Professional Assessment Research Articles

Navigating the gap between policy and practice: frontline and second-tier management perspectives and strategies in offering vocational and educational support to young adults with mental health problems

ABSTRACT Mental health problems among young adults often lead to obstacles to completing higher education and becoming established in the labour market. It is important to offer support that can help these individuals realize educational and vocational goals in order to become self-sufficient and achieve social inclusion. Individual Placement and Support (IPS) and Supported Education (SEd) are two methods developed for supporting people with mental health problems in attaining competitive employment and reaching educational goals. These methods have not been widely implemented in Sweden, therefore making it interesting to study management perspectives in organizations offering IPS/SEd. The study aimed to explore the reasoning and strategies managers described in offering vocational and educational support to young adults with mental health problems. This study is based on 12 qualitative interviews with managers from six units in Sweden offering support through IPS/SEd. Results show a variety in interpretation of legislation and responsibility for young adults with mental health problems. The managers were positioned between policy and practice, having to navigate between the organizational restraints and their professional assessment in offering this support and pushing traditional boundaries in prioritizing long-term individual goals over short-term economic and political considerations. These managers demonstrate the possibilities for how IPS/SEd can be implemented and made to fit different organizational contexts, even within a highly sectorized welfare system as in Sweden. However, the methods might need to be adapted and adjusted to not only fit local organizational restraints, but also to fit into the Swedish welfare system.

Professional burnout and quality of life of nurses during the COVID-19 pandemic

Introduction. In the context of the COVID-19 pandemic, average medical workers turned out to be the most vulnerable category among medical workers in terms of professional stress, professional burnout, and a decrease in quality of life. Goal. To establish the features of professional burnout and the quality of life of MS in specialized COVID hospitals, multidisciplinary hospitals (MP hospitals), as well as polyclinics (PCs) during the pandemic of the new coronavirus infection COVID-19. Material and methods. The study was performed at the Department of Occupational Diseases and Clinical Pharmacology named after the Honored Scientist of the Russian Federation, Professor V.V. Kosarev of the Federal State Budgetary Educational Institution of the Ministry of Health of the Russian Federation and the Regional Center of Occupational Pathology of the Samara City Hospital No. 5. The following MS groups were examined: the first group consisted of nurses working in a COVID hospital (n=29); the second group consisted of nurses working in a multidisciplinary hospital (n=31); the third group consisted of nurses working in polyclinics (n=29); The fourth, control group (GC), included employees of engineering, technical and economic specialties that are not related in their field of activity to work in medical organizations (n=190). The assessment of professional burnout syndrome was carried out using the Maslach Burnout professional burnout assessment questionnaire, the V.V. Boyko questionnaire, the quality of life was determined using the SF-36 questionnaire. Results. It has been established that the work of MS during the COVID-19 pandemic is associated with the impact on medical workers of a number of specific risk factors related to the provision of medical care to infected patients, as well as with significant changes in work regarding aspects related to organization, safety, which contribute to an increase in the level of occupational stress, professional burnout, and a decrease in the quality of life. Conclusion. The work of MS in a COVID hospital, when compared with MS in hospitals, nurses working in polyclinics, is associated with an increase in the level of professional stress, the level of professional burnout. It is necessary to continue research on the emotional state of MS in order to timely carry out preventive treatment to preserve the health of this category of medical workers. Limitations of the study. The study has regional (Samara region) and professional (in terms of detailing the working conditions in the studied comparison groups) limitations. Compliance with ethical standards. The study was carried out within the framework of the complex topic of the Department of Occupational Diseases and Clinical Pharmacology named after Honored Scientist of the Russian Federation Professor V.V. Kosarev of the Federal State Budgetary Educational Institution of the Russian Ministry of Health of the Ministry of Health of the Russian Federation «A systematic approach to early diagnosis, prevention and prediction of the impact of low-intensity industrial factors on the health of workers» (state registration number AAAA18-118122190069-6, date registration on December 21, 2018). The study was approved by the local Ethics Committee of the Federal State Budgetary Educational Institution of the Russian Ministry of Health on 11/23/2021. Patient consent. Each participant of the study gave informed voluntary written consent to participate in the study and publish personal medical information in an impersonal form in the journal «Meditsinskaya sestra (The Nurse)»

