Blog Series Research Articles

Nourished@Deakin – can an online cooking program inspire university students to cook and eat healthier?

University students are a unique population subgroup, who experience a life transition into adulthood, often marked by the establishment of unhealthy eating behaviours(1) which are associated with chronic disease risk factors, poor mental health and lower academic achievement(2). Data regarding the food skills/behaviours of university students is limited, but low cooking self- efficacy and food skills are potential barriers to healthy meal preparation(1). Nourished@Deakin is an online cooking program, co-designed by Deakin University students, that aims to inspire students to cook and eat healthier. It commenced in November 2021 and includes a series of blogs, recipes, and cooking videos, available to all Deakin students via a Deakin University blog site. To determine if accessing Nourished@Deakin improves food skill confidence, food intake, and nutrition knowledge, participants completed a short online survey before accessing Nourished@Deakin materials and then again four weeks after their first engagement. The survey included 31 questions regarding confidence related to a variety of food skills (eg. recipe following, reading food labels, meal planning); 2 questions regarding fruit/vegetable intake; 11 knowledge questions regarding the Australian Dietary Guidelines (ADGs); and 16 demographic questions. Pre/post surveys were compared using paired t tests (knowledge scores, fruit/veg serves) or McNemar extact test (proportions). A total of 108 students completed the pre-survey and 41 (mean (SD) age 27.0 (8.4) years; 63% female) also completed the post-survey. Of the 41 participants who completed both surveys, 42% were studying within the Faculty of Health and 16 (39%) were living in the family home with parents. Most (68%) were studying full time and 59% were employed part-time/casually. Three-quarters were domestic students, and 59% were undergraduate students. Following completion of Nourished@Deakin, there was a significant increase in the proportion of participants feeling confident in two of the 31 food skills (namely ‘meal planning’: 44% pre vs 63% post, P<0.05; and ‘growing fruit and/or vegetables at home’: 22% pre vs 44% post, P<0.05). Fruit intake increased from 1.6 serves/day pre-program to 1.9 serves/day post-program (P<0.05), but vegetable intake remained stable (2.5 serves/day pre and 2.6 serves/day post, P = 0.287). Before participating in Nourished@Deakin, 56% of participants correctly reported the recommended daily serves of fruit and 66% correctly reported it for vegetables. The mean ADG knowledge score was 8.2/9 and 49% of participants got all nine questions correct. There were no significant changes in any of the knowledge markers post-program. Over a relatively short period, Nourished@Deakin produced modest improvements in the self-reported confidence in some food skills and self-reported fruit intake. A revised program (incorporating a greater variety of recipes, additional blogs, and new videos) may encourage greater engagement and result in increased confidence and knowledge in other targeted areas.

Using True Crime Stories to Demonstrate Medical Library Research

The author wrote a series for the Himmelfarb Health Sciences Library’s blog that explored the connections between true crime and medicine. Each of the ten entries in the “Disorder in the Court” series tells a true story of a crime or court case that involved a medical diagnosis. The entry then delves into the etiology and pathophysiology of the particular syndrome, using information from research articles and point-of-care databases available through the library. This blog series shows the potential of storytelling in demonstrating how to conduct library research.

