instrument (93.1% agreement, kappa 0.85). Calgary, Alberta, Canada. A random sample of medical consultations was selected from those generated on two medical teaching units (MTUs) from 2003 to 2004. The primary measure of interest was whether a "clear clinical question" was posed to the subspecialist, a binary variable. Two hundred consultations were sampled from the 2885 subspecialty consultations. Of the selected consultations, 94.0% (188/200) were available for review. A clear clinical question was posed in 69.7% (131/188) of consultations (CI 0.63 to 0.74). In a secondary analysis involving a larger sample permitting comparison across subspecialties, 95.1% (368/387) of the consultations, representative of the subspecialties, were available for review. An MTU member contacted the subspecialist for 74.2% of consultations. If a consultation was urgent, a member of the MTU contacted the subspecialist in 81.0% of consultations. Of these urgent consultations, 63.3% had a clear clinical question. More than one in four consultations does not contain a clear clinical question, illustrating suboptimal communication between physicians. Innovative strategies that provide a sustainable solution for overcoming barriers to communication could have a significant impact on quality of care.

  7. Pediatricians' Experience with Clinical Ethics Consultation: A National Survey.

    PubMed

    Morrison, Wynne; Womer, James; Nathanson, Pamela; Kersun, Leslie; Hester, D Micah; Walsh, Corbett; Feudtner, Chris

    2015-10-01

    To conduct a national survey of pediatricians' access to and experience with clinical ethics consultation. We surveyed a randomly selected sample of 3687 physician members of the American Academy of Pediatrics. We asked about their experiences with ethics consultation, the helpfulness of and barriers to consultation, and ethics education. Using a discrete choice experiment with maximum difference scaling, we evaluated which traits of ethics consultants were most valuable. Of the total sample of 3687 physicians, 659 (18%) responded to the survey. One-third of the respondents had no experience with clinical ethics consultation, and 16% reported no access to consultation. General pediatricians were less likely to have access. The vast majority (90%) who had experience with consultation had found it helpful. Those with fewer years in practice were more likely to have training in ethics. The most frequently reported issues leading to consultation concerned end-of-life care and conflicts with patients/families or among the team. Intensive care unit physicians were more likely to have requested consultation. Mediation skills and ethics knowledge were the most highly valued consultant characteristics, and representing the official position of the hospital was the least-valued characteristic. There is variability in pediatricians' access to ethics consultation. Most respondents reported that consultation had been helpful in the past. Determining ethically appropriate end-of-life care and mediation of disagreements are common reasons that pediatricians request consultation. Copyright © 2015 Elsevier Inc. All rights reserved.

  8. 43 CFR 3141.4-1 - Consultation with the Governor.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) LEASING IN SPECIAL TAR SAND AREAS Leasing in Special Tar Sand Areas § 3141.4-1 Consultation with the Governor. The Secretary shall consult with...

  9. An Alternative Teacher Consultation Model: A Case Study.

    ERIC Educational Resources Information Center

    Langhorne, John E., Jr.; And Others

    1979-01-01

    This case history describes intervention techniques used with a nine-year-old male with behavior problems. The procedures used were classroom observation and teacher consultation; drug (Ritalin) withdrawal; direct consultant intervention; and class change and follow-up. (MH)

  10. 75 FR 72838 - Notice of Tribal Consultations; Schedule Update

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-26

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR National Indian Gaming Commission Notice of Tribal Consultations; Schedule Update AGENCY: National Indian Gaming Commission, Department of Interior. ACTION: Notice of tribal consultations; schedule...

  11. The Application of Cognitive Dissonance Theory to Consultation.

    ERIC Educational Resources Information Center

    Hughes, Jan N.

    1983-01-01

    Summarizes aspects of cognitive dissonance theory (theory that predicts when a particular persuasive attempt will be successful) that are most relevant to consultation. Reviews the corresponding experimental support and suggests practical applications of dissonance research and theory to consultation. (LLL)

  12. Business Communication Consulting and Research in Multinational Companies.

    ERIC Educational Resources Information Center

    Hildebrandt, Herbert W.

