{"title":"The USMLE, Kindness, and Other Criteria for Residency Applicants","authors":"Benjamin R. Doolittle","doi":"10.1016/j.hpe.2020.05.003","DOIUrl":"10.1016/j.hpe.2020.05.003","url":null,"abstract":"","PeriodicalId":93562,"journal":{"name":"Health professions education","volume":"6 3","pages":"Pages 317-319"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpe.2020.05.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49621968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors Influencing Student Success in Associate Degree Respiratory Therapy Programs","authors":"Robert Mark Kinkle","doi":"10.1016/j.hpe.2020.06.003","DOIUrl":"10.1016/j.hpe.2020.06.003","url":null,"abstract":"<div><h3>Purpose</h3><p>Research suggests behavioral, personal, and environmental factors each appear to influence student success; however, the results are inconclusive. The purpose of this study was to identify factors influencing student success in associate degree respiratory therapy programs by analyzing existing educational data from student records.</p></div><div><h3>Method</h3><p>A convenience sample of students enrolling in the eight associate degree respiratory therapy programs of a large community college system in the Midwestern United States during 2016 and 2017 (N = 226) was utilized. Historical data from student records were categorized as either a behavioral, a personal, or an environmental factor, and then were analyzed to determine the influence of each factor on student success, defined as degree completion.</p></div><div><h3>Results</h3><p>Binary logistic regression (BLR) models demonstrated significant predictive relationships between specific behavioral factors, personal factors, and environmental factors and degree completion. Significant predictors of degree completion included the following: grade in first program course, first program term and end of first term cumulative grade point averages (GPAs), and failing a required program course (behavioral factors); student age, ethnicity, and gender (personal factors); and campus of attendance and advising model (environmental factors).</p></div><div><h3>Discussion</h3><p>Results suggest specific behavioral factors, specific personal factors, and specific environmental factors each appear to influence student success, providing additional clarity to results found in the literature. Practical implications for leaders and for future research on student success are discussed.</p></div>","PeriodicalId":93562,"journal":{"name":"Health professions education","volume":"6 3","pages":"Pages 343-353"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpe.2020.06.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42287826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jacob Shreffler , Martin Huecker , Leslee Martin , Susan Sawning , Selena Thé , M. Ann Shaw , Olivia Mittel , Amy Holthouser
{"title":"Strategies to Combat Burnout During Intense Studying: Utilization of Medical Student Feedback to Alleviate Burnout in Preparation for a High Stakes Examination","authors":"Jacob Shreffler , Martin Huecker , Leslee Martin , Susan Sawning , Selena Thé , M. Ann Shaw , Olivia Mittel , Amy Holthouser","doi":"10.1016/j.hpe.2020.04.009","DOIUrl":"10.1016/j.hpe.2020.04.009","url":null,"abstract":"<div><h3>Purpose</h3><p>The purpose of this study was to understand medical students’ levels of burnout symptoms and their strategies to combat burnout during the United States Medical Licensure Examination (USMLE) Step 1 study period.</p></div><div><h3>Methods</h3><p>We administered a survey to three cohorts of medical students after they had taken the Step 1 examination. We gauged their perceptions on what worked well while studying including any insight into strategies to alleviate burnout. We used a qualitative approach to describe their experiences.</p></div><div><h3>Results</h3><p>Out of the 477 students surveyed, 370 responded (RR = 77.6%), and we developed 12 key strategies to alleviate burnout during an intense study period: exercise, take days off, limit study hours per day, take breaks, develop support system, dedicate time for fun, eat well, minimize distractors, sleep well, study with others, identify suitable study space(s), and recognize feelings of burnout are normal. We provide further insight into each of these strategies.</p></div><div><h3>Discussion</h3><p>By using these strategies, medical students can minimize levels of burnout and maintain wellness throughout the study period. We believe these strategies could be used not only for medical students, but also in the context of any intensive examination preparation period or for a major research paper such as a dissertation. Research has shown that burnout is real and we as researchers and educators must continue to develop strategies to combat it.</p></div>","PeriodicalId":93562,"journal":{"name":"Health professions education","volume":"6 3","pages":"Pages 334-342"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpe.2020.04.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42112835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brett Vaughan , Michael Fleischmann , Kylie Fitzgerald , Sandra Grace , Patrick McLaughlin , Brian Jolly , Steve Trumble