Editor's Introduction

The ongoing tragedy of Russia's war on Ukraine, already well into its second year, has sparked a fundamental reassessment in the field of Slavic Studies and calls for its decolonization. Long dominated by studies of Russia, the various disciplinary fields within Slavic Studies have engaged in numerous discussions and debates over the past year about how to decenter Slavic Studies, how to balance scholarship about the region, and how to recognize voices from the region that have been marginalized, ignored, and diminished. To this end, the Center for Russian, East European, and Eurasian Studies at the University of Pittsburg, in partnership with the Davis Center for Russian and Eurasian Studies at Harvard University and with the support of a long list of co-sponsors, organized a six-part virtual speakers series in Spring 2023 that brought together a diverse collection of professionals to discuss the need for and practical means to address the “outsized role Russia has played and continues to play in the field and what could and should be done about it.”1 H-Russia, an H-Net online community, established a blog series on “Decolonizing Russian Studies” that has stimulated interesting conversations among scholars toward decentering Slavic Studies from multiple directions.2 The journal Russian History issued a call for contributions to address such problems in the study of Russian history, and the journal Kritika, in collaboration with the Harriman Institute of Columbia University, is planning a conference and special journal issue on “Eurasia Decentered” for 2024. Moreover, the major US-based professional organization for Slavic Studies, the Association for Slavic, Eurasian, and East European Studies (ASEEES), has selected “Decolonization” as its 2023 conference theme, asking its members to engage in the “reassessment and transformation of Russo-centric relationships of power and hierarchy both in the region and in how we study it.”3 Such interest among scholars to begin to reimagine scholarship about the region reflects the profound impact that Russia's war on Ukraine has had, even far from the front lines.

Enforcing platform sovereignty: A case study of platform responses to Australia’s News Media Bargaining Code

Australia’s News Media Bargaining Code requires Google and Facebook to negotiate payments with news publishers for news content appearing on the platforms. Facebook and Google lobbied against the code through a highly visible public-facing campaign which included a series of blogs, videos and pop-up communications across their interfaces including News Feeds, Google Search and Home Page, and You Tube, and culminated in Facebook banning Australian users from accessing Australian news and related content. This article presents the findings of a detailed study of platform discourse in response to the News Media Bargaining Code, using critical discourse analysis, and drawing on theoretical frameworks from Althusser, Foucault and Chun. It also investigates the role of the user interface in platform power, particularly how platform users are interpellated by digital platforms. The findings suggest Facebook and Google’s discursive strategies were deployed to protect, strengthen and enforce platform sovereignty. The case study offers lessons for platform regulation globally in understanding how platforms respond to legislation.

Searching the Scholarly Literature with Artificial Intelligence: an Introduction

Traditional search techniques can’t cope with today’s flood of articles. Artificial Intelligence may help us search more efficiently in less time. This blog series helps by trying out the available tools in a way that you can use them in your research workflow.

RETRACTED ARTICLE: The ‘rhetorical concession’: a linguistic analysis of debates and arguments in mental health

We, the editors and publisher of Journal of Mental Health, have retracted the following article: Garner, B., Kinderman, P., & Davis, P. (2021). ‘The “rhetorical concession”: a linguistic analysis of debates and arguments in mental health’, DOI: 10.1080/09638237.2021.2022631 Since publication, a conflict of interest has been brought to our attention. Blog ‘F’, which is one of a series of blogs analysed in this paper, has been identified as the blog of Peter Kinderman, co-author of the paper. This conflict of interest was not disclosed upon submission of the article, and we consequently believe that this compromises the reliability of the reviews and the paper’s findings. We are therefore retracting the article. Our decision has been informed by our policy on publishing ethics and integrity and the COPE guidelines on retractions. The retracted article will remain online to maintain the scholarly record, but it will be digitally watermarked on each page as ‘Retracted’.

MANUSCRIPT XLI: Papeiha, E tuatua no te taeanga mai o te tuatua na te atua ki Rarotonga nei (An Account of the Coming of the Word of God to Rarotonga), c. 1830

ABSTRACT Papeiha’s manuscript, which Mata Tumu-Makara introduces, translates, and annotates, is a historically important example of a very early Indigenous Pacific voice in a region where Christianity remains an intensely lived experience for most people. Makara’s work contributes to an understanding of the divergent meanings of ‘mission’ and ‘missionary’ by identifying a critical moment in the contemporary history of evangelism in the Pacific when Maeliau’s prophetic movement challenged established evangelical practices. Although the Deep Sea Canoe has not yet been relaunched from the Cook Islands, Makara’s work makes a major contribution to the focus on the history of Cook Islander missionaries and their families, a theme of the CICC bicentenary celebrations that is celebrated in this special issue of JPH, the CICC Newsletter and the School of African and Oriental Studies (SOAS), Special Collections, blog series, Cook Islander missionaries: recovering hidden histories from missionary archives.

