Digital Commons Network^™

Racial And Ethnic Disparities In Operative Experience Among General Surgery Residents: A Multi-Institutional Study From The Us Rope Consortium, Chukwuma N Eruchalu, James C Etheridge, Austin C Hammaker, Sarah Kader, Jonathan S Abelson, Jalen Harvey, Deborah Farr, Stephen J Stopenski, Jeffry T Nahmias, Ali Elsaadi, Samuel J Campbell, Darci C Foote, Felicia A Ivascu, Kelsey B Montgomery, Polina Zmijewski, Samuel E Byrd, Mary K Kimbrough, Savannah Smith, Lauren M Postlewait, Shah-Jahan M Dodwad, Sasha D Adams, Katherine C Markesbery, Katherine M Meister, Matthew R Woeste, Robert C G Martin, Zachary M Callahan, Joshua A Marks, Purvi Patel, Michael J Anstadt, Bilal Waqar Nasim, Ross E Willis, Jitesh A Patel, Melissa R Newcomb, Christopher C Stahl, Motaz Al Yafi, Jeffrey M Sutton, Brian C George, Ralph C Quillin, Nancy L Cho, Alexander R Cortez

Faculty, Staff and Student Publications

Objective: To determine the relationship between race/ethnicity and case volume among graduating surgical residents.

Background: Racial/ethnic minority individuals face barriers to entry and advancement in surgery; however, no large-scale investigations of the operative experience of racial/ethnic minority residents have been performed.

Methods: A multi-institutional retrospective analysis of the Accreditation Council for Graduate Medical Education case logs of categorical general surgery residents at 20 programs in the US Resident OPerative Experience Consortium database was performed. All residents graduating between 2010 and 2020 were included. The total, surgeon chief, surgeon junior, and teaching assistant case volumes were compared between racial/ethnic groups.

Results: …

A Multi-Institutional Study From The Us Rope Consortium Examining Factors Associated With Endocrine Surgery Exposure For General Surgery Residents, Stephanie Sisak, Adam D Price, Darci C Foote, Kelsey B Montgomery, Brenessa Lindeman, Nancy L Cho, Nora O Sheu, Lauren M Postlewait, Savannah R Smith, Katherine C Markesbery, Katherine M Meister, Sarah Kader, Jonathan S Abelson, Michael J Anstadt, Purvi P Patel, Joshua A Marks, Zachary M Callahan, Mary Katherine Kimbrough, Samuel E Byrd, Stephen J Stopenski, Jeffry T Nahmias, Jitesh A Patel, Wesley Wilt, Shah-Jahan M Dodwad, Sasha D Adams, Ross E Willis, Deborah Farr, Jalen Harvey, Matthew R Woeste, Robert C G Martin, Motaz Al Yafi, Jeffrey M Sutton, Alexander R Cortez, Tammy M Holm

Faculty, Staff and Student Publications

BACKGROUND: Prior analyses of general surgery resident case logs have indicated a decline in the number of endocrine procedures performed during residency. This study aimed to identify factors contributing to the endocrine operative experience of general surgery residents and compare those who matched in endocrine surgery fellowship with those who did not.

METHODS: We analyzed the case log data of graduates from 18 general surgery residency programs in the US Resident Operative Experience Consortium over an 11-year period.

RESULTS: Of the 1,240 residents we included, 17 (1%) matched into endocrine surgery fellowships. Those who matched treated more total endocrine cases, …

Defining The Disparity: A Multi-Institutional Analysis Of Factors Associated With Decreased Resident Operative Experience, Adam D Price, Darci C Foote, Matthew R Woeste, Leah K Winer, Kelsey B Montgomery, Motaz Al Yafi, Jeffry T Nahmias, Lauren M Postlewait, Jeffrey M Sutton, R Cutler Quillin, Alexander R Cortez

Faculty, Staff and Student Publications

Introduction: Technical learning in surgical training is multifaceted and existing literature suggests a positive relationship between case volume and proficiency. Little is known about factors associated with a decreased volume of operative experience. This study aimed to identify resident and program factors associated with general surgery residents (GSR) in the bottom quartile of logged case volume upon program completion.

