Associate Director Research Articles

Psychiatry Residency Directors' Attitudes Toward and Uses of the Medical Student Performance Evaluation and Other Potential Tools for Residency Selection.

A survey was conducted to determine US psychiatry residency directors' attitudes regarding current measures of medical student performance and their preferences for the future. A team of psychiatry medical student educators and residency program directors developed a 23-question survey. In July 2021, links to the survey were sent out to all program directors registered with the American Association of Directors of Psychiatric Residency Training. Seventy program directors out of 223 initiated the survey, resulting in a response rate of 31.4%. Forty percent of respondents reported that the most important use of the Medical Student Performance Evaluation (MSPE) is in screening out applicants for interviews, and only 26.1% reported that the MSPE in its current form could be trusted to provide a valid and reliable assessment of a student's medical school performance. Most respondents agreed that in the absence of United States Medical Licensing Examination (USMLE) step 1 numerical scores, the existing MSPE format/content requirements should be modified, use a set of ranking categories that are uniform across all medical schools, and be supplemented with additional measures of the student's character and ability specific to psychiatry. US psychiatry program directors are eager for change when it comes to the MSPE and how it reports rankings, grades, and professionalism. The transition of the USMLE step 1 score reporting to pass/fail presents an opportunity to pursue this change and for stakeholders from all medical specialties to work together toward a shared goal of an improved residency selection process.

Notes on Contributors

David Arnold is Professor of History at Columbia Basin College where he teaches courses in US, Native American, and African American history. His first book, The Fishermen's Frontier: People and Salmon in Southeast Alaska (University of Washington Press, 2008) is a social and environmental history of Indian and non-Indian fishermen from precontact to present.Matthew M. Babcock is Associate Professor of History at the University of North Texas at Dallas and author of Apache Adaptation to Hispanic Rule. He received his PhD at Southern Methodist University, and he focuses on the history of North American borderlands, American Indians, and the colonial Southwest.Rosie C. Bermudez is Assistant Professor of History at the University of California, San Diego. Her research and teaching interests include Chicana grassroots activism, social movements, and women of color feminisms. Bermudez is currently writing a book about Chicana activist Alicia Escalante and the East Los Angeles Welfare Rights Organization.Dea H. Boster is Associate Professor of History in the Humanities Department at Columbus State Community College in Columbus, Ohio. She has published several works on the history of American medicine and disability, including African American Slavery and Disability: Bodies, Property, and Power in the Antebellum South (Routledge, 2012).Heather D. Curtis is the Warren S. Woodbridge Professor of Religion at Tufts University, where she also holds appointments in the Department of History and the Department of Studies in Race, Colonialism, and Diaspora. Curtis received her doctorate in American Religion from Harvard University. Her research explores how religion has shaped responses to racial injustice, humanitarian disasters, and bodily illness from the late nineteenth century to the present.Justene Hill Edwards is Assistant Professor of History at the University of Virginia. She is the author of Unfree Markets: The Slaves’ Economy and the Rise of Capitalism in South Carolina (2021).David G. García earned his PhD in US History at UCLA and is Associate Professor in the UCLA School of Education and Information Studies. He is the author of the award-winning book Strategies of Segregation: Race, Residence, and the Struggle for Educational Equality (University of California Press, 2018).Lyrianne E. González is a History PhD student minoring in Latino Studies at Cornell University. She is a mid-twentieth-century historian with focuses in US labor history, US foreign labor relations, US–Mexico relations, and im/migration. Her research investigates the racial and generational legacies of US agricultural guestworker programs.José G. Moreno is a full-time senior lecturer in ethnic studies and sociology and the Associate Director of the Ethnic Studies Program at Northern Arizona University. He has published various peer review articles, critical essays, and book reviews in academic publications.Mark Newman is a reader in history at the University of Edinburgh. He thanks the University of Edinburgh Development Trust Research Fund, the British Academy, the Carnegie Trust for the Universities of Scotland, and the Leverhulme Trust for the financial support that made this article possible.Lucy E. Salyer is Professor of History at the University of New Hampshire. She is the author of Under the Starry Flag (Harvard University Press, 2018), Laws Harsh as Tigers (University of North Carolina Press, 1995), and numerous articles on the history of immigration and citizenship policy.Ryan E. Santos is a lecturer in the Social and Cultural Analysis of Education program at California State University, Long Beach and in the Chicana/o and Latina/o Studies Department at California State University, Los Angeles. His research and teaching emphasize educational history with an emphasis on race, community resistance, and the law.Cameron Tardif is a PhD student who studies twentieth-century US history at Cornell University. His research focuses on how the relationship of slavery and freedom between the United States and Canada impacts the experiences of transnational black athletes. His work has been published in the Journal of Sport History.Lila Teeters is Visiting Assistant Professor of History and Political Science at Worcester State University. She received her PhD in American History from the University of New Hampshire in 2021. Her dissertation is entitled “Native Citizens: The Fight for and against Native American Citizenship, 1887–1924.”Tara J. Yosso is Professor in the Graduate School of Education at UC Riverside. Her research seeks to recover counter-narratives of race, schooling, inequality, and the law. Her extensively cited publications examine the ways people of color utilize community cultural wealth to survive and resist racism and other forms of subordination.Hao Zou is an independent scholar based in San Francisco. His research interests include Asian American history, immigration history, race and ethnicity, and the history of the American West.