Rising Threats in the US It Can Happen Here: White Power and the Rising Threat of Genocide in the US

ABSTRACTThe Trump presidency in the United States and the consolidation of strongman regimes in Turkey, Russia, India, Hungary, Brazil, and elsewhere sparked new concern about authoritarianism among scholars, including anthropologists. The Society for Cultural Anthropology recently ran a blog series on “American Fascism,” Anthropology Now devoted an issue to the current U.S. conjuncture, and this reviewer and others have highlighted the urgency of analyzing the rightwing offensive. In this outpouring of apprehension, Alexander Hinton's new book occupies a special place.

‘Selfies’ Under Quarantine: Exploring Networked Emotions in the Time of ‘Social Distancing’

This essay focuses on auto-ethnography and auto-fiction as USEFUL tools to reflect on the ways in which networked identities are reshaped and reconfigured within the context of a global pandemic where social relationships, family life, work routines, and learning processes are increasingly migrating to the online domain. The piece builds upon the experience of an undergraduate class who collectively contributed to the blog series ‘Selfies Under Quarantine’ during the first severe lockdown in March 2020. It discusses the question of methods and suggests looking at the ‘draft’ as both an aesthetics and an ethics to navigate the current context of crisis.

Moving beyond annual data reports: A blueprint for communicating and disseminating actionable intelligence.

Identifying and disseminating actionable intelligence is a challenging task that requires thoughtful planning. The National Center for Advancing Translational Sciences instituted the Common Metrics Initiative with the goal of evaluating the Clinical and Translational Science Awards (CTSA) Programs using a standard set of metrics. Initially managed by Tufts University, the Center for Leading Innovation and Collaboration (CLIC) at the University of Rochester began leading this initiative in 2017. In directing this work, CLIC created a framework for communicating and disseminating data insights. Insights to Inspire emerged from the need to share strategies and lessons learned to improve metric performance at the local level to a network of 60+ academic research institutions. Insights to Inspire employs a mixed methods approach for translating data into actionable intelligence. A series of blogs, webinars, and webcasts were designed to communicate metric-specific strategies used by individual sites to the broader CTSA consortium. A dissemination plan to expand the reach beyond metric stakeholders utilized focused communications including social media channels, network newsletters, and presentations at national meetings. This framework serves as a blueprint for other national evaluation programs interested in a systematic approach to using data insights for continuous improvement.

The future of conferences.

The future of conferences.

Dusty Feet: The Postings of an ISIS Blogger

He was credited with having compiled the “Lonely Planet guide” to joining ISIS, yet little is known of the remarkable stories told in Zafirr Golamaully’s series of blogs called ‘Dusty Feet’. In this research paper we retell these stories, of an individual’s journey to join, dwell with and fight for ISIS. As we describe these accounts, we discuss their significance as informal reflections seeking to reach Western audiences and draw them into a radical milieu supporting Islamist militancy. We argue that these accounts are important for three reasons: they highlight the role of informal communication in legitimising and promoting terrorism; they illustrate how such communication contributes to notions of a jihadi community that combines the virtual and physical, where real experiences imbue online outreach efforts with credibility; and they constitute innovative attempts at bridging cultural domains, linking the austere and heavily theological representation of ISIS with ironic, often humorous messaging designed to appeal to Westernised youths.

