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PubMed1990

Evaluating the clinical skills of foreign medical school graduates participating in an internship preparation program.

In the fall of 1986, the Ministry of Health of the province of Ontario, Canada, implemented a special 36-week internship preparation program for graduates of foreign medical schools. The program accepts 24 candidates per year and is offered at the five Ontario medical schools. At the time of this study, two cohorts of participants had completed the program. As part of the evaluation process, each participant was administered a battery of the same Objective Structured Clinical Examination-type test stations, prior to and on completion of the pre-internship experience. Repeating the same examination permitted investigation of the predictive and construct validities of the clinical skills tests, as well as the stability of the validity and high reliability estimates that emerged from the testing of the first cohort. The results provide convincing evidence of the testing approach's predictive and construct validity and reliability.

Clinical Competence↗
PubMedDate not supplied

A clinical internship program in biomedical engineering. Part I: Objectives of the program.

The need for, and specific objectives of, a clinical internship for biomedical engineering students are discussed in Part I. Through such an internship, participants can gain an appreciation for the role that engineers can play in quantifying and automating medical procedures. They also learn about the organizational structure of a clinical facility, the regulations, safety standards and accreditation requirements imposed on the health care industry, and the technological needs as envisioned by medical personnel. Finally, students become familiar with information flow in a medical facility, the units, codes and standards used to report diagnostic information, and current technology utilized in health care delivery, especially its limitations.

Biomedical Engineering↗
PubMed1992

The career development internship program. Pathway to enhanced nursing practice.

Nurse administrators can enhance nursing practice and improve patient care by providing clinical nurses with ways to develop and share their expertise in areas such as education, management, quality assurance, advanced clinical practice, and research. The authors describe the Career Development Internship Program that grew out of the Management Internship Program. This creative program allows for professional growth in specific fields while also developing leadership capability.

Career Mobility↗
PubMed1986

Internship: what is stressful?

We periodically evaluated 27 interns for mood states and psychophysiologic functions during their internship year. At the end of the year they were questioned as to what they had found to be stressful and/or supportive during the year. Stressful issues were inadequate sleep, inadequate time to pursue personal matters, and inadequate personal interest and support from attending physicians. Helping to reduce stress were support from, and camaraderie with, fellow house officers. Those interns who had more emotional distress experienced less support from others and felt more isolated. The amount of sleep did not differentiate those who were more dysphoric from those who had less distress. We conclude that the major issue in determining the amount of distress experienced during the internship is the quality of the individual's social support system.

Activities of Daily Living↗
PubMedDate not supplied

Nurse internship pathway to clinical comfort, confidence, and competency.

The purpose of this article is to report the outcomes of a nurse internship program initiated at a U.S. Navy hospital designed to increase new graduate nurses' clinical competence, confidence, and comfort. Using a quasi-experimental design, the experimental group scored significantly higher on organizational core competencies than the control group. These nurses were more comfortable with their leadership and management roles following the intervention. Organizations may wish to consider a nursing internship program as a means of improving the work environment.

Adult↗
PubMedDate not supplied

The success story of an intermediate care area nurse internship program.

Mayo Clinic Rochester Hospitals have experienced significant growth in the number of patients requiring the specialized nursing care offered in intermediate care areas (ICAs). To ensure quality nursing care for ICA level patients, a standardized educational program was developed. The Mayo Intermediate Care Area Nurse Internship Program was a tuition-free education program that provided additional knowledge, insights, and skills needed to develop a highly competent ICA nurse. This article will describe how the concept of an ICA nurse internship program was taken from birth of an idea to fruition.

Career Mobility↗
PubMedDate not supplied

Evaluation of a 16-week critical care internship program using a Staff Development Program Effectiveness Evaluation Tool.

Today's healthcare environment has required innovative, cost-effective ideas for hospitals to recruit and retain nurses in critical care. A critical care internship is a viable option to meet the challenges encountered in educating nurses in today's complex critical care environment. This article provides a description of a Critical Care Internship Program and a method of analysis for utilization of resources, clinical outcomes, and fiscal responsibility using a Staff Development Program Effectiveness Evaluation Tool.