First report of a ‘Candidatus Phytoplasma australasia’ (16SrII‐D) strain associated with witches’ broom and little leaf symptoms of Martynia annua in India

Martynia annua (Martyniaceae) is a small, herbaceous annual plant distributed across India. It is used for the treatment of epilepsy, tuberculosis, sore throats and wounds (Kaushik et al., 2021). In August 2021, symptoms of witches’ broom and little leaf were observed in M. annua in the Anantapur forest area, Andhra Pradesh. India. Leaves were collected from two diseased and two symptomless plants (Figures 1 and 2). Total DNA was extracted from 100 mg of leaf midribs using a modified CTAB DNA extraction method (Murray & Thompson, 1980). DNA extracts were analysed by direct and nested PCR with universal phytoplasma 16S rRNA primers, P1/P7 (Deng & Hiruki, 1991) and R16F2n/R16R2 (Gundersen & Lee, 1996), respectively. Amplicons of the expected size (c. 1.8 kb after direct PCR and c. 1.3 kb after nested PCR) were obtained from diseased samples but not symptomless plants. Nested PCR R16F2n/R16R2 products were directly sequenced (Eurofins Genomics India Pvt., Ltd., India) and the consensus sequence was deposited in GenBank (Accession No. OK135941). A BLASTn analysis revealed that the M. annua phytoplasma 16Sr DNA sequence shared 100% sequence identity with those of 16SrII group phytoplasmas, including ‘Candidatus Phytoplasma australasia’ (MN565885, MN565886) and ‘Ca. Phytoplasma aurantifolia’ (MK217101, MK421430). Phylogenetic analysis (Tamura et al., 2007) based on the R16F2n/R2 sequence and performed with the neighbour-joining method (MEGA software version 7.1) revealed that the Anantapur 16SrII phytoplasma had the closest relationship with 16SrII, subgroup D isolates, particularly with the strain ‘Ca. P. australasia’ (Y10096) (Figure 3). Virtual RFLP profiles using restriction enzyme AluI and the R16F2nR2 sequence were generated with iPhyClassifier (https://plantpathology.ba.ars.usda.gov/cgi-bin/resource/iphyclassifier.cgi). The RFLP patterns of the Anantapur phytoplasma 16S rDNA F2nR2 sequence with AluI enzyme agreed with the phylogenetic grouping. The Anantapur phytoplasma was confirmed as a member of the 16Sr group II, subgroup D with a similarity coefficient of 1.00, compared with virtual RFLP profiles of the ‘Ca. P. australasia’ strain (Y10097). This is the first report of a ‘Ca. Phytoplasma australasia’ strain (16SrII-D) associated with witches’ broom and little leaf symptoms of M. annua in India. Since the 16SrII group has a wide host range and occurrence in India, and particularly the subgroup 16SrII-D in the south region, the present finding has a significant impact for future epidemiological studies. The authors would like to thank the support and encouragement from the Associate Director of the Research, Regional Agricultural Research Station, Tirupati.

