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Twenty‐four hour pH monitoring is an expensive, time‐consuming and uncomfortable investigation only necessary in a small proportion of patients with gastro‐oesophageal reflux disease. Guidelines have been published by the British Society of Gastroenterology, in order to clarify those patients likely to benefit. Aims to assess whether these guidelines are being followed in a large teaching hospital. A random selection of the notes of all patients referred for 24‐hour pH monitoring at the Queens Medical Centre were assessed for the appropriateness of referral. A total of 114 patients were referred for pH monitoring, and the notes of 77 of them reviewed. This audit shows that in the majority of cases guidelines are being followed. Referrals from non‐gastrointestinal specialties accounted for 50 per cent of cases where they were not. In addition, 40 per cent of all referrals from non‐gastrointestinal specialties failed to follow guidelines, suggesting that this group is either educated further as to their contents, or that all patients referred for 24‐hour pH monitoring see a medical or surgical gastroenterologist prior to the investigation.

The purpose of this study was to explore the cultural and structural conditions that influence male and female physicians’ career choices and career expectations. Although women constitute 59 percent of the physicians and 55 percent of the specialists in Finland in 2014, the rate of women in oto-rhino-laryngology (38 percent) was one of the lowest among the specialties. The data consist of semi-structured interviews with young physicians (N = 19), who have entered a career in oto-rhino-laryngology (ORL) in Finland.

The results point to three features which characterize the career pattern in the specialty. First, the specialty is not one that draws students to medicine per se but rather one that is chosen during medical training. The decision to specialize in ORL was by many respondents framed as a “coincidence,” while others were attracted by the diverse character of the specialty. Second, the skills needed for being a “good” practitioner were defined as handiness, courage, and social skills, but these were not defined in a gendered way. Third, the career prospects for women within the specialty were defined by a neutralizing or a gendering framework. The neutralizing framework was represented by the pipeline argument which suggests that there is a temporary time lag in women’s representation in higher positions and that women are advancing steadily in the academic and administrative pipeline. The gendering framework pointed to the male ethos of the surgical tasks in the specialty as a barrier for women’s advancement in those areas. This chapter concludes that the pipeline view belittles existing gender inequalities in men’s and women’s medical careers and views gender differences as temporary maladjustments rather than inherent features of gendered organizations.

The predicted doctors’ shortage in Austria and the increasing feminisation of the medical profession are aspects of a passionate debate on gender inequality in medical careers and particularly on sufficient medical care in Austria. Therefore, this review summarises main findings on gender inequality in medical careers in Austria using an intersectional lens.

The intersections derived from literature elucidate that gender inequality is not predominantly dependent on having a family including children, but that various combinations of these intersections influence women’s careers.

There is a need to further investigate intersections influencing medical careers in women and to relate these to affirmative action measures. Affirmative action measures need quotas and consideration of various areas besides work–family balance. There is a need to evaluate and adapt interventions to promote women in medicine according to the intersections derived from the literature.

This study aims to evaluate factors influencing undergraduate students’ acceptance of a computer-aided learning resource using the Phantom Omni haptic stylus to enable rotation, touch and kinaesthetic feedback and display of names of three-dimensional (3D) human anatomical structures on a visual display.

The software was developed using the software development life cycle, and was tested by students enrolled in various bachelor degrees at three stages of development within the technology acceptance model, action research and design research methodology frameworks, using mixed methods of quantitative and qualitative analysis.

The learning system was generally well-accepted, with usefulness (72 ± 18, mean ± standard deviation, 0-100 visual analogue scale) rated higher (p < 0.001) than ease of use (57 ± 22). Ease of use ratings declined across the three versions as modules were added and complexity increased. Students with prior experience with 3D interfaces had higher intention to use the system, and scored higher on identification of anatomical structures. Students with greater kinaesthetic learning preferences tended to rate the system higher. Haptic feedback was considered the best aspect of the system, but students wanted higher spatial resolution and lower response times.

Previous research relating to haptic devices in medical and health sciences has largely focused on advanced trainees learning surgical or procedural skills. The present research suggests that incorporating haptic feedback into virtual anatomical models may provide useful multisensory information in learning anatomy at the undergraduate level.

This study investigates the relationship between job autonomy and burnout among healthcare professionals, focusing on two key contextual elements that moderate this relationship: role ambiguity and workers’ age.

Employing an integrative approach, this research combines the Job Demands-Resources model with the lifespan developmental framework. A multilevel analysis was conducted on a sample of 1,232 hospital workers, nested within 74 units, to examine the relationships between job autonomy and burnout across teams with varying levels of aggregated role ambiguity, incorporating the factor of workers’ age.

The results indicate significant interaction effects between job autonomy, age and role ambiguity in relation to burnout. Job autonomy is associated with lower levels of burnout in contexts of moderate role ambiguity. In contrast, in highly uncertain contexts, job autonomy proves more beneficial for older workers, while it appears to have negative effects on younger workers.

This study enhances our understanding of the complex dynamics between job autonomy and burnout among healthcare professionals by utilizing a multilevel approach to examine the impact of contextual role ambiguity and workers’ age. The multilevel analysis offers original insights into the role of ambiguity, while the integration of two robust theoretical frameworks (i.e. JD-R model and Lifespan framework) provides a solid foundation for contributing to the discussion.