Make Women Great Again: women, misogyny and anti-capitalism on the right

Neo-confederate blogger Dissident Mama describes the January 6 Capitol Insurrection as “#resistance without the corporate sponsorship”. In a series of blogs, she appropriates the language of anti-capitalist movements to defend armed resistance from Charlottesville to the Capitol. Negative media coverage is woke “agitprop” by elites: journalists and politicians, but also “corporate goons.” These politicians, meanwhile, are the “very people who are empowered and enriched by mass democracy, forever wars, and our oppression1”, according to Mama. The language of wealth, profit, and enrichment is used to criticize liberal democracy as in the throes of corporations and imperial wars. However, liberalism’s chief attack is on the family and the forgotten man, and for Momma, its shock troops are the feminists. Defending the Capitol riots, Dissident Momma positions herself, a stay-at-home mother, as at the front lines of another kind of insurrection. She is uniquely capable of speaking out against the tyranny of woke capital, political correctness and corporate HR’s liberal cancel culture. Without a boss, she cannot be fired or cancelled for expressing explicit racism. Secondly, a stay-at-home mother is the guardian of traditional morality, family values, and southern White identities which are being attacked by the corporate cultural Marxists. The home has become the new battleground, as Mama herself points out. Her own insurrection is homeschooling. Post after post, Dissident Mama compares the act of homeschooling to the civil war; it is “educational secession” freeing her children from the “puritanical progressives” or the Northern “power elite” who run the state and public schools and seek to impose a “globohomo tyranny” on Southern boys. She echoes familiar moral panics over cultural Marxism, describing teachers as “apparatchiks” and schools as a “gulag of the mind.” But when she discusses the supposed anti-white bias of “the educrats“ who want to make children “rootless, hopeless, and disoriented” she uses the language of anti-capitalism; despite being marxists they want to make children “loyal consumers of both the corporate and governmental systems”2 For Mama the opposition of corporate cultural marxism is raising children in their “heritage” of southern-style White supremacy. She believes in the lost cause mythology which celebrates the antebellum South as the high-water mark of western civilization, and frames today’s White Southerners as an oppressed “remnant.” Mama uses the language of anti-capitalism, but she supports not socialism but paleolibertarianism. Paleolibertarians support deep social conservatism (or sexism and racism) along with economic libertarianism, a belief system with roots in chattel slavery (Maclean 2017). Capitalism is good when it supports homeschooling and heritage; her blog is an Amazon affiliate and advertises for Ron Paul’s libertarian homeschooling, the Tuttle Twins libertarian children’s fables, in addition to the white nationalist Christendom Curriculum. Anti-capitalist language shades quickly into anti-feminism, in Dissident Mama’s discourses, dismissing social change as HR newspeak and conflating postwar gender roles with postwar affluence. Sophie Bjork James (2020) notes that the Christian right often blames feminism for the socio-economic struggles of late capitalism. This is something common across the far-right: Identitarian Lacey Lynn calls feminism elitist and anti-working class, conspiratorial vlog and radio station RedIce positions fascist women at the front lines in the fight against corporate communism, while the evolutionary psychologists of the intellectual dark web from Stefan Molyneux to Jordan Peterson use the language of corporate anomie to argue for gender essentialism. Anti-capitalist language is deployed against working women while elevating White working men, providing a return to “traditional” roles as an answer to economic as well as social challenges. That is, right wing language displaces anxieties about capitalism onto anxieties about gender roles, family and love. In this essay I look at women in far-right activism, and the ways in which anti-capitalist language is used to celebrate the gender roles of postwar American breadwinner capitalism. This at once diminishes feminist and socialist critques, enougaging the reframing of economic concerns into what Rosenthal (2020) calls gendered dispossession. This emerges from real failures of liberal feminism and late capitalism, but appropriates critiques of capital that might challenge the identity politics of the white right, instead encouraging reinvestment in the conservative social order.