Adapting materials supply chain management for a post-pandemic world

Dennis Royal is an Associate Director at Nkarta Therapeutics, where he leads the Supply Chain functions for Nkarta’s clinical stage programs. He has been in the industry for over 20 years and has been involved in small molecules, polymer and cell therapy.

Patient Experience and Satisfaction in Online Reviews of Obstetric Care: Observational Study.

BackgroundThe quality of care in labor and delivery is traditionally measured through the Hospital Consumer Assessment of Healthcare Providers and Systems but less is known about the experiences of care reported by patients and caregivers on online sites that are more easily accessed by the public.ObjectiveThe aim of this study was to generate insight into the labor and delivery experience using hospital reviews on Yelp.MethodsWe identified all Yelp reviews of US hospitals posted online from May 2005 to March 2017. We used a machine learning tool, latent Dirichlet allocation, to identify 100 topics or themes within these reviews and used Pearson r to identify statistically significant correlations between topics and high (5-star) and low (1-star) ratings.ResultsA total of 1569 hospitals listed in the American Hospital Association directory had at least one Yelp posting, contributing a total of 41,095 Yelp reviews. Among those hospitals, 919 (59%) had at least one Yelp rating for labor and delivery services (median of 9 reviews), contributing a total of 6523 labor and delivery reviews. Reviews concentrated among 5-star (n=2643, 41%) and 1-star reviews (n=1934, 30%). Themes strongly associated with favorable ratings included the following: top-notch care (r=0.45, P<.001), describing staff as comforting (r=0.52, P<.001), the delivery experience (r=0.46, P<.001), modern and clean facilities (r=0.44, P<.001), and hospital food (r=0.38, P<.001). Themes strongly correlated with 1-star labor and delivery reviews included complaints to management (r=0.30, P<.001), a lack of agency among patients (r=0.47, P<.001), and issues with discharging from the hospital (r=0.32, P<.001).ConclusionsOnline review content about labor and delivery can provide meaningful information about patient satisfaction and experiences. Narratives from these reviews that are not otherwise captured in traditional surveys can direct efforts to improve the experience of obstetrical care.

Writing Effective and Equitable Academic Policies for Nursing Programs.

Associate Director and Associate Professor (Dr MacDonald), Lawrence Memorial/Regis College, School of Nursing, Medford, Massachusetts; and Associate Professor (Dr Pusey-Reid), MGH Institute of Health Professions, Charlestown Navy Yard, Boston, Massachusetts. The authors declare no conflicts of interest. Correspondence: Dr Pusey-Reid, MGH Institute of Health Professions, Charlestown Navy Yard, 36 1st Ave, Boston, MA 02129 ([email protected]). Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's website (www.nurseeducatoronline.com). Accepted for Publication: January 17, 2022 Early Access: March 25, 2022

Implementation of Interprofessional, Multimodal Non-pharmacological Pain Management at the Community Living Center

Based on the CDC’s 2019 National Health Interview Survey, veterans are more likely to experience chronic pain than the general population (31.5% compared to 20.1%). Chronic pain negatively affects residents’ balance, mobility, sleep, mood, social functions, and health-related quality of life. Evidence supports a multidisciplinary approach including restorative therapies, interventional procedures, behavioral health approaches, and complementary and integrative health approaches to managing chronic pain and recommends non-opioid therapy as first-line treatment for chronic pain in most situations. However, there is substantial use of opioids for chronic pain in our Community Living Center (CLC), a post-acute and long-term care facility for veterans. For example, in February 2021, the CLC administered 506 doses of “as-needed” opioids to 21 veterans with chronic pain. ErratumJournal of the American Medical Directors AssociationVol. 23Issue 8PreviewIn the March 2022 issue of the Journal of the American Medical Director's Association (Volume 23, Issue 3, page B12), the Myer et al poster abstract was not printed in its entirety. Some authors' names were omitted. The complete list of authors is as follows: Full-Text PDF

Recognition of diversity, equity, and inclusion in scientific writing: Not just sticks and stones.

