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[Evaluation of the tuberculin reaction in health occupation students] .

A cross-sectional study was done at the University of Antioquia, MedellIn, Colombia, to evaluate the response to a tuberculin skin test among students in undergraduate health programs (medicine, odontology, nursing, and bacteriology) as compared to undergraduate students in nonhealth programs. The study included students from the beginning, middle, and end of the university's academic programs. The sample of 490 students included 273 from health programs and 217 from nonhealth programs. Participants were randomly selected using lists provided by the university registrar, for the second semester of 1998. The presence of a BCG vaccination scar was determined, and all the participants were also questioned about TB-related risk factors. Tuberculin skin test reactivity was evaluated by the size of induration 72 hours after intradermal injection of two tuberculin units of purified protein derivative RT 23. There were no differences in tuberculin reactivity between students from the health programs and from the nonhealth programs, irrespective of the academic level. However, there was a significantly higher proportion of positive skin tests among students with a BCG scar. These results suggest that undergraduate health students do not have extensive contact with TB patients or with clinical samples from such patients. Nevertheless, the results do not rule out TB as an occupational risk for health personnel.

Adult↗

Teaching occupational health to medical students.

Occupational and environmental disease and injury are both widespread and preventable, yet their study has been traditionally neglected in undergraduate medical education. Because family physicians will encounter many working patients who are subject to varying degrees of risk as a result of their job, home, or community environment, family practice faculty must play an important role in teaching occupational and environmental health to medical students. Goals for the longitudinal integration of occupational and environmental health over the four-year curriculum include sensitizing students to the relationship between work and health, introducing and reinforcing the importance of the occupational and environmental history in patient care, integrating occupational and environmental health principles and examples with existing course work, and providing appropriate clinical, research, and didactic activities for interested students. Goal achievement will vary with the availability of curricular time and teaching faculty. Strategies for implementing occupational and environmental health curriculum in the face of these two variables are discussed.

Curriculum↗

Health professional students' occupational exposures to blood-borne pathogens: primary and secondary prevention strategies.

Health science students, along with the health professionals they hope to become, are at increased risk for certain occupational injuries and illnesses. One of these risks is occupational exposure to blood-borne pathogens, such as human immunodeficiency virus (HIV) and hepatitis, which may result in severe illnesses or even death. Two case studies demonstrate postexposure care of exposed individuals at the University of Texas Medical Branch Student Health Services before and after policy changes and prevention strategies were strengthened in response to exposure incidents.

Blood-Borne Pathogens↗

The ability of professional programs in occupational therapy to accommodate the older student.

Research data suggest that 24% of the 25- to 34-year-old age group are college graduates who are prime candidates for returning to the university campus. As a professional field in which the enrollment of traditional-age students might decline, occupational therapy may need to find ways to attract older students. Thus, there is a need to examine whether occupational therapy curricula are designed to accommodate older students.

Age Factors↗

A minority recruitment and retention model for a Department of Medical Allied Health Professions.

A model for the recruitment and retention of minority students for a department of medical allied health professionals has been developed. The model includes four major components: recruitment, admissions, support systems, and career realization. Suggestions for implementation and coordination of model activities revolve around the services of a minority student advocate whose job description is provided. Specific criteria for evaluation and the time table for implementation of the model are suggested. The model has implications for improving the potential for a positive experience for minority allied health students who apply to and enroll in majority campuses of higher education.

Allied Health Personnel↗

Cultural competence of faculty and students in a school of allied health.

The School of Allied Health Sciences (SAHS) at East Carolina University administered a cultural competence survey to assess baseline competence for comparison with future, longitudinal assessments. This cultural competence assessment of students and faculty offers a comparison groupfor other schools of allied health that conduct similar studies. The faculty response rate was 59% with 35 completed surveys, and the student response rate was 28% with 151 respondents. The SAHS response rate for the faculty and students combined was 32% (N = 186). The allied health students consistently had higher mean scores than the faculty on knowledge of communities, personal involvement, and total score, although the differences were not statistically significant. This difference may be a reflection of the greater, although still relatively low, ethnic/cultural diversity among the students (82% white) compared with the faculty (97% white). The results are limited in generalizability to other schools of allied health with a predominately white female population.

Cultural Diversity↗

Perceived academic quality and approaches to studying at Danish schools of occupational therapy.

