Medicine and Health Sciences Commons^™

Biomedical Research Leaders: Report On Needs, Opportunities, Difficulties, Education And Training, And Evaluation, Samuel Wilson, Deborah Brown, Jay Moskowitz, Dan Hurley, David Brown, David Brown, Byron Bailey, Michael Mcclain, Marilyn Misenhimer, Judith Buckalew, Thomas Burks

David C. Brown

The National Association of Physicians for the Environment (NAPE) has assumed a leadership role in protecting environmental health in recent years. The Committee of Biomedical Research Leaders was convened at the recent NAPE Leadership Conference: Biomedical Research and the Environment held on 1–2 November 1999, at the National Institutes of Health, Bethesda, Maryland. This report summarizes the discussion of the committee and its recommendations. The charge to the committee was to raise and address issues that will promote and sustain environmental health, safety, and energy efficiency within the biomedical community. Leaders from every important research sector (industry laboratories, academic health …

Online Interprofessional Health Sciences Education: From Theory To Practice, Robert Luke, Patty Solomon, Sue Baptiste, Pippa Hall, Carole Orchard, Ellen Rukholm, Lorraine Carter

Carole A Orchard, BSN, MEd, EdD (UBC)

Online learning (e-learning) has a nascent but established history. Its application to interprofessional education (IPE), however, is relatively new. Over the past 2 decades the Internet has been used increasingly to mediate education. We have come past the point of "should we use the Internet for education" to "how should we use the Internet for education." Research has begun on the optimal development of online learning environments to support IPE. Developing online IPE should follow best practices in e-learning generally, though there are some special considerations for acknowledging the interprofessional context and clinical environments that online IPE is designed to …

Health Outcomes For Better Information And Care (Hobic): Integrating Patient Outcome Information Into Nursing Undergraduate Curricula, Carole Orchard, Cheryl Reid-Haughian, Rick Vanderlee

Carole A Orchard, BSN, MEd, EdD (UBC)

Nursing-sensitive outcomes provide common information across sectors, thus eliminating duplication that frequently occurs as individuals move across settings. These outcomes also facilitate increased trust among colleagues and support common understandings of patient care needs, thus enhancing continuity of care. Outcomes-oriented information is also likely to increase patient safety and improve overall quality of care. Shared standards and data support consistent decision-making, as nursing decisions can be tracked back over time to assess patient care outcomes. Consequently, nurses will have the means to determine the impact of their interventions on patient outcomes. At the same time, adoption of common approaches to …

Competencies For Interprofessional Collaboration, Lesley Bainbridge, Louise Nasmith, Carole Orchard, Victoria Wood

Carole A Orchard, BSN, MEd, EdD (UBC)

No abstract provided.

From Dissertation Defense To Dissemination: Jump Start Your Academic Career With A Scholar Mentor Group, Melinda Hermanns

Melinda Hermanns

No abstract provided.

Integrating Palliative Care Content Into A New Undergraduate Nursing Curriculum: The University Of Notre Dame, Australia – Sydney Experience, John M. Ramjan, Catherine M. Costa, Louise D. Hickman, Margot Kearns, Jane L. Phillips

Catherine M Costa

Background: The majority of society's deaths occur in a health care environment. Regardless of whether a death occurs in acute care, hospice, residential aged care or community settings, nurses are the health professionals that will spend the largest proportion of time with the patient who has a terminal condition and their families. As few nurses have specialist palliative care qualifications it is essential that nursing education prepares graduates to achieve the core capabilities required for the delivery of best evidenced based palliative care. This reality makes the integration of palliative care content into the undergraduate nursing curricula an important priority. …

Hypertension Management In A Student-Run Free Clinic: Meeting National Standards?, Jason Zucker, Jennifer Gillen, Jason Ackrivo, Robin Schroeder, Steven Keller

Robin S. Schroeder MD

PURPOSE: Affecting one in three adults, hypertension is one of the most prevalent disorders in the United States. The purpose of this analysis was to evaluate, using national care guidelines and quality standards, the quality of care provided at the Student Family Health Care Center (SFHCC) of the University of Medicine and Dentistry of New Jersey (Newark).

