Digital Commons Network^™

Determinants Of Postgraduate Education Pursuit Among South African Trained Paramedics: A Cross-Sectional Study, Naseef Abdullah, Patricia Mcinerney, Simpiwe Sobuwa

Health Professions Education

Introduction: The knowledge economy necessitates a highly skilled workforce, particularly in low- and middle-income countries (LMICs) navigating sustainable development trajectories. Within healthcare systems, paramedics represent a critical professional group whose advanced education directly impacts emergency care quality and system improve ment. While postgraduate qualifications are essential for paramedics to effectively develop and implement evidence- based emergency care and address unique healthcare challenges, the determinants influencing their educational advancement remain poorly understood. Methods: This descriptive cross-sectional study collected data from 265 Paramedics registered as Emergency Care Practitioners with the South African Health Professions Council through an online survey. Participants were recruited …

Professional Identity Development Among Nursing Students: The Impact Of Structured Reflective Practice, Abdelmonim El Fadely, Kamal Takhdat, Charaf-Eddine Ahraiba, Rahma Bouali, Sabah Selmaoui, Boujemaa Agorram

Health Professions Education

Purpose This study aimed to assess the impact of a structured reflective practice intervention on the development of professional identity among nursing students. Method A mixed-methods design was adopted. The intervention, based on guided reflective practice, was implemented with a voluntary sample of 58 participants. The evaluation relied on a quasi-experimental quantitative approach using the Macleod Clark Professional Identity Scale, with a comparison group and both pre-test and post-test measurements. A qualitative component was also included to explore the dimensions of the studied concept in greater depth. Results Quantitative findings showed a statistically significant difference between the post-test means (p < 0.001), indicating that the reflective practice intervention had a positive effect on the experimental group compared to the control group. The qualitative results further illuminated students’ reflections, which were organized into ten themes corresponding to the study’s conceptual framework: professional knowledge and skills, values and ethics, the nursing role, leadership, professional self-image, social image of the profession, sense of belonging, identification with role models, theory–practice integration, and career choice. These dimensions provided a comprehensive and nuanced understanding of professional identity, capturing the complexity of the concept. Conclusion These results support the integration of reflective practice as a pedagogical approach to fostering the construction and development of a positive professional identity. Professional identity, as a rich and multidimensional concept, goes beyond the process of professionalization—it represents its ultimate achievement.

Nursing Education In Indonesia And The Global Demand For Quality Healthcare: A Systematic Review, Evelyn Hemme Tambunan

Health Professions Education

Purpose: This study systematically reviewed evidence (2019–2025) on Indonesian nursing education, focusing on accreditation, competency based curricula, and workforce readiness in relation to global standards

Methods: Following PRISMA 2020 guidelines, a systematic search was conducted across Scopus, PubMed/MEDLINE, DOAJ/PMC, and policy repositories. Eligible sources included peer reviewed studies, systematic reviews, and policy reports related to nursing education in Indonesia quality assurance, competency based learning, and workforce demand.

Results: Twelve studies and reports were included, producing three themes: accreditation and quality assurance, competency based education and curriculum innovation, and workforce readiness and global alignment. Accreditation reforms, particularly Indonesia’s 2025 outcomes based …

Undergraduate Research Experiences Toward Student Success: Challenges And Opportunities For Medical Science Students At A University Of Technology, Ziningi Nobuhle Jaya

Health Professions Education

Purpose: The study aimed to evaluate the research experiences of undergraduate medical science students at a university of technology to identify challenges and opportunities and determine the affordances of research participation for student success.