Students in the fourth semester of basic training programmes in occupational therapy at seven different institutions of higher education in Denmark were surveyed using the Course Experience Questionnaire [CEQ] and the Revised Approaches to Studying Inventory [RASI]. The CEQ proved to be a reasonably robust in this setting: most of the scales demonstrated satisfactory reliability, and a factor analysis confirmed its intended constituent structure. The CEQ also discriminated among students at the seven institutions in their patterns of scores. The RASI proved to be less satisfactory: many subscales did not demonstrate satisfactory reliability and its intended constituent structure was only partly confirmed by factor analysis. Moreover, the RASI failed to discriminate clearly among students at the seven institutions. The scores on the CEQ produced by students at four of the institutions raised concerns relating to the clarity of academic goals and standards, the teaching performance of staff, and the academic workload imposed on students. Nevertheless, students at five institutions produced relatively high ratings of their general satisfaction with their programmes, and students at all seven schools produced high ratings of the appropriateness of their assessments and the acquisition of generic skills.

Adult↗

Evaluation of the use of standardized recommendation forms in admissions in radiologic technology, medical technology, and dietetics.

The continuing decline in the number of applicants to allied health educational programs combined with the need to ensure that graduates are competent has made essential the development of reliable predictors that more fully assess the potential of all individuals in the restricted applicant pool. The letter of recommendation is the most commonly requested information that relates to personal qualities in college applicants, but little research has been conducted on the value of this predictor. The purpose of this study was to retroactively review how attribute ratings in letters of recommendation submitted on standardized forms (N = 500) related to the source of the reference and the admission status of students applying to allied health educational programs. Results indicated that some attribute ratings distinguish between students and some do not, that standardized forms can be refined by elimination of items that failed to distinguish students, that ratings vary significantly by type of rater, and that the relationship between rating scores and admission status supports the efficacy of the standardized recommendation forms.

Allied Health Personnel↗

Personal, interpersonal, and organizational influences on student satisfaction with clinical education.

BACKGROUND AND PURPOSE: Understanding the factors that contribute to student satisfaction may lead to improved education in physical therapy. This study tested the extent to which variables in the personal, interpersonal, and organizational domains influence satisfaction with clinical experiences. SUBJECTS: Physical therapist students (N = 113) in 2 phases of their clinical experiences at one private school participated. METHODS: A nonexperimental design tested 3 models for predicting overall satisfaction. Students completed 3 surveys and weekly logs during 8-week-long clinical experiences. RESULTS: The survey return rate was 96%. Overall satisfaction with the clinical experience was predicted by life satisfaction, gender, off-site events, on-site events, interaction between negative events and gender, instructor teaching skills, interaction between education phase and gender, variety, and use of selected orientation methods. CONCLUSION AND DISCUSSION: Overall satisfaction is predicted by variables in all 3 domains. Overall satisfaction was best explained by factors in the interpersonal domain and student gender. Causal research is needed to confirm whether satisfaction can be improved and whether the results apply to other students at other schools. The relationships among satisfaction, performance, later job satisfaction, and career commitment need to be explored further.

Adult↗

Utilization of prepaid dental health care by students in health professional schools.

Utilization of prepaid dental health care was studied, involving health professional students in an open panel program at the University of Alabama Medical Center. Major barriers to treatment were eliminated and optimal conditions for utilization established. Annual utilization ranged from 44-61 per cent during the period extending from 1969-70 to 1975-76. The majority of enrollees treated sought care from the Student Dental Health Plan (SDHP) clinic, rather than from private practitioners. Thirteen per cent of recent graduates presented for treatment at least once each year during their tenure as students, 57 per cent sought care in more than one year, and 24 per cent did not seek care at all. It was concluded that factors other than cost, accessibility, and educational level operate to prevent total utilization of prepaid dental health care in a young adult age group.

Alabama↗

Impact of the Cancer Education Program on career paths of students.

A questionnaire sent to former University of North Carolina students who participated in the Cancer Education Program, a National Cancer Institute sponsored program designed to provide integrated educational opportunities in oncology for students in the health science schools, ascertained the career paths taken by students and elicited opinions regarding the impact of the program on those decisions. One hundred five surveys were returned. The opportunity to be involved in cancer research was the most common reason given for participation in the program (65 respondents). The opportunity to work with a specific faculty member (48) and improving academic credentials (44) were also important. Twenty-three individuals changed their career goals after participation in this program, 20 decided to pursue cancer-related careers, and 3 decided to avoid this field. One hundred three individuals were currently in health professions, 58 in academic, and 45 in community-based practice. Twenty-seven were not involved with cancer, while 56 spent up to 25% of their professional time, 8 spent 25%-50%, and 9 spent over 50% of their professional time in cancer-related activities.

Career Choice↗