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Articles 151 - 180 of 21068
Full-Text Articles in Entire DC Network
The Implementation Of A Validated Csec Screening Tool For Youth Age 11 - 17 In A Pediatric Emergency Room, Julie Clark, Josie Doss Phd, Rnc-Ob, Afn-C, Sane-A, Krystal Canady Dnp, Msn, Aprn, Fnp-C, Yameika Head Md, Faap
The Implementation Of A Validated Csec Screening Tool For Youth Age 11 - 17 In A Pediatric Emergency Room, Julie Clark, Josie Doss Phd, Rnc-Ob, Afn-C, Sane-A, Krystal Canady Dnp, Msn, Aprn, Fnp-C, Yameika Head Md, Faap
The Corinthian
Abstract
Youth are a vulnerable population due to their age, developmental level, and dependability on others. Child abuse is a public health issue that addresses a broad range of inflicted harm ranging from neglect to physical and sexual maltreatment. A severe form of child sexual abuse is the Commercial Exploitation of Children (CSEC), also known as Child Sex Trafficking (CST), and Human Minor Sex Trafficking (HMST). For purposes of this paper, CSEC is used for CSEC, CST, and HMST. Commercial sexual exploitation of children includes sexual crimes involving children and adolescents for gain. Due to the child being less than …
A.I. And Education: The Relationship Between Policy And A.I. Implementation In Louisiana K-12 Schools, Johnny R. Moore Jr
A.I. And Education: The Relationship Between Policy And A.I. Implementation In Louisiana K-12 Schools, Johnny R. Moore Jr
Honors Theses
This research focuses on A.I. policies in Louisiana K-12 education, trying to figure out what the best possible policies would be to ensure that students are using A.I. as a tool rather than a crutch to rely on. This goes through the history and background of technology implementation and educational policies in Louisiana. The research focuses on current A.I. policies in the state, if any, and then evaluates other states policies around the country. Teachers and administrators from around the state were surveyed on this and were also asked on their opinions on A.I. in the classroom.
Reimagining Masculinities Through Australian Indigenous Pedagogies, Ben Campbell, Anna Rumjahn
Reimagining Masculinities Through Australian Indigenous Pedagogies, Ben Campbell, Anna Rumjahn
Journal of Contemplative and Holistic Education
In the face of intersecting ecological crises and persistent gender inequality, this paper explores how dominant norms of masculinity—marked by control, detachment, conquest, and other ideals rooted in Western, hegemonic paradigms—contribute to environmental degradation. Drawing on ecofeminist theory, Australian Indigenous pedagogies, and contemplative education, we examine how relational, place-based approaches may offer transformative alternatives for boys in schooling contexts. Central to this inquiry is the Learning from Country framework, which positions land as teacher and emphasizes practices of deep listening, reciprocity, and ethical engagement with the more-than-human world.
We argue that this pedagogical approach challenges dominant masculinities by fostering care …
Research Nexus : Volume 37 – 2026, Office Of Research And Graduate Studies
Research Nexus : Volume 37 – 2026, Office Of Research And Graduate Studies
Office of Research and Graduate Studies
- Researcher Spotlight
- Research Milestones & News
- Capacity Building Initiatives
- A New Addition to the Team
- NIH Updates and Other Resources
- Explore New Funding Opportunities
From Promise To Practice: An Analysis Of The De Jure-De Facto Gap In The Individuals With Disabilities Education Act, Alyssa S. Piccoli
From Promise To Practice: An Analysis Of The De Jure-De Facto Gap In The Individuals With Disabilities Education Act, Alyssa S. Piccoli
Honors Scholar Theses
Children with disabilities face educational disparities in the United States despite the existence of the Individuals with Disabilities Education Act (IDEA), which was enacted by the U.S. Congress to ensure a Free Appropriate Public Education (FAPE) for such children. As promises of protection are overshadowed by discrepancies in access, quality, and consistency across school districts (Seligman 2005), this paper examines the legal factors that aggravate the paradox between de jure educational rights and their de facto fulfillment for children with autism. To better understand how these challenges manifest in the legal arena, I analyze twenty-four legal cases and seventy claims …
The Effect Of Stress Hormones On Memory Formation And Academic Performance, Emma L. Hooks
The Effect Of Stress Hormones On Memory Formation And Academic Performance, Emma L. Hooks
Senior Honors Theses
With chronic stress becoming increasingly prevalent in academic settings, researchers have identified significant effects on learning and academic performance. Cortisol, a glucocorticoid hormone, is released following the activation of the hypothalamic-pituitary-adrenal (HPA) axis and plays a vital role in the stress response. Although acute increases in cortisol can improve attention and memory, sustained activation of the stress response can impair memory, executive functioning, and academic performance. This thesis draws on neuroscience, psychology, and education research to examine how chronic cortisol exposure affects the hippocampus and prefrontal cortex, and how the effects manifest in learning and academic performance, particularly in developmental …
It Takes A Village: Studying The Impact Of Community And Government Involvement On Elementary Schools, Claire Elizabeth Mitchell
It Takes A Village: Studying The Impact Of Community And Government Involvement On Elementary Schools, Claire Elizabeth Mitchell
Undergraduate Honors Thesis Collection
This thesis examines the critical role of community involvement in shaping the success and development of K–12 education in the United States. The study highlights how shifts in societal structure have redefined the purpose and function of education. Central to this transformation is the concept of community, broadly defined as the network of individuals, organizations, and governing bodies that contribute to and sustain educational institutions.