Designing an International Large-Scale Assessment of Professional Competencies and Employability Skills: Emerging Avenues and Challenges of OECD’s PISA-VET

Globally, vocational education and training (VET) is considered important for ensuring the supply of skilled labour to the economy and economic competitiveness but also for helping the next generation with the transition to working life and integration into society. However, despite this importance, there are no international comparative studies on the effectiveness of the very different VET systems. In March 2024, the Organisation for Economic Co-operation and Development (OECD) published the ‘Analytical and Assessment Framework’ for PISA-VET, an international study on professional competencies and employability skills in VET. In this paper, some of the lead experts that contributed to the framework provide an outline of the aims of the initiative, the target groups, the assessment approaches as well as strength and weaknesses to stimulate discussion in the scientific community. VISA-VET aims to deliver comprehensive data, inform decision making, facilitate peer learning between countries, and promote the image of VET, in general. Target populations are learners toward the end of their VET programmes in the occupational areas of automotive technicians, electricians, business and administration, health care, or tourism and hospitality. Assessment approaches to domain-specific professional skills are simulation-based questions, digital simulations, and live or recorded demonstrations. The professional skills assessments are expanded by the assessment of employability skills and comprehensive data collections on national contextual and system-level factors. This paper discusses the selection and breakdown of occupational areas, the various assessment approaches and possible supplementary studies. Its overall aim is to initiate a broader discussion in the scientific community about the design of and expected insights from PISA-VET.

Does transition theory matter? A descriptive study of a transition program in Australia based on Duchscher’s Stages of Transition Theory and Transition Shock Model.

Objective: Explore the impact of transition program policy directives grounded in foundational elements of transition theory. Background: Within fast-track health service environments nurse leaders remain committed to improving transition programs that support wellbeing and retain new graduate nurses. Duchscher’s Stages of Transition Theory and Transition Shock model was the framework chosen by the health service nurse leaders to implement in the clinical environment, however, implementing elements can be problematic without sufficient support and clear policy directives. Study Design and methods: Descriptive study using multiple methods in one major national health service that incorporates a number of private (eight) and public (four) hospitals across Australia. Online surveys were distributed to new graduate nurses at one, five and eleven months into the initial transition year. The survey tool was a synthesised adaptation of the Professional Role Transition Risk Assessment Instrument and Professional and Graduate Capability Framework. At the end of the transition year telephone interviews were conducted with the Nurse Managers who were responsible for implementing transition programs policies and processes. Resulting data were summarised using descriptive statistics for quantitative data and a thematic analysis for qualitative data. Results: 158 new graduate nurses returned the online survey and eight Nurse Managers participated in the telephone interviews. As a whole the new graduate registered nurses described feeling accepted during their transition and expressed feeling comfortable when approaching senior staff. They managed challenges of shift work and took time for self-care. The clear majority (88%) of participants reported no plans to leave the profession. Nurse Managers were able, in most clinical areas, to apply transition program policy and directives and enable the implementation of Duchscher’s Stages of Transition as the framework for the transition support initiatives. Retention of new graduates on their wards at the end of the program was determined to be a positive outcome for Nurse Managers. Discussion: A carefully structured Graduate Nurse Transition Program founded on sound theoretically grounded ideology alongside integrated policy directives guided the Nurse Managers implementation of Duchscher’s Stages of Transition Theory and Transition Shock model into practice. Additionally, a dedicated Graduate Nurse Coordinator role with a manageable ratio of graduate nurses was an important component included in the transition program at each participating hospital as it facilitated support of both graduates and Nurse Managers. These positions should be costed into any Graduate Nurse Transition Program. An interesting finding was the consistency in smaller units that were unable to provide or mobilise preceptors for the required allocated mirrored shifts and it was felt this workload management issue impacted the success of graduate transition nurse programs on those units. Conclusions: Implementing policy directives grounded in foundational elements of Duchscher’s Stages of Transition theory and Transition Shock model delivered consistent experiences for new graduate nurses across one major health service that incorporates a number of hospitals across Australia. Data suggested some practical challenges to program implementation for Nurse Managers, including unit/ward size, staffing, and varying levels of understanding of preceptor roles. Implications for research, policy, practice: Introducing formal policy directives that are grounded in strong theoretical frameworks of professional role transition, agreed to and funded by health service nurse leaders are important in guiding a consistent approach across health services in the implementation of evidence-based Graduate Nurse Transition Programs. What is already known about the topic? Duchscher’s foundational research on the Stages of Transition theory and Transition Shock model is applied to inform Graduate Nurse Transition Programs on an international level. There is a current workforce shortage within Australia and internationally. The importance of retention of newly graduated nurses has become a focus for health care services implementing supportive transition programs to prevent new graduates from leaving the profession in the first year. What this paper adds The inclusion of specific policy directives based on Duchscher’s Stages of Transition theory and Transition Shock model provides clear direction to Nurse Managers related to the required implementation steps and time frames to be met during the transition year. Additional Graduate Nurse Coordinator positions, with a manageable ratio of New Graduate Registered Nurses (NGRNs), are important supports for both graduates and Nursing Managers to meet policy directives. Additional positions should be costed within transition programs. Provides additional evidence that well supported newly graduated nurses are likely to remain within the health service.