Method: The study population comprised all third-year medical science students (n=30) enrolled in the research methods module, which is the only such module offered as part of the medical science academic program. Participation was voluntary and so the final sample represents a self-selected subset of fourteen individual from the full cohort. The data collection tool comprised closed and open-ended questions evaluating challenges, lessons learned, skills developed, …

Beyond The Numbers: A Mixed-Method Evaluation Of Faculty, Peer, And Self-Assessment Using Rubrics In Blood Pressure Determination Among Phase 1 Mbbs Students, Abeetha S, Chitra M, Suba A, B. Dharani, Sadhana S

Health Professions Education

Background: Competency-Based Medical Education (CBME) emphasizes formative, learner-centred assessment. Blood pressure (BP) measurement, a core clinical skill, integrates knowledge, skills, communication, ethics, and attitude. While rubrics are widely used to standardize evaluation, their utility in triangulating faculty, peer, and self-assessment in BP measurement remains underexplored.

Aim: To evaluate the reliability and educational value of rubric-based faculty, peer, and self-assessment in BP determination among Phase 1 MBBS students using a mixed-methods approach.

Methods: A cross-sectional mixed-methods study was conducted among 98 Phase 1 MBBS students in a South Indian medical college. Forty-nine students performed BP measurement, assessed simultaneously by 5 faculty …

Development Of A Faculty-Led Program To Improve Npte Readiness, Yaqiong Wang, Marlon Addison, Michael Hauber, Rachel Mcgraw, Karen Bock, Brendon Stewart

Health Professions Education

Purpose. The National Physical Therapy Examination (NPTE) is a multiple-choice examination that Doctor of Physical Therapy (DPT) students must pass to obtain licensure as physical therapists in the United States. Recent national data show a concerning decline in first-time pass rates, dropping from 91% in 2020 to 82% in 2025.¹ This downward trend is also reflected at our university. These findings underscore the need for effective strategies to enhance NPTE preparation. Therefore, the purpose of this study is to: 1) Describe a scaffolded model of faculty-guided exam preparation, designed to enhance students’ success on the NPTE during the months …

Design, Delivery And Impact: Practical Tips For Impactful Continuing Professional Development, Helen Mcgregor, Brett Vaughan, Louise Horstmanshof

Health Professions Education

Continuing professional development (CPD) is essential for maintaining competence and improving patient care, yet most approaches often have limited impact on practice. This Practice Brief draws on qualitative research with Australian allied health professionals to identify what motivates CPD engagement and supports meaningful learning. Participants highlighted that improving patient outcomes is the strongest driver, and that learning is most effective when it is relevant, actionable, socially interactive, and linked to real-world practice. We synthesised these insights into the PRACTICAL framework, outlining nine principles for CPD design: Patient Outcomes, Recipients, Actionable Takeaways, Co-design, Theory, Investment, Collaborative Learning, Assessment, and Link to …

The Need For A Validated Psychometric Scale To Assess Multidimensional Language Barriers In Medical Education Among Arabic Speakers, Ali Alfaifi, Nasser Shubayr

Health Professions Education

Language barriers significantly hinder academic performance, psychological well-being, and clinical communication skills of Arabic-speaking healthcare students educated through English-medium instruction. Although existing instruments focus on clinical communication—often among physicians—critical dimensions such as academic challenges and psychological impacts remain underassessed, and tools rarely address disciplines beyond medicine (e.g., nursing, pharmacy, radiology). Studies in Arabic-speaking contexts typically employ author-developed or adapted questionnaires lacking rigorous validation. This short communication underscores the need for a comprehensive, psychometrically sound scale tailored to Arabic-speaking healthcare students. Proposed dimensions include Language Proficiency, Academic Impact, Psychological Impact, and Clinical Communication. Validation will involve systematic item development, exploratory and …

Perceptions Of Managerial Roles In Physician Leadership Among First- And Final-Year Medical Students: A Cross-Sectional Study Using Mintzberg’S Framework, Sari Huikko-Tarvainen, Timo Tuovinen, Petri Kulmala

Health Professions Education

Purpose: This study investigated how medical students – as future physicians – perceive the relevance of Mintzberg’s ten managerial roles to physician leadership, and whether these perceptions change throughout medical education.