The research explores how both local community engagement and government support influence school performance, student outcomes, and overall educational quality. Drawing on existing literature and case-based evidence, the thesis argues that schools embedded within strong, …
Curriculum Evaluation For Imagiedu, Madison Leigh Marchand
Curriculum Evaluation For Imagiedu, Madison Leigh Marchand
Undergraduate Honors Thesis Collection
This research examines whether or not ImagiEdu's curriculum aligns with the Indiana Academic Standards for K-8 Computer Science, and to determine if it meets the requirements to be approved as "High-Quality Curricular Materials" by the Indiana Department of Education (DOE). ImagiEdu is an award-winning technology education startup from Sweden, and provides inclusive coding education tools designed to help students imagine their future in the tech world. In this project, the DOE's 2024-2025 High-Quality Curricular Materials Rubric was used to evaluate ImagiEdu's curriculum, including its Scope and Sequence, Teacher Handbook, and over 25 Lesson Plans. The evaluation focused on four main …
Illuminating Success: Student And Teacher Perception On Media Center Brainlit Lighting, Jase M. H. Ide
Illuminating Success: Student And Teacher Perception On Media Center Brainlit Lighting, Jase M. H. Ide
Undergraduate Honors Thesis Collection
Lighting plays a critical role in shaping learning environments, yet its influence on students’ cognitive, emotional, and physiological functioning is often overlooked in educational research. This study examined the perceived impact of BrainLit’s biocentric lighting, a daylight-simulating system designed to support circadian rhythms, within an educational setting. The research focused on Sycamore School, the first early childhood through eighth-grade school in the United States to implement BrainLit biocentric lighting. Using a qualitative research design, data were collected through interviews with third- and eighth-grade students and faculty members in the school’s Media Center. Transcribed interviews were analyzed thematically to identify patterns …
Exploring Student Feelings, Knowledge Related To Menstruation And Menstrual Education: A Cross-Sectional Survey, Ella A. Handel
Exploring Student Feelings, Knowledge Related To Menstruation And Menstrual Education: A Cross-Sectional Survey, Ella A. Handel
The Eleanor Mann School of Nursing Undergraduate Honors Theses
Menstrual, reproductive, and sexual health education in the United States remains inconsistent in both content and delivery. This inconsistency often leaves adolescents underprepared for developmental milestones such as menarche and contributes to ongoing stigma and discomfort surrounding menstruation. This study examined participants’ feelings and perceptions related to menstruation and menstrual education. Using a cross-sectional descriptive survey design, a mixed-methods approach was employed to collect data from 29 college students aged 18 to 19 years at a large public university in Arkansas. Quantitative data from Likert-scale items were analyzed using descriptive statistics, while qualitative open-ended responses were reviewed and organized into …
Improving Learning Habits In High School Ela, Alexander Sinn
Improving Learning Habits In High School Ela, Alexander Sinn
Masters Projects
Students lack the habits and skills to process and apply what they have learned. In their secondary education, they are not developing the traits that help them succeed in college courses. Students are not explicitly taught note-taking and other study skills needed to succeed in core academic areas, English Language Arts (ELA) in particular. To address the needs of students, curriculum must incorporate expectations for students in self-efficacy and self-regulatory areas of learning. In the secondary ELA classroom, students should be provided opportunities and experiences to develop good habits. These should be requirements of 9th and 10th grade curriculum. The …
Addressing Postsecondary Lack Of Preparedness Through Exposure And Empowerment, Deztiny A. Ochoa
Addressing Postsecondary Lack Of Preparedness Through Exposure And Empowerment, Deztiny A. Ochoa
Capstone Projects and Master's Theses
Too many high school students are not college or career ready when they graduate. At Learning For Life Charter School, the school counselor and the intern worked together to implement a project to address the issue. The community served was 7th graders to 12th graders. A lot of these students were on the verge of dropping out or completely dropped out of traditional school. The capstone project consisted of taking 10 students on a field trip to a community college nearby. The purpose of this trip was to give students the opportunity to see their options after high school and …