Student nurses' experiences with a digital educational resource supporting learning in nursing home placements: A qualitative study

BackgroundNursing education should improve clinical placements in nursing homes to foster and enhance student nurses' learning experiences. Initiatives for digital educational resource used to teach and supervise students to complement learning are increasingly being adopted and considered important in nursing education. However, little is known about how digital educational resources can facilitate learning in placements. Research on the value of such resources from student nurses' perspective is required. AimTo explore first-year student nurses' experiences with a digital educational resource developed to support learning in nursing home placements. DesignThis study has a qualitative explorative design and is part of a larger research project in which a digital educational resource named DigiQUALinPRAX was developed. SettingsThis study was conducted at three publicly funded nursing homes affiliated with one Norwegian university. ParticipantsTwenty-three first-year student nurses. MethodsData was generated through pre- and post-placement group interviews and analysed using reflexive thematic analysis. Standards for Reporting Qualitative Research were applied in this stud. FindingsOne overreaching theme and three subthemes related to student nurses' experiences with a digital educational resource were identified. The digital educational resource gave a feeling of being acknowledged as a learner by (1) providing a structure and preparation that made the placement feel less overwhelming, (2) supporting professional reflection and assessment practices, and (3) facilitating collaboration when all stakeholders used the resource actively. ConclusionsThis study indicates that student nurses' learning process in nursing home placements can be supported through digital educational resources customised for this learning arena. The findings indicate that the digital educational resource facilitated pre-placement preparedness, provided structure and flexibility, and enhanced reflection and assessment practices during clinical placement. However, encouraging tripartite usage is essential to exploit the full potential of digital educational resources.

Exploring the Use of Natural Language Processing to Understand Emotions of Trainees and Faculty Regarding Entrustable Professional Activity Assessments.

Background In medical education, artificial intelligence techniques such as natural language processing (NLP) are starting to be used to capture and analyze emotions through written text. Objective To explore the application of NLP techniques to understand resident and faculty emotions related to entrustable professional activity (EPA) assessments. Methods Open-ended text data from a survey on emotions toward EPA assessments were analyzed. Respondents were residents and faculty from pediatrics (Peds), general surgery (GS), and emergency medicine (EM), recruited for a larger emotions study in 2023. Participants wrote about their emotions related to receiving/completing EPA assessments. We analyzed the frequency of words rated as positive via a validated sentiment lexicon used in NLP studies. Specifically, we were interested if the count of positive words varied as a function of group membership (faculty, resident), specialty (Peds, GS, EM), gender (man, woman, nonbinary), or visible minority status (yes, no, omit). Results A total of 66 text responses (30 faculty, 36 residents) contained text data useful for sentiment analysis. We analyzed the difference in the count of words categorized as positive across group, specialty, gender, and being a visible minority. Specialty was the only category revealing significant differences via a bootstrapped Poisson regression model with GS responses containing fewer positive words than EM responses. Conclusions By analyzing text data to understand emotions of residents and faculty through an NLP approach, we identified differences in EPA assessment-related emotions of residents versus faculty, and differences across specialties.

Enhancing Accuracy in Breast Density Assessment Using Deep Learning: A Multicentric, Multi-Reader Study.