Method: In 2021, all first‑year (n = 116/116) and 98% of final‑year (n = 107/109) students at the University of Oulu, Finland completed a web‑based survey rating Mintzberg’s ten managerial roles in fulfilling physician leaders’ leadership work on a 5‑point Likert scale. Item reliability and internal consistency were examined with Cronbach’s α. Because Likert data are ordinal, medians and interquartile ranges (IQRs) were calculated, and group differences were tested …

Mapping The Use And Psychometric Characteristics Of The Objective Structured Clinical Examination (Osce) In Musculoskeletal Physical Therapy Education: A Systematic Review, Luis Gómez Miranda, Tomás Reyes Amigo, Hernán Andrés De La Barra Ortiz

Health Professions Education

Purpose. Musculoskeletal disorders are a major cause of disability, underscoring the need for clearly defined and assessable competencies in physical therapy education. Although OSCEs are increasingly used in physical therapy programs, evidence regarding their design and psychometric properties is not yet fully characterized within musculoskeletal physical therapy education. This systematic review aimed to describe how OSCEs have been applied to assess musculoskeletal competencies in physical therapy education, summarize their structural characteristics and reported psychometric properties, and identify methodological gaps.

Method. A systematic review was performed according to PRISMA guidelines. Electronic searches were conducted in PubMed, Scopus, Web of Science, EBSCOhost, …

Study And Evaluation Of The Trimester System In Ksau-Hs, Saudi Arabia, Ayesha Mukthar, Sharon Pricilla Jeevan Kumar Leela, Suchithra Koipurathu Rajappan

Health Professions Education

Purpose: The study aimed to identify the perceptions of students, faculty and administrative staff in College of Science and Health Professions (COSHP), Al Ahsa campus, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), about the trimester system implemented in education sectors in the Kingdom of Saudi Arabia since the beginning of the Academic Year 2022-23 i.e. (1442) AH.

Methods: A cross-sectional study with a structured questionnaire of 30 closed-end items consisting of three sections was implemented. The first and second section focusses on the overall opinion, impact, and challenges observed as well as evaluating the trimester plan, the academic …

Firearm Violence In Health Care Professional Education In The United States: A Scoping Review., Kim D. Dao, Melissa D. Burgemeister, Sierra M. Hakanson, Audrey Rc Elias, Liana C. Wooten

Health Professions Education

Purpose: Despite widespread recognition of firearm violence (FV) as a public health crisis in the United States (US), gaps persist in understanding the education provided to health care professionals (HCPs) regarding prevention and management. This scoping review aimed to characterize FV education curricula for HCPs in the US, focusing on identifying target learners and understanding curricular content and implementation to inform future educational initiatives.

Methods: This scoping review was conducted according to Joanna Briggs Institute methodology for scoping reviews in PubMed, CINAHL, EMBASE, and Cochrane. Search terms included “health occupations”, “allied health personnel”, “gun violence/prevention”, “firearm violence/prevention”, “curriculum”, “education”, …

Clinical Spanish Instruction In Physical Therapist Education: A Quasi-Experimental Comparison Of Instructional Schedules, Rose M. Vallejo, Eric Kruger

Health Professions Education

Purpose: As the U.S. Hispanic population grows, patients with limited English proficiency encounter health disparities that compromise their care. As a result, clinical Spanish instruction in health professions education has become increasingly necessary to address these disparities. This study compared the effects of two instructional schedules: condensed (8-week) versus distributed (2-year), for a required clinical Spanish course in a physical therapist education program. A secondary aim was to implement a Spanish-language OSCE to assess functional communication proficiency.

Methods: Forty-eight students (mean age 25.0 ± 3.3 years; 54% female) from two consecutive cohorts received 16 hours of flipped classroom Spanish instruction. …

Assessing The Implementation Of National Sodium Reduction Policies In Nigeria: An Interim Qualitative Evaluation Of Stakeholder Perspectives, Chisom Obiezu-Umeh, Erica L Jamro, Guhan Iyer, Mark D Huffman, Et Al.