Effects Of Access And Equity In Resources Allocation On Marginalized Elementary School Students., Giovanni Alcaraz
Effects Of Access And Equity In Resources Allocation On Marginalized Elementary School Students., Giovanni Alcaraz
Capstone Projects and Master's Theses
The purpose of this capstone is to examine the effects of access and equity in resource allocations on marginalized students. Given the struggles students face when they lack the same resources as other students, this study discusses how this impacts students' learning and education, and how it would benefit them if they had greater access to resources. Through a literature review and a case study, the findings revealed that students with fewer resources are more likely to drop out of college or university, and they are mostly from poor communities because they lack sufficient resources to support themselves. However, the …
Effects Of Culturally (Queer) Responsive Teaching On Lgbtq+ Students, Samantha L. Alonso
Effects Of Culturally (Queer) Responsive Teaching On Lgbtq+ Students, Samantha L. Alonso
Capstone Projects and Master's Theses
Culturally Responsive Teaching (CRT) has been thoroughly researched, and its effects have been well documented. However, when responding to Cultural diversity within the classroom, most researchers and educators focus on racially, ethnically, and linguistically diverse cultures. Despite this, CRT has proven its effectiveness for all students, and can be adapted for any minority culture. This study aims to explore the effectiveness of CRT for Queer students. As well as, the barriers, limitations, and hesitations in regards to its implementation. Using surveys conducted on students and educators alike, insights are provided in regards to student experiences and educators perspectives. Additionally, a …
From Classroom To Courtroom: How Educational Strains Shape Juvenile Delinquency, Hailey Elizabeth Houston
From Classroom To Courtroom: How Educational Strains Shape Juvenile Delinquency, Hailey Elizabeth Houston
Graduate Theses and Dissertations
Juvenile delinquency is a significant social issue with consequences that extend into adulthood and impact future success of youth. Although prior research has explored various factors that affect juvenile delinquency, notable gaps remain – notably a lack of literature on how educational strain effects juvenile delinquency with a focus on rural areas. This study addresses these gaps by examining the effects of educational strain, such as poor academic performance and lack of teacher support, on rural adolescents’ engagement in juvenile delinquency. Data for this study was obtained from the 2023 National Survey on Drug Use and Health (NSDUH), an online …
Barriers To Climate Change And Sustainability Action: Nursing Education And Practice, Dawn Marie Smith
Barriers To Climate Change And Sustainability Action: Nursing Education And Practice, Dawn Marie Smith
Dissertations
Climate change is one of the most pressing public health emergencies of our time and nurses can have a great impact in their current practice and in the education of future nurses (The Alliance of Nurses for Healthy Environments, n.d.; American Nurses Association, 2023; Health Care without Harm, 2025). Deaths due to rising temperatures, vector-borne illness, and food insecurity related to drought and extreme weather are on the rise (WHO, 2024). It has been estimated that globally over 250,000 additional deaths will be attributed to climate related effects between 2030 and 2050 (Watts et al., 2020; WHO, 2023).
A primary …
“The Thorns Of The Most Severe Virtue”: Education, Religion, And Cultural Power In Michigan, 1798–1855, Kyle Christopher Vanderwall
“The Thorns Of The Most Severe Virtue”: Education, Religion, And Cultural Power In Michigan, 1798–1855, Kyle Christopher Vanderwall
Dissertations
This project seeks to demonstrate the centrality of education and religion as cultural power levers used by Americans, Odawa, and Catholic missionaries. Though the power of each culture was uneven, efforts to create educational institutions imbued with different denominations of Christianity, as well as continued contestation over land, remade the cultures of all involved. Americans privileged state-building practices, the Odawa acculturated to remain in Michigan when removal policies were enacted throughout the United States, and the Catholic church attempted to proselytize Indigenous communities.