    1978-01-01

    Describes three issues involved in communication research and consulting for multinational companies, particularly those in Germany: qualifications for doing international consulting and research, problems of American scholar-researchers in those firms, and suggestions for dealing with those issues. (JMF)

  13. Defining the Role of the Professional Security Consultant.

    ERIC Educational Resources Information Center

    Webster, Jim

    2002-01-01

    Discusses the skill set that should be available in security consultants to higher education, including the ability to work with mechanical, architectural, electrical, landscaping, and telecommunications systems. Addresses the need to bring consultants into the building design phase. (EV)

  14. Teledermatology Consultations Provide Specialty Care for Farmworkers in Rural Clinics

    PubMed Central

    Vallejos, Quirina M.; Quandt, Sara A.; Feldman, Steven R.; Fleischer, Alan B.; Brooks, Thanh; Cabral, Gonzalo; Heck, Judy; Schulz, Mark R.; Verma, Amit; Whalley, Lara E.; Arcury, Thomas A.

    2009-01-01

    Context: Rural patients have limited access to dermatologic care. Farmworkers have high rates of skin disease and limited access to care. Purpose: This exploratory study assessed whether teledermatology consultations could help meet the needs of healthcare providers for farmworkers in rural clinics. Methods: Dermatologists provided 79 consultations, using store-and-forward teledermatology, to farmworkers who presented with a skin disease to rural North Carolina clinics. Clinic providers rated the value of the consultation. Findings: Most requests for consultations (94%) came from family nurse practitioners or physician assistants. 12% of consultations were rated somewhat helpful, and the remainder helpful or very helpful. After receiving the consultation, providers changed the diagnosis in 13% of cases. The consultation led providers to contact or attempt to contact 21% of patients to change treatment recommendations. Conclusions: Access to expert dermatologic services is needed by rural healthcare providers. Teledermatology consultations may be a helpful tool to meet this need. PMID:19785587

  15. 43 CFR 3141.4-1 - Consultation with the Governor.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) LEASING IN SPECIAL TAR SAND AREAS Leasing in Special Tar Sand Areas § 3141.4-1 Consultation with the Governor. The Secretary shall consult with...

  16. 43 CFR 3141.4-1 - Consultation with the Governor.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) LEASING IN SPECIAL TAR SAND AREAS Leasing in Special Tar Sand Areas § 3141.4-1 Consultation with the Governor. The Secretary shall consult with...

  17. 43 CFR 3141.4-1 - Consultation with the Governor.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) LEASING IN SPECIAL TAR SAND AREAS Leasing in Special Tar Sand Areas § 3141.4-1 Consultation with the Governor. The Secretary shall consult with...

  18. 41 CFR 102-78.30 - Who are consulting parties?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...), consulting parties are those parties having consultative roles in the Section 106 process (i.e., Section 106...; representatives of local governments; applicants for Federal assistance, permits, licenses, and other approvals...

  19. 41 CFR 102-78.30 - Who are consulting parties?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...), consulting parties are those parties having consultative roles in the Section 106 process (i.e., Section 106...; representatives of local governments; applicants for Federal assistance, permits, licenses, and other approvals...

  20. 41 CFR 102-78.30 - Who are consulting parties?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...), consulting parties are those parties having consultative roles in the Section 106 process (i.e., Section 106...; representatives of local governments; applicants for Federal assistance, permits, licenses, and other approvals...

  1. Consultation and Decision Processes in a Research and Development Laboratory

    ERIC Educational Resources Information Center

    Smith, Clagett G.

