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Geropsychology post-doctoral training in public sector service delivery: the USF/Tampa VA fellowship model.

There is a growing need for geropsychologists who are specialists in practice, research, education, and advocacy for older adults. The combined USF/Tampa VA geropsychology fellowship program focuses on the training of three post-doctoral Fellows each year in public sector service delivery across diverse long term care (LTC) and primary care settings. Addressing the bio-psycho-social needs of frail, poor, and minority older adults within an interdisciplinary framework exposes geropsychology Fellows to the complex nature of mental health problems of older adults and the need for collaborative efforts across professional lines. The program builds on prior geropsychology training at the graduate and internship levels by providing an integrated framework to achieve clinical, didactic, program evaluation, and advocacy goals: (1) delivery of state-of-the-art evidence-based psychological services to disadvantaged older adults in geriatric public sector primary care sites; (2) mastery of the knowledge base on diversity and interdisciplinary teamwork as they relate to providing services to older adults, including those residing in rural areas; (3) gaining competence in the evaluation of services to disadvantaged older adults; and (4) experience in public health advocacy for improvement of the LTC system.

Aged↗

Addressing the health information needs of rural Missouri health care providers: an IAIMS assistant experience.

A one-year internship at the University of Missouri-Columbia offered an opportunity for a health sciences librarian to contribute to Integrated Advanced Information Management Systems (IAIMS) activities and take information management ideas back home. The IAIMS Assistant addressed information access issues. The Assistant helped to develop and administer a "Rural Provider Questionnaire" to assess the information needs of rural Missouri health care providers. The Health Sciences Library developed a Web page to bring together services and information resources in response to the perceived needs of health care providers associated with the Health Sciences Center. The article discusses the librarians' role in IAIMS initiatives.

Community Networks↗

School-to-work experiences: curriculum as a bridge.

Because workers must be prepared to constantly update their skills and reeducate themselves for new skills, lifelong learning must be a goal for every teacher and student. The curriculum provided during educational experiences should pave the way for attainment of this goal. This is particularly true for deaf and hard of hearing students. School-to-work (STW) has become an umbrella term for activities, experiences and opportunities that prepare students for the world of work, such as youth apprenticeships, mentoring, internships, job shadowing, career exploration, and integration of academic and vocational curriculum. This article provides historical background on STW, laws shaping requirements for STW programs, and research supporting STW components. Recommendations are provided for curricular elements of an STW program, and trends in STW are forecast.

Curriculum↗

Deaf teacher candidates in hearing classrooms: a unique teacher preparation program.

An undergraduate teacher education program at Gallaudet University prepares deaf students in "regular" education. This includes a required full-time internship with hearing students (assisted by sign language interpreters). Graduates then continue in a master's degree program in deaf education, thus acquiring dual certification. Several studies indicate that these deaf candidates progress through the same developmental stages as hearing candidates and that they develop high expectations for deaf learners. Issues related to implementing such a program are discussed.

Deafness↗

Project IDEA: International Deaf Education Association.

This paper addresses some of the difficulties of educating the deaf in third world countries. Project IDEA (International Deaf Education Association) is an exemplary program started by the Peace Corps in Bohol, Philippines. The author made an on-sight visit to this project in 1986. Additionally, two Montana State University students completed internships there in early 1988 and their detailed accounts help form the basis for this descriptive report on the newly formed Bohol deaf community and their special educational/vocational program.

Adolescent↗

The specialty of administration.

Administration was defined. Some current administrative theory was discussed, pointing out the relevance and importance of informal organizations, goals and needs of individuals, and the leadership and the decision-making process. Administrators of dental schools should have some formalized education and experience in administrative theory. They should become specialists in administration, possess advanced degrees, have field experience, and serve internships. It is essential that administrators are aware, not only of their duties, but also of their obligations to their supportive team. Finally, it can be said that success as an administrator will depend primarily on the quality of decisions made.

Administrative Personnel↗

Final-year nursing students' clinical practice experiences: a reflection study.

OBJECTIVES: This study aimed to explore the most impactful clinical practice experiences of final-year nursing students and the future-oriented actions developed in response to these experiences. METHODS: A retrospective descriptive qualitative design was used. Following reflection training in the internship practice course, 134 final-year nursing students were asked to describe the experience that affected them most during clinical practice. A total of 123 written reflections were analyzed using content analysis. RESULTS: Three themes emerged: near-miss events, incivility behaviors, and positive preceptoring roles. Negative experiences were mainly related to patients, relatives, and nurses and often led students to feel fear and inadequacy. Students reported action plans focused on effective communication, safe patient care, and becoming positive role models. CONCLUSIONS: These findings highlight the importance of supportive clinical learning environments and positive professional socialization during the transition from student to nurse. IMPLICATIONS FOR INTERNATIONAL AUDIENCE: Nursing students worldwide may encounter incivility and near-miss events during clinical practice, potentially adversely affecting their learning experiences and professional development.