{"title":"Profile of an Allied Health Clinical Supervision Workforce: Results From a Nationally Representative Australian Practice-Based Research Network","authors":"Brett Vaughan , Michael Fleischmann , Kylie Fitzgerald , Sandra Grace , Patrick McLaughlin , Brian Jolly , Steve Trumble","doi":"10.1016/j.hpe.2020.04.008","DOIUrl":"10.1016/j.hpe.2020.04.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Supervision of clinical learners by appropriately qualified and experienced health professionals is paramount to development of the health workforce. There is extensive literature on the qualities and attributes of effective clinical supervisors however we know little about the clinical practice characteristics of our supervison workforces. Our work explores these charateristics in an Australian allied health supervision context.</p></div><div><h3>Methods</h3><p>Australian osteopaths participating in the professions’ practice-based research network were invited to complete a 27-item practice questionnaire. Participants were asked to indicate if they had participated in clinical supervision in the 12 months prior to data collection. Unadjusted and adjusted odds ratios were calculated to identity characteristics associated with involvement in clinical supervision.</p></div><div><h3>Results</h3><p>15.1% of respondents indicated being involved in clinical supervision. These practitioners were more likely to be female, involved in university teaching, volunteering as an osteopath, and possess an additional qualification beyond their primary pre-professional degree, compared to their non-supervising counterparts.</p></div><div><h3>Conclusions</h3><p>Our work highlights a number of characteristics associated with involvement in clinical supervision. Further research is required to explore why females were more likely to participate in clinical supervision, and potentially explore the motivations for volunteering and its association with clinical supervision.</p></div>","PeriodicalId":93562,"journal":{"name":"Health professions education","volume":"6 3","pages":"Pages 376-385"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpe.2020.04.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41707932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melissa D. Olfert, Rachel A. Wattick, Rebecca L. Hagedorn
{"title":"Experiences of Multidisciplinary Health Professionals From a Culinary Medicine Cultural Immersion: Qualitative Analysis","authors":"Melissa D. Olfert, Rachel A. Wattick, Rebecca L. Hagedorn","doi":"10.1016/j.hpe.2020.04.004","DOIUrl":"10.1016/j.hpe.2020.04.004","url":null,"abstract":"<div><h3>Purpose</h3><p>Increasing Culinary Health Opportunities for Professionals (iCHOP) aimed to educate future and current health professionals on nutrition as medicine.</p></div><div><h3>Methods</h3><p>Two cohorts each participated in a 16-week course followed by a cultural immersion in Tuscany, Italy. The course took place online through West Virginia University. After the course, participants traveled to Tuscany, Italy for a 2-week cultural immersion. The online course covered culinary medicine, the Mediterranean Diet, and cultural comparisons. The cultural immersion consisted of hands-on activities including culinary lessons, food production and organic farm tours, and tastings of Mediterranean foods. Data was collected through personal journaling in order to capture participants’ thoughts and experiences during the immersion. Journal entries were analyzed using NVIVO Software Version 12 in order to generate themes.</p></div><div><h3>Results</h3><p>Cohort 1 (n = 15) consisted of currently practicing health professionals and Cohort 2 (n = 14) consisted of aspiring health professionals. 20 themes and 5 subthemes were generated from 9 journal topics. Themes showed that participants had an increase and knowledge and self-efficacy and applied new information to personal and professional settings.</p></div><div><h3>Conclusions</h3><p>Cultural immersions can be an effective way to educate health professionals on nutrition as medicine and using journaling as a data collection method can effectively capture participants’ experiences.</p></div>","PeriodicalId":93562,"journal":{"name":"Health professions education","volume":"6 3","pages":"Pages 411-419"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpe.2020.04.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44575815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aimee K. Johnson , Sarah R. Blackstone , Ashley Skelly , Whitney Simmons
{"title":"The Relationship Between Depression, Anxiety, and Burnout Among Physician Assistant Students: A Multi-Institutional Study","authors":"Aimee K. Johnson , Sarah R. Blackstone , Ashley Skelly , Whitney Simmons","doi":"10.1016/j.hpe.2020.04.003","DOIUrl":"10.1016/j.hpe.2020.04.003","url":null,"abstract":"<div><h3>Purpose</h3><p>Burnout, depression and anxiety are common in medical students; however, there is limited research on these outcomes in Physician Assistant (PA) students. With a growing number of PA education programs, examining this issue in PA students can provide important information that can ultimately affect the quality of educational outcomes and future health care delivery.