Program Coordinators Research Articles

Dermatology in Student-Run Clinics in the United States: Scoping Review.

Student-run clinics (SRCs) for dermatology hold potential to significantly advance skin-related health equity, and a comprehensive analysis of these clinics may inform strategies for optimizing program effectiveness. We aimed to perform a scoping review of the literature about dermatology SRCs across the United States. We conducted systematic literature searches of Ovid MEDLINE, Ovid Embase, and Scopus on March 1, 2023, and June 19, 2024. No date, language, or paper-type restrictions were included in the search strategy. A total of 229 references were uploaded to Covidence for screening by 2 independent reviewers (SK and LL), and 23 full-text documents were assessed for eligibility. After an additional 8 documents were identified through a gray literature search, a total of 31 studies were included in the final analysis. Inclusion criteria were as follows: (1) studies set in an SRC, which was operationally led by medical students and could render condition-relevant treatments to patients, with dermatology care; (2) published in English; (3) within the United States; (4) included characterization of any of the following: logistics, care, patients, or design; and (5) included all study or document types, including gray literature that was not peer reviewed (eg, conference abstracts, preprints, and letters to the editor). Exclusion criteria were (1) papers not published in English and (2) those with duplicated data or that were limited in scope or not generalizable. Data were extracted qualitatively using Microsoft Excel to categorize the studies by several domains, including clinic location, demographics, services offered, and barriers to care. There are at least 19 dermatology SRCs across the United States. The most common conditions encountered included atopic dermatitis; acne; fungal infections; benign nevi; psoriasis; and neoplasms, such as basal cell carcinoma, squamous cell carcinoma, and melanoma. Key facilitators for the clinics included faculty oversight, attending physician participation for biopsy histopathology, and dedicated program coordinators. Major barriers included lack of follow-up, medication nonadherence, and patient no-shows. Dermatology SRCs serve a diverse patient population, many of whom are underrepresented in traditional dermatology settings. This scoping review provides insights to help build stronger program foundations that better address community dermatologic health needs.

Chutes and Ladders: Using Knowles to Guide Nurse Residents up the Benner Ladder Through Facilitation of Nurse Resident Ownership.

This article discusses the collaborative efforts of two nurse residency program coordinators to increase engagement and improve outcomes within their respective programs. Inspired by the theories of Patricia Benner and Malcolm Knowles, the authors promoted self-directed learning by introducing resident-led committees. Implementing these committees helped improve program evaluation scores, build camaraderie, and provide personalized experiences for each cohort. [J Contin Educ Nurs. 2024;55(12):560-562.].

Evaluating the Importance of Mentoring in Undergraduate Research Education Programs.

The National Institute of Health R25 Research Education Program was evaluated in the second year of implementation. Twelve mentors and 20 underrepresented minority students (URMs) scholars from partnerships and collaborations among five colleges and universities were added to the program to provide a more diverse research experience. Findings reveal that 100% of research mentors agree that the approachableness and accessibility of the program coordinator were beneficial in achieving mentorship goals and objectives. In addition, 85% of the students strongly agreed that the presentation of their research findings and the weekly reflection on goals, identification of accomplishments, and obstacles through the individual development plan were very effective. Of the 23 successfully tracked students for 2 years, six URMs (26.09%) obtained a bachelor's degree and were admitted into a graduate program; two were directly admitted to a PhD program in biomedical sciences.

Fostering links, building trust, and facilitating change: connectivity helps sustain longitudinal integrated clerkships in small rural and remote communities

BackgroundMaldistribution of medical professionals presents a significant challenge globally and leads to inequitable healthcare access, particularly in remote areas. Longitudinal integrated clerkships (LICs) in rural areas can improve workforce distribution and may be an innovative contributor to solving maldistribution issues. However, to align with healthcare needs, LICs must be sustainable in small communities, which often have a limited medical workforce. This study investigates the key elements underpinning LIC sustainability in small communities.MethodsThis study adopted a constructivist research paradigm in which participants’ constructions of their experiences supporting LICs in small rural communities were explored. Participants were conveniently sampled from the LIC community of practice attending the 2021 virtual annual conference of the Consortium of Longitudinal Integrated Clerkships. Data were collected through video recording and thematically analysed to identify barriers and enablers to running sustainable LIC programmes.ResultsEleven participants fulfilling key roles within LICs, including clinical school directors, program coordinators, and clinical educators, were recruited for the study. Thematic analysis indicated that it is Connectivity, expressed through three subthemes, Fostering Links, Building Trust, and Facilitating Change, which underpins sustainable LICs in small communities.ConclusionsConnectivity is a strong mediator for sustainability of LICs and may be the central defining theme of LICs. Increasing connectivity through prioritizing community engagement, trust-building, and strategic investment enhances the sustainability of rural LICs, ensuring their continued positive contribution to medical workforce distribution in underserved areas.

