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Elementos constitutivos de la responsabilidad profesional en odontología

I.- INTRODUCCIÓN

4.3. Elementos constitutivos de la responsabilidad profesional en odontología

Volumes (in Brown School Library) Materials (campus wide) Journals (Brown School subscriptions) E-journals (campus wide) Databases (Brown School)

55,857 4,281,213 electronic formats) 479 (print and unique titles over 91,000 campus-wide

30 (over 290 campus-wide) The Washington University Library System catalog, hosted by Innovative Interfaces Incorporated (III), allows patrons to search the holdings of all nine Danforth Campus libraries and the Brown School Library for information regarding location and availability of material. Beyond the Washington University environment, the Brown School community has access to the collections of other Missouri universities and Missouri research

institutions through an inter-university library consortia arrangement, MOBIUS. The Washington University Libraries and Brown School also participate in a regional consortium (GWLA) that allows for the direct request of articles by the Brown School community for delivery to the requestor’s email box. Items not found in the catalog or available from MOBIUS or GWLA may be obtained using the interlibrary loan system.

Services

The Brown School Library has three full-time staff members: the director, a

subject/reference librarian, and a circulation supervisor. The director and subject librarian are ALA accredited MLS librarians who provide reference services to students, faculty, staff, doctoral and post-doc students, and visitors with research needs. Reference assistance is available 70.5 hours during the fall and spring semesters and 42.5 hours during the summer sessions. Both librarians have been able to utilize their previous medical school experiences

as the Brown School incorporates evidence-based practice into the curriculum. The librarians, who are familiar with evidence-based methodologies, research techniques and resources, readily work with students to incorporate these skills into their knowledge base. Working with faculty, library staff and postdoctoral students, the library director developed a preliminary handbook on evidence-based practice for students. The handbook is available on the Brown School web page and is regularly updated and revised.

The circulation supervisor reported that during AY2009-10, the library completed 12,222 circulation transactions, including books, audiovisual materials, digital cameras, a laptop computer and journal volumes. In addition to the three professional staff members, library assistants provide circulation assistance. The student staff primarily consists of graduate students (in the MPH and MSW programs), especially international students.

The library Director regularly consults with curriculum lead instructors concerning the library’s collection of materials and other resources. All faculty purchase requests and requests for reserve materials are honored.

The Brown School subscribes to two EBSCO databases for alumni use. Public Health alumni will continue to have access to CINAHL for alumni. The Dean strongly feels that continued access to evidence-based materials by matriculated Brown School students is of great importance. Continued access to the research materials with which they had become familiar as students provides continuing enhancement of the learned skills used in clinical practice applications. Numerous other databases, such as Pubmed, National Guideline Clearinghouse, Cochrane Database and WHOSIS are recommended to the alumni. All alumni of the Brown School may access these resources along with other suggested materials listed in the alumni area of the Brown School’s website (http://brownschool.wustl.edu).

The Brown School Library makes concerted efforts to assess and meet the needs of the public health program. The librarians meet with each new public health faculty member to

understand his/her research and teaching interests and to discuss databases, major journal titles, books, and other resources necessary to support these interests. During spring 2011, the librarians met with representatives of the public health student organization (ALPHA) to highlight the public health resources available to them and to understand their needs. Starting with academic year 2011-2012, the library will conduct at least one public health-specific session per semester to provide students guidance on accessing public health resources. The Brown School Library uses two main mechanisms to assess how well the library’s own collection meets the current needs of students, faculty, and staff. First, the librarians conduct an annual review of requests made through the Article Reach, Interlibrary Loan, and MOBIUS services that indicates frequently requested items the library might add to its collection. Second, the Brown School Library distributes an annual survey to students to gather feedback on the services, collection and facilities. Starting in academic year 2011- 2012, the survey will ask students to identify as MPH, MSW, or dual degree students so the results can be analyzed by program. This survey will also ask specific questions about the students’ public health resource needs. All reasonable questions and comments from the survey are addressed. Feasible proposals such as temporary changes in library hours during the critical midterms and finals weeks have been implemented. Other issues, such as

temperature fluctuations in the library’s reading room, are a chronic problem and are managed as well as can be expected in a building of its age (70+ years).