2020-Current year OA Pubs

INTRODUCTION: Population-wide dietary sodium reduction is a global priority and a highly cost-effective strategy to lower blood pressure and reduce cardiovascular disease risk. In response, the Nigerian government launched the National Multi-sectoral Action Plan (NMSAP) in 2019, recommending evidence-based policy actions including limiting sodium in processed foods, restricting food advertising especially for children, promoting public awareness, integrating nutrition education in schools, and front-of-package labeling. We conducted a qualitative study to examine progress, barriers, and facilitators in implementing these policy actions 3 years post-launch.

METHODS: Between March and September 2024, we conducted 47 key informant interviews and 5 focus group discussions …

Effects Of Anti-Parkinsonian Medication On Gait During Internal And External Rhythmic Auditory Cueing In Pd, Sidney T Baudendistel, Lauren E Tueth, Ryan P Duncan, Allison M Haussler, Liza Birov, Gammon M Earhart

2020-Current year OA Pubs

INTRODUCTION: External and internal auditory cueing strategies improve gait function, including velocity and stride length, in people with Parkinson disease (PD). Further, internal cueing can reduce gait variability, a measure associated with falls. In the present study, we asked whether the efficacy of external and internal rhythmic cues depends on dopaminergic status, i.e., OFF vs. ON medication. This question is relevant to the real-world use of cueing, as dopaminergic medication responsiveness fluctuates for individuals. We measured gait while participants with PD walked with an external cue (music playing aloud) and with an internal cue (mentally singing) in both OFF and …

Is Science Still An Old Boys’ Network? A Structural Approach For Assessing Patterns Of Gender Heterophily In A Large Research Network, Jessica Thein, Karen Skinner, Sara Malone, Mia T. Vogel, Bobbi J. Carothers, Todd B. Combs, Douglas A. Luke

2020-Current year OA Pubs

No abstract provided.

Numerics: A .Net Library For Numerical Computing, Statistical Analysis, And Risk Assessment, C. Haden Smith, Woodrow L. Fields, Julian Gonzalez, Sadie Niblett, Brennan Beam, Brian Skahill

Mathematics and Statistics Faculty Publications and Presentations

Numerics is a free and open-source numerical computing library for .NET, developed by the U.S. Army Corps of Engineers Risk Management Center (USACE-RMC). The library provides 43 univariate probability distributions with L-moment and maximum likelihood parameter estimation, eight Markov Chain Monte Carlo (MCMC) samplers for Bayesian inference, bootstrap uncertainty quantification, bivariate copulas, optimization algorithms, and numerical methods for integration, differentiation, root finding, and linear algebra. Numerics targets engineers, scientists, and analysts working in infrastructure risk assessment, flood frequency analysis, and Monte Carlo simulation within .NET-based enterprise systems. The library supports .NET 8.0 through 10.0 and .NET Framework 4.8.1 and is …

Becoming A Shape, Becoming Yourself: Geometry, Identity, And Belonging In An Early Childhood Classroom, Eva Thanheiser, Molly Robinson, Simon Byeonguk Han, Amanda T. Sugimoto, Courtney Koestler, Mathew D. Felton-Koestler

Mathematics and Statistics Faculty Publications and Presentations

This paper examines how a first-grade geometry lesson became a site for exploring shape, selfhood, and belonging in an early childhood classroom. Drawing on interaction analysis of a lesson built around the picture book The Greedy Triangle , we show how children named personal strengths, identified shapes, followed a triangle through changing categories, reflected on why they liked being themselves, and used their bodies to form polygons. We ask what counts as mathematical activity in this lesson and argue that mathematics is not limited to naming shapes. It also involves noticing attributes, negotiating criteria, tracking transformation, coordinating bodies, and reasoning …