Sehat Card Plus in Khyber Pakhtunkhwa: Confronting challenges, strengthening governance, ensuring financial sustainability

Objective: To conduct an in-depth policy analysis of the Sehat Card Plus (SCP), focussing on its governance, financingstructures, achievements, and long-term sustainability.Methods:A three-tiered framework was employed. At the micro-level, over 4,000 households were surveyed; at the mesolevel,readiness assessments were conducted at 38 empanelled hospitals; and at the macro-level, a policy and strategicreview of the SCP was conducted. The policy review examined (i) programme governance and coordination, including thirdpartyadministration by SLIC; (ii) current status of legislative and regulatory aspects; (iii) financing trends and sustainability;(iv) service delivery mechanisms, including beneficiary enrollment, empanellment and reimbursement mechanisms; and(v) monitoring and evaluation systems. A mixed-methods approach was used, combining literature review, technical reports,and budgetary documents with in-depth interviews conducted with provincial and federal officials, health system experts,and stakeholders. Data from interviews was collected between October and November 2022 underwent thematic deductiveanalysis.Results: Six thematic areas were identified: (i) Governance: Strong legislative commitment through the UHC Bill 2022, butwith limited citizen representation in decision-making bodies; (ii) Organizational arrangements: Limited staff anddependence on SLIC limit monitoring and strategic management; (iii) Financing: Unplanned expansion challenges financialsustainability in economic crisis, as SCP is fully funded by provincial revenues; (iv) Service purchasing: State Life InsuranceCorporation (SLIC) manages hospital empanellment and claims processing, though lack of involvement of health authorities;(v) Monitoring & evaluation: Independent monitoring systems are needed for transparency and quality assurance (vi)Communication and User Satisfaction : Beneficiary engagement and feedback mechanisms in SCP need improvement.Conclusion: SCP has expanded inpatient care and improved financial protection, but challenges remain in quality, financialsustainability, and equity, crucial for achieving UHC in Pakistan.Keywords: Universal Health Coverage (UHC), Sehat Card Plus (SCP), Khyber, Pakhtunkhwa (KP), Publicly Funded HealthInsurance, Social Health, Protection Initiative (SHPI).

The Javeriana Cali’ Strategic Plan for the Sustainable Management: An Example of How to Implement, Disseminate and Evaluate Sustainability Policies

In order to organize the multiple actions the Universidad Javeriana had been developing for the sustainable management of its campus, a strategic plan was structured. The plan is structured in five major programs: water resources, energy, biodiversity, recycling and reduction of CO2 emissions. For the definition of these five programs we were inspired by the contributions of the thematic structure of Green Metrics, the recommendations of the Encyclical Laudato Si and the SDGs. In turn, each program is broken down into sub-programs, projects and sub-projects. Each program also includes cross-cutting strategies articulated in sub-programs which are broken down into research projects, semester projects, graduate work and theses. Also, sub-programs for disseminating initiatives and entrepreneurship are considered. The planning instrument is taken to the detail of operational planning, using the Gantt Chart. A team coordinates the coordination of the different programs and meets weekly to review its progress. The plan was presented and approved to the University's Steering Committee, and the document has been incorporated into the University's Strategic Plan. It is also being used to link professors from civil engineering, electronics and architecture careers who invite students to carry out semester or degree work on topics that strengthen campus execution.

Circular economy education: student feedback from five higher education institutions in the Asia Pacific

Purpose The integration of circular economy (CE) into higher education programmes is a crucial step to facilitate a smooth transition towards circularity. Although existing studies highlight the lack of CE awareness as a primary barrier to achieving circularity, there is still limited research investigating the enhancement of CE understanding after completing CE-related training or courses. To address this gap, this study aims to examine how CE education transforms students’ mindsets to support the strategic application of CE principles and strategies in personal and professional activities. Design/methodology/approach An online survey was designed and distributed to students attending CE courses at five universities located in five countries. Ethics approval for this research project was obtained from University 3 as the lead of the research project. Out of a total of 138 students enrolled in these courses, 109 responses were collected. Findings The research findings demonstrate that CE education enhances students’ awareness of CE definitions, principles and strategies through developing their own descriptions of CE concepts and interpretation into personal and professional activities, showcasing practical circular applications. Practical implications This paper presents implications for programme coordinators, subject coordinators and lecturers/facilitators at universities/higher educational institutions to consider when designing a course or training workshop related to CE within a particular programme or discipline. Originality/value This study identifies invaluable insights of CE education to enhance students understanding and practical applications of circularity in their personal and professional activities. The research findings can be used for crafting and delivering CE courses in different universities. This study can be regarded as guidance to develop a CE curriculum for higher education nurturing a deep understanding of CE concepts while aligning with the industry demands for CE professionals.