Although the ethnohistorical method needed to be understood in order to write this project, it is not …
From Classroom To Courtroom: Understanding Real Pathways Into Legal Careers, Timothy S. Troxel
From Classroom To Courtroom: Understanding Real Pathways Into Legal Careers, Timothy S. Troxel
Theses/Capstones/Creative Projects
This study examines how legal professionals describe their preparation for legal and law-adjacent careers, with the goal of identifying practical guidance for college students entering the field. Existing literature on legal career preparation often emphasizes measurable qualifications, while offering broad or generalized advice. At the same time, research on career development highlights the importance of experiential learning and mentorship, suggesting a gap between formal guidance and lived experience. To explore this gap, this study conducted interviews with ten legal professionals across a range of roles and experience levels. Participants were asked about their backgrounds, career paths, skill development, and other …
Social And Economic Identity As Predictors Of Voter Support For Government Poverty Spending And Redistribution In Mississippi: A Study Of Mississippi Poll Responses, Alexandra L. Williams
Social And Economic Identity As Predictors Of Voter Support For Government Poverty Spending And Redistribution In Mississippi: A Study Of Mississippi Poll Responses, Alexandra L. Williams
Honors Theses
This study examines the factors that shape voters’ opinions on government spending for the poor in Mississippi, with particular attention to the roles of sex, race, party identification, income, and education. Drawing on pooled data from the 2010, 2012, and 2014 Mississippi Polls conducted by Dr. Steve Shaffer and the Mississippi State University Social Science Research Center, this research employs both bivariate and multivariate analyses to evaluate how social (demographic) and economic variables influence political attitudes toward poverty-related government spending.
The findings indicate that both social and economic variables play meaningful roles in shaping political preferences. Women and Black Mississippians …
The Impact Of Community On Professional Identity In Computer Science Education, Ian A. Kollipara
The Impact Of Community On Professional Identity In Computer Science Education, Ian A. Kollipara
School of Computing: Dissertations, Theses, and Student Research
This thesis explores the application of Communities of Practice (CoPs) in Computer Science Education. The work consists of two qualitative studies examining related but distinct populations: (1) K–12 CS teachers and (2) undergraduate CS students. The first study presents a retrospective analysis of conneCTION, an online CoP for K–12 CS educators, identifying strengths, weaknesses, and design considerations that inform future platform development. The second study investigates how participation in a CoP can mitigate negative and exclusionary stereotypes in CS. This study was conducted in an under-explored context: a small, private, religious, Midwestern university, and examines an existing community, the Programming …
Gme As A Healthcare And Economic Driver In Southern Nevada, Tripp Umbach
Gme As A Healthcare And Economic Driver In Southern Nevada, Tripp Umbach
Policy Briefs and Reports
In early 2025, the Nevada Health and Bioscience Corporation (NHBC) commissioned Tripp Umbach to conduct a comprehensive study examining the current state and future expansion of physician training and retention in Southern Nevada. The approach recommended in this report is rooted in strategic partnerships among medical institutions, proven funding approaches, and needed policy changes. Tripp Umbach, a nationally renowned private consultancy specializing in medical education expansion strategies, reviewed data, conducted interviews, and developed recommendations to expand GME, highlighting its profound economic impact in Southern Nevada.
Exploring The Alignment Between Medical School Outcomes With Residency Competencies: A Modified Delphi Study, Sally A. Santen, Luan Lawson, Jose A. Negrete Manriquez, Marjorie Westerveld, Laurah Turner, Anita Wilson, Phd, Yoon Soo Park, Eric S. Holmboe, Michael S. Ryan, Medical School Outcomes Milestone Study Group
Exploring The Alignment Between Medical School Outcomes With Residency Competencies: A Modified Delphi Study, Sally A. Santen, Luan Lawson, Jose A. Negrete Manriquez, Marjorie Westerveld, Laurah Turner, Anita Wilson, Phd, Yoon Soo Park, Eric S. Holmboe, Michael S. Ryan, Medical School Outcomes Milestone Study Group
JeffMD Academic Affairs
PURPOSE: Facilitation of competency-based medical education adoption would benefit from alignment between medical school (undergraduate medical education [UME]) and residency (graduate medical education [GME]) assessments. This study explores the strength of an a priori alignment of medical school assessments with residency competency domains to guide programmatic assessment and research.
