This article provides an overview of the current nature and state of doctoral education in nonprofit and philanthropic studies. Data regarding student interests and demand for courses was gathered using surveys of faculty members and PhD students. A systematic journal database search was conducted to better understand what disciplines engage in research on nonprofit organizations and voluntary action. Arguing that theory-based, doctoral-level education in the field of nonprofit and philanthropic studies is needed by academia and sought after by doctoral students, a framework for meeting the educational needs of the field's future scholars is proposed.
It is now over 40 years since restorative proctocolectomy (RPC) with formation of ileoanal pouch was pioneered by Parks and Nicholls [1].During that time the operative technique has evolved, in particular the reservoir configuration (S, W, J and H) and the method of pouchanal anastomosis. Initially the anastomotic technique involved mucosectomy and handsewn anastomosis, which was largely superseded by the use of circular staplers. Both techniques leave behind residual rectal tissue which is susceptible to the original pathology;
Background and Aims
Inflammatory Bowel Disease colitis-associated dysplasia is managed with either enhanced surveillance and endoscopic resection or prophylactic surgery. The rate of progression to cancer after a dysplasia diagnosis remains uncertain in many cases and patients have high thresholds for accepting proctocolectomy. Individualised discussion of management options is encouraged to take place between patients and their multidisciplinary teams for best outcomes. We aimed to develop a toolkit to support a structured, multidisciplinary and shared decision-making approach to discussions about dysplasia management options between clinicians and their patients.
Methods
Evidence from systematic literature reviews, mixed-methods studies conducted with key stakeholders and decision-making expert recommendations were consolidated to draft consensus statements by the DECIDE steering group. These were then subjected to an international, multidisciplinary modified electronic Delphi process until an a priori threshold of 80% agreement was achieved to establish consensus for each statement.
Results
31 members (15 gastroenterologists, 14 colorectal surgeons and two nurse specialists) from 9 countries formed the Delphi panel. We present the 18 consensus statements generated after two iterative rounds of anonymous voting.
Conclusions
By consolidating evidence for best practice using literature review, key stakeholder and decision-making expert consultation we have developed international consensus recommendations to support healthcare professionals counselling patients on the management of high cancer risk colitis-associated dysplasia. The final toolkit includes clinician and patient decision aids to facilitate shared decision-making.
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