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Despite all the talk and activity of the past ten years or so, training and development continues to be regarded by many managers as a fringe benefit—a very fringe benefit! It is still rarely viewed by them as a problem solving tool which can speed the removal of whole groups of problems, prevent the occurrence of potential problems and allow opportunities to be seized and exploited. There are two schools of thought about how this situation might be tackled: the first assumes that nothing of importance can be achieved until the training officer has attained a certain status level within his organisation (. . and some have greatness thrust upon them) while the other school argues that the training officer can influence events to the extent that he is perceived as having knowledge and expertise which are both relevant and appropriate to the situation. It is this latter viewpoint which seems to offer most hope and which forms the raison d'etre for this article.

RECENTLY, AS PART OF A COURSE, A COMPANY HAD TO provide a relevant in‐company project for their training officer. After making a number of conventional and rather feeble suggestions it was eventually agreed that he would investigate the problem of low earners (these are operatives who fail to earn the minimum bonus and whose wage therefore has to be made up by the company). There were a significant number of these each week.

THE USE OF PROJECTS FOR TRAINING PURPOSES IS INCREASING rapidly (note the number of people now writing about it) and the method is now being fairly extensively used both in industry and in education. In many cases, however, it is used as little more than a sort of do‐it‐yourself training kit whereby the trainee is given a topic or a problem and left to his own devices; if the result is less than satisfactory then it is the fault of the trainee and certainly not the fault of the training officer! If the training officer is to use the project as a TRAINING method then he will have to be involved all the way through and not confine himself to a few comments handed out during the project review. In fact, the whole project will have to be very carefully planned and structured so that the trainee's progress is continually monitored, thus enabling the training officer to prompt, encourage, guide and advise. The training officer must do this if he is to assist in the learning process and not merely chronicle it.

Integrated care approaches have been recommended for co-occurring substance use and mental health disorders. The purpose of this study is to explore and map the research literature regarding social work and its intersection with co-occurring substance use and mental health disorders.

An iterative and systematic search of five electronic databases CINAHL, Scopus, PsycINFO, Social Science Database and Medline was conducted to identify studies published between 2002 and 2022. Two reviewers independently screened publications in two successive stages of title and abstract screening, followed by a full-text screening of eligible studies. Data from each included publication were screened and extracted using Covidence.

A total of 38 eligible studies were included in the final scoping review. The included studies were conducted in eight different counties, including a range of study designs (e.g. cross-sectional, RCT, pilot studies). Only 8 of the 38 studies included people with co-occurring disorders as participants. Study settings were broad, for example, dual-diagnosis, military, homeless, substance use and community-based settings.

A review of the literature surrounding social work practice and its intersection with co-occurring mental health and Alcohol and other drug was warranted to document the evidence on this largely unexplored area of research. This review found that there was a paucity of literature that focused specifically on the role of social work practice in relation to individuals with co-occurring disorders, with a limited number of studies focusing on dual diagnoses.

To date, community pharmacy research has largely focused on the impact of service quality elements on patronage behavior. Investigation into the influence of cost and value is limited. The purpose of this study is to explore what is known about customers’ perceptions of cost and value, and how these influence patronage patterns in community pharmacy.

A scoping review framework was used to conduct a systematic search of four databases with the addition of articles sourced from reference lists. The database search was reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis: Extension for Scoping Reviews protocol. Studies were analyzed in terms of author name, date of publication, study location, study population, methods and key findings.

The 26 studies retrieved were qualitative or quantitative in nature and included a broad sample population. Both cost and value were found to be key factors influencing pharmacy choice. Pharmacy customers were found to perceive costs in terms of monetary, psychological, emotional and convenience-related sacrifices. Value was either perceived as relating to the worth or utility of a good or service, or in terms of a trade-off relationship between what was received and given up by the consumer.

A comprehensive interrogation into the true meaning of “value” to consumers is warranted to improve quantitative measurement instruments.

Pharmacies may attempt to influence customer behavior by minimizing unfixed costs to the consumer such as the price of goods and services and time costs.

This review highlights the need for academic enquiry into how consumers trade-off perceived costs for service in community pharmacy.

Many studies have suggested the use of lights and siren by ambulances has the potential to save time, which can be clinically beneficial for certain patients. However, other studies suggest lights and siren use increases an emergency vehicle’s crash risk. In the absence of a comprehensive multi-center trial, a meta-analysis of prior studies can offer insight into this topic. Thus, we conducted a meta-analysis to evaluate the extent to which the use of lights and siren decreases response and transport times nationally.

We searched PUBMED, EBSCO Academic Search Ultimate, Google Scholar and the premier EMS journals for potential articles identifying time savings associated with lights and siren use and augmented the search results with other relevant studies. Studies were included if they compared time involved with driving a given route using lights and siren with the time required to drive the same route without lights and siren.

Nine studies were included. Across these studies, lights and siren use was associated with a weighted average time savings of 159 s or 2.7 min (95% CI: 100–219 s, p < 0.0001).

Our analysis of the previously-published literature reveals that lights and siren use is associated with time savings across geographies; however, the precise difference may only be beneficial to certain patients. Most studies are small and relatively dated, so individual EMS systems ought to study their specific geography to inform policies that maximize the beneficial impact of lights and siren use and minimize unnecessary risk.

The study aims to explore the theoretical bases justifying the use of performance-based financing (PBF) in the health sector in low- and middle-income countries (LMICs).

The authors conducted a scoping review of the literature on PBF so as to identify the theories utilized to underpin it and analyzed its theoretical justifications.

Sixty-four studies met the inclusion criteria. Economic theories were predominant, with the principal-agent theory being the most commonly-used theory, explicitly referred to by two-thirds of included studies. Psychological theories were also common, with a wide array of motivation theories. Other disciplines in the form of management or organizational science, political and social science and systems approaches also contributed. However, some of the theories referred to contradicted each other. Many of the studies included only casually alluded to one or more theories, and very few used these theories to justify or support PBF. No theory emerged as a dominant, consistent and credible justification of PBF, perhaps except for the principal-agent theory, which was often inappropriately applied in the included studies, and when it included additional assumptions reflecting the contexts of the health sector in LMICs, might actually warn against adopting PBF.

Overall, this review has not been able to identify a comprehensive, credible, consistent, theoretical justification for using PBF rather than alternative approaches to health system reforms and healthcare providers' motivation in LMICs.

The theoretical justifications of PBF in the health sector in LMICs are under-documented. This review is the first of this kind and should encourage further debate and theoretical exploration of the justifications of PBF.

Education of the surgeon and development of surgical expertise have been debated for centuries. Today, research in surgical education applies terms and methods from other performance domains such as sport and music. However, there still seems to be a lack of consensus as to how talent may be brought into the discourse about surgical education. Especially, when it comes to identifying and developing trainees who in the future will perform better than the average surgeon.

This five-step scoping study aims to map existing literature about talent identification, talent development and development of expertise in the domains of surgery, sport and music in the period of 1985-2014.

A total of 242 studies, divided in the four domains of surgery (69 studies), sport (115 studies), music (34 studies) and cross-disciplinary studies (24 studies) published in the period 1985-2014 were included.

Informed by the performance domains of sports and music and their inclusion of a holistic, ecological approach to research, this study suggests that research in surgical education may benefit from broadening its view on talent by including psychosocial variables and environmental, demographic and structural influencers when considering how surgical talent may be identified and developed.