</p></div><div><h3>Methods</h3><p>All Virginia PA programs (n = 8) in 2018 participated in a cross-sectional study. Students received a recruitment email providing a link to an anonymous survey. Participants completed the Maslach Burnout Inventory (MBI-SS) student version, Generalized Anxiety Disorder Screener (GAD-7), and the Patient Health Questionnaire (PHQ-2) and provided demographic information. We used two hierarchical linear regression models to assess the ability of depression and anxiety to predict emotional exhaustion and cynicism, respectively, while controlling for sociodemographic variables. The first regression model utilized emotional exhaustion as the dependent variable while the second examines cynicism.</p></div><div><h3>Results</h3><p>The sample consisted of 320 PA students (response rate = 32%). Twenty-three percent were at risk for depression; 43% met criteria for moderate to severe anxiety. Both anxiety (β = 0.53; <em>p</em> < .001), and depression (<em>β</em> = .91; <em>p</em> < .001), significantly predicted emotional exhaustion. There was a significant association between depression cynicism (<em>β</em> = 2.1.; <em>p</em> < .001).</p></div><div><h3>Conclusion</h3><p>To our knowledge, this is the first examining the relationship between depression, anxiety and burnout in PA students. Our findings are similar to those from studies among medical students indicating these issues need to be addressed in PA students.</p></div>","PeriodicalId":93562,"journal":{"name":"Health professions education","volume":"6 3","pages":"Pages 420-427"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpe.2020.04.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44740176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dalal A. ALQahtani , Moeber M. Mahzari , Alanoud A. ALQahtani , Jerome I. Rotgans
{"title":"Time Pressure Experienced by Internal Medicine Residents in an Educational Hospital in Saudi Arabia: A Qualitative Study","authors":"Dalal A. ALQahtani , Moeber M. Mahzari , Alanoud A. ALQahtani , Jerome I. Rotgans","doi":"10.1016/j.hpe.2020.05.005","DOIUrl":"10.1016/j.hpe.2020.05.005","url":null,"abstract":"<div><h3>Purpose</h3><p>Residents suffer from high workload and extended working hours, which have several negative consequences on their mental health and patients' safety. Similarly, time pressure, which is also part of the clinical training of medical residents, may have adverse effects on their performance. The aim of this study was to explore internal medicine residents’ perceptions of time pressure sources in the workplace, its negative effects on them and their patients and finally what strategies they adopt to cope with them.</p></div><div><h3>Method</h3><p>This was a focus group qualitative study. Seventeen internal medicine residents from all four years of the residency training were recruited. A semi-structured interview approach was used, and data were analyzed using thematic analysis.</p></div><div><h3>Results</h3><p>Participants perceived their work as stressful and very demanding. Four major themes emerged to explain the sources of time pressure in the workplace: patient-related factors; practice-related factors; training-related factors; and resident-related factors. In addition, two main themes arose to show the negative effects of time pressure on residents: the effects on residents' health and the effects on residents’ performance. Data also showed two main coping strategies, which can be summarized as: active adaptive coping and avoidant maladaptive coping.</p></div><div><h3>Discussion</h3><p>This in depth-qualitative study highlights the sources and consequences of perceived time pressure in clinical training of internal medicine residents. Residents feel this adverse working condition could have substantial adverse effects on their health and performance.</p></div>","PeriodicalId":93562,"journal":{"name":"Health professions education","volume":"6 3","pages":"Pages 354-367"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpe.2020.05.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42339603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Forecasting Interest in Health Professions Education Based on Relative Search Volume Trends From the Philippines","authors":"Junhel Dalanon , Yoshizo Matsuka","doi":"10.1016/j.hpe.2020.04.010","DOIUrl":"10.1016/j.hpe.2020.04.010","url":null,"abstract":"<div><h3>Purpose</h3><p>Health professions education (HPE), particularly dental education, nursing education, and medical education, had been standardized in the Philippines and the rest of the Southeast Asian nations. This study evaluated the interests of Filipinos in HPE through relative search volume (RSV) trends of search terms including dental degree (DMD), bachelor of science in nursing (BSN), and medical degree (MD).</p></div><div><h3>Methods</h3><p>A search query was done on Google Trends using the search terms DMD, BSN, and MD under the degree category. Restriction of data originating from the Philippines, from December 2009 to December 2019, under the health category, and the web search database were ensured to these parameters.</p></div><div><h3>Results</h3><p>ANOVA with post hoc Tukey's multiple comparison test further revealed significant differences F (2, 30) = 59.12 between DMD and MD (p < 0.0001), and BSN and MD (p < 0.0001), but not in DMD and BSN (p = 0.481) within the framework of Filipino search trends. Simple Seasonal Model for DMD, and the Winters' Multiplicative for BSN and MD were found to fit their individual trends. The series chart showed a slight increase for the DMD, a decline for the BSN, and a steady progression for the MD.</p></div><div><h3>Conclusion</h3><p>The interests of HPE in the Philippines will continue. Interests in MD showed the highest, while lower but comparable peak popularity in DMD and RN is reemerging.</p></div>","PeriodicalId":93562,"journal":{"name":"Health professions education","volume":"6 3","pages":"Pages 368-375"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpe.2020.04.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43677087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nazish Masud , Emad Masuadi , Afaf Moukaddem , Aamir Omair , Mohamud Mohamud , Mohammad Al Dubayee , Alaa Althubaiti , Mohammad Khabti Alnamshan , Manal Bawazeer , Mohammed I. AlJasser
