title: The Education and training of clinical medical physicists in 25 European, 2 North American and 2 Australasian countries: Similarities and differences

authors: Stefanoyiannis, Antonis P.

subjects: medical physicist

abstract: Purpose: The clinical medical physicist is part of a team responsible for safe and competent provision of radiation-based diagnostic examinations and therapeutic practices. To ensure that the physicist can provide an adequate service, sufficient education and training is indispensable. The aim of this study is to provide a structured description of the present status of the clinical medical physicist education and training framework in 25 European, 2 North American and 2 Australasian countries.
Methods: For this study, data collection was based on a questionnaire prepared by the European Federation of Organizations in Medical Physics (EFOMP) and filled-in either by the corresponding scientific societies-organizations or by the authors.
Results: In the majority of cases, a qualified medical physicist should have an MSc in medical physics and 1–3 years of clinical experience. Education and training takes place in both universities and hospitals and the total duration of the programs ranges from 2.5 to 9 years. In 56% of all European countries, it is mandatory to hold a diploma or license to work as a medical physicist, the situation being similar in Australasian and 4 states of USA. Generally, there are national registers of medical physicists with inclusion on the register being voluntary. There are renewal mechanisms in the registers usually based on a Continuing Professional Development (CPD) system.
Conclusions: In conclusion, a common policy is followed in general, on topics concerning education and training as well as the practice of the medical physicist profession, notwithstanding the presence of a few differences.

text: The Education and training of clinical medical physicists in 25 European, 2 North American and 2 Australasian countries: Similarities and differences Purpose: The clinical medical physicist is part of a team responsible for safe and competent provision of radiation-based diagnostic examinations and therapeutic practices. To ensure that the physicist can provide an adequate service, sufficient education and training is indispensable. The aim of this study is to provide a structured description of the present status of the clinical medical physicist education and training framework in 25 European, 2 North American and 2 Australasian countries.
Methods: For this study, data collection was based on a questionnaire prepared by the European Federation of Organizations in Medical Physics (EFOMP) and filled-in either by the corresponding scientific societies-organizations or by the authors.
Results: In the majority of cases, a qualified medical physicist should have an MSc in medical physics and 1–3 years of clinical experience. Education and training takes place in both universities and hospitals and the total duration of the programs ranges from 2.5 to 9 years. In 56% of all European countries, it is mandatory to hold a diploma or license to work as a medical physicist, the situation being similar in Australasian and 4 states of USA. Generally, there are national registers of medical physicists with inclusion on the register being voluntary. There are renewal mechanisms in the registers usually based on a Continuing Professional Development (CPD) system.
Conclusions: In conclusion, a common policy is followed in general, on topics concerning education and training as well as the practice of the medical physicist profession, notwithstanding the presence of a few differences.

year: 2011

title: The impact of foreign direct investment on local industry in Chile

authors: Akoorie, Michèle E.M.

subjects: MNEs

abstract: Technology transfer, spillovers and linkages from MNEs to local industry may aid economic development in emerging economies. This paper argues that foreign affiliates in an emerging economy (Chile) will demonstrate multiple patterns of linkage formation which is a combination of competitive and collaborative linkages with local firms. Foreign affiliates will overcome their liability of foreignness (LOF) by engaging in collaborative relationships which augment their ownership advantages in terms of producing socially responsible products and processes (Corporate Social Responsibility, CSR). Using a sample of firms from the service sector in Chile case study techniques are employed within and across to analyse the degree of linkage (DOL) between foreign affiliates and local firms. Foreign affiliates do demonstrate multiple patterns of linkage formation and those firms with above average extent and quality of linkages are also likely to have above average scores for CSR linkages. The implications of these findings for policy and IB theory are discussed.

text: The impact of foreign direct investment on local industry in Chile Technology transfer, spillovers and linkages from MNEs to local industry may aid economic development in emerging economies. This paper argues that foreign affiliates in an emerging economy (Chile) will demonstrate multiple patterns of linkage formation which is a combination of competitive and collaborative linkages with local firms. Foreign affiliates will overcome their liability of foreignness (LOF) by engaging in collaborative relationships which augment their ownership advantages in terms of producing socially responsible products and processes (Corporate Social Responsibility, CSR). Using a sample of firms from the service sector in Chile case study techniques are employed within and across to analyse the degree of linkage (DOL) between foreign affiliates and local firms. Foreign affiliates do demonstrate multiple patterns of linkage formation and those firms with above average extent and quality of linkages are also likely to have above average scores for CSR linkages. The implications of these findings for policy and IB theory are discussed.

year: 2010

title: Māori whānau experiences of a neonatal intensive care unit: Waikato hospital

authors: Thompson, Keri

subjects: Maori whanau narratives

abstract: This thesis topic emerged from my personal experience of having a premature baby in the Neonatal Intensive Care Unit (NICU) at Waikato hospital.  My whānau and I felt like aliens; culturally inept, and totally alone during our time in the NICU.  It was not until I spoke to other Māori mothers that I realised our stories were similar.   