Methods: A post hoc analysis of a multicenter study was used to examine case logs for categorical GSR. Participants included graduates between 2010 and 2020 from 20 programs. Residents below and above the 25th percentile for total operative volume were compared. …

Heritage Languages In The Irish Primary School Context: Teachers’ Views And Practice In The Area Of First Language Maintenance In Bilingual Pupils, Suzanne Mccarthy

Doctoral

This research set out to explore the reality for current Irish primary school teachers working with children who speak a language other than English or Irish in the home context. The study sought to investigate teachers’ views on bilingualism and heritage languages, to examine their practice and experiences around support for heritage language (HL) inclusion in the classroom, and to consider any potential differences in teachers’ views and practice depending on the age of the children they teach.

Exploring Cultural Humility Prevalence And Barriers In Masters Of Science In Athletic Training Education Programs, Nathalie Towchik

Antioch University Dissertations & Theses

The purpose of this study is to understand the prevalence of faculty members’ abilities to incorporate cultural humility into their Masters of Science in Athletic Training (MSAT) program curriculum and barriers they feel they face in implementing this into regular practice. There is a severe lack of focus on issues pertaining to social justice within the athletic training profession, and implementation of cultural humility skills into MSAT programs can help address the systemic injustices within athletic training healthcare delivery. While there has been a focus on cultural competency in athletic training education, there is little to no current research on …

Mapping The Historical Discourse Of A Right-To-Read Claim: A Situational Analysis, Mursalata Muhammad

Antioch University Dissertations & Theses

This dissertation project used an interpretivist qualitative research design to study how the right-to-read claim made by seven teenagers attending Detroit public schools in 2016 reflects, addresses, or describes contemporary discussions about educational access. Using situational analysis (SA) as a theory/method, the entirety of the claim comprises the situation of the social phenomenon being studied, not the people. This research combines critical race theory (CRT) with Bronfenbrenner’s ecological systems and uses situation analysis to map historical discourses to conduct a study that examines the history of a present situation of inquiry as presented by this question: How does the 2016 …

Transcending The Taboo: Using Literature To Explore Depictions Of Suicide With Adolescents In Secondary Classrooms, Elizabeth M. Williams

College of Graduate Studies: Theses & Dissertations

This thesis examines depictions of suicide in William Shakespeare’s Romeo and Juliet (1597), Art Spiegelman’s Maus (1986), and Octavia E. Butler’s Kindred (1979) in the context of teaching literature in secondary classrooms during the developmental stage known as middle adolescence. Using an analysis of these literary works, this thesis advocates for incorporating self-regulation practices when addressing conceptually challenging and emotionally complex ideas. It proposes model lessons and emphasizes the responsibility of educators to facilitate discussions on weighty concepts. This thesis also emphasizes the need for an intersectional approach when examining trauma and suicide. Furthermore, it underscores the unique developmental and …

Education And Religion In Shaping Support For Same-Sex Relations: Considering Differences Over Time And Across Geographical Areas, Amy Adamczyk, Ashely French

Publications and Research

Across the world, attitudes about same-sex relationships have become rapidly more supportive. While education is typically viewed as a liberalizing force, religious beliefs are often seen as restricting more tolerant perspectives and contributing to more conservative attitudes in general. Focusing on the United States this study examines the roles of religion and education, as individual and group properties, for understanding disapproval of same-sex relationships. Drawing on restricted information that makes it possible to identify where General Social Survey respondents lived, we find that graduating from college is associated with more support, but has less of an effect on Evangelicals and …

Computer Cravings In 20th Century Schools: From Creativity To Capitalism, Keely E. Amos