METHOD: The authors performed a chart review of all patients seen from June 2008 to June 2009, collecting the following data: age, gender, ethnicity, body mass index, most recent blood pressure measurement, comorbid conditions, number of visits, free medications dispensed, and smoking status. …

Relationships Between Medical Student Burnout, Empathy, And Professionalism Climate, Chantal Brazeau, Robin Schroeder, Sue Rovi, Linda Boyd

Robin S. Schroeder MD

BACKGROUND: Medical student burnout is prevalent, and there has been much discussion about burnout and professionalism in medical education and the clinical learning environment. Yet, few studies have attempted to explore relationships between those issues using validated instruments. METHOD: Medical students were surveyed at the beginning of their fourth year using the Maslach Burnout Inventory, the Jefferson Scale of Physician Empathy-Student Version, and the Professionalism Climate Instrument. The data were analyzed using Statistical Package for the Social Sciences, and Spearman correlation analysis was performed. RESULTS: Scores indicative of higher medical student burnout were associated with lower medical student empathy scores …

The Effectiveness Of Educational Interventions In Reducing Negative Attitudes And Stigmatisation Toward Patients With Anorexia Nervosa, Amy Bannatyne, Peta Stapleton

Peta B. Stapleton

It is frequently reported that clinicians across a range of professional disciplines experience strong negative reactions toward patients with eating disorders, particularly anorexia nervosa (AN). As research consistently demonstrates fear of stigma is the most frequently cited reason explaining why individuals with mental illness do not seek treatment, the current study aimed to develop, evaluate and compare the effectiveness of two differing educational interventions, based on an etiological framing model, against a wait-list control. Participants were fourth-year medicine students randomly assigned to one of three conditions. A three-hour educational workshop was delivered to participants at the beginning of an eight-week …

Family Sources Of Educational Gender Inequality In Rural China: A Critical Assessment, Emily Hannum, Peggy Kong, Yuping Zhang

Yuping Zhang

In this paper, we investigate the gender gap in education in rural northwest China. We first discuss parental perceptions of abilities and appropriate roles for girls and boys; parental concerns about old-age support; and parental perceptions of different labor market outcomes for girls' and boys' education. We then investigate gender disparities in investments in children, children's performance at school, and children's subsequent attainment. We analyze a survey of nine to twelve year-old children and their families conducted in rural Gansu Province in the year 2000, along with follow-up information about subsequent educational attainment collected seven years later. We complement our …

Formative Feedback On A Patient-Based Assessment: Comparing Student Perceptions Of Two Feedback Methods, Marygrace Elson, Rick Axelson

Marygrace Elson

Introduction: Although formative feedback is widely recognized as an essential aid to student learning, there is little evidence regarding effective ways of providing formative feedback on structured clinical exams. This study compares students’ perceptions of immediate, face-to-face feedback with delayed, written on-line faculty feedback on their Obstetrics and Gynecology medical student clerkship patient-based assessment (PBA) at the University of Iowa.

Methods: 163 third year medical students performed the PBA between October 2009-10. Students were assigned to immediate face-to-face or delayed, written on-line feedback. Students were then invited to participate in an anonymous web-based survey. Independent samples t-tests were used to …

Evaluation Of Student Outcomes In Online Vs. Campus Biostatistics Education In A Graduate School Of Public Health, John Mcgready, Ron Brookmeyer

Ron Brookmeyer

Objective: To compare student outcomes between concurrent online and on-campus sections of an introductory biostatistics course offered at a U.S. school of public health in 2005. Methods: Enrolled students (95 online, 92 on-campus) were invited to participate in a confidential online survey. The course outcomes were compared between the two sections adjusting for differences in student characteristics. Results: Seventy-two online (76%) and 66 (72%) on-campus enrollees participated. Unadjusted final exam scores for the online and on-campus sections were respectively 85.1 and 86.3 (p = 0.50) in term 1, and 87.7 and 86.9 (p=0.58) in term 2. After adjustment for student …

Child Mental Health And Service Needs In Iraq: Beliefs And Attitudes Of Primary School Teachers., A Al-Obaidi, B Nelson, G Albadawi, M Hicks, A Guarino

Madelyn Hsiao-Rei Hicks

No abstract provided.