The evaluation of mammographic breast density, a critical indicator of breast cancer risk, is traditionally performed by radiologists via visual inspection of mammography images, utilizing the Breast Imaging-Reporting and Data System (BI-RADS) breast density categories. However, this method is subject to substantial interobserver variability, leading to inconsistencies and potential inaccuracies in density assessment and subsequent risk estimations. To address this, we present a deep learning-based automatic detection algorithm (DLAD) designed for the automated evaluation of breast density. Our multicentric, multi-reader study leverages a diverse dataset of 122 full-field digital mammography studies (488 images in CC and MLO projections) sourced from three institutions. We invited two experienced radiologists to conduct a retrospective analysis, establishing a ground truth for 72 mammography studies (BI-RADS class A: 18, BI-RADS class B: 43, BI-RADS class C: 7, BI-RADS class D: 4). The efficacy of the DLAD was then compared to the performance of five independent radiologists with varying levels of experience. The DLAD showed robust performance, achieving an accuracy of 0.819 (95% CI: 0.736-0.903), along with an F1 score of 0.798 (0.594-0.905), precision of 0.806 (0.596-0.896), recall of 0.830 (0.650-0.946), and a Cohen's Kappa (κ) of 0.708 (0.562-0.841). The algorithm achieved robust performance that matches and in four cases exceeds that of individual radiologists. The statistical analysis did not reveal a significant difference in accuracy between DLAD and the radiologists, underscoring the model's competitive diagnostic alignment with professional radiologist assessments. These results demonstrate that the deep learning-based automatic detection algorithm can enhance the accuracy and consistency of breast density assessments, offering a reliable tool for improving breast cancer screening outcomes.

Norwegian general practitioners’ perceptions of their depression care – a national survey

BackgroundThe General Practitioner (GP) is often the first professional contact for patients with depression. Depression care constitutes a substantial part of GPs’ workload.ObjectiveTo assess how GPs experience their patients’ expectations and their own provision of depression care; further, how their depression care was associated with doctor- and practice-characteristics.MethodsA cross-sectional questionnaire study about depression care in general practice among the GPs in the Norwegian Physician Survey of 2021.ResultsOf the 221 responding GPs, 50% were female and 70% agreed to have constant time pressure due to workload. The GPs believed that patients with depression were interested in their professional assessment (87.2%) and saw them as providers of talking therapy (76,9%). Still, 77,8% of the GPs thought the patients expected a referral. Talking therapy was commonly provided (79.6%) along with consultations of more than 30 min (80.4%). The youngest age group and GPs with shorter patient lists spent more time. Most GPs (92.3%) considered their help to be of great benefit for depressed patients. However, one-fourth of the GPs did not feel competent in providing talking therapy, less frequently reported by the GPs aged 40–54 years.ConclusionsTalking therapy is commonly provided by GPs. However, there is a need to investigate what GP talking therapy implies, and to strengthen GP skills in this regard. Overall, the GPs experience their depression care to be useful for their patients, and do not de-prioritize this although they experience workload pressure.

Emergency Risk Assessments in Child Welfare Services: Developing Structured Support to Professional Assessments

ABSTRACTThe article presents a study on structured support for the professional assessment of emergent domestic violence in families with children. Data are presented on the development and study of a new structured support called iRiSk emergency, which was developed jointly by the authors of this article, and an emergency social work unit in Stockholm, Sweden. The model was developed from the iRiSk model, which, translated from Swedish, stands for ‘Interventions and Risk and Protection Assessments for children exposed to violence’. Structured support for emergency risk assessments is rare as existing instruments mainly focus on screening for violence and are not designed to guide professionals in situations of identified violence. The purpose of the research project is elaborated through two research questions: (1) Which information is needed for emergency assessments, and how can it be collected? (2) What are the specific preconditions of the child welfare service emergency work to be taken into account in terms of emergency risk assessments? The feedback from the social workers was that iRiSk emergency was flexible to use, decreased the risk of missing important risk factors and made the assessments more child‐centred. The model appears to be a viable approach for enhancing the systematic evaluation and testing of structured support for emergency risk assessment in social work, surpassing the limitations of the current study.

