Clinical Professor Research Articles

Panelists to Discuss Strategies to Protect Women’s MH

Back to table of contents Previous article Next article Annual MeetingFull AccessPanelists to Discuss Strategies to Protect Women’s MHKatie O'ConnorKatie O'ConnorSearch for more papers by this authorPublished Online:25 Feb 2023https://doi.org/10.1176/appi.pn.2023.03.3.16AbstractCritical legal and policy changes in recent years have profoundly impacted women and girls in the United States. During this Annual Meeting session, experts will discuss steps psychiatrists can take to mitigate these harmful policies’ adverse effects.Recent legal and policy changes, especially those that deny women and girls autonomy over their own bodies, have adversely impacted the mental health of women and girls across the country. These policies have also taken a toll on psychiatrists and their colleagues, who are continuing to provide care to these patients. These challenges will be discussed in detail at APA’s 2023 Annual Meeting in the session titled “Promoting Women’s Mental Health in a Difficult Environment: Current Challenges in the United States.”“The central theme in many of these policy developments is denial of individual sovereignty over the body and personal control in the most intimate aspects of life,” said Evan Eyler, M.D., Ph.D., the session’s chair and a professor of psychiatry at the Robert Larner, M.D., College of Medicine at the University of Vermont. “That manifests in a wide variety of misogynistic and anti-LGBTQ policies and practices that very negatively impact our patients and make psychiatric practice more difficult and emotionally challenging.”The presenters include Carole Warshaw, M.D., director of the National Center on Domestic Violence, Trauma, and Mental Health; Leslie Gise, M.D., a clinical professor in the Department of Psychiatry at John A. Burns School of Medicine, University of Hawaii; and Amanda Koire, M.D., Ph.D., a clinical fellow in psychiatry at Brigham and Women’s Hospital.The presenters will detail what patients across the country are experiencing, including being forced or coerced into carrying a pregnancy to term and being forced to experience masculinizing puberty for transgender girls. Gise and Warshaw will also address climate and disaster policies that place women and girls particularly in jeopardy, as well as policies within the legal system that allow stigma associated with substance use and mental illness to be leveraged against women by abusive partners. Finally, the presenters will outline the many policies that disproportionately impact women from Indigenous, Latinx, and Black communities.The presenters will also provide an opportunity for participants to discuss how these issues are coming up in their own lives and work and the strategies they are employing to maintain their own well-being.“This session will provide a setting in which psychiatrists can collaborate on strategies to address these crucial developments, problem solve, and offer mutual acknowledgement and support,” Eyler said. ■ ISSUES NewArchived

Journey from nursing cap to academic regalia

Laura A. Mularz is a clinical assistant professor and the Specialty Director of Leadership Programs at Rutgers, The State University of New Jersey, School of Nursing, and a clinical nurse specialist at JFK University Medical Center in Edison, N.J. The author has disclosed no financial relationships related to this article.

Embracing lifelong learning as a novice nurse educator.

Abilene Smith is a clinical assistant professor of nursing and the lead clinical faculty for the Direct Entry Program in Nursing at the University of Vermont. Her clinical area of expertise is case management and neurology including stroke care, brain injury rehabilitation, and movement disorders. The author has disclosed no financial relationships related to this article.

The Wide Grip Tubing Row Exercise

Peter Ronai, M.S., FACSM, ACSM-CEP, ACSM-EP, EIM-III, CSCS, is a clinical professor of Exercise Science in the Department of Physical Therapy and Human Movement Sciences at Sacred Heart University in Fairfield, Connecticut. He is a fellow of the American College of Sports Medicine (ACSM) and an associate editor of ACSM's Health & Fitness Journal®and writes the Do It Right column. He is a member of the ACSM Committee on Certification and Registry Boards (CCRB). His articles and presentations address tips, tools, and resources exercise professionals can use to better serve their clients and patients. Disclosure: The author declares no conflict of interest and does not have any financial disclosures.