METHOD: In fall 2023, the authors (US faculty with UME and GME expertise) used a 2-phase Delphi consensus approach (9 participants in phase 1 and 16 in phase 2) to independently map medical school assessments to the Accreditation Council for Graduate Medical Education competency domains (0, no association; 1, some or …
Designing The Future Of School Leadership: Cultivating Creative Capacity In Leadership Preparation Programs, Nicole Wagner
Designing The Future Of School Leadership: Cultivating Creative Capacity In Leadership Preparation Programs, Nicole Wagner
Creativity and Change Leadership Graduate Student Master's Projects
Education systems are increasingly expected to prepare students with skills such as creativity, adaptability, collaboration, and problem solving to meet the demands of a rapidly changing world. However, educational leadership preparation programs often provide limited explicit instruction in creativity and creative leadership. This project examines how creativity is currently incorporated within educational leadership programs and explores ways creative problem solving and creative leadership competencies can be more intentionally integrated into leadership preparation.
Drawing upon scholarship in creativity, Creative Problem Solving (CPS), leadership, and educational change, this project includes three outcomes: (a) a comparative analysis of educational leadership preparation programs; (b) …
Learning From Practice: Autoethnographic Reflections & Practitioner Perspectives On Inclusive Engagement For Bipoc, Mml, And Special Education Students, Mikayla A. Aquino
Learning From Practice: Autoethnographic Reflections & Practitioner Perspectives On Inclusive Engagement For Bipoc, Mml, And Special Education Students, Mikayla A. Aquino
Program in Community Action (PICA)
This study examines how educators conceptualize, enact, and experience inclusive engagement for Black, Indigenous, and People of Color (BIPOC) students, multilingual learners (MLLs), and students with disabilities, and how structural conditions shape their capacity to implement equity-oriented practices. Drawing on semi-structured interviews with ten educators from Lakewood, Illinois, and Harborview, Connecticut, alongside autoethnographic reflection, this qualitative study centers practitioner voices to investigate the gap between educational policy and classroom practice. Grounded in Bettina Love's abolitionist teaching framework and Alison Kafer's political-relational model of disability, the analysis situates educator experiences within systems shaped by racism, linguistic hierarchy, and ableist normativity. Thematic …
Exploring The Lived Experiences Of Second-Career Educators, Kyle Avink
Exploring The Lived Experiences Of Second-Career Educators, Kyle Avink
Dissertations
School districts across the United States face a persistent teacher shortage driven by high attrition rates, declining enrollment in teacher preparation programs, and increasing demands on educators (Carver-Thomas & Darling-Hammond, 2017). Teacher attrition is especially high within the first three to five years, with nearly 40-50% of new teachers exiting within their first five years (Carver-Thomas & Darling-Hammond, 2017; Cells et al., 2023; Gray et al., 2015; Ingersoll et al., 2025). In response, many states have expanded alternative certification pathways that allow professionals from other fields to enter teaching, making second-career educators a potential solution to workforce challenges (Afacan, 2022; …
Reducing Vulnerability To Burnout Among Family Caregivers, Stephen J. Alvarado
Reducing Vulnerability To Burnout Among Family Caregivers, Stephen J. Alvarado
Capstone Projects and Master's Theses
Family caregivers experience high levels of burnout and stress, which can negatively affect their well-being and the quality of care they provide. This capstone project was implemented at Health Projects Center in Salinas within the Del Mar Caregiver Resource Center program. Del Mar Caregiver Resource Center serves a diverse community of family caregivers, predominantly Caucasian, Hispanic, and Latino individuals caring for loved ones with a neurodegenerative disease like Alzheimer’s or memory impairment. The purpose of this project was to improve caregivers’ knowledge, confidence, awareness, and intention regarding self-care strategies to reduce their vulnerability to burnout related to caregiving. The project …