Strengthening an OR Nurse Residency Program: Enhancing Education and Achieving Accreditation.

This article discusses the implementation and enhancement of an OR nurse residency program at a health care system in North Carolina. Recognizing the unique challenges and skills required in perioperative nursing, program coordinators aimed to support new nurses transitioning into the OR setting. Key enhancements included incorporating AORN's Periop 101: A Core Curriculum to provide consistent, evidence-based perioperative education and pursuing accreditation through the Commission on Collegiate Nursing Education to ensure the highest standards of excellence. The program also emphasizes simulation training, preceptor guidance, and continuous feedback to increase residents' proficiency and confidence. The integration of Periop 101 has led to successful outcomes, including high pass rates on comprehensive exams and residents achieving the Certified Foundational Perioperative Nurse credential offered by the Competency & Credentialing Institute. This article highlights the importance of structured education, leadership involvement, and continuous improvement to develop competent and skilled OR nurses.

Organizational constraints on campus support programs: A case for former foster care youth

Campus support programs provide targeted services to groups of students throughout their time in college. Some institutions have implemented support programs for former foster care youth, who face lower rates of college retention and graduation than their non-foster peers. These programs must operate within the constraints that colleges and universities impose on them while attempting to maintain program effectiveness. Despite the relevance of the broader university context on campus support program effectiveness, limited studies have examined possible implications of organizational constraints. This study explores organizational constraints and their consequences on campus support programs for former foster care youth. Using an integrated organizational sociology of education framework, we analyzed data from in-depth interviews with 20 program coordinators of campus support programs for former foster care youth across the United States. Results revealed five organizational constraints imposed by the organizational network and structure: limited resource allocation, immobilized information, structural disconnection, conflicting goals, and weak relationships. Our analysis suggests these constraints reinforce each other and undermine program effectiveness.We conclude by discussing the need for additional organizational research on campus support programs, arguing that addressing constraints can lead to a more thorough understanding of their consequences on campus support programs for marginalized student groups.

Cost of delivering childhood RSV prevention interventions to the health system in Kenya: a prospective analysis

ObjectivesTo evaluate the cost of delivering childhood respiratory syncytial virus (RSV) prevention interventions to the health system in Kenya.DesignA prospective (cost projection) activity-based costing study.SettingKenya, national introduction of interventions.ParticipantsNot applicable.InterventionsA...

The Influence of Transformational Leadership of Higher Education Institution (Hei) Administrators on Teachers’ Performance in China

Higher education leaders (HEI) are the college directors, deans, department chairpersons, and program coordinators. Over time, the roles and functions of academic administrators have changed significantly. This study investigated the influence of the HEI administrators’ transformational leadership on teachers’ performance in China and contributed to the limited studies on these variables in the context of HEI in China. Guided by the theory of transformational leadership, this study was designed using a quantitative descriptive correlational research approach. Through the participation of 314 HEI faculty, the results revealed that the overall assessment of transformational leadership qualities is evident, but the overall performance of teachers is rated as average. And among the predictors of transformational leadership, only the empowering variable has a positive influence on the assessment of teachers’ performance.

Cross-Sector Support for a Policy Framework to Tackle Social Determinants of Health

This JAMA Forum discusses 4 focus areas developed by a collaborative of more than 40 organizations and experts in health care, social services, and other sectors designed to find ways to support and address social determinants of health with better program coordination and partnerships and novel financing approaches.