Ruppert, Susan D. PhD, APRN, FNP-C, ANP-BC, FCCM, FNAP, FAAN, FAANP (Professor and Associate Dean)1; Roberts, Mary Ellen E. DNP, APRN, ANP-C, ACNP-BC, FNAP, FAAN, FAANP (Associate Professor and Director)2 Author Information

Editors' Note

Editors' Note Red Washburn and Brianne Waychoff bell hooks states, "Love is an action, never simply a feeling." This issue, Black Love, arrives during a critical moment in the ongoing struggle for racial justice. With the political urgency of the Movement for Black Lives, prison abolition, cops out of Pride, decolonize the curriculum, and bell hooks joining the ancestors, we remember love is a verb. We use this vision to help us imagine a better life in which love transcends rigid concepts of romantic coupledom under capitalism, and instead, expands the thought and practice of love as a community project of mutual aid, trust, care, kindness, compassion, respect, and solidarity across the spectrum of difference. The politics of love holds much promise for honoring self-care, educating for critical consciousness, and promoting social change. Love allows us to hold space for Black people to heal under white supremacy, cisheteropatriarchy, and capitalism, as well as move toward a collective social responsibility to build a better world where we all are free. The guest editors, writers, and artists who contributed to this issue explore the knowledge/power of Black love from different angles of vision that enrich this interdisciplinary area of study in exciting ways. We are indebted to the guest editors Mary Frances Phillips, Rashida L. Harrison, and Nicole M. Jackson for convening this issue. We are delighted to feature work on Black love, nationally and transnationally, ranging from the United States to Nigeria, as well as Trinidad and Tobago. We commend the stellar academic essays on social movements, self-care, and cultural productions, especially centering the writings of Toni Morrison and Audre Lorde. We celebrate the stunning creative writing and visual art by Arisa White, Roya Marsh, and Mel Michelle Lewis, among other notable contributors. We are grateful for this scholarship and activism. We want to thank WSQ, including the editorial board; poetry, prose, and [End Page 10] art editors; and editorial assistants. In particular, we want to extend a tremendous thank-you, thank-you, thank-you to the editorial assistants, Amy Iafrate, Alex Johnson, Joe Goodale, Ivy Bryan, Googie Karrass, and Kayla Reece, all of whom worked tirelessly on communicating with the scholars, writers, and artists to make this issue happen. In addition, we want to extend a very generous thank-you to Dána-Ain Davis, Director of the Center for the Study of Women in Society, and administrative staff Eileen Liang and Jennifer Bae for providing WSQ with internships in feminist publishing for graduate students in women's and gender studies at the City University of New York. Our partnership has significantly enriched the quality of the journal for our feminist communities across CUNY and beyond. We are greatly indebted to the Feminist Press for all its help with scheduling, copyediting, and distributing our issues, especially to Interim Executive Director Lauren Rosemary Hook and Assistant Editor Nick Whitney. We cannot thank you enough for your help and support. We also wish to thank Associate Director of the Center for the Humanities Kendra Sullivan, as well as Jordan Lord and Sampson Starkweather for collaborating with us and building a new vision for the journal, including aiding with publicity and administrative matters. We acknowledge the support we have received from President Kaye Wise Whitehead and Former Interim Executive Director Jen Ash of the National Women's Studies Association, as well as the Community of Literary Magazines and Presses (CLMP). Lastly, we want to thank each other as general editors of WSQ for continuing this work during a global pandemic with much loss and grief. We are looking forward to celebrating fifty years of WSQ and the future of this important feminist journal. Red Washburn Kingsborough Community College Director of Women's and Gender Studies Associate Professor of English City University of New York Brianne Waychoff Borough of Manhattan Community College Associate Professor of Speech Communications and Theatre Arts, Gender and Women's Studies Program City University of New York Works Cited hooks, bell. 2001. All About Love: New Visions. New York: William Murrow. Google Scholar Copyright © 2022 Red Washburn and Brianne Waychoff

Ethical Dilemmas, Moral Distress, and the Risk of Moral Injury: Experiences of Residents and Fellows During the COVID-19 Pandemic in the United States.