Hermeneutics, Neuroscience and Psychiatry

Hermeneutics, Neuroscience and Psychiatry Michael T. H. Wong, MBBS, MD, MA, MDiv, PhD, FRCPsych, FRANZCP, FHKAM (bio) Hermeneutic practice in mental health has been a theme in Philosophy, Psychiatry, & Psychology (PPP) since its very beginnings. In this essay I argue that hermeneutics, the theory and practice of interpretation, promotes therapeutic interaction between mental health professionals, patients and their family. Why does this patient present in such a way at this particular point in time? The distressing symptoms are there. The changes in behavior are obvious. Impairments of functions are hurting. A mental illness clearly runs in the family. There were early losses of loved ones, physical abuse at home, bullying by peers and self-medication with drugs and alcohol. Three in four adults with a mental illness first experienced that before they turned 24. The brain goes through major reorganization during adolescence and early adulthood. If synaptic pruning went wrong, psychoses emerged. When stresses activated the hypothalamic–pituitary–adrenal axis the elevated cortisol level impacted the size and function of the hippocampus and amygdala in the genetically vulnerable; anxiety, depression, bipolar, and personality disorders developed. The patient needs a voice/language to describe all these experiences and events and the psychiatrist needs a discourse to make sense of them. Eisenberg laments the swings between "brainlessness" and "mindlessness" in psychiatry. Engel argues for a "biopsychosocial" discourse. The major challenge for psychiatry is how to organize clinical information of different nature (categories, dimensions, narratives; i.e., objective vs. subjective, personal vs. interpersonal) into a coherent and comprehensible account for us all. Mental illnesses are not only neuropsychiatric spectrum disorders but also dysfunctions of social relationship and environmental/ecological adaptation. Psychiatry as a clinical neuroscience per se lacks the semantics to address the rich interactions between the physical, psychological, social, cultural, and spiritual in the illness experience of our patients. Explanation in the diagnostic formulation (objective scientific discourse on cause and effect) and understanding in the patient narrative (subjective ordinary everyday discourse on significance and meaning) are irreducible to each other (Wong, 2018). They instead interact with one another to achieve an integrative formulation, not through merging different discourses into a single assertion/monologue but via the dialectic/dialogue of "explaining more in order to understand better," as Ricoeur puts it, and between "the whole and the parts," as Schleiermacher highlights. This "therapeutic hermeneutic circle" of "explanation vs understanding" and "the whole vs the parts" includes symptoms behavior function and life events. It correlates between bio-psychosociocultural-spiritual dimensions/perspectives and does not reduce them to any particular/single [End Page 13] stance. The whole integrates the parts and the parts enrich the whole. It explains but does not explain away. It understands through an articulation of meaning and significance. This discourse is a multilayered (bio-psycho-social-cultural-spiritual) personal narrative that formulates diagnosis and care in a correlative (linking different voices/discourses) and non-reductive (no particular voice/discourse is prejudiced against) manner that is comprehensible to us all (Wong, 2021). PPP will be an excellent forum for discussing clinical hermeneutics in the future. In this digital era of social media and virtual reality, hermeneutics has the never-ending task to tackle the unprecedented challenges to meaning illness and health posed by polarizing discourses. Michael T. H. Wong Michael T.H. Wong, MBBS, MD, MA, MDiv, PhD, FRCPsych, FRANZCP, FHKAM, is Hon Clinical Professor, Department of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, HKSAR, China. Michael is Chair, Section of Philosophy & Humanities in Psychiatry, World Psychiatric Association. He is an Organizational Partner & International Lead with The Collaborating Centre for Values-Based Practice in Health and Social Care, St Catherine's College Oxford. He is Advisor to the Chinese Health Foundation of Australia. References Wong M. T. H. (2018). Ricoeur and the third discourse of the person: From philosophy and neuroscience to psychiatry and theology. London: Lexington Books. Google Scholar Wong, M. T. H. (2021). Values, meanings, hermeneutics and mental health. In Stoyanov, D., Fulford, K. M. W. F., Stanghellini, G., Van Staden, W., & Wong, M. TH. (Eds.), International perspectives in values-based mental health practice: Case studies and commentaries (pp. 341–349...

It’s 10 O’clock: Do You Know Where Your State Legislature Is?

It’s 10 O’clock: Do You Know Where Your State Legislature Is?