Humans↗

Substance misuse training in graduate psychology programs.

A total of 436 graduate psychology training programs, including both academic and internship programs, were surveyed to determine the extent to which they included issues of substance misuse in their curricula. The survey consisted of a 37-item questionnaire and a multiple-mailing methodology that yielded a 78% response rate. The results indicate that a majority of programs provide students with at least some exposure to substance misuse issues, that programs focus both on alcoholism and on misuse of other drugs, that misuse is considered from several different combinations of perspectives (theory, research and treatment), and that both abstinence and moderation training are included in many curricula as potential goals of treatment. Additionally, data are presented on locations of training, measurement of student competence, professional involvement of faculty and staff members in the area of substance misuse, and plans that programs are making for future research and training activities. The role of psychology in general in the provision of substance misuse training is also discussed.

Counseling↗

[Participation in the design of a political pedagogical project in nursing].

This paper reports an experience tracing the route of the academic community pursuing a Nursing Degree at Federal University of Santa Maria, while designing their Political-Pedegogical Project. The methodology used for creating this project was the promotion of seminars, which brought together professors, students, civil servants, and nurses who work in practice classes and supervised internships. For the organization of the project, referential, conceptual, and structural landmarks have been used, adapted from Saupe and Alves. This nursing undergraduate program is on the process of designing its framework, and is planning on seminars to discuss teaching methodology, besides designing a follow-up and evaluation plan for the implementation of their Political Pedagogic Project, as well as for the improvement of faculty competency.

Brazil↗

[Shelter as an interdisciplinary practice in a university extension program].

This article discusses the Interdisciplinary Health Promotion and Health Care Program at Vale do Rio dos Sinos University in Brazil. Beginning with an exploratory process, the study aims to analyze and comprehend the role of this community-oriented program in the education of students from different health-related disciplines at the University, as well as the program's health care role in the city of São Leopoldo, Rio Grande do Sul State, Brazil. The central concept is that of "acolhimento" ("refuge" or "shelter"). The program involves internship grants and services to the community and aims to enhance health-related practices in various fields such as Psychology, Nutrition, Nursing, Physical Education, and Collective Health, besides interfaces with Social Service, Law, and Medicine.

Brazil↗

[Undergraduate students of "Universidade Federal de Minas Gerais": profile and trends].

OBJECTIVE: this study was made with the medical students of the "Universidade Federal de Minas Gerais" (UFMG), to get their social economic profile, and their reasons for studying medicine, choosing the specialty, doing medical residence, and showing preferences for being a liberal professional or a salaried employee. METHODS: In 1997, a study was made comparing UFMG's medical students beginning their clinical practice (5th semester) and those medical students during the internship in the last term of clinical practice. Both groups were given questionnaires for evaluation. RESULTS: The results were similar for both groups and showed that women constituted almost 50% of the students and about 50% of them were from Belo Horizonte, the State capital of Minas Gerais, Brazil, and from small families with less than three children, and whose parents held a college degree. These students passed the college entrance exams on their first try. Two thirds of their families had income of about 10 to 50 Brazilian minimum wages, and approximately 12% of the families had an income of less than 10 minimum wages. The majority of the students decided to study medicine for altruism or vocational reason; very few (<5%) chose to study medicine for financial reasons. Almost all students (98%) preferred a liberal medical practice; however 80% would accept civil-service employment as an alternative. Nearly all of them (98%) chose to do medical residence to specialize. Most students would prefer to be specialists and only less than 20% would prefer to do general practice in areas such as adult and pediatric clinic, gynecology-obstetric and general surgery. CONCLUSION: This study shows that medical students from UFMG have an elite social economic profile and a preference for specialized medical practice.

Brazil↗

Psychology of the scientist: LXXXI. Professional school and traditional program graduates: comparison on measures of achievement in clinical psychology.

Clinical psychologists who graduated from traditional programs and those who graduated from professional schools were compared on both scientifically and professionally oriented criteria of achievement and recognition. Upon controlling for year of graduation from a doctoral program, the professional school graduates were less likely to be APA fellows, less likely to be on the editorial board of specified research oriented journals in clinical psychology, less likely to have diplomate status in the American Board of Professional Psychology (ABPP), less likely to have been president of state psychological associations, and less likely to have been APPIC internship directors.

Achievement↗

Representation of the governed: leadership building for people with behavioral health disorders who are homeless or were formerly homeless.