The Crucial Role of GME Program Coordinators in Shaping the Physician Workforce

The Crucial Role of GME Program Coordinators in Shaping the Physician Workforce

Peran Masyarakat Lokal dalam Pengelolaan Daya Tarik Wisata Alam Arung Jeram Papulangi Kabupaten Gorontalo Uatar

Currently tourism activities in Indonesia are experiencing rapid development, this can be seen from the various regions in Indonesia developing tourist destinations in their respective regions. In Law Number 10 of 2009 which states that the existence of tourist attractions in an area will be very profitable, including improving people's standard of living, expanding employment opportunities, increasing Regional Original Income (PAD), then increasing love for the environment and preserving nature and local culture. The existence of the tourism sector in a region can have both positive and negative impacts. However, basically it depends on the management and management of tourism played by all stakeholders from government, private sector and community elements in the area. Achieving the goals and mission of good, sustainable and environmentally friendly tourism development will be possible if the achievement process can be carried out through good tourism governance. (good tourism governance). The principle of implementing good tourism governance is the coordination and synchronization of programs between existing stakeholders and the involvement of synergistic (integrated and mutually reinforcing) active participation between the government, private sector or tourism industry and the relevant local communities.

15 years of the Colorrectal Cancer Screening Programme. Decreasing inequalities

Abstract Background The Colorectal Cancer (CRC) Screening Programme approved in 2008 by the Regional Parliament and carried out in 2009 a pilot study inviting to residents 50-69 years old (586,700), through a biennial Faecal Immunochemical Test (FIT), colonoscopy in FIT positive. The Programme Coordinating Centre sends FIT by post and involves Primary Care and Endoscopy departments in process and results control. In 2013, 100% coverage was reached, and in 2023 more than 80% were invited more than 6 times. However, inequalities in participation were detected: by age, gender, deprivation and vulnerability. Since 2014, different strategies have been carried out in order to decrease with the commitment of authorities, researchers and associations. Objectives To describe strategies and results to decrease inequalities in participation Results From the pilot participation rate increased (p < 0.001) 58.1% to 72.0% in 2023. Inequalities by gender (69.4 men vs 74.4% women) and deprivation index were detected (55.7/1000 lower vs high 41.0/1000). The non-adherence to colonoscopy was 5% along the period. Training, and communication campaigns developed. 2016-2017 special recruitment for imprisoned and mental health patients increasing participation rate (9.3 to 97.1%). In 2021 and ongoing: thanks to Resilience Funds (European Union), strategies were implemented: SMS specific by sex, research health literacy, studying CRC behavior by sex in FIT sensitivity 85.4% (CI95% 84.2-86.7) in men and 80.9% (CI95% (79. -82.6) in women p < 0.001 Conclusions The governance and involvement of professionals, researchers and patient associations crucial to decrease inequalities. The Basque Programme achieved one of the highest participation rate. Investment in reducing barriers will probably impact on the reduction of incidence and mortality. Key messages • A population based CRC Screening Programme reduces incidence and mortality on participants. • Intervention to increase participation reduces inequities and is crucial on Public Health policies.

Optimizing Colorectal Screening in Portugal with Process Mining

Abstract Background Efficient healthcare screening programs management influences patient outcomes. Process mining has emerged as a powerful tool to enhance these programs by refining complex workflows and pinpointing operational deviations. Objectives This study utilizes process mining techniques to analyze the colorectal cancer screening program in Northern Portugal, focusing on detecting deviations and performance bottlenecks in process models. Methods This screening program started in March 2018, but process mining was only used on data posterior to 2020. Over 1 million case observations from administrative data were included in the process model analysis, involving more than six key process activities and numerous resources. We used new software and statistical tools for process mining to rapidly compute observations and filter for different operational needs and monitor interventions. Results The discovery analysis identified deviations, such as unexpected performance issues and irregular activity sequences. Although over 100 traces were identified, fewer than five traces accounted for more than 90% of all case paths, indicating the most common traces that have a true impact in participation rates, referral rates, and treatment rates. Notable differences in resource performance during specific periods, such as COVID-19 or seasonal events, were also observed. These findings provided insights for adjusting resource allocation and improving coordination, with impact in minimizing seasonal phenomena or peak production periods. Lessons Process mining offers actionable insights for effective health program coordination, enabling the monitoring and timely response to process deviations. With key areas for action identified in a more timely and precise manner, we can enhance efficiency, and expand population coverage and treatment referral. Future initiatives will focus on further process optimization and national coverage expansion using these management tools. Key messages • Process mining revolutionizes healthcare by enabling the strategic management of complex oncological screening program workflows. • Comprehensive data analysis across the patient pathway enhances program efficiency and expands treatment access.