    1970-01-01

    Study of relationship between consultation and decision processes in an industrial research laboratory showed the efficacy of multidirectional consultation coupled with a pattern of shared, decentralized decision making. (Author/KJ)

  2. An Alternative Teacher Consultation Model: A Case Study.

    ERIC Educational Resources Information Center

    Langhorne, John E., Jr.; And Others

    1979-01-01

    This case history describes intervention techniques used with a nine-year-old male with behavior problems. The procedures used were classroom observation and teacher consultation; drug (Ritalin) withdrawal; direct consultant intervention; and class change and follow-up. (MH)

  3. International Nursing Consultation: A Perspective on Ethical Issues.

    ERIC Educational Resources Information Center

    Andrews, Margaret M.; Fargotstein, Barbara P.

    1986-01-01

    The ethical issues faced by international nurse consultants are examined, and the ways in which ethical theories can be useful to nurses dealing with ethical conflicts while serving as consultants of other countries are explored. (Author/MLW)

  4. 30 CFR 256.19 - Periodic consultation with interested parties.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... consultation with State and local governments, existing and potential oil and gas lessees and permittees, and... involved in fish and shellfish recovery, and recreational activities. This consultation shall take...

  5. Use of the psychiatric consultation letter as a therapeutic tool.

    PubMed

    Couper, Jeremy; Harari, Edwin

    2004-12-01

    Carefully crafted medical consultation letters can serve the dual purpose of transmitting the consulted psychiatrist's opinion to the referring doctor and enhancing the quality of the doctor-patient therapeutic relationship. Using the same document for both purposes simultaneously can enhance the consultation letter's overall effectiveness, as illustrated by three case examples. Future teaching programmes for undergraduate and postgraduate psychiatry students should incorporate consultation letter writing workshops to improve students' skills in clearly expressing their opinions and management recommendations in written form.

  6. Family consultation for psychiatrically complicated health problems.

    PubMed

    Rohrbaugh, Michael J; Kogan, Anya V; Shoham, Varda

    2012-05-01

    We describe a social cybernetic view of health behavior problems and a team-based family consultation (FAMCON) format for strategic intervention based on that view. This approach takes relationships rather than individuals as the primary unit of analysis and attaches more importance to problem maintenance than to etiology. Treatment aims to interrupt two types of interpersonal problem maintenance-ironic processes and symptom-system fit (conceptualized, respectively, as positive and negative feedback cycles)-and to mobilize communal coping as a relational resource for change. A case example features a depressed husband and bipolar wife complaining of severe communication difficulties related to the husband's kidney cancer and diabetes. Over 6 consultation sessions, strategic interventions focused on interrupting ironic interpersonal patterns resolved the presenting complaint. Although cost-effectiveness is an open question, FAMCON may offer a useful alternative to psychoeducational and cognitive-behavioral treatments in the framework of stepped care. © 2012 Wiley Periodicals, Inc.

  7. Users enlist consultants to calculate costs, savings

    SciTech Connect

    Not Available

    1982-05-24

    Consultants who calculate payback provide expertise and a second opinion to back up energy managers' proposals. They can lower the costs of an energy-management investment by making complex comparisons of systems and recommending the best system for a specific application. Examples of payback calculations include simple payback for a school system, a university, and a Disneyland hotel, as well as internal rate of return for a corporate office building and a chain of clothing stores. (DCK)

  8. How many microbiology consultants are needed?

    PubMed Central

    Bignardi, G E

    1993-01-01

    It is difficult to measure medical staff workload and medical staff requirements in microbiology departments. A review of 14 job descriptions for consultant microbiologists showed that the number of hospital beds and the number of specimens are more reliable workload indices than the population figure. Ratios between beds or specimens and medical staff numbers may help to identify understaffed or overstaffed microbiology departments. PMID:8254095

  9. Performance-related pay for hospital consultants.

    PubMed

    Cash, Andrew; Somers, Andre

    2007-08-01

    In the United Kingdom there about 300,000 people who earn at least pounds 100,000 per year. These people represent just 1% of U.K. workers. Hospital consultants are in this exclusive earning group, and so they should be. Following a new pay deal in 2003, which enabled consultants to achieve a record average NHS salary of pounds 110,000 in 2006, there is growing momentum to introduce a system of performance-related pay. Such a system could work. Many believe this would create the necessary leverage to get the consultant body to work with the managers to create a robust NHS that is fit for purpose and can compete healthily against alternative providers in an open marketplace. The resolve to achieve this has never been stronger. The NHS has always been dogged by status and power divides between the different groups of workers. The time has come to make some headway with breaking down these divides and get on with running a business. Let's hope the NHS can transform into a place where managers and doctors trust each other and work better together. This would give the 1.3 million people that work in the NHS the best chance of creating a successful business that cares for ill people. The financial and professional rewards will follow.