Attitude of Health Personnel↗
PubMedDate not supplied

Health care in the Sultanate of Oman from a graduate internship experience perspective.

This article presents an overview of health care in the Sultanate of Oman, focusing on areas such as organization, financing, and staffing issues. It further relates the experiences of one graduate student during an administrative graduate internship in the Sultanate of Oman. The student interned at 4 hospital facilities, observing different departments (such as Nursing, Pharmacy, Laboratory, Health Information Management) and shadowing facility administrators. Also presented are student recommendations that were developed for various areas of the facilities (health information management, ancillary services, patient care areas, etc.) based on the student's graduate coursework and observations during the internship.

Delivery of Health Care↗
PubMed1981

An analysis of internship training in Sri Lanka.

The internship period is a critical phase in the continuum of training provided to medical students. An analysis was made of the tasks the intern medical officers in Sri Lanka are engaged in during their period of training in different clinical disciplines. Data was collected by direct observations by trained observers for a continuous period of 10 days and self-reporting by the interns at the two teaching hospitals and four of the provincial hospitals where interns are posted. The reliability of the data was high. The results indicated the wide differences in the learning experiences of the interns in important aspects of patient care in the different training situations. The non-availability of any guidelines to the consultants with respect to the training intended is another deficiency. The study shows an urgent need to implement a planned and monitored internship programme in the country.

Hospitals, Teaching↗
PubMed1992

Community-based projects in rural internships: an alternative approach.

Supervision of medical interns posted to various primary health centres and rural health training centres by specialists in preventive and social medicine and other clinical disciplines is becoming less and less effective for a number of unavoidable reasons. Because of lack of proper and timely guidance, interns feel that during the 6-month rural internship they do not get enough experience of rural life. In order to provide them with learning experiences in community medicine and orient them in the social dynamics of the community, a new approach involving interns in small community-based projects, probably for the first time, was tried on a pilot basis at the Rural Health Training Centre (RHTC), Sirur, a field practice area of B.J. Medical College, Pune, Maharashtra, India. Interns working at RHTC Sirur completed these community-based projects successfully. Identification of problems, study design analysis and drawing conclusions, based on observation, were all undertaken by the interns under the guidance of the staff of the Department of Preventive and Social Medicine, B.J. Medical College. The opinion poll at the end of the rural internship revealed that 76% of interns considered this experience valuable for improving their knowledge and skills, and 56% though that interaction during these projects was beneficial to the community as well. This experience with community-based projects for interns during their rural posting provides them with an opportunity for interaction with the community.

Attitude of Health Personnel↗
PubMed2004

Promoting evidence-based practice: an internship for staff nurses.

Implementing evidence-based practice is a complex but valued process that requires support for nurses to make it a reality in care delivery. To address this, an Evidence-Based Practice Staff Nurse Internship was developed at the University of Iowa Hospitals and Clinics in the United States. PROGRAM OVERVIEW: The objective of this internship is to promote use of evidence by staff nurses to improve patient outcomes. Through a competitive application process, six nurses are accepted in each cohort. The program provides didactic content and dedicated work time on topics interns select (e.g., family pet visitation, sedation management, bowel sounds assessment, guided imagery, family transition to pediatric floor). Interns receive paid clinical release time for participating. ROLES AND RESPONSIBILITIES: Teams include the staff nurse, the nurse manager, and an advanced practice nurse. Responsibilities for each step are assigned to the person with the appropriate expertise. EVALUATION: Interns report understanding the process, appreciate the opportunity for professional growth, and report their objectives are being met. Participants evaluated the program very positively and also provided recommendations for revision (e.g., revising class content). The program resulted in improved quality of care such as increased patient and family satisfaction, decreased length of stay, and cost savings. IMPLICATIONS: Programs that support practitioners through the evidence-based practice process are needed for use in a variety of settings internationally. This unique program supports staff nurses in making evidence-based practice a reality for their work and patients and might be transferable across settings.

Attitude of Health Personnel↗
PubMed2004

Outcome assessment of the French internship graduate programme.