Finally, the Brown School Library has established a public health profile with its book vendor, Yankee Book Publishers, in order to receive newly published titles and notices of new resources available in the public health field.

Although the MPH program is relatively new, the program has extensive links to the community and has numerous long-standing relationships with community groups, organizations and agencies that provide critical resources for instruction, research and service. Largely this results from faculty and staff members who have long-standing roots to the St. Louis area, and connections between the MPH program and the Brown School, which has decades of experience connecting to the St. Louis community. Consequently, community members actively participate in advisory groups and research teams, review proposals, speak to classes, consult on the development of educational materials, serve as preceptors for practicum placements, mentor students and junior faculty, and provide career opportunities to students.

The Dean’s Professional Advisory Committee helps provide advice to the MPH program, bringing evidence from the professional and general community to advice the MPH program on its educational mission, orientation and programs. The committee advises the Dean on matters of educational importance to the program, encompassing but not limited to such matters as curriculum (including field education), research, recruitment and admission of students, financial aid, continuing education, resource development and School-

community relationship.

The Office of Field Education supports students in their efforts to expand their education beyond the classroom. This office maintains a list of more than 400 approved sites locally, nationally and internationally (a comprehensive list of sites is available to both MPH and MSW students). Many of these sites are community agencies and organizations that contribute expertise to our academic programs, offer opportunities for specialized training, and serve as a rich network for students, staff and faculty.

The MPH program benefits from “in-kind” contributions, such as those described in Section 1.6.k, which arise from the strong ties the MPH program maintains with its community partners. As mentioned in Section 1.6.k, contributions such as classroom teaching, student mentoring, faculty research opportunities and the like are provided by partners in the community at no cost.

1.6.k. A concise statement describing community resources available for instruction, research and service, indicating those where formal agreements exist.

1.6.l. A concise statement of the amount and source of “in-kind” academic

contributions available for instruction, research and service, indicating where formal agreements exist.

Three measures can be used to assess the adequacy of resources for the Brown School’s MPH program, presented in Table 1.6.m: (a) Institutional expenditures per full-time equivalent student, (b) Research dollars per full-time equivalent faculty, and (c) Extramural funding as a percent of the total sources of funds. These measures show that the Brown School clearly has a more than adequate set of resources allocated to the MPH program. It should be noted that the decreasing institutional expenditures per full-time equivalent student can be directly attributed to growth of enrollment in the MPH program, over time. Also, it should be noted that the decreasing share of support from extramural funding can be directly attributed to increasing tuition and fees related to the growth of enrollment in the MPH program.

Table 1.6.m. Outcome Measures for Adequacy of MPH program’s resources

Outcome measure Target FYE 6/30/09 6/30/10 FYE FY 6/30/11 FYE 6/30/12 (Submitted Budget) Institutional expenditures1

per full-time equivalent (FTE) student

$40,000 applicable Not $76,652 $45,472 $37,375

Research dollars per full- time equivalent (FTE)

faculty2 $400,000 $550,000 $573,642 $436,632 $439,548

Extramural funding3 as a percent of the total sources of funds

65% 82.1% 82.1% 72.7% 69.5%

NOTES: 1Externally-funded research expenditures excluded.

2Research dollars are defined as expenditures on grants and contracts, plus indirect cost recovery for the fiscal year.

3Extramural funding is defined as grants and contracts income and associated indirect cost recoveries.

Strengths

• The MPH program has access to a significant array of resources that are certainly adequate to fulfill its stated mission and goals, and its instructional, research and service objectives.

• The sources of funds available to the MPH program have grown from $6.7 million in FY2009 to an estimated $11.6 million in FY2011, and the uses of funds have similarly grown from $6.4 million to an estimated $11.3 million from FY2009 to FY2011.

1.6.m. Identification of outcome measures by which the program may judge the

adequacy of its resources, along with data regarding the program’s

performance against those measures for each of the last three years. At a minimum, the program must provide data on institutional expenditures per full-time-equivalent student, research dollars per full-time-equivalent faculty and extramural funding (service or training) as a percent of the total budget.