  10. Preconsultation exchange for ambulatory hepatology consultations

    PubMed Central

    Sewell, Justin L.; Guy, Jennifer; Kwon, Annette; Hm Chen, Alice; Yee, Hal F.

    2013-01-01

    Background Preconsultation exchange is an emerging model of specialty care proposed by the American College of Physicians that seeks to answer a clinical question without a formal patient visit to the specialty clinic. This form of specialty care has been little studied. We sought to determine the appropriateness of preconsultation exchange for ambulatory hepatology consultations within our urban healthcare system. Methods Retrospective study of referrals for ambulatory hepatology consultation in the safety net healthcare system of San Francisco, CA from January 2007 through April 2010. Results Of the 500 referrals reviewed, 87 were excluded as repeat requests. The most common reasons for referral were hepatitis B (34.9%) and hepatitis C (32.0%). 56 referrals (13.6%) were appropriate for preconsultation exchange, and 190 (46.0%) were inappropriate for preconsultation exchange. 167 (40.4%) referrals did not include enough information to determine appropriateness for preconsultation exchange. Most of these (83.8%) were made for hepatitis B or hepatitis C, despite the presence of explicit referral guidelines. Midlevel providers were more likely than physicians to provide enough information to determine appropriateness for preconsultation exchange. Conclusion In our urban healthcare system, preconsultation exchange appears to be an appropriate form of specialty care for some ambulatory hepatology consultations. Communication between primary care provider and specialist appears to be an important barrier to broader implementation of preconsultation exchange. Optimizing the preconsultation exchange is critical to improve the primary-specialty care interface, and to build a true Patient Centered Medical Home Neighborhood. PMID:23597797

  11. [Consultations with practitioners of alternative medicine].

    PubMed

    Bernstein, J H; Shmueli, A; Shuval, J T

    1996-01-15

    More than 2,000 Jewish adults, aged 45-75, in urban areas of Israel were interviewed regarding consultations with practitioners of alternative medicine. 6% (122) of the respondents reported visiting such practitioners in the year prior to the interview. Homeopathy was the most frequent therapy, followed by reflexology, naturopathy, and acupuncture. The most common medical complaint was pain, particularly back pain. The most frequent reason for consulting the practitioner was disappointment with the outcome of conventional treatment. 39% of respondents who visited a practitioner were being treated by a conventional physician at the same time, for the same problem. The medical problems of a large majority had been relieved, but 22% said they were not helped by the practitioner. Women were more likely than men to consult a practitioner. Respondents with secondary or higher education were more likely to visit than those with less education. There were no age or socio-economic differences between users and nonusers. The mean payment for the whole series of treatments was NIS 770 (about $250). Respondents who visited practitioners reported worse health and more pain than nonusers, and were also more likely to have visited their conventional primary care physician in the past month. The findings suggest that nonconventional medicine should be seen as complementary to, rather than in competition with conventional medicine.

  12. CERCLA's innocent landowner defense -- Consultants beware

    SciTech Connect

    Nijman, J.T. )

    1994-05-01

    Consultant liability is an area of the innocent landowner defense under CERCLA that is not often discussed. The only reasonable way to protect consultants hired by innocent purchasers'' is for Congress or state legislatures to establish standardized, regulated audit guidelines. However, even standardized guidelines do not protect consultants completely, because standards cannot specify all activity necessary to perform a particular task. Each project has unique circumstances, and standards arguably can become per se determinants of liability. CERCLA provides three defenses to its basic strict, joint and several liability provisions -- an act of God, an act of war, and an act or omission of a third party not in a contractual relationship with the current owner. Congress amended the third-party not in a contractual relationship with the current owner. Congress amended the third-party defense in SARA by redefining contractual relationship'' to exclude from liability owners who acquired the real property following disposal or placement of hazardous material, and established satisfactorily that the owner at the time of purchase neither knew nor had reason to know hazardous substances were disposed on the property -- the innocent landowner defense.