Materializing global academic mobility through the eyes of program coordinators: Comparative insights from a Romanian-U.S. institutional Erasmus+ agreement

Erasmus+, the European Union’s mobility program has been researched extensively (e.g., De Wit, 2020), yet mobility program coordinators at higher education institutions responsible for student, faculty, and staff exchanges remain under-researched. This comparative study showcases a Romanian-U.S. Erasmus + partnership established between Universitatea Babeş-Bolyai in Cluj-Napoca, Romania, and North Dakota State University in Fargo, United States. The study draws on (auto-)ethnographic explorations to investigate two coordinators’ roles, responsibilities, and experiences and explores the infrastructure and qualifications needed to facilitate mobility programs. It concludes that the materialization of mobility agreements relies on a combination of personal and institutional motivations, interests, and goals. High levels of individual initiative, linguistic/cultural knowledge, connections, and consistent involvement on the part of the coordinators facilitating the process are required. We advocate for more institutionalized incentives and recognition for coordinators to continue shaping the future of global mobility in higher education.

Non-Technological Teaching Aid: Effectiveness in Developing Young Learners' Grammatical Accuracy

With the rapid development of educational technology in the teaching and learning of English, many instructors are beginning to integrate various technology related activities in their lesson. However, many of the recent studies states inaccessibility to technological infrastructure had hindered the implementation of said activities in the classroom. This study hence investigates the effectiveness of an interventional teaching aid that does not need technology on improving young learners’ grammar accuracy in terms of using preposition accurately and forming simple sentences using preposition. Sixty (n=60) year 4 learners of a primary school were enrolled in the quasi-experimental research where the Experimental Group (EG) were involved with the interventional teaching aid called Dice and Paste (DAP) activity. The results indicated that among the two groups, the EG who received instructions based on DAP activity improved the most in post-test for both preposition test (section A) and also simple sentence formation using preposition (section B). This researcher recommends ESL language instructors, other subject instructors, program coordinators, and other stakeholders to adopt DAP especially in an environment where technological infrastructures were lacking.

Use of Mixed Reality Technologies by Orthopedic Surgery Residents: A Cross-Sectional Study of Trainee Perceptions

Introduction Recently within surgical education, the development of extended reality (XR) devices has become a topic of interest to improve trainees’ surgical technique outside of the operating room. There is a growing body of literature which supports the use of XR, and it is important to understand the perceptions of orthopedic surgery trainees on the use of XR as an adjunct during training. Purpose Understand the perceptions of orthopedic trainees on the use of XR as an adjunctive surgical training tool. Methods An internally validated 18-question survey was sent to all US orthopedic residency program coordinators with the intent for distribution to each program’s respective residents. Responses with ≥ 70% completion were considered complete. Results Overall, 33% and 18% of residents agreed XR is needed, and all programs should offer XR, respectively. There was overall agreement (67%) for XR’s ability to improve procedural confidence and improve skill progression (65% agreed). Only 25% of respondents felt XR could accurately simulate orthopedic procedures and 36% agreed it could effectively model patient-specific anatomy for preoperative planning. Regarding XR’s ability to reduce intraoperative navigational error, 45% of respondents agreed. However, responses were more neutral for XR’s ability to reduce inpatient length of stay (40%) and ability to improve the accuracy of hardware/prosthetic placement (31%). Finally, 53% of respondents agreed that the largest barrier to integration of XR is cost, while 35% felt that a lack of dedicated time to use the technology during their training program was a major barrier. Conclusion The need for adjunctive surgical training outside of the operating room is clearly demonstrated from our results. Although it is unclear if XR will become a standard tool across all residency programs, orthopedic surgery residents do feel that the technology is useful in terms of skills progression and operative confidence. Thus, this study provides a preliminary framework which suggests a potential role for XR in orthopedic surgery training and the need for further study to address barriers to widespread integration.

Coordinator and Young Adult Perceptions in Attracting and Retaining Chicago Youth in Out-of-School Time Programming

Youth from families with greater economic means have seen an increase in their participation in extracurricular activities, while the participation levels of youth from working class families have decreased. Knowing the benefits to youth participation in extracurricular activities, communities where youth of marginalized backgrounds reside have an obligation to engage their youth in activities offered through school and community out-of-school time programs. Interviews and focus groups with program coordinators and young adults were conducted to identify how youth in Chicago have been attracted, engaged, recruited, and retained in out-of-school time programs. Program aspects and strategies used to connect with youth and their families emerged, some of which have been previously found in the relevant literature to be positively related to youth outcomes, and some of which are specific to youth who identify as Latine and youth who identify as male. Practical implications and suggestions for future research are further discussed.