A case study on the site supervisory attributes in construction labour management, performance assessment and productivity measurement practices

Purpose The sustainability of the construction industry is associated with the productivity, profitability and competitiveness of the firms, which are significantly affected by inefficient site supervision and labour management approaches. This study aims to use a case study with mixed methods to evaluate the site supervisory characteristics in labour management, labour performance assessment and labour productivity measurement towards developing meaningful guidelines in polishing construction supervision attributes. Design/methodology/approach Well-developed modern apprenticeship elements were applied to 62 construction supervisors who were selected using the snowball sampling method, and their relevant competency characteristics were assessed using a comprehensively developed grading mechanism connected with useful training manuals/tools. Academic reviews, experts’ consultations and other meticulous mixed approaches were applied at different stages of the research plan’s sequential layout. Findings The mean performance scores of supervisors indicate proficient-level grades in the competency characteristics related to applying efficient labour management procedures and developing-level grades in designing productivity measurement tools, performing assessments on efficiency and productivity and proposing enhancement practices on efficiency and productivity for site operations. The findings point to a modern generalised guideline that establishes the ranges of supervisory attributes within the scope of the study. The validity, reliability, adaptability and generalisability of the findings were assured by using pertinent statistical tests and professional assessments. Research limitations/implications Though the study’s conclusions/findings are primarily applicable to the construction environment of a developing country comparable to the Sri Lankan context, they will considerably impact current/future industrial practices in various other countries and emerging industries. Originality/value The research has produced a conceptualised modern tool that guides determining the capacity levels of supervisory attributes for carrying out labour management, labour performance assessment and labour productivity measurement aspects in construction. The research has opened a pump that inflows new values of highly workable supervision features for strengthening the site management structures and filling the industry’s knowledge vacuum in the methodical execution of apprenticeships.

Research on the Application of OSCE in the Skill Assessment of Students Majoring in Midwifery in Higher Vocational Education

As an important subject education content of higher vocational colleges, professional skill assessment has very high requirements for students’ comprehensive mastery of specialty theories and skills. As for current midwifery teaching in higher vocational colleges, the application of OSCE makes students widen their scope of reception for information related to specialty theories, improve their comprehensive abilities in clinical practice, and develop their professional ability, quality, knowledge and thinking. It also improves the quality of talent cultivation for midwifery in higher vocational colleges. In this regard, the paper is based on the status quo of the skill assessment of students majoring in midwifery in higher vocational schools, in which the application elements of OSCE are analyzed, and the application strategies of OSCE are proposed.

The effects of standing foot-transmitted vibration on self-reported discomfort ratings.

Occupational foot-transmitted vibration (FTV) exposure is common in industries like mining, construction, and agriculture, often leading to acute and chronic injuries. Vibration assessments require technical expertise and equipment which can be costly for employers to perform. Alternatively, researchers have observed that self-reported discomfort can be used as an effective indicator of injury risk. This study aimed to investigate the effect of standing FTV exposure on self-reported ratings of discomfort, and whether these subjective ratings differed by body area and exposure frequency. Participants (n = 30) were randomly exposed to standing FTV at six frequencies (25, 30, 35, 40, 45, and 50 Hz) for 20-45 seconds. Following each exposure, participants rated discomfort on a scale of 0-9 in four body areas: head and neck (HN), upper body (UB), lower body (LB), and total body. Results indicated that participants experienced the most discomfort in the LB at higher frequencies (p < 0.001), consistent with the resonance of foot structures. The HN discomfort tended to decrease as the exposure frequency increased, although not statistically significant (p > 0.0167). The UB discomfort remained relatively low across all frequencies. The study suggests a potential connection between resonant frequencies and discomfort, potentially indicating injury risk. Although self-reported discomfort is insufficient for directly assessing injury risk from FTV, it provides a simple method for monitoring potential musculoskeletal risks related to vibration exposure at resonant frequencies. While professional vibration assessment remains necessary, self-reported discomfort may act as an early indicated of vibration-induced injuries, aiding in implementing mitigation strategies.