Journal Of Roleplaying Studies And Steam (Jrpssteam) Vol. 5 [2026], Número 1 (Issue 1), Romano Ponce-Díaz Phd, Cristo Leon, Ivan Avila, Sarah Lynne Bowman, Kjell Hedgard Hugaas, Alexandra Schreiber Ma, Jaime Eduardo García Maya, Víctor Emmanuel Quintana Villarreal Vic Emma, Francisco Gonzalez Ing., Daniel Romero Benguigui, Antonio Roda-Martínez
Journal Of Roleplaying Studies And Steam (Jrpssteam) Vol. 5 [2026], Número 1 (Issue 1), Romano Ponce-Díaz Phd, Cristo Leon, Ivan Avila, Sarah Lynne Bowman, Kjell Hedgard Hugaas, Alexandra Schreiber Ma, Jaime Eduardo García Maya, Víctor Emmanuel Quintana Villarreal Vic Emma, Francisco Gonzalez Ing., Daniel Romero Benguigui, Antonio Roda-Martínez
Journal of Roleplaying Studies and STEAM
El presente número del Journal of Roleplaying Studies and STEAM examina la convergencia entre las prácticas lúdicas, el diseño narrativo y los procesos de mediación sociocultural en la investigación contemporánea. Las contribuciones reunidas en este número abordan el juego de rol como un dispositivo de producción de conocimiento, intervención psicoeducativa y reelaboración de representaciones culturales. Nos podemos atrever a señalar que la educación es la convergencia entre la ludología, las ciencias sociales, los estudios visuales y el análisis cultural; entendiendo a la educación como la actividad consciente e intencionada de transmitir información y conocimientos a las siguientes generaciones.
Martin Heidegger …
Low-Vision Students’ Experiences With And Suggestions To Improve Desktop Virtual Reality: A Qualitative Study, Tanveer Mansur Syed
Low-Vision Students’ Experiences With And Suggestions To Improve Desktop Virtual Reality: A Qualitative Study, Tanveer Mansur Syed
Theses and Dissertations
Visually impaired students have faced challenges in the field of education, particularly in science education. Not surprisingly, the unemployment rate for working-age visually impaired people has been above 70%. This persists despite federal laws to support the education and employment of visually impaired people,
Virtual Reality (VR) technology has evolved for several decades. Its use has proliferated in areas that include education. Today, VR science lab simulations are presented as a cost-effective alternative to traditional science labs. Research shows these to be viable substitutes to traditional science labs without a significant drop in learning outcomes. However, this researcher was unable …
School Levy Passage Strategies, Brody Schaad
School Levy Passage Strategies, Brody Schaad
Honors Projects
This research was conducted on the impact of community support on school levies, strategies that impact levy passage, and the impact of levies on student success. Research was done through interviews with K-12 superintendents from various Ohio public school districts, following a review of the current literature available on this topic. It was found that transparency with voters of details such as use of funds and outcomes of levy success is the most important strategy to increase levy passage rate. The increased transparency leads to voters having trust in the district and a better understanding of repercussions, leading to a …
The Current Status Of Infant Oral Health Instruction Within Predoctoral Dental Education, Beau D Meyer, Priyanshi Ritwik, Jean Star, Timothy Followell, Mikhail Jones, Leola Royston, Brenda Bohaty, Martina Majstorovic, Adriana Modesto Gomes Da Silva, Katherine Chin, James R Boynton, Chelsea Fosse
The Current Status Of Infant Oral Health Instruction Within Predoctoral Dental Education, Beau D Meyer, Priyanshi Ritwik, Jean Star, Timothy Followell, Mikhail Jones, Leola Royston, Brenda Bohaty, Martina Majstorovic, Adriana Modesto Gomes Da Silva, Katherine Chin, James R Boynton, Chelsea Fosse
Faculty, Staff and Student Publications
A pediatric dental home is a patient-provider relationship that establishes compassionate, comprehensive care that is continually accessible. For more than two decades, professional organizations have recommended children establish a dental home by their first birthday. In 2024, the American Academy of Pediatric Dentistry (AAPD) Council on Pre-Doctoral Education had a governance charge approved by the AAPD Board of Trustees to evaluate the status of infant oral health (IOH) instruction in pre-doctoral dental education. This study was designed to describe the current state of didactic and clinical clock hours dedicated to IOH in U.S. pre-doctoral curricula. Following IRB approval, a 25-item …