The ongoing COVID-19 pandemic has brought numerous ethical dilemmas to the forefront of clinical care, including for resident and fellow physician trainees. In this paper, the authors draw on their own experiences providing frontline COVID-19 clinical care in New York City in their respective roles as an internal medicine resident and later a pulmonary and critical care fellow, and as an associate program director for a pulmonary and critical care fellowship, along with published literature on trainees’ experiences in the pandemic, to describe common ethical dilemmas confronted by residents and fellows during the pandemic. These dilemmas are related to personal health risk, resource allocation, health care inequities, and media relations. The authors use a framework of microethics to underscore how these dilemmas are highly contextualized within trainees’ institutions, their specific roles, and the patient populations to which they provide care. They argue that frequent ethical dilemmas, compounded by the intense physical and emotional stress of medical training and the pandemic itself, increase the potential for trainees to experience moral distress. Recurrent moral distress may, in turn, put trainees at risk for moral injury with consequences for their mental health and overall well-being. It is imperative to gain a clear understanding of this issue, not only for those trainees who have experienced or are at risk for experiencing personal consequences but also because it may help identify ways to better support the well-being of providers and the care of patients going forward.

Doran Ross: The Scholar of Akan Art

Doran Ross: The Scholar of Akan Art

Doran H. Ross: His Fabulous Fowler Years

Doran H. Ross: His Fabulous Fowler Years

Deep Ties: Cole and Ross, 1972–2020

Deep Ties: Cole and Ross, 1972–2020

Excellent!: Textiles from Mali

Excellent!: Textiles from Mali

An Interview with John M. Abowd

SummaryJohn M. Abowd is the Chief Scientist and Associate Director for Research and Methodology, US Census Bureau. He completed his AB in Economics at Notre Dame in 1973 and his PhD in Economics at University of Chicago in 1977 under Arnold Zellner. During his academic career, John has held faculty positions at Princeton, the University of Chicago, and, since 1987 at Cornell University where he is the Edmund Ezra Day Professor Emeritus of Economics, Statistics and Data Science. John was trained as a statistician and labor economist, and his economic research has focused on the rigorous empirical evaluation of labor market institutions. In the late 1990s, he began working with the Census Bureau on projects that would end up leveraging administrative and survey records into official statistical products. Through that work, he has developed a research agenda focused on issues necessary to generate those products, including data privacy, synthetic data, total error analysis, data linkage, and missing data problems, among others.

Challenges of Assessing Resident Competency in Well-Being: Development of the Psychiatry Milestones 2.0 Well-Being Subcompetency.

Burnout and depression are major problems facing physicians, with 300-400 physicians dying by suicide each year. In an effort to address this issue, the Accreditation Council for Graduate Medical Education (ACGME) revised the Common Program Requirements for residency and fellowship programs to include a strong emphasis on well-being, and this revision has been extended to including a subcompetency on well-being in the Milestones 2.0. The Psychiatry Milestones 2.0 Work Group was convened to draft updated psychiatry milestones. As part of the open feedback period, the American Association of Directors of Psychiatric Residency Training submitted an organizational letter outlining several points to consider regarding the original draft of the well-being subcompetency. The ACGME was receptive to this feedback and allowed the Psychiatry Milestones 2.0 Work Group to revise the subcompetency. Current research indicates that burnout is largely driven by systemic factors, but well-being literature and initiatives often focus on individual factors and responsibility for burnout rather than systemic change. Program directors tasked with assessing resident well-being can additionally encounter several professionalism concerns, including how to (1) define a subcompetency within a competency that itself has not been well defined; (2) decide the appropriate balance between individual and systemic responsibility for well-being; (3) consider mental health as a parameter of well-being; (4) balance roles as physicians, psychiatrists, and training directors in thinking about the mental health of residents without overstepping boundaries and while maintaining privacy, confidentiality, and resident safety; and (5) measure well-being in a sociocultural context. This article describes how these considerations were incorporated into the revision of the Psychiatry Milestones 2.0 version of the well-being subcompetency, which has subsequently been made available to other specialty work groups for potential use as they develop their specialty-specific Milestones 2.0.

An open chat with… Laszlo Nagy.