College of Graduate Studies: Theses & Dissertations

This dissertation examines the push for computers in education from the early 1980s to the early 2000s. During that time, computers were introduced into schools across America with big promises, in turn creating big dreams. Instead of the cognition, creativity, and collaboration that was envisioned with computers in the classroom, the shifting motivations regarding computers have exacerbated the datafication and standardization of our students (Cuban, 2001). The problems associated with the corporation of computers into the curriculum are widespread (Pinar et. al, 1995/2004). Following the methodology of Historiography, this paper provides a critical examination about what was promised, and by …

Ai And English Language Teaching: Affordances And Challenges, Helen Crompton, Adam Edmett, Neenaz Ichaporia, Diane Burke

STEMPS Faculty Publications

English is one of the most used languages for jobs, markets, tourism, discourse and international connectivity. However, English learners face many challenges in gaining English language skills. Extant studies show that AI has affordances to support in English language teaching and learning ELT/L. This study answers the call to examine specific challenges and affordances for using AI in ELT/L. A systematic review method was used with PRISMA principles to identify 42 studies. Findings reveal the geographical locations of studies, learner ages and years of study. Grounded coding was then used to identify affordances of the use of AI in ELT/L …

Group-Based Interventions In Lifestyle Medicine, Viet T Tran, Elizabeth M Vaughan, Stephanie Kim, Craig A Johnston

Faculty, Staff and Students Publications

Group-based interventions in health care have demonstrated a positive influence on patient outcomes by strengthening patient-healthcare professional relationships and providing an avenue for patient empowerment through shared experiences and belongingness. Groups have been shown to enhance social and psychological support, improve self-management behaviors, and encourage peer-support. However group settings also present challenges, such as discomforts in sharing within a group context and managing diverse group dynamics. We outline the efficacy and dynamics of group-based activities in health care settings. This includes key behavioral components of groups, such as creating a safe, supportive, and cohesive environment in group activities where confidentiality …

Assessing The Impact Of Chatbot-Human Personality Congruence On User Behavior: A Chatbot-Based Advising System Case, Mohammad Amin Kuhail, Mohamed Bahja, Ons Al-Shamaileh, Justin Thomas, Amina Alkazemi, Joao Negreiros

All Works

Chatbot personality has been demonstrated to influence user behavior, such as trust and intended engagement. However, previous research on chatbot-user personality congruence’s influence on user behavior is scant despite its significance in human-human conversations. This study explores the effect of chatbot-human personality trait congruence on user behavior in the context of a chatbot-based advising system. In this study, 54 college students interacted with chatbots with three different personalities (extraversion, agreeableness, and conscientiousness) and rated their trust, usage intention, and intended engagement with the chatbots. Additionally, 18 participants were interviewed to gain further insights into their perceptions and evaluations of the …

A Mini Chalk Talk Workshop For Fourth-Year Medical Students: Facilitating The Transition From Student To Resident Educator, Trevor Jamison, Zaven Sargsyan, Uma Ayyala, Stephanie Sherman, Holland Kaplan

Faculty, Staff and Students Publications

INTRODUCTION: There is increasing recognition that incoming interns benefit from formal training in teaching skills during UME. Many medical schools have capstone courses well suited for teacher-training content. Mini chalk talks (MCTs) are a common clinical teaching modality requiring a variety of teaching skills. We developed a session for our institution's capstone course in which students prepared and delivered MCTs.

METHODS: The voluntary flipped classroom session was offered virtually in 2021 and in person in 2022. Before the session, students reviewed materials on creating effective MCTs and developed and practiced their own MCT. During the 90-minute session, students presented their …

The Information Age For Education Via Artificial Intelligence And Machine Learning: A Bibliometric And Systematic Literature Analysis, Hassan Abuhassna, Fareed Awae, Mohamad A.B.M. Adnan, Mahyudin Daud, Abdulla S.B. Almheiri