I sought to understand how other Māori whānau members made sense of their own experiences, how they coped/adjusted to the experience of having a premature baby in an NICU and at home, and the sources of support they utilised. This study did not seek to delineate parents' experiences but attempted to allow whānau members to share their stories and explore their experiences of having a premature or special-care baby in an NICU.

The event of childbirth and the placing of a natural event into a pathological illness model through necessity has repercussions for the ways in which women experience and make sense of the event.  Knowing this, six whānau stories were collected comprising of four individual interviews with the mothers and two whānau hui (focus groups).  My use of a narrative methodology and kaupapa Māori approach enabled all the participants the opportunity to share their stories on how they make sense of their own experiences without the frame of pathological illness. 

The findings present each whānau story autonomously, to highlight the key events that   occur once the birth of a premature/special-care infant is admitted into an NICU. The participants' narratives followed their transitions through an NICU and return home. The narrative analysis and discussion confirmed that this research had been successful in creating a space for the mothers and their whānau members to share their stories.  The discussion combined their narratives to reveal that the effective coping strategies did not remove the sources of stress but rather lessened the impact of the stresses.  In situations where sources of stress were unable to be removed or reduced, participants perceptions of ineffective coping translated into narratives of negative perceptions of the NICU, and birthing experience. 

The importance of positive relationships within an NICU, and in particular, the role of the nurse as a key facilitator, highlighted that efficacious communication resulted in positive experiences for Māori whānau.  Whānau support was identified as one of the most important coping strategies for mothers in the NICU.  Those participants who were encouraged to maintain connections with whānau members reported more positive experiences overall.

Three levels of implications were identified in this research. Firstly, that the participants'narratives provided a range of coping strategies for future Māori parents and their whānau who enter an NICU.  Secondly, there are implications for NICU policy, and best practice particularly when supporting Māori in an NICU environment.  Lastly, the narratives provided meaningful insights that contribute to gaps in local, national, and international literature.  Overall, I realised that just like me, these mothers, and other whānau members, constructed narratives that are meaningful accounts to be shared with others.

text: Māori whānau experiences of a neonatal intensive care unit: Waikato hospital This thesis topic emerged from my personal experience of having a premature baby in the Neonatal Intensive Care Unit (NICU) at Waikato hospital.  My whānau and I felt like aliens; culturally inept, and totally alone during our time in the NICU.  It was not until I spoke to other Māori mothers that I realised our stories were similar.   

I sought to understand how other Māori whānau members made sense of their own experiences, how they coped/adjusted to the experience of having a premature baby in an NICU and at home, and the sources of support they utilised. This study did not seek to delineate parents' experiences but attempted to allow whānau members to share their stories and explore their experiences of having a premature or special-care baby in an NICU.

The event of childbirth and the placing of a natural event into a pathological illness model through necessity has repercussions for the ways in which women experience and make sense of the event.  Knowing this, six whānau stories were collected comprising of four individual interviews with the mothers and two whānau hui (focus groups).  My use of a narrative methodology and kaupapa Māori approach enabled all the participants the opportunity to share their stories on how they make sense of their own experiences without the frame of pathological illness. 

The findings present each whānau story autonomously, to highlight the key events that   occur once the birth of a premature/special-care infant is admitted into an NICU. The participants' narratives followed their transitions through an NICU and return home. The narrative analysis and discussion confirmed that this research had been successful in creating a space for the mothers and their whānau members to share their stories.  The discussion combined their narratives to reveal that the effective coping strategies did not remove the sources of stress but rather lessened the impact of the stresses.  In situations where sources of stress were unable to be removed or reduced, participants perceptions of ineffective coping translated into narratives of negative perceptions of the NICU, and birthing experience. 

The importance of positive relationships within an NICU, and in particular, the role of the nurse as a key facilitator, highlighted that efficacious communication resulted in positive experiences for Māori whānau.  Whānau support was identified as one of the most important coping strategies for mothers in the NICU.  Those participants who were encouraged to maintain connections with whānau members reported more positive experiences overall.

Three levels of implications were identified in this research. Firstly, that the participants'narratives provided a range of coping strategies for future Māori parents and their whānau who enter an NICU.  Secondly, there are implications for NICU policy, and best practice particularly when supporting Māori in an NICU environment.  Lastly, the narratives provided meaningful insights that contribute to gaps in local, national, and international literature.  Overall, I realised that just like me, these mothers, and other whānau members, constructed narratives that are meaningful accounts to be shared with others.

year: 2009