How changing quality management influenced PGME accreditation: a focus on decentralization and quality improvement.

Background: Evaluating the quality of postgraduate medical education (PGME) programs through accreditation is common practice worldwide. Accreditation is shaped by educational quality and quality management. An appropriate accreditation design is important, as it may drive improvements in training.

The psychological impact of an adenoidectomy and adenotonsillectomy on young children.

Objective: Children react differently to surgeries. The purpose of this study is to examine the stress response in young children after an adenoidectomy and adenotonsillectomy, and whether child characteristics of behavioural and neurophysiological nature can predict this stress response.

Methods: In this prospective cohort study 43 children, aged 2-7 years, scheduled for adenoidectomy or adenoitonsillectomy (response rate 43%) were recruited from the Ear, Nose and Throat Department of the Academic Medical Centre in Amsterdam, the Netherlands.

Testimony method to ameliorate post-traumatic stress symptoms. Community-based intervention study with Mozambican civil war survivors.

Background: The effectiveness of the testimony method has not been established in rural communities with survivors of prolonged civil war.

Aims: To examine the effectiveness and feasibility of a testimony method to ameliorate post-traumatic stress symptoms.

Method: Participants (n=206) belonged to former war zones in Mozambique.