All Works

The integration of Artificial Intelligence (AI) and Machine Learning (ML) in education is a rapidly evolving field, yet the long-term implications and actual impacts on student learning outcomes require more in-depth study. Address this gap, our study offers a novel approach combining bibliometric analysis and a Systematic Literature Review (SLR), guided by the PRISMA methodology. The first phase, a comprehensive bibliometric analysis, identified key nations, educational institutions, journals, keywords, and influential authors in the realm of AI/ML in educational settings. This phase provided a macro-level understanding of the field’s landscape, showcasing the global and interdisciplinary nature of AI/ML research in …

Structure And Funding Of Clinical Informatics Fellowships: A National Survey Of Program Directors, Tushar N Patel, Aaron J Chaise, John J Hanna, Kunal P Patel, Karl M Kochendorfer, Richard J Medford, Dara E Mize, Edward R Melnick, Jonathan D Hron, Kenneth Youens, Deepti Pandita, Michael G Leu, Gregory A Ator, Feliciano Yu, Nicholas Genes, Carrie K Baker, Douglas S Bell, Joshua M Pevnick, Steven A Conrad, Aarti R Chandawarkar, Kendall M Rogers, David C Kaelber, Ila R Singh, Bruce P Levy, John T Finnell, Joseph Kannry, Natalie M Pageler, Vishnu Mohan, Christoph U Lehmann

Faculty, Staff and Students Publications

BACKGROUND: In 2011, the American Board of Medical Specialties established clinical informatics (CI) as a subspecialty in medicine, jointly administered by the American Board of Pathology and the American Board of Preventive Medicine. Subsequently, many institutions created CI fellowship training programs to meet the growing need for informaticists. Although many programs share similar features, there is considerable variation in program funding and administrative structures.

OBJECTIVES: The aim of our study was to characterize CI fellowship program features, including governance structures, funding sources, and expenses.

METHODS: We created a cross-sectional online REDCap survey with 44 items requesting information on program administration, …

Improving The Postpartum Depression Discharge Education To Increase Quality And Safety Of Care: A Quality Improvement Initiative, Amanda Lucia

Master's Theses and Capstones

Background: Postpartum depression (PPD) is the most prevalent psychological condition to affect mothers following childbirth which can have detrimental consequences on the physical and mental health of the mother, child, and spouse (Wang et al., 2021). Globally, postpartum depression affects 17.2% of the world population, and in the United States 1 in 8 women who recently gave birth reported symptoms of PPD, and 1 in 10 women reported experiencing a major depressive episode within a year following delivery (CDC, 2023). Patients’ spouses and family members are in a unique position to identify early manifestations of PPD which can lead to …

Outcomes From An Interprofessional, Dementia-Focused, Telementoring Program: A Brief Report, Julianna Fernandez, Kathryn S Agarwal, Amber B Amspoker, Kyler M Godwin, Erial Green, Sabrina Pickens, Jasmin Lindo, Ali Abbas Asghar-Ali

Faculty, Staff and Students Publications

Despite a burgeoning older-adult population, the number of healthcare professionals with geriatric expertise continues to lag behind. In 2014, the American Geriatrics Society’s position statement encouraged interprofessional training for healthcare professionals. Telementoring remotely connects clinicians with specialists for education and group mentoring. This dementia-focused, 11-month, 1-hour each, telementoring program was modeled on the Alzheimer’s Association ECHO. Our interprofessional expert panel consisted of a geriatrician, a geriatric psychiatrist, an adult nurse practitioner (with geriatrics expertise), 2 geriatric pharmacists, a licensed social worker (coordinating a dementia day program), and a project coordinator. Learners were residents in family medicine and general psychiatry, physician …

Associations Between Physical Activity And Academic Achievement In Young Adolescents, Alex Wolfe

Theses and Dissertations

This study examined the associations between physical activity and academic achievement among young adolescents. A secondary aim of this study was to analyze differences in physical activity and academic achievement by SES and race/ethnicity. The sample consisted of 30 middle school students (10 boys and 20 girls) between the ages of 11.0- and 14.9-years. Partial correlation coefficients were calculated to examine the relationship between physical activity and academic achievement while controlling for SES and race/ethnicity. 2 x 2 factorial analysis of covariance were utilized to examine the differences in SES and race/ethnicity groups, as well as interactive effects within physical …