In 1995, the first dental postgraduate residency programme was established in France. Selection of the applicants was performed by means of a selective national competitive examination among dental students in the final year of the undergraduate studies. The main objective of this 3-year general practice internship was to provide a clinical training for future academic dentists. This study describes the characteristics and the professional outcome of the student population enrolled in this programme. The French internship programme represents a new and welcome modification on the training of future dental academicians and establishes similarities with other programmes in Europe.

Adult↗
PubMed1979

The development of an internship program in psychiatric nursing.

As medicine and nursing have become increasingly specialized, the need for additional training for the graduate nurse has become more evident. One way in which nursing educators have dealth with this problem is through the establishment of general nursing internship programs. The authors review some of the historical background for the development of these programs and describe the establishment of an 8-week specialized nursing internship program in psychiatric nursing. They conclude with a brief evaluation of the program.

Adolescent↗
PubMed1980

The psychiatry internship and the development of professional identity.

Advocates of the psychiatry internship believe the experience fosters professinal maturity. The authors examined the maturing process of 10 psychiatry residents during their internship year. Changes in the interns' professional identity including expectations of self and others are described and seen as a goal of the experience. The authors outline danger signals of poor professional development and suggest interventions to help interns resolve conflicts.

Attitude of Health Personnel↗
PubMed2005

Mid-career opportunity for nurses: learning and growing through a health policy internship.

This article shares the experience and insight gained from a mid-career policy internship offered through the National Academy of Social Insurance. The author is a nursing doctoral student who interned on veterans' long-term care projects with the Health Care Team at the Government Accountability Office in Washington, D.C. As the average age of nurses continues to rise and society faces nursing shortages, new opportunities and solutions must be considered to keep aging nurses in the workforce. A mid-career internship is a very real option that will benefit health policy organizations, the nursing community, and aging nurses.

District of Columbia↗
PubMed2004

Retaining and transferring nursing knowledge through a hospital internship program.

In healthcare, organizations recognize that human capital is their most valuable asset. The importance of investing in knowledge workers is imperative given the current and future shortage of health professionals. Knowledge acquisition occurs through continuous learning and the transfer of information from those who are highly experienced to those who are less qualified. At St. Michael's Hospital, two innovative and unique programs were created for the transfer of knowledge. The first was a nurse fellowship program that enabled experienced nurses to spend two to three months learning new skills to advance clinical practice. The second was a nurse internship program in which new graduates spend three to four months in their area of hire to enhance clinical practice through skill development and prioritization of patient care needs. This paper describes both programs and presents an evaluation of the new-graduate internship program as an opportunity for professional development and career enhancement For nurse interns, the program promotes self-esteem and professional confidence, improves job satisfaction and rewards nurses for their contribution. For nurse preceptors, the program provides job enrichment, experience in teaching and recognition by the organization and peers that they are knowledge experts. In healthcare, organizations have come to acknowledge that their most valuable asset is human capital, in particular, knowledge workers (Horibe 1999). Knowledge workers contribute a composite of information, intellectual property and experience (Horibe 1999), acquired by study, investigation, observation or practice (Webster's Dictionary 1989). Investing in knowledge workers is investing in the future. In this regard, organizations have implemented recruitment and retention strategies to attract, retain and advance the highest calibre of health professional. Knowledge workers contribute to an organization through their ideas, analyses of complex situations and sound judgment in decision-making (Horibe 1999). They further develop these skills over the course of their career through continuous learning. This paper will focus on the importance of investing in nurses as knowledge workers. In particular, given the shortage of nurses and the reality that 25% of today's nurses can retire over the next 10 years (CNA 2001), it is imperative that knowledge transfer occur from highly experienced to less experienced nurses.

Attitude of Health Personnel↗
PubMed1985

A gerontology internship program for medical students.

Although the aged are the country's major users of medical care and social services, traditional medical school curricula devote little time to the aged and their social needs. This article reports on a community-based gerontology internship established for pre-clinical medical students to sensitize them to the needs of the elderly in the community. Students were assigned to community agencies servicing the elderly; working with elderly clients, they learned about needs and services. Students, agency staff and program faculty found the internship a meaningful, consciousness-raising experience, and an excellent vehicle for preparing future physicians to interact with and care for their aged patients.

Aged↗