Central Bank of the Future Summary and Recommendations for Further Inquiry

Over the past two years, the University of Michigan’s Gerald R. Ford School of Public Policy and its Center on Finance, Law & Policy, with support from the Bill and Melinda Gates Foundation, has embarked on an exploration of the Central Bank of the Future. The project convened current and former central bank governors, policymakers, regulators, researchers, innovators, entrepreneurs, consumer and community organizations, non-profit think tanks, and others for two large, public conferences, three private roundtables, and dozens of small group and one-on-one discussions and interviews. The project also produced an introductory paper, seven working papers, a comprehensive data set cataloging central bank financial inclusion mandates from around the world, and a “What If” blog series. The goal of the project was to explore how central banks could leverage technological advances to foster financial inclusion and to provide recommendations for further work to advance this goal. This paper summarizes many key takeaways from the project and provides a set of recommendations for further research. The paper is divided into five parts. Part I describes how the COVID-19 pandemic underscored existing deficiencies in payment systems around the world and discusses some of the strategies central banks used to respond to the crisis and the impact of those policies on the poor. Part II describes the multiple definitions of “financial inclusion” used by governing bodies around the world and how these competing definitions make it challenging to enact broader global financial inclusion policies. It also provides examples of central banks’ attempts to harmonize definitions, with varying degrees of success. Part III provides an overview of how fintech has changed customers’ expectations; created new risks; and created new opportunities to provide affordable, accessible, and appropriate financial services to those whose needs have not been met. Part IV delves into the regulatory challenges raised by new technology, such as artificial intelligence (AI) and Distributed Ledger Technology (DLT), and offers examples of how central banks could modify regulations to address these gaps in regulation. Part V explores some of the key factors involved in creating a global identification system, based upon learning from national identification systems offered by some central banks. This includes a discussion of anti-money laundering (AML) and other risks. Each Part concludes with recommendations for further research. A summary of the recommendations can be found in Appendix A.

A Stranger in a Strange Land: David Ruccio’s Occasional Links & Commentary

In this article I examine the remarkable output of David Ruccio’s Occasional Links & Commentary. I stress the multidisciplinary nature of Ruccio’s blog (especially its relationship to the humanities), its ruthless criticism of capitalism and mainstream economics, its effort to link everyday and academic knowledges, and, ultimately, its pedagogical value for conveying vast amounts of economic information for a broad readership while exemplifying a non-essentialist approach to Marxian theory. I illustrate these points by examining two blog series in particular: David’s extensive commentary on what he has called the “Second Great Depression” that followed the financial collapse of 2008 and his ongoing discussions of utopian thought.

Editorial

i Editorial Last year’s volume of Proceedings of the Royal Irish Academy was a special issue on the theme of ‘Climate and society in Ireland: from prehistory to the present’. It was initially published in the journal’s usual format and then, in summer 2021, as a separate title. Though too early to judge its impact, the initial response to the volume has been very encouraging. Currently, its key findings are being communicated to a wider audience through a series of blogs and podcasts available on the Academy’s website. The editors and board of the journal sincerely hope that the volume and related content will make a meaningful contribution to wider discourse and debate, in Ireland and beyond, on the complex relationships between climate and societies in the longue durée and how knowledge of climate history might usefully inform our approach to the current climate crisis. Though more disparate in the themes they address, the papers collected in the current volume maintain the high standards that readers expect from Proceedings . There is a wide chronological span from early prehistory to the early twentieth century. Given the journal’s long record of publishing prehistoric research , it is gratifying to see two substantial contributions in this area, following on from the very considerable prehistoric component in last year’s thematic volume. The flow of high-quality submissions in this area remains strong, so prehistory is also likely to feature prominently in next year’s volume, while the online supplement and open access agreements mentioned below should further raise the profile of the journal among prehistorians. In the present volume, Dowd and colleagues present a reassessment of the 1902 excavation of Alice and Gwendoline Cave, Co. Clare, informed by a recent re-excavation, which, like the original, was funded by the Academy. The second paper, by Kearney and O’Brien, presents a palynological study spanning much of the Holocene undertaken at the excavated later Bronze Age copper mine at Derrycarhoon in West Cork. The continuing legacy of prehistoric hillforts in the early medieval landscape is considered in O’Driscoll and Gleeson’s paper on Baltinglass, County Wicklow. There follows three papers on complementary aspects of the medieval archaeology and history of major ecclesiastical sites: Manning on the buildings and layout of Monasterboice; Murray on two crosiers associated with Clonmacnoise; and Bhreathnach and Dowling’s interdisciplinary study of Ferns, Co. Wexford. From a historical perspective, Grace’s paper on bloodletting, spanning the medieval to modern periods, is followed by O’Neill on the role and experience of women during the Nine Years War, while Barnard takes the study of material culture into a new arena with his exploration Proceedings of the Royal Irish Academy Vol. 121C, i–iv © 2021 Royal Irish Academy https://doi.org/10.3318/PRIAC.2021.121.11 Editorial ii of the circulation of English ceramics in Ireland in the eighteenth and nineteenth centuries. Finally, Coghlan and colleagues present new evidence about the life and work of Percy Ludgate, ‘Ireland’s first computer designer’. The concept of themed special issues, inaugurated a decade ago, is but one of the ways Proceedings has evolved and adapted in recent years. A complementary new initiative is the recent decision by the editorial board to approve the production next year of an online supplement on Mesolithic Ireland . With an introductory essay by Prof. Graeme Warren, a member of the board, the supplement will bring together the most important papers about the Mesolithic period published in the journal over the past century or so. Its appearance will coincide with UCD’s hosting of the thirteenth Conference on Hunting and Gathering Societies (CHAGS) in June 2022, the first time this major international meeting will take place in Ireland. There are precedents for such online supplements among the Academy’s journals,1 and in the case of Proceedings further opportunities may arise in the years ahead to employ this format to showcase the journal’s unique and enduring contribution to the study of Ireland’s past. Another welcome development is the recent Read and Publish agreement between the Academy and IReL, the Irish e-resources licensing consortium for leading higher education institutions in Ireland, which...