Indigenous Study of Psychologists as Witnesses: Ethical Considerations of Testifying in Court on Sexual Assault Issues

&lt;p&gt;本研究旨在探討性侵受害當事人之心理師，受法院傳喚作證時，出庭過程中的倫理考量。研究方法採紮根理論取向，透過立意與滾雪球取樣徵得九位有出庭作證經驗之受訪者，透過個別訪談蒐集資料，並進行開放編碼、主軸編碼、選繹編碼與歷程編碼之質性分析步驟。研究結果發現心理師收到法院傳喚出庭作證時，會面臨是否出庭的意願考量，在決定出庭及準備過程中，則涉及專業知能、知情同意及保密等三個主要倫理判斷議題之考量，並經歷外在法律服從及內良心掙扎的過程，出庭作證時會為自己的專業辯護並發展因應的作為，同時會衡量保持中立的客觀角色，以及覺察個案的諮商動機。研究結論指出心理師會兼顧外在客觀的法律規範與內在主觀的良心考量以出庭作證，並把持中立客觀的專業角色，作真實的事實陳述，以期能同時符合法規的期待與良心的要求。最後，本研究依研究所得提出「心理師出庭之雙元倫理考量模型」與未來研究及實務之建議。&lt;/p&gt; &lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;This study aimed to explore the ethical considerations of psychologists who counsel sexual assault victims and are summoned by the court to testify. Judicial proceedings for sexual assault victims often challenge conviction of perpetrators because of insufficient evidence. Therefore, the court regards the professional knowledge and testimonial information of psychologists as important reinforcing evidence. Thus, they involve ethical issues of whether to disclose and the degree of disclosure. Currently, there is no training in forensic psychology or legal risks in the Taiwanese school curricula. Because psychologists are unfamiliar with judicial rules and ethics, they may be at risk of making mistakes that could affect their future professional status. The ethical aspects addressed in this study included three major ethical judgment issues: professional knowledge, informed consent, and confidentiality. The research method adopted a grounded theory orientation. Nine interviewees with experience in court testifying were recruited through conceptualization and snowball sampling. Data were collected using individual interviews and qualitatively analyzed using open, axial, selective, and process coding.&lt;/p&gt; &lt;p&gt;The research results show that when psychologists are summoned by the court to testify, they are faced with whether to appear in court. The decision to appear in court and the preparation involve three major ethical judgment issues: professional knowledge, informed consent, and confidentiality. Court-summoned psychologists have to understand the implications of their role and consider the ethics of being summoned to appear. This decision is based on civic responsibility rather than personal will. It requires interprofessional competencies and the ability to respond to courts and professional assessments, including knowledge of the laws regarding sexual assault. They should consider the rights of minors’ guardians and inform individual victims as much as possible to enable them to fully understand and provide informed consent. Victims’ privileged communications should be properly used and victim information disclosed in court should be filtered. Psychologists must be loyal to the victims’ original intentions, consider their best interests, and exclude irrelevant personal privacy information. Psychologists are also reminded to seek professional assistance when facing the court, including consulting lawyers or receiving supervision and educational training, and being equipped with court knowledge related to sexual assault. Psychologists testifying in court face a process of external legal obedience and an internal conscience struggle. They defend their professionalism and develop appropriate actions. Simultaneously, psychologists measure the objective role of maintaining neutrality and being aware of clients’ motivation for counseling.&lt;/p&gt; &lt;p&gt;In conclusion, psychologists have to consider external objective legal norms and their internal subjective conscience when testifying in court and maintain a neutral and objective professional role. Finally, considering the research findings, this study proposes a &amp;ldquo;Dual-ethical Consideration Model for Psychologists Appearing in Court&amp;rdquo; and suggestions for future research and practice. Psychologists should accumulate different court experiences based on the number of court appearances. We recommend discussing whether the judicial role of psychologists has various stages of development based on the accumulation of court experience. Additionally, psychologists with different testifying roles will also have different ethical awareness and judgment processes, which can also be studied in depth. In practice, we recommended strengthening education and training on testifying in court, understanding that testifying in court is a citizen’s obligation, and carefully using victims’ privileged communication. Simultaneously, practical work manuals and workshops for court appearances should be developed to assist psychologists in conducting interviews through practical guidance and exercises. They should be prepared for the stress and circumstances of going to court.&lt;/p&gt; &lt;p&gt;&amp;nbsp;&lt;/p&gt;

Removing Barriers and Honoring Autonomy: Rethinking Mental Health Professional Assessments in Adolescent Gender-Affirming Medical Care.