Differences in Clinical Professors’ Work-Life Balance by Position in Medical Schools

We investigated the work-life balance of clinical professors in charge of patient care, research, and education at medical schools and the demand for work-life balance support according to position (professor, associate professor, or assistant professor). In total, 163 clinical professors completed the consent form and participated in the study. They filled out an online survey consisting of questions about essential characteristics, a work-life balance test, stress, burnout, work-life satisfaction, and work-life balance support needs. We analyzed the results by analysis of variance and cross-tabulation using IBM SPSS ver. 23.0. Differences were found in work-life balance, stress, burnout, and satisfaction with life and work by position. The requirements for support for work-life balance also varied by professional status. Professors had a higher balance between life and work than associate professors or assistant professors. The specific requirements for work-life balance support were also slightly different for each position. Overall, there was a high demand for work process simplification and efficiency for work support, flexible working hours and sabbatical years for family and leisure, and career management consulting and training support for growth. Assistant professors and associate professors had a lower level of work-life balance than professors, as well as higher levels of stress and burnout. Professors' job satisfaction was also higher than that of the other groups. Based on the results of this study, we hope that a healthy work environment can be established through work-life balance support suitable for clinical professors’ positions.

SVINnovation Challenge: Fostering Innovation in Vascular and Interventional Neurology

SVINnovation Challenge: Fostering Innovation in Vascular and Interventional Neurology

Clinical Judgment Measurement Model Helps Maximize Case-Based Didactic and Clinical Learning.

Clinical Assistant Professor, Department of Systems, Populations and Leadership, University of Michigan School of Nursing, Ann Arbor. Correspondence: Clinical Assistant Professor Karen Harden, Department of Systems, Populations and Leadership, University of Michigan School of Nursing, 400 North Ingalls St, Room 4108, Ann Arbor MI 48109 ([email protected]). The authors declare no conflicts of interest. Accepted for publication: February 2, 2023 Early Access: February 22, 2023

Kelly K. Ward, MD

Clinical Associate Professor of Obstetrics and Gynecology, Division of General Obstetrics and Gynecology. Medical Director, Labor and Delivery Unit and Mother-Baby Care, Department of Obstetrics and Gynecology. Associate Residency Director, Department of Obstetrics and Gynecology

Stuck: How Vaccine Rumors Start—and Why They Won’t Go Away

Stuck: How Vaccine Rumors Start—and Why They Won’t Go Away

Letters to the Editor: defining utility and pertinence.

Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN Financial Support: This work was supported by the Mayo Clinic (HM, GJG). Correspondence Gregory J. Gores, MD Professor of Medicine and Physiology Mayo Clinic 200 First Street SW Rochester, Minnesota 55905 Tel.: 507-284-0686; Fax: 507-284-0762. E-mail: [email protected]

Literature review for Fontan-associated liver disease: An update

Department of Surgery, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan Corresponding Author: Cheng-Maw Ho, MD, PhD, Clinical Associate Professor, Department of Surgery, National Taiwan University Hospital No. 7, Chung-Shan South Road, Taipei 100, Taiwan, Tel: +886-223123456-265914. E-mail: [email protected] Submitted date: 2022/10/5 Revised date: NA Accepted date: 2022/10/6 This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

Medications for Dyslipidemia

Mary Barna Bridgeman is a clinical professor at the Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey. She maintains a clinical practice as an adult internal medicine clinical pharmacist at Robert Wood Johnson University Hospital in New Brunswick, N.J. Kavitha S. Dalal is a critical care clinical pharmacist at Virtua Hospital – Marlton Campus. The authors have disclosed no financial relationships related to this article. Unless otherwise specified, the information in the preceding summaries applies to adults, not children. Consult the package insert for information about each drug's safety during pregnancy and breastfeeding. Also consult a pharmacist, the package insert, or a comprehensive drug reference for more details on precautions, drug interactions, and adverse reactions.

Editorial introductions.

Editorial introductions.

Editorial introductions.