Laszlo Nagy has been on the Editorial Board of FEBS Open Bio since the journal’s inception and is a passionate supporter of FEBS Press and other society journals. Currently, he is also an editor of FEBS Letters and The Journal of Clinical Investigation (JCI). He studied medicine at the University Medical School of Debrecen in Hungary, where he graduated with an M.D. and later Ph.D., and then moved to the United States to conduct postdoctoral research at the University of Texas–Houston and subsequently the Salk Institute in San Diego. Laszlo is a Professor of Medicine and Biological Chemistry at John Hopkins School of Medicine, where he is Co‐Director of the Institute for Fundamental Biomedical Research and Associate Director of the Center for Metabolic Origins of Disease, and Adjunct Professor at the University of Debrecen. Formerly, he was a Professor and Founding Director of the Genomic Control of Metabolism Program at the Sanford Burnham Prebys Medical Discovery Institute. He is also a member of the European Molecular Biology Organisation (EMBO), Academia Europaea, the Hungarian Academy of Sciences and The Henry Kunkel Society, and recipient of several awards, including the Boehringer Ingelheim Research Award, Cheryl Whitlock/Pathology Prize, a Wellcome Trust Senior Research Fellowship in Biomedical Sciences, and three Howard Hughes Medical Institute International Research Scholar Awards. In this fascinating interview, Laszlo Nagy shares the advice that changed his career trajectory, relates his views on scientific publishing, discusses new developments at The Johns Hopkins Center for Metabolic Origins of Disease, and outlines the prospects for future development of research and technology infrastructures in eastern Europe.

Key considerations when adopting Droplet Digital PCR for viral vector manufacture

Increase your knowledge of:&#160; The crucial considerations when transitioning into ddPCR from a different platform.&#160;The additional key areas in which ddPCR is beginning to be applied and the impact made.&#160;The key issues and standardization requirements that are relevant to the various specific applications of ddPCR. Mark White is the Associate Director of Biopharma Product Marketing at Bio-Rad. He has played a key role in the development of multiple core technology capabilities and assays alongside a multidisciplinary team of biologists and engineers at Bio-Rad and previously at Berkeley Lights Inc.. Mark obtained his Ph.D. in Biomedical Sciences at the University of California, San Francisco.

Maria Grosz-Ngaté: Reflections on Research and Decolonizing the Academy

In a series of interviews conducted in 2020, anthropologist Maria Grosz-Ngaté looks back on her career, which began with research on work, migration, gender, and social change in Mali's Ségou region. In her reflections, Dr. Grosz-Ngaté discusses her research, her time as associate director of Indiana University's African Studies Program, and her role as an associate editor of Africa Today. A major theme that ran throughout the conversation is her long-standing commitment to the decolonization of knowledge. Dr. Grosz-Ngaté shares her personal experience working toward this goal and discusses ways in which research could become more collaborative and better incorporate perspectives and knowledge from the continent.

Research priorities for seasonal energy storage using electrolyzers and fuel cells

Paul A. Kempler is a research assistant professor at the University of Oregon and the Associate Director for the Oregon Center for Electrochemistry (OCE). At the OCE, he has developed three graduate laboratory courses in electrochemistry and electrochemical engineering and serves as the liaison to industry partners. His current research interests include interfacial ion transfer in energy conversion and the technoeconomic analysis of decarbonized energy systems. Paul received his PhD in chemical engineering from the California Institute of Technology for research on catalyst integration and gas evolution in photoelectrochemical cells for water splitting. John James Slack is a senior scientist at Nikola Corporation. John specializes in developing novel materials, studying their interactions, and designing nanostructured architectures within fuel cell cores. In the first two years of his career, he authored two successful proposals worth $2.7 million and has co-authored several patents related to advancing the field of fuel cell membrane electrode assemblies. He is active in the fuel cell community, regularly presenting to the Department of Energy and to the Million Mile Fuel Cell Truck Consortium. John's background is in chemical engineering, and he obtained his PhD at Vanderbilt University in 2019. Andrew M. Baker is a senior scientist at Nikola Corporation. His current research is focused on improving the performance and durability of membrane-electrode-assembly materials and accelerated stress test development for heavy-duty PEM fuel cell applications. Prior to working at Nikola, he was a scientist at Los Alamos National Laboratory. He received his PhD in mechanical engineering from the University of Delaware in 2017.