Adolescents seeking gender-affirming medical care (GAMC) face numerous barriers that may delay or inhibit their access to these services. Such obstacles include mental health professional (MHP) assessment requirements prior to initiating GAMC. MHP letters ultimately carry little benefit for patients. Their formulaic nature discourages nuance, reduces likelihood of capturing gender embodiment goals (beyond a narrow definition of gender dysphoria), and may cause clinicians to overlook presenting mental health concerns. MHP assessment requirements also reinforce the conception of gender dysphoria as a mental health disorder. Moreover, studies have not shown that requiring MHP assessment letters effectively reduces regret among patients. Fortunately, primary clinicians who provide GAMC are most often capable of assessing patients without additional input from an MHP. In this article, we provide an ethical framework for clinicians that prioritizes patient autonomy through an informed assent approach. We discuss Appelbaum's criteria and its application, and contexts in which MHP consultation is appropriate. We also address common questions about informed assent among clinicians, patients, and families. Finally, we advocate for bolstering multidisciplinary support teams involved in GAMC to facilitate the informed assent process. This approach upholds patient autonomy, expands access to GAMC, and utilizes the mental health workforce more effectively.

Antimicrobial therapy: assessing physicians’ basic knowledge. KANT-I/II project

This paper presents an assessment of health professionals' knowledge of antimicrobial stewardship within the first phases of the multicenter KANT project.

SCHOOL COUNSELORS’ SELF-EFFICACY IN ADDRESSING ADOLESCENTS’ MENTAL ISSUES IN THE AFTER-COVID-19 ERA

The unanticipated arrival of the COVID-19 pandemic has upset thousands of adolescents worldwide, whereas shifts to remote schooling have minimized their access to school-based support. This study focused on three research questions: How do School Counselors (a) evaluate the impact of COVID-19 restrictive measures on adolescents' mental health? (b) appraise their self-efficacy to help adolescents cope with the challenges? (c) Assess post-pandemic pupil behavior and their self-efficacy beliefs. It aimed to resource creative school-counseling approaches to improve youth resilience. Findings showed that counselors regarded generalized worry, concern about academic studies and job development, and increasing internet use as adolescents' most important psychological/behavioral issues. Most counselors felt efficient in their professional development, teamwork, cross-cultural sensitivity, leadership, assessment, personal and social growth, and development. Counselors who evaluated pupils as high/medium in generalized anxiety, depressive symptoms, academic/career development, and excessive internet time evaluated themselves significantly higher on all factors of the self-efficacy scale compared to those who assessed students as medium/low on the aforementioned factors, who scored significantly lower in self-efficacy.

Evaluation of aesthetic results of microsurgical breast reconstruction with DIEP flap (literature review)

Purpose of a study: to explore the main methods of evaluating the aesthetic results of autologous breast reconstruction with a DIEP flap (deep inferior epigastric artery perforator), to identify the key factors influencing the aesthetic result of breast reconstruction.The scientific papers in the databases PubMed, Google Scholar, SCOPUS, Science Direct, RSCI for the period from 2013 to 2023 were analyzed. The systematic review includes articles evaluating the aesthetic result of breast reconstruction with a DIEP flap. The search was carried out by keywords: “breast”, “DIEP flap”, “aesthetic result”, “symmetry of breast”.As a result of the analysis, it was found that the evaluation of the aesthetic results of breast reconstruction is carried out using data of patient reported outcome measures, scales which is used to rate the surgeon’s perception of the aesthetic outcomes and quantitative objective measurements. The key factor influencing the aesthetic result of reconstruction is the symmetry of the breasts.Conclusion. The most commonly used methods for assessing the aesthetic results of breast reconstruction with a DIEP flap are: self-assessment of the results of reconstruction by patients (BREAST-Q questionnaire), evaluation of the results by surgeons (professional aesthetic assessment scales), quantitative objective methods for determining the degree of symmetry. According to many studies, symmetry is a critical factor affecting the aesthetics of the breasts and, consequently, patient satisfaction with the results of reconstruction, psychosocial well-being and quality of life in the long term.