Listen Up: Perceptions Of Audiobooks By Teachers, Librarians, And Parents, Megan Bright

Murray State Theses and Dissertations

Reading is a critical component of education. From learning to read, to eventually reading to learn, students and teachers rely upon texts to help make sense of the world around them. Methods and tools vary, but teachers, librarians, and parents can all agree that reading is a fundamental skill their students need. However, students are sometimes told to limit their use of audiobooks in favor of reading with their eyes. These limitations may prevent students from finding the books they love and also limit students’ opportunities to use books to learn about the world around them. This study sought to …

De Aquí, Y De Allá: Education, Culture, And Identity Development Of Transnational Latinas, Elizabeth Harris-Medina

Theses and Dissertations--Educational Policy Studies and Evaluation

De Aquí, y De Allá: Education, Culture, and Identity Development of Transnational Latinas This ethnographic case study examines the experiences of three transnational Latina women, descendants of families from Degollado, Jalisco, Mexico, exploring how their migration history and educational backgrounds influence their life trajectories. Focusing on these three women, the study aims to better understand their challenges and inform the development of resources to support their success in the U.S. education system. Using ethnographic interviews and Ecological Systems Theory, the research highlights how places and social systems shape views and life paths, offering insights into how best to support these …

Finding Connection: Teaching With Culturally Responsive Texts, Chloe N. Pounds

Cal Poly Humboldt theses and projects

Deciding which texts to teach in English Language Arts (ELA) classrooms poses challenges for educators. Traditionally, many teachers rely on established curricula, however, the increasing diversity of student populations highlights the need for texts that reflect student interests and backgrounds, as well as the need for culturally responsive pedagogical practices. To investigate student perceptions and benefits of culturally diverse texts, I created a short story unit and collected student reflections and teacher observations.

Adoption Of Holistic Education Practices: A Survey Of California K-12 Educator Experiences, Arianne M. Nova

Cal Poly Humboldt theses and projects

In a rapidly evolving educational landscape, the federal government must explicitly consider holistic approaches to education as essential for the well-being and future of students in public schools. Holistic education, which extends beyond traditional academics to nurture the 'whole child,' has garnered substantial support in the literature for its positive impact on academic performance, behavior, and student well-being. This research explores educator perspectives on holistic education in a K-12 California school district. By surveying teachers, counselors, school social workers, and principals within this district, I assess their awareness concerning structural levels, available resources, and implementation capabilities related to holistic education. …

Understanding The Education Profiles Of Seven East And Southern African Countries, Girl Center

Adolescents and Young People

Despite significant progress in improving primary enrollment and attainment for girls in low- and middle-income countries (LMICs) in recent years, gender disparities in education persist and hinder opportunities for girls. Educational attainment for girls has plateaued in numerous countries, with only a few making significant strides in narrowing the gender gap. Moreover, attainment alone does not always translate to improved learning. Gender-related barriers such as school environments that are not conducive to learning and the experience of violence, early and forced marriage, and early childbearing, as well as a lack of support for girls’ education impede attainment and learning. The …

Understanding The Education Profiles Of Eight Latin American Countries, Girl Center

Adolescents and Young People

Despite significant progress in improving primary enrollment and attainment for girls in low- and middle-income countries (LMICs) in recent years, gender disparities in education persist and hinder opportunities for girls. Educational attainment for girls has plateaued in numerous countries, with only a few making significant strides in narrowing the gender gap. Moreover, attainment alone does not always translate to improved learning. Gender-related barriers such as school environments that are not conducive to learning and the experience of violence, early and forced marriage, and early childbearing, as well as a lack of support for girls’ education impede attainment and learning. The …

Support For Girls’ Education And Keeping Them In School, Population Council, Swedd

Adolescents and Young People

SWEDD Series: Best Practice Guide no. 2

This Guide is one of a series that retrospectively documents the process of implementing the interventions of the SWEDD project, and documents good practices, challenges and lessons learned. The “Sahel Women's Empowerment and Demographic Dividend” (SWEDD) project was launched in November 2015 with financial support from the World Bank, and technical support from the United Nations Population Fund (UNFPA) and the West African Health Organisation (WAHO). The research informing this Guide was led by the Population Council.