{"title":"Development and Validation of Authorship Order Score (AOS) for Scientific Publication","authors":"Nazish Masud , Emad Masuadi , Afaf Moukaddem , Aamir Omair , Mohamud Mohamud , Mohammad Al Dubayee , Alaa Althubaiti , Mohammad Khabti Alnamshan , Manal Bawazeer , Mohammed I. AlJasser","doi":"10.1016/j.hpe.2020.04.006","DOIUrl":"10.1016/j.hpe.2020.04.006","url":null,"abstract":"<div><h3>Purpose</h3><p>To develop and validate an objective and comprehensive authorship scoring system for determining the order of authorship in a scientific publication.</p></div><div><h3>Methods</h3><p>A multi-phased mix-method study (Delphi followed by cross sectional survey) was conducted (January 2017 to March 2019) at King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Saudi Arabia. The initial Delphi method was followed by a cross-sectional survey with academic faculty members (n = 132). For validity and reliability of a newly developed 15-item tool for identification of authorship order in a scientific publication, exploratory factor analysis was performed using SPSS version 22.</p></div><div><h3>Results</h3><p>The 15-item tool for identification of authorship order was identified after consensus with 10 research experts through three Delphi rounds. The results of the exploratory factor analysis showed four-factor structure explaining 59% of the variance. The final ordering criteria consisted of 13 items; weightage for each item was normalized based on the percentage agreement of the participants from the cross-sectional survey. The total weightage was 100% for all 13 items.</p></div><div><h3>Discussion</h3><p>The current authorship ordering criteria consists of key dimensions of research and provides a weightage which can be used to recommend the order of authorship in scientific publication. The scoring system is likely to be useful for publications in different fields in scientific publication. The scoring system is likely to be useful for publications in different fields in science.</p></div>","PeriodicalId":93562,"journal":{"name":"Health professions education","volume":"6 3","pages":"Pages 434-443"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpe.2020.04.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44251528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Ecological Systems Approach to Exploring Facilitators and Barriers to Success for Minority Students Enrolled in a Doctor of Physical Therapy Program","authors":"Keshrie Naidoo , Heather Yuhaniak , Yolanda Abel","doi":"10.1016/j.hpe.2020.06.001","DOIUrl":"10.1016/j.hpe.2020.06.001","url":null,"abstract":"<div><h3>Purpose</h3><p>The purpose of this study was to explore racial and ethnic minority (REM) Doctor of Physical Therapy (DPT) students' and graduates’ definition of success and their perceived facilitators and barriers to success.</p></div><div><h3>Method</h3><p>This study utilized a mixed methods explanatory sequential design, including quantitative methods to analyze pre-existing performance data from four cohorts of DPT students who graduated from one program between 2014 and 2018. The primary researcher conducted focus group interviews with REM students and graduates to explore perceptions of facilitators and barriers to their success while enrolled in a DPT program in a predominantly White institution.</p></div><div><h3>Results</h3><p>Over a four-year period, most students were successful in degree attainment; however, race was associated with increased incidences of academic difficulty (p = 0.03) and increased time to degree attainment (p = 0.03). Four percent of REM students withdrew from the program compared with less than one percent of White students. REM students and graduates perceived facilitators to success included authentic interactions with faculty and minority peers. Barriers to success included language, cultural and social isolation, as well as discrimination, and a lack of representation of minorities both in the academic institution and clinical facilities.</p></div><div><h3>Conclusion</h3><p>Despite barriers to success, REM students prioritized increasing access to care for communities of color by providing bilingual patient care, highlighting REM DPT students as assets to the health care workforce. However, findings confirm inequitable outcomes for REM students and offers insight into the experience of REM DPT students in a predominantly White institution. A shortage of minority role models, highlights the need for minority core and clinical faculty.</p></div>","PeriodicalId":93562,"journal":{"name":"Health professions education","volume":"6 3","pages":"Pages 394-405"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpe.2020.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42788170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}