Exploring Medical Professionalism amongst Postgraduate Trainees of Bolan Medical Complex Hospital Quetta

Introduction: The traditional educational system has concentrated on cognition acquisition and skills essential for physician practice. However, medical educationists are focusing more on good professional doctors now, having a cognitive foundation to work alongside their social roles as a physician-to-be. Aims and Objectives: To assess medical professionalism amongst postgraduate trainees at Bolan Medical Complex Hospital, Quetta. Place and Duration of study: Bolan Medical Complex Hospital, Quetta during February 2024. Material and Methods: A cross-sectional study was conducted to determine professionalism utilizing a pre-validated questionnaire termed Professionalism Assessment Tool (PAT) from 47 Postgraduates (PGs) of the Neurosurgery, General Medicine, and Psychiatry departments. Data was entered and analyzed using SPSS version 29 was used to calculate frequencies and percentages. The chi-square test was utilized to evaluate the association between professional years and items. A p-value of ? 0.05 is considered significant. Results: All 18 PGs from the psychiatry department, 23/36 (64%) from General Medicine, and all 6 from Neurosurgery filled out the questionnaire. 55.3%(n=25/47) were above 25 years of age, The majority were males (n=31, 66%) and 34% females, 36% (n=17/47) PGs were from 1st year of training. Item no 1 and 5 of Domain I and Domain 3 present the highest percentage score (52.4%) respectively. Highly statistically significant results (p-&lt;0.001) were obtained between professional years of training and items 4, 6, 1, and 3 of Domain 2, 3, and 4. Conclusion: PGs followed feedback to improve and meet their learning goals. PGs understood their professional responsibilities and felt qualified to finish assignments to the highest standard reliably and courteously. They were aware of the benefits of working in teams, and they took feedback to help reach their learning goals.

Contemporary dental student professionalism: moving towards a macro-level perspective

Defining professionalism and developing educational interventions that foster and assess student professionalism are integral to dental education. Nevertheless, conceptual, methodological and pedagogic differences define the academic field, leaving students, educators and the profession itself struggling to make meaningful progress on how best to elicit and monitor dental student professionalism. This article proposes that more progress can be made on this important issue when a contextualised, sociological assessment of dentistry and dental professionalism is undertaken. We contend that identifying some of the socio-cultural demands in UK dental students' lives, and acknowledging how these pressures shape their interactions with the UK dental education system, provides a nuanced and contemporaneous understanding of what it means to be an oral health care professional at a time of social and health care upheaval. Dental educators can use this insight to work towards being more understanding of and responsive to dental student professional development.

Artificial intelligence in judicial adjudication: Semantic biasness classification and identification in legal judgement (SBCILJ)

History reveals that human societies have suffered in terms of social justice due to cognitive bias. Semantic bias tends to amplify cognitive bias. Therefore, the presence of cognitive biases in extensive historical data can potentially result in unethical and allegedly inhumane predictions since AI systems are trained on this data. The innovation of artificial intelligence and its rapid integration across disciplines has prompted questions regarding the subjectivity of the technology. Current research focuses the semantic bias in legal judgment to increase the legitimacy of training data. By the application of general-purpose Artificial Intelligence (AI) algorithms, we classify and detect the semantics bias that is present in the Chinese Artificial Intelligence and Law (CAIL) dataset. Our findings demonstrate that AI models acquire superior prediction power in the CAIL dataset, which is comprised of hundreds of cases, compared to a structured professional risk assessment tool. To assist legal practitioners during this process, innovative approaches that are based on AI may be implemented inside the legal arena. To accomplish this objective, we suggested a classification model for semantic bias that is related to the classification and identification of semantic biases in legal judgment. Our proposed model legal field uses the example of categorization along with the identification of the CAIL dataset. This will be accomplished by identifying the semantics biases in judicial decisions. We used different types of classifiers such as the Support Vector Machine (SVM), Naïve-Bayes (NB), Multi-Layer Perceptron (MLP), and the K-Nearest Neighbour (KNN) to come across the preferred results. SVM got 96.90 %, NB has 88.80 %, MLP has 86.75 % and KNN achieved 85.66 % accuracy whereas SVM achieved greater accuracy as compared to other models. Additionally, we demonstrate that we were able to get a relatively high classification performance when predicting outcomes based just on the semantic bias categorization in judicial judgments that determine the outcome of the case.