Current Opinion in Endocrinology and Diabetes was launched in 1994, with Obesity added to the title in 2007. It is one of a successful series of review journals whose unique format is designed to provide a systematic and critical assessment of the literature as presented in the many primary journals. The fields of endocrinology and diabetes are divided into 9 sections that are reviewed once a year. Each section is assigned a Section Editor, a leading authority in the area, who identifies the most important topics at that time. Here we are pleased to introduce the Journal's Editor and Section Editors for this issue. EDITOR IN CHIEF David M. HarlanDavid M. HarlanDr David M. Harlan is a graduate of the University of Michigan (Bachelor of Science) and the Duke University School of Medicine, USA. He completed his internal medicine internship and residency at the Duke University Medical Center. This was before serving for 4 years as a staff internist at the Navy Hospital, San Diego, CA, USA. He then returned to Duke for his fellowship training in diabetes, endocrinology, and metabolism. In 1991 he established his laboratory at the Navy Medical Research Institute, USA, where he rose to become the Director of Combat Casualty Care. He was then appointed to the faculty of the Uniformed Services University of the Health Sciences. In 1999, he moved his laboratory to the National Institutes of Health, where he became the Diabetes Branch Chief within the National Institute of Diabetes, Digestive, and Kidney Diseases. In 2010, he moved to the University of Massachusetts School of Medicine, USA, where he is the William and Doris Krupp Professor of Medicine and Diabetes Division Chief. Dr Harlan also co-directs the UMass Diabetes Center of Excellence. His research interests all relate to diabetes and include the immunopathogenesis underlying type 1 diabetes and improved care delivery models for the disease. SECTION EDITORS Matthew FreebyMatthew FreebyMatthew Freeby, MD, is Health Sciences Associate Clinical Professor of Medicine in the Division of Endocrinology, Diabetes, and Hypertension, David Geffen School of Medicine at the University of California Los Angeles, USA. Dr Freeby received his MD from Virginia Commonwealth University, USA and completed his internal medicine internship and residency training at the University of California San Diego. He subsequently completed training in an endocrinology fellowship at Columbia University Medical Center in New York, USA. Dr Freeby is involved in community leadership for the American Diabetes Association and serves on planning committees for the Endocrine Society's annual meetings. His research has focused on a number of diabetes related topics including non-invasive in vivo measurement of beta cell mass as well as the evaluation of general care and complications. He has also collaborated with researchers evaluating iPS as a method for beta cell replacement in type 1 and other rare forms of diabetes. Lynne L. LevitskyLynne L. LevitskyDr Lynne L. Levitsky is a graduate of Bryn Mawr College and Yale Medical School, USA. She received her pediatric training at the Albert Einstein College of Medicine in New York, USA, and at the Children's Hospital of Philadelphia, USA. She was trained in pediatric endocrinology at the University of Maryland in Baltimore, USA. She was a Pediatric Endocrinologist and Professor of Pediatrics at the Pritzker School of Medicine, University of Chicago, USA, until 1990. She then came to Massachusetts General Hospital, USA, as Chief of the Pediatric Endocrine Unit and Associate Professor of Pediatrics at Harvard Medical School. She is now Emeritus Chief and co-director of the Turner Syndrome Wellness Center, USA. Her research interests in carbohydrate metabolism span laboratory studies of transcriptional control of beta cell function, and a role as an investigator in the NIH-sponsored TODAY treatment study of type 2 diabetes in the young. She is a past President of the Pediatric Endocrine Society and was the first head of the Education Council for that organization.

Engaging Evidence-Based Practice, Research, and Innovation Council Members in Shared Governance Through Experiential Learning

This article aims to share the experience of a large academic medical center’s journey to build a highly engaged, strong-performing, and productive Evidence-Based Practice, Research, and Innovation Shared Governance Council. An experiential learning approach was initiated to further engage and teach staff nurse council members about evidence-based practice (EBP) and research. Using monthly council meetings, the Evidence-Based Practice, Research, and Innovation Council successfully completed 1 EBP project and 1 research project. Staff nurses appreciated the connection between research, EBP, and the development/refinement of nursing policies. This article aims to share the experience of a large academic medical center’s journey to build a highly engaged, strong-performing, and productive Evidence-Based Practice, Research, and Innovation Shared Governance Council. An experiential learning approach was initiated to further engage and teach staff nurse council members about evidence-based practice (EBP) and research. Using monthly council meetings, the Evidence-Based Practice, Research, and Innovation Council successfully completed 1 EBP project and 1 research project. Staff nurses appreciated the connection between research, EBP, and the development/refinement of nursing policies. Esther Chipps, PhD, RN, NEA-BC, FAONL, Clinical Nurse Scientist, Clinical Professor, The Ohio State University Wexner Medical Center, The Ohio State University College of Nursing. She can be reached at [email protected]; Amy Knupp, PhD, RN, APRN-CNS, CPPS, Associate Director, Nursing CE Programming and Clinical Placement, The Ohio State University Wexner Medical Center; Jane Ginther, DNP, APRN-CNP, Nurse Practitioner, Orthopedic Trauma, The Ohio State University Wexner Medical Center; Laurel Courtney, MS, APRN-CNS, AOCN, Clinical Nurse Specialist, Nursing Informatics, The Ohio State University Wexner Medical Center and James Cancer Hospital and Solove Research Institute; Samantha Warren, BSN, RN, PCCN, Staff Nurse, Cardiac Medical ICU, The Ohio State University Richard M. Ross Heart Hospital; Sherry Levering, DNP, RN, Staff RN, Medical-Surgical Nursing, The Ohio State University, Hospital East; Kimberly Brown, DNP, RN, NEA-BC, Director of Nursing Professional Practice and Regulatory Affairs, The Ohio State University Wexner Medical Center.