Medical Anthropology in the Time of COVID-19.

Medical Anthropology in the Time of COVID-19.

“Writing Plays That Are Climate Change”

AbstractMontreal-born playwright, translator, and climate change theater activist Chantal Bilodeau is currently based in New York City. As a co-founder of the biennial Climate Change Theatre Action (CCTA), which is a growing international initiative to foster climate change awareness through the performance of very short plays commissioned from playwrights in dozens of countries, she has been dividing her time between coordinating theater-based activism, publishing, and curating a blog series on HowlRound.com, and writing short plays as well as an eight-part series of full-length dramas. As she argues in her 2015 article “In Search of a New Aesthetic,” it is necessary “to move beyond writing plays about climate change to writing plays that are climate change – plays that embody, in form, content, and process, the essence of the issues we are facing. Plays where the concept of climate change is so integral to the work that the term doesn’t even need to be uttered. New problems cannot be solved with old solutions. A new consciousness requires new artistic constructs.” On the eve of the CDE conference, Chantal Bilodeau spoke about her research-based creative process at a public event in downtown Graz. At the conference, she presented a keynote on how her work in climate change theater addresses crisis as an ongoing condition. This interview provides detailed insights into Bilodeau’s artistic concepts, theater practices, and climate change activism.

Education and Promotion of MRD Testing within the Multidisciplinary Cancer Care Team for Adults with Acute Lymphoblastic Leukemia in the Community Setting