Le Soutien À La Scolarisation Des Filles Et Leur Maintien À L’École, Population Council, Swedd

Adolescents and Young People

Série SWEDD: Guide de Bonnes Pratiques no. 2

Ce Guide fait partie d’une série qui documente d’une manière rétrospective le processus de mise en œuvre des interventions du projet SWEDD, et décrit les bonnes pratiques, les défis et les leçons apprises. Le projet “Autonomisation des Femmes et Dividende Démographique au Sahel” (SWEDD) a été lancé en novembre 2015 avec le soutien financier de la Banque mondiale, et l’appui technique du Fonds des Nations Unies pour la population (UNFPA) et de l’Organisation Ouest -Africaine pour la Santé (OOAS). Les recherches menant à ce Guide ont été dirigées par le Population …

Data Justice In Education: Toward A Research Agenda, Luci Pangrazio, Glenn Auld, Julianne Lynch, Carly Sawatzki, Gavin Duffy, Shelley Hannigan, Jo O'Mara

Articles

Educational institutions increasingly rely on digital platforms to deliver content and learning, monitor attendance, communicate with stakeholders, and evaluate institutional performance. Despite the efficiency and accessibility gains they offer, digital platforms are powered by personal data which, through a process of datafication, can be used to track, monitor, and profile staff and students. The insights drawn from this data can be used to shape educational and professional futures. This article examines how datafication has become a social justice issue in education, discussing the implications for well-being, decision-making, governance, and power in education. Using Hintz and colleagues framework for data justice, …

Healthcare Professionals' Education Regarding Human Trafficking Identification And Resources, Madeline Iversen

Nursing

Human trafficking is one of the largest illegal industries with over 40 million adults and children enslaved worldwide. The psychological and physical consequences of human trafficking are high and may impact a victim for their entire life. Approximately 88% of human trafficking victims report receiving medical care during their time captured, and a majority of these victims seek care in the emergency department (ED). Only 11% of healthcare professionals (HCPs) report receiving education on human trafficking. The purpose of this project was to determine if education regarding human trafficking influences HCPs including, nurses, physicians, nurse practitioners (NPs), physician assistants (PAs), …

Teaching Cultural Humility Practices In Appalachia: The Value Of Conducting Conversations Based In Education, Bailey A. Riggs

Graduate Theses, Dissertations, and Problem Reports (ETD)

Recent literature highlights the paradigm shift from utilizing cultural competence practices to cultural humility practices within the field of occupational therapy, and health sciences (Fisher- Borne, et al., 2015). The idea of cultural competency suggests that culture is unchanging, and individuals can master cultural knowledge. The perception of knowing culture can be perceived as an unwillingness to learn about culture. In contrast, cultural humility promotes the value of lifelong learning and introspection, encouraging greater self-awareness, reflection of personal biases, and recognition of power imbalances. This approach aims to better integrate educational approaches to serve diverse populations in a culturally affirming …

A Structured Diabetes Continuous Glucose Monitor Education Program To Improve Patient Knowledge And Self-Efficacy, Krystal Abucevicz-Swick

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction/background: Continuous glucose monitor (CGM) is a recommended method of glucose monitoring for patients living with diabetes who are on insulin or experience documented hypoglycemia. CGM is a tool that can improve patient management of diabetes but works best when paired with education to achieve the maximum therapeutic benefits.

Purpose: The purpose of this project was (1) to develop an evidence-based structured CGM education program toolkit for people with diabetes who are ordered CGM, (2) to implement the CGM education toolkit into the Diabetes Self-Management and Education Services (DSMES) program at the project site, (3) to improve patient knowledge about …