Many organizations that provide services to individuals with behavioral health disorders are required to include people with psychiatric disabilities on their boards and action groups, yet this requirement rarely results in successful, ongoing representation. We report on a pilot project that trained people who were homeless and formerly homeless, most of whom were diagnosed with behavioral health disorders, for internships on boards and action groups that provide services to people who are homeless. We relate the project's goals to the theme of empowerment, present our findings, discuss key implementation issues, and offer recommendation for future program efforts and research.

Conduct Disorder↗

How we teach ... practical skills in an undergraduate medical curriculum: 5 years of experience at Gezira Medical School (Sudan).

An outline of an undergraduate course to teach medical students practical medical procedures early in their curriculum is described. Introduction of those skill as early as the second year has given the student ample time to practice those skills before graduation. Feedback has shown that the course has been successful in helping the students to master simple procedures by the time they graduate. Early demonstration of complicated skills has also facilitated the ability and confidence of the student to perform those skills during the internship.

Clinical Competence↗

Problem-based curriculum: outcome evaluation.

The College of Medicine and Medical Sciences of the Arabian Gulf University (CMMS-AGU) in Bahrain is, in its innovativeness, unique in the region in that a problem-based strategy is used in the planning and implementation of the curriculum. The first batch of graduates have completed their internship programme in the different countries of the region. This paper presents an evaluative study of the outcome of the programme in relation to the institutional goals. Assessment of the intern's performance in clinical competence, interpersonal relations, self-directed learning, and their relative standing vis-à-vis graduates from other schools was done by supervisors. The findings of the study confirm the relative merits of the problem-based curricular strategy in medical education.

Bahrain↗

A model to teach trauma care to medical students.

The following integrated trauma teaching model has been developed in response to perceived deficiencies of organized trauma content in many undergraduate surgical programmes. This method has combined structured teaching and clinical clerkship. First, a short lecture is given to the student body giving an overview of the subject. Small groups then rotate through a series of teaching stations, each structured to represent a different level in the hierarchy of management priorities involved in the care of a trauma patient. The educational value of a 150 minute teaching session was evaluated by comparing group performance in a pre-test given several days before with a post-test immediately after teaching. Forty one Year IV students increased their mark, out of a possible total of 30, from a pre-test mean 15 (SD3) to a post-test mean 21 (SD3). Thirty two year VI students increased their marks from a mean 18 (SD3) to a mean 24 (SD2). Both increases are highly significant (p < 0.001). The model has proved to be an effective way to teach students trauma skills in preparation for a subsequent clerkship or internship.

Australia↗

Family medicine in South Africa: where are we now and where do we want to be?

OBJECTIVES: This paper outlines the development of family medicine in South Africa with special reference to the process leading to the recognition of this discipline as a medical specialty. It also examines the constraints under which the discipline has had to function, considers where the discipline should be, seeks to identify the barriers to its further development and suggests ways in which to overcome these. METHODS: A short review was carried out of the available South African literature to record the advancement of the discipline and the international literature was searched for articles supporting this direction. RESULTS: The situation in South Africa is complicated by the existence of many doctor groupings claiming to represent the generalist and the perception that family medicine only addresses the needs of middle-class citizens. A flawed consultative process leading up to the present stage has contributed to this perception. CONCLUSIONS: The available literature supports the establishment of family medicine as a speciality. Developments in South Africa, such as raising the status of Family Medicine and creating a compulsory rotation through family medicine as an extended internship and the creation of registrar posts in family medicine will advance the discipline in a positive manner, whilst possibly attempting to resolve the medical migration issues that are presently destroying Sub-Saharan Africa's health services.

Family Practice↗

[Integration of research into the dietetic practice of New Brunswick].

In New Brunswick, we have very little information that describes practice-based research in dietetics. To encourage and promote research in this province, it is crucial to describe the place that research has in dietetic practice and determine the number of dietician in New Brunswick that received an education in research methodology. A validated questionnaire was distributed to all the members of the New Brunswick Association of Dietitians; 76% of the members filled out the questionnaire. For 85% of them, their highest level of education is the internship; 15% have a postgraduate degree, and 55% have completed a research methodology course. The dietitians having completed graduate studies perceived fewer barriers to the integration of practice-based research. The Barrier that 81% of the dietitians in the province agreed was most influential in discouraging the implementation of research to daily practice was the time allowed for research at work. Nearly two-thirds (63%) agreed that it is very improbable that they will pursue graduate studies. The probability of pursuing graduate studies decreased with the age of the dietitians: 85% agreed that "family and personal obligations" and "lack of time" were the most important barriers in pursuing graduate studies. The attitude of New Brunswick dietitians towards research was nonetheless positive.

Adult↗