Background: The Association of Community Cancer Centers (ACCC) is an education and advocacy organization with a diverse membership, representing all cancer program types with the largest majority (75%) being community-based cancer programs and private practices. Beyond the academic setting, ACCC seeks to expand education on the advancements in all cancer care and since measurable residual disease (MRD) is the most important prognostic factor that guides the therapy for patients with acute lymphoblastic leukemia (ALL), this project aimed to emphasize the importance of MRD testing for adult patients with ALL in the community oncology setting. Objective: The ACCC led a national initiative, in partnership with the Leukemia & Lymphoma Society (LLS), to improve the diagnosis, treatment and management of adult patients diagnosed with ALL in community oncology practices. This educational program focused on understanding the benefits of knowing patients' MRD testing and interpretation and the need to integrate this testing into standard of care practice in community oncology practice settings. Methods: This one-year programmatic initiative was designed by a group of multidisciplinary oncology faculty and structured around a peer-to-peer learning format that enabled ALL expert faculty to share effective practices for the treatment, care coordination and management of adult patients with ALL. An environmental scan was conducted to understand the landscape for utilization of MRD data in the community setting. Challenges and barriers identified in six key areas ((Initial Diagnostic Workup, Shared Decision Making, MRD Testing, Patient Access, Cost, and Reimbursement, Side-effect Management and Transitions in Care) were addressed by the development of healthcare professional-focused educational tools. Results: The educational material developed as part of the program include an environmental scan, blog series and webinar series that was viewed over 300 times by engaged ACCC members representing more than 75 cancer programs across 27 states. The four-part blog series covered a pathologist's perspective on the importance of MRD testing, a pharmacist's views on incorporating health literacy for patients, and social work and nursing perspectives on challenges with helping adult patients manage an ALL diagnosis. The three-part webinar series included an informative ASH 2018 update that included key abstracts and findings, a webinar that included a patient and care providers which shed light on the support needed along a patient's journey, and a webinar that explored critical insights for treating adult ALL from the perspective of a pharmacist, pathologist and oncologist. These enduring resources are available on-demand for the multidisciplinary care team. Conclusions: This program demonstrated the success of adopting a peer-to-peer educational learning platform to educate the multidisciplinary team providing care for adult patients diagnosed with ALL. Given rapid technological advances and emerging indications, the comprehensive educational materials developed were useful for the education of both the treating team and the patients in the community oncology setting. Disclosures Emadi: Jazz Pharmaceuticals: Research Funding; NewLink Genetics: Research Funding; Amgen: Consultancy, Honoraria, Membership on an entity's Board of Directors or advisory committees; KinaRx: Membership on an entity's Board of Directors or advisory committees, Other: Co-Founder and Scientific Advisor, Patents & Royalties; Genentech: Consultancy, Honoraria. Jabbour:Takeda: Consultancy, Research Funding; BMS: Consultancy, Research Funding; Adaptive: Consultancy, Research Funding; Amgen: Consultancy, Research Funding; AbbVie: Consultancy, Research Funding; Pfizer: Consultancy, Research Funding; Cyclacel LTD: Research Funding. Kendall:Eli Lilly: Speakers Bureau; Novartis: Speakers Bureau; Pfizer: Speakers Bureau. Rogers:Teva: Speakers Bureau; Takeda: Honoraria; Genentech: Speakers Bureau; Seattle Genetics: Speakers Bureau; Abbvie: Speakers Bureau; Cardinal Health: Honoraria; Genentech: Honoraria; Mylan: Honoraria; Coherus: Speakers Bureau.

How I Work Smarter: A Qualitative Analysis of Emergency Physicians' Strategies for Clinical and Non-clinical Productivity.

IntroductionEmergency physicians’ (EP) clinical and professional non-clinical environments can be stressful and lead to burnout. However, some EPs thrive in these environments. To date, there is limited research investigating the strategies that successful EPs use to be maximally productive.MethodsA snowball sampling technique was used to identify peer-nominated EPs who were, within their community of practice, subjectively felt to be successful and efficient. Participants answered a standardized set of questions addressing their efficiency patterns that were published as part of the “How I Work Smarter” blog series on the Academic Life in Emergency Medicine website. Two reviewers performed an inductive qualitative thematic analysis to code and summarize their responses and develop a thematic framework that described patterns of EP productivity.ResultsTwo themes, communication and efficiency, were applicable in the clinical and non-clinical arenas. Location and environment was a major theme in the non-clinical arena. The themes task management and prioritization, tools for wellness, and motivators spanned both environments. Each theme included several strategies that were felt by the respondents to improve productivity and efficiency.ConclusionWe described a thematic framework of productivity strategies for EPs that may increase productivity, improve work-life balance, and decrease burnout. EPs interested in increasing their efficiency both within and beyond the clinical area may consider adopting these strategies.