For Science and Humanity: Vivisection and the Rise of Experimental Physiology

Anesthesiology Reflections from the Wood Library-Museum| February 2023 For Science and Humanity: Vivisection and the Rise of Experimental Physiology Anesthesiology February 2023, Vol. 138, 208. https://doi.org/10.1097/ALN.0000000000004475 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Cite Icon Cite Get Permissions Search Site Citation For Science and Humanity: Vivisection and the Rise of Experimental Physiology. Anesthesiology 2023; 138:208 doi: https://doi.org/10.1097/ALN.0000000000004475 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsAnesthesiology Search Advanced Search Jane S. Moon, M.D., Assistant Clinical Professor, Department of Anesthesiology and Perioperative Medicine, University of California, Los Angeles, California. You do not currently have access to this content.

Reassessing our knowledge about mental health and LGBTQ+ practice

Reassessing our knowledge about mental health and LGBTQ+ practice Here, Dr. Shanéa Thomas, a training Specialist and Assistant Clinical Professor, argues that trainers are the key to inclusivity regarding mental health and LGBTQ+ practice. Many of us may still be recovering from instability from the last three years, figuring out the new landscape of need amongst the populations we serve, especially within mental health. Moving into a new year means taking the constructive lessons from the previous year and reimagining how our practices and skills can make a different impact in the future. One way has been therapeutic practices finding ways to increase their reach of services. A 2020 study found that audio and video telehealth services have risen 80 percent over the pandemic in the United States (Karimi et al., 2022). Worldwide, the need continues, as the World Health Organization (WHO, 2022) states there has been a 25% increase in anxiety and depression. When looking specifically at LGBTQ+ people during the pandemic, "LGBTQ+ adults have been twice likely to experience mental health challenges compared to non- LGBTQ+ adults" (File & Marley, 2022). In working with these populations, the volume and specificity of service delivery require professionals to find innovative ways to accommodate the need and range of demographics, in person or online.

An online case-based teaching and assessment program on clinical history-taking skills and reasoning using simulated patients in response to the COVID-19 pandemic

BackgroundThe COVID-19 pandemic has created unprecedented challenges for medical students and educators worldwide. Groups 1, 2 and 3 of year 3, semester 2 medical students at the Royal College of Surgeons in Ireland (n = 275) had only completed 2, 5 and 7 weeks, respectively, of their scheduled 10-week clinical medicine and surgery attachments, prior to the Irish shutdown of all in-person non-essential activities, including medical student education.MethodsWe developed and delivered an online case-based program, focused on history-taking skills and clinical reasoning, using simulated patients and video technologies. 12 tutorials were delivered over 6 weeks to 35 subgroups of 8 students in line with program learning outcomes. Both simulated patients (n = 36), and tutors (n = 45, from retired clinical professors to newly graduated physicians), were rapidly upskilled in Blackboard Collaborate and Microsoft Teams, and also in the provision of constructive feedback. We evaluated this newly developed program by the following three criteria: student attendance, achieved grades, and student feedback.ResultsAttendance at the 12 tutorials was higher amongst group 1 and 2 students (75 and 73%) by comparison with group 3 students (60%) (p = < 0.001). Of the 273 students that sat the Year 3 Semester 2 online long case assessment, 93% were successful. Despite group 1 students having the least prior clinical experience, results were similar to those of groups 2 and 3 (1st honors, 2nd honors, pass, and fail grades for group 1, 39%, 33%, 23% and 6%; group 2, 34%, 41%, 17% and 8%; group 3, 39%, 25%, 28% and 7%) (p = 0.48). An increased attendance rate at tutorials was associated with higher numbers of honors grades (p = < 0.001). Anonymous feedback from the students demonstrated considerable satisfaction with program: > 85% agreed that the online program was interactive and very educational.ConclusionsUse of online video technology, tutors of varied experience, and simulated patients were demonstrated to replicate patient encounters, and to facilitate the development of clinical skills remotely during the COVID-19 pandemic.