Shaping The Future Of Nursing Education In Ireland, Pauline Joyce

Pauline Joyce

This paper presents core principles of curriculum design. These principles were used as categories following analysis of submissions made to the Nursing Education Forum in Ireland between 1999/2000. This forum was established following a Commission on Nursing, set up to examine the future of nursing in Ireland. The transition from curriculum design to curriculum development is considered and a summary of curriculum activities is outlined. The paper concludes by presenting questions to focus further discussion.

Medical Schools Can Cooperate: A New Joint Venture To Provide Medical Education In The Northern Rivers Region Of New South Wales, Sue Page, Hudson Birden, Judith Hudson, Jill Thistlethwaite, Chris Roberts, Ian Wilson, John Bushnell, John Hogg, Ben Freedman, Neville Yeomans

Ian G Wilson

The medical schools at the University of Western Sydney, University of Wollongong and University of Sydney have developed a joint program for training medical students through placements of up to 40 weeks on the New South Wales North Coast.

The new partnership agency - the North Coast Medical Education Collaboration - builds on the experience of regional doctors and their academic partners.

A steering comm ittee has identified the availability and support requireme nts of local practitioners to provide training, and has undertaken a comparative mapping of learning objectives and assessments from the courses of the three universities.

The goals …

Personal Growth And Its Correlates During Residency Training, Todd Gress, Scott Wright, Rachel Levine, Brent Beasley, Paul Haidet, Suzanne Caccamese, Donald Brady, Ajay Marwaha, David Kern

Todd W. Gress

• Objectives  To explore the characteristics of and factors associated with personal growth during residency training.
• Methods  In 2003, 359 house officers on 7 internal medicine residency training programmes in the USA were surveyed about their training experiences and issues related to their personal growth. Factor analysis and internal reliability testing were used to develop a ‘personal growth scale’. Logistic regression models were then used to identify independent associations between individual variables and ‘high’ versus ‘low’ personal growth scores.
• Results  A total of 281 house officers (80%) responded. The personal growth scale had a Cronbach's alpha of 0.81. Factors that were …

Research In School Health Education: A Needs Assessment, Lloyd Kolbe, Donald Iverson

Don C. Iverson

No abstract provided.

Federal Data Bases For Health Education Research, Ronald Wilson, Donald Iverson

Don C. Iverson

Described are some of the national health related databases which are useful in conducting health education research. Among areas covered by the projects are hypertension, myocardial infarction, neighborhood health centers, alcoholism, and over the counter drugs.

Workgroup Iv: Public Education. Uicc International Workshop On Facilitating Screening For Colorectal Cancer, Oslo, Norway 2002, R Hiatt, J Wardle, S Vernon, J Austoker, L Bistanti, S Fox, R Gnauck, Donald Iverson

Don C. Iverson

The Workgroup on public education was brought together to formulate an international perspective on public education for the important public health challenge of increasing colorectal cancer screening. The focus of the group did not include professional education, which is an important channel for public education, since another Workgroup covered that topic. The results of the Workgroup represent an expression of expert opinion and did not include a comprehensive review of the literature. However, the recommendations for further research may stimulate a more in-depth examination of the literature in some areas and generate ideas for investigation.

Preventing Hiv Infection Among Adolescents: Evaluation Of A School-Based Education Program, D Main, Donald Iverson, J Mcgloin, S Banspach, J Collins, D Rugg, Lloyd Kolbe

Don C. Iverson

Background. This article reports the results of the impact of aschool-based HIV prevention intervention on students′ knowledge, attitudes, and behavior related to HIV infection. Methods. Seventeen schools within six Colorado school districts were assigned to either intervention or comparison conditions. Students in 10 schools received a 15-session, skills-based HIV prevention curriculum implemented by trained teachers. A total of 2,844 students completed at least one survey during the study period; surveys were matched using demographic questions, yielding a cohort of 979 students who had baseline and 6-month follow-up data. Results. Intervention students exhibited greater knowledge about HIV and greater intent to …

Implementing Comprehensive Health Education: Educational Innovations And Social Change, Lloyd Kolbe, Donald Iverson