  13. The Usefulness of Consulting as a Teaching Tool.

    ERIC Educational Resources Information Center

    White, Candace

    2001-01-01

    Suggests that private consulting is a beneficial tool in classroom teaching. Reports a concerted effort to use private consulting experience in teaching a public relations course, and to evaluate the effectiveness of using the instructor's current consulting project as a teaching tool. Suggests use of real examples had a positive effect on…

  14. Crisis Communication Consultation of the Federal Reserve Bank System

    ERIC Educational Resources Information Center

    Chandler, Robert C.; Wallace, J. D.

    2008-01-01

    This article, designed for both consulting practitioners and academics, reveals what it is like to do a high-level and high-profile client consultancy. This consultancy was highly informed by and assumes a working knowledge of instructional communication theory, research, and methods as well as drawing upon contemporary communication scholarship…

  15. Introducing Farouk's Process Consultation Group Approach in Irish Primary Schools

    ERIC Educational Resources Information Center

    Hayes, Marie; Stringer, Phil

    2016-01-01

    Research has shown that teacher consultation groups increase teachers' behaviour management skills through discussion and collaborative problem-solving. Unlike the United Kingdom, at the time of this research consultation groups were not widely used in Irish schools. This research introduced Farouk's process consultation approach in three Irish…

  16. The Effectiveness of University-Level Management Consulting Courses

    ERIC Educational Resources Information Center

    Richter, Ansgar; Schmidt, Sascha L.

    2008-01-01

    The authors analyze the effectiveness of consulting courses in raising the self-efficacy of participants to cope with the kinds of tasks typically faced by entry-level management consultants. Using data from self-evaluation questionnaires completed by 130 students in three types of consulting courses, the authors find that these courses are…

  17. A Primer on Consultation Theory: Building a Flexible Worldview.

    ERIC Educational Resources Information Center

    Brack, Greg; And Others

    1993-01-01

    Presents broad introduction to learning, gestalt, systems, organizational, psychoanalytic, and chaos theories of consultation. Demonstrates how consultant can map each of these theories onto consultation environment to produce unique perspective that each theory alone cannot provide. Describes each theory as to how it views and frames consultation…

  18. Introducing Farouk's Process Consultation Group Approach in Irish Primary Schools

    ERIC Educational Resources Information Center

    Hayes, Marie; Stringer, Phil

    2016-01-01

    Research has shown that teacher consultation groups increase teachers' behaviour management skills through discussion and collaborative problem-solving. Unlike the United Kingdom, at the time of this research consultation groups were not widely used in Irish schools. This research introduced Farouk's process consultation approach in three Irish…

  19. Developing a Consulting Practice. Survival Skills for Scholars. Volume 3.

    ERIC Educational Resources Information Center

    Metzger, Robert O.

    This book discusses the content consultation process as undertaken by scholars (professors or advanced graduate students) in all fields to be performed as a regular activity and run as a business. Chapter 1 offers an overview and description of consultation practice. Chapter 2 discusses indirect marketing of consultation services for scholars.…

  20. Negotiating Post-Consultation "Homework" Tasks between Counselors and Clients

    ERIC Educational Resources Information Center

    Strong, Tom; Massfeller, Helen F.

    2010-01-01

    Counselors frequently conclude consultations with clients with suggestions or prescriptions for clients to follow up on, post-consultation. In this paper, we conceptualize the discussion regarding such post-consultation tasks as negotiations between counselor and client, focusing in particular on what observably occurs and is "talked into being"…