The Idea Of Air, Jonathan Skinner-Thompson

Utah Law Review

How we view air, especially clean air, has meaningful normative and practical implications. Today, it is commonly recognized as an exhaustible natural resource. But air was not always thought of as something to be conserved, developed, and used. This Article is the first to explore and interrogate that view. The shift to seeing air as a resource started in the first part of the twentieth century. Previously, air was characterized by its limitless supply of oxygen: a pure public good. Over time, the quality of that good changed, and a precious resource emerged. That resource—especially its chemical and physical characteristics—inspired …

Prescribed Fire Liability And Administration In Western States: An Empiricalanalysis And Call For Reform, Stephen R. Miller, Anastasia Telesetsky

Utah Law Review

Wildfires have grown exponentially over the last few years due to fuel loads, range- and timber-management policies, and climate change. The cost of fire suppression is also growing in both rural and urban areas. For instance, the 2016 Pioneer Fire in rural Idaho cost around $100 million to fight, while the 2025 urban conflagrations in Los Angeles, California destroyed over 16,000 structures despite an astonishing array of suppression resources deployed. Something new, and something big, in terms of law and policy interventions, is needed to stem the intensity of wildfires. Increasingly, governments, private citizens, and even corporate interests like insurance …

Shedding Light On Cellular Glycolysis Pathway Kinetics: Combining Kinetic, Mechanistic Modelling Approaches With Label Free Microspectroscopic Imaging. (Spectralomics), Nitin Patil

Doctoral

Cellular metabolism and its intricate biochemical mechanisms which allow the conversion of nutrients into energy to sustain life are well understood, leading to numerous breakthroughs in science and technology, human health and wellbeing. From an industrial perspective the pathway kinetics are significant for monitoring cellular bioprocesses, screening desired metabolite phenotypes in drug discovery processes, etc.

An initial review of glycolysis pathway kinetics highlighted the lack of sophisticated approaches to monitor the metabolic pathway kinetics as a function of time in a non-destructive, non-invasive, label-free manner. Fluxomics, a metabolomics based approach providing high-throughput insights, can be considered a gold standard approach, …

Afit Librarian Newsletter : Check It Out (First Quarter 2026), D'Azzo Research Library, Air Force Institute Of Technology

AFIT Library Knowledge Base

No abstract provided.

Is There Really Too Much Housing?, Michael Lewyn

Scholarly Works

This essay seeks to both explain and critique Lynn Ellsworth’s critique of YIMBYism. Part I of this review focuses on Ellsworth’s primary concern: a fear of the alleged destructive effect of dense neighborhoods and tall buildings. Part II addresses her attempts to deny the link between increased housing construction and lower housing costs. Part III addresses her alternative solutions to New York’s housing crisis.

Excavating Miranda, Samuel J. Levine

Scholarly Works

Sixty years after it was decided, Miranda v. Arizona remains one of the most significant and renowned cases—as well as, arguably, one of the most controversial cases—in the history of the United States. Chief Justice Earl Warren’s majority opinion, establishing the eponymous Miranda warnings for custodial interrogation of criminal suspects, has prompted voluminous and continuing commentary, among both critics and supporters. This Article is part of an ongoing project exploring a particular aspect of Chief Justice Warren’s majority opinion: a footnote referencing Jewish legal sources, documenting an important passage at the start of a pivotal section of the opinion.

Building …

Unethical Business Practices Plague Native American Cultures And Economies – Solutions To The Ineffectiveness Of The Indian Arts And Crafts Act, Benjamin Amoroso Sinder

American Indian Law Review

No abstract provided.

Front Pages

American Indian Law Review

No abstract provided.

The Bad Man’S Hourglass: Extending The Clock On Justice, Liv G. Cummins

American Indian Law Review

No abstract provided.

“Discovered!”: Plaintiff’S Brief To The United States Supreme Court In Johnson & Graham’S Lessee V. M‘Intosh (1823), Mark Savage

American Indian Law Review

No abstract provided.

Front Pages

American Indian Law Review

No abstract provided.

When Tribal Sovereign Immunity And The Americans With Disabilities Act Collide, Who Wins?, Baylee M. Ogle

American Indian Law Review

No abstract provided.