Don C. Iverson

The effectiveness of health education is ultimately determined by whether it is implemented, and how it is implemented. Although a given health education innovation may be designed and experimentally assessed to promote well-being with some measure of effectiveness and efficiency, the actual impact of the innovation will depend upon the manner in which it is disseminated, initiated, and maintained. The implementation of health education programs in schools or elsewhere is a function of the types of innovations available, certain characteristics of those innovations that influence their use, and the manner in which the innovations are brought into practice. This paper …

Utilizing A Health Behavior Model To Design Drug Education/Prevention Programs, Donald Iverson

Don C. Iverson

The underlying philosophical and practical problems encountered when designing drug education/prevention programs are reviewed. The necessity for utilizing a health behavior model as the basis for any prevention program is discussed and the Health Belief Model is proposed as the model of choice. The Health Belief Model is described and its most relevant components are outlined. The drug education material and teaching methodology which complement the model are reviewed as well as specific suggestions regarding selection of the most appropriate material for inclusion in the program.

The Effects Of An Education Intervention Program For Juvenile Drug Abusers And Their Parents, Donald Iverson, Stephen Jurs, Lawrence Johnson, Rita Rohen

Don C. Iverson

The Juvenile Intervention Program represents an attempt to intervene in the development of juvenile drug dependence. The program involves the early identification of juvenile drug abusers followed by the recruitment of the juveniles and their parents into the program. The program utilizes the principles of family involvement and peer pressure throughout the program, while the basis of the program involves the education of the participants in such areas as family architecture, family communication patterns and drug knowledge.

Qualitative Methods For Evaluative Research In Health Education Programs, Patricia Mullen, Donald Iverson

Don C. Iverson

Qualitative methods can play a significant role in both formative and summative evaluations. There are at least six functions of qualitative methods in evaluation. Tables and figures present information on characteristics of qualitative and quantitative methods, selected qualitative evaluation models, and a checklist of evaluation situations for which qualitative methods are appropriate.

School Health Education, Lawrence Green, Donald Iverson

Don C. Iverson

In this review we assess the recent developments in research and practice pertaining to health education in schools. We begin by defining school health education within the broader framework of community health education and promotion. The shifting priorities, purposes, and assumptions of school health education are traced and attributed. They lead to a new generation of problems and methods that call for a concentration of research on ways to combine the classroom contributions of health education with the broader organizational, economic, and environmental supports that will predispose, enable, and reinforce behavior conducive to health.

Design Of The School Health Education Evaluation, Walter Gunn, Donald Iverson, Martha Katz

Don C. Iverson

The nation's public schools can systematically promote the knowledge, attitudes, and skills necessary for good health. The U.S. Department of Health and Human Services contracted to evaluate the School Health Curriculum Project and three other approaches. The design, implementation, and benefits of the School Health Education Evaluation (SHEE) are discussed.

Health Education Research: Accomplishment Or Exercise, Donald Iverson, M Hosakawa

Don C. Iverson

No abstract provided.

Propositions For An Alternate And Complementary Health Education Paradigm, Lloyd Kolbe, Donald Iverson, M Kreuter, G Hochbaum, G Christensen

Don C. Iverson

No abstract provided.

Issues Related To Designing And Conducting School Health Education Research, Donald Iverson

Don C. Iverson

Investigators interested in conducting school health research face many important challenges. First, an appropriate research course for school health must be charted so the most important research issues are addressed in a systematic way. Second, there is a continuing need to develop scientifically sound research methods that can be used in the school setting. Third, there is the immediate need to identify ways of overcoming the usual problems encountered in the conduct of school health research. This paper focuses on the third challenge, via an analysis of the research design and measurement issues that most frequently confront school health researchers. …

Undergraduate Psychology Training And Workplace Needs: Student Perspectives On The Extent To Which Their Education Prepares Them For Their Chosen Career, G Stoyles, P Caputi, M Byrne, T Crowe

Mitchell K Byrne

The current study surveyed 195 first to fourth year psychology students at a regional university in New South Wales about the amount of applied content in undergraduate psychology training and post-graduate opportunities for employment as a psychologist. Eighty-nine percent of students believed that the level of applied psychological training was either nonexistent or inadequate, and therefore did not equip them for finding work as a psychologist. Ninety-six percent of students who wished to become intern psychologists believed that opportunities for working as intern generalist psychologists were either non-existent or insufficient. Concerns around employment and registration opportunities reflected this group’s disillusionment …