Background
Since child abuse and neglect (CAN) is prevalent worldwide, medical students should acquire basic knowledge, skills, and confidence in identifying and addressing CAN. Although significant educational efforts have been previously described, none has focused on using participatory methods to teach medical students CAN.
Purpose
To: 1) develop a participatory educational workshop in CAN for medical students, 2) gather, train, and establish a peer-to-peer teaching group, and 3) assess the effectiveness of the workshop in gain of knowledge and improvement of self-confidence for participants.
Methods
A two-hour workshop was created with role-playing, the use of mannikins and peer-to-peer teaching. A 15-item knowledge and a 9-item self-confidence questionnaire were used before, right after, and six months after each workshop.
Results
Nine workshops in two academic pediatric departments with a total attendance of 300 6th year medical students were conducted. For the 69 students who completed the questionnaires at all three times, there were statistically significant gains in knowledge right after (p < .001) and six months after (p < .0001) the workshops. Similarly, self-confidence increased right after (p < .0001) and six months after (p < .001) the workshops. Self-selection bias testing indicated that these 69 students who completed all three questionnaires were representative of those who completed the pre-testing and the testing right after.
Conclusions
We successfully established a peer-to-peer teaching group to conduct nine participatory workshops that improved the participants’ knowledge and self-confidence in CAN. This feasible and novel active learning approach may help address inadequacies in medical curricula.
Seaports will play a pivotal role in the low-carbon transition of maritime shipping, the policy landscape in which is currently being shaped. In this context, we introduce a multi-criteria decision support framework for seaport sustainability planning, to identify the competitiveness of interventions under uncertainty and evaluate the direction of the sector's policy context in terms of required actions. The framework, based on the 2-tuple TOPSIS model, heterogeneous variables, and a Monte Carlo robustness analysis, is empirically applied to the port of Piraeus, Greece, to explore the most competitive interventions and their vulnerability to uncertainties. To inform port authorities and policymakers in the sector, we emphasise the added value of selected, inexpensive actions for energy efficiency and hybrid mobility. Furthermore, we find costly and seemingly obligatory actions under current European legislation, like cold ironing and LNG, to be robust and in the right direction if perception of non-financial risks is reduced.
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