Diverse Practice Settings Research Articles

Promoting linguistic and cultural diversity through global Englishes teacher education: classroom practices, challenges, and rewards

This multiple-case study is framed within the Global Englishes Language Teaching (GELT) paradigm, calling for a break from standard English norms in teacher education. Though relevant literature underscores the positive influence of GELT-focused teacher training on teachers’ perceptions, classroom applications remain underexplored. Thus, this study explored the long-term impact of a GELT course on teachers’ instructional practices along with enablers and challenges of Global Englishes practices in diverse settings. The findings show that teachers’ practices became more inclusive linguistically and culturally, offering insights for teachers and teacher educators keen to integrate GELT-informed strategies into their practices.

Social workers’ perspectives on anti-Black racism and parenting outcomes for incarcerated pregnant women with substance use histories

Summary Black women who use substances face significant barriers to accessing resources and parenting their children, largely as a result of interactions with the criminal legal, child welfare, and healthcare systems. While extensive literature has demonstrated how structural racism and punitive policy approaches underpin the operation and impact of these systems, minimal attention has been paid to how social workers approach child, maternal, and family well-being when interacting with clients who use substances and have been incarcerated. To address this gap, we conducted semi-structured qualitative interviews with 19 social workers practicing in jail/prison, community, and hospital settings across the United States. Findings Interviews identified the cyclical and intergenerational nature of harms perpetuated through criminal legal, child welfare, and healthcare systems. Participants described structural racism, inadequate resources (i.e., housing), and previous criminal legal and child welfare involvement as compounding barriers to an individual’s ability to parent and maintain recovery, particularly among Black families. Participants described the pervasiveness of structural racism but did not perceive themselves as active participants in perpetuating racist and oppressive structures. Applications Social workers engage with Black pregnant women who use substances across diverse practice settings and as such have the potential to both contribute to systemic harms and to champion interventions that target the root causes of inequity. Study findings support structural interventions that dismantle punitive systems and re-center the needs of Black communities, thereby supporting Black mothers in their fundamental right to parent their children.

Essential Competencies for Oncology in Physical Therapist Professional Education Programs: Results of a Mixed Methods Modified Delphi Study.

The objective was to establish consensus-based competencies for oncology within physical therapist professional education programs in the United States. A mixed-methods approach implementing a sequential exploratory design that included 3 phases was used to establish oncology competencies for physical therapist professional education programs. Participants in each phase were physical therapists representing diverse practice settings, experience levels, and geographical regions. Student physical therapists were included in phases 2 and 3. Three online focus groups were followed by an in-person group discussion to establish cancer-related themes, domains of practice, and competencies. Participants evaluated the competencies in a 3-round modified Delphi study for relevance and clarity. Each competency required 80% consensus using a Likert scale (1 = not at all relevant/clear, 5 = extremely relevant/clear). It was not accepted if a competency did not meet the 80% threshold by the end of round 3. Six domains of practice and 28 competencies were developed and evaluated. Within the 6 domains, 21 competencies were accepted: general cancer concepts (n = 4), musculoskeletal system (n = 3), neurologic system (n = 5), integumentary system (n = 2), cardiovascular and pulmonary system (n = 5), and involvement of multiple systems across the lifespan (n = 2). Along with the 21 competencies, participants also recommended 11 overarching oncology themes to incorporate into physical therapist professional education programs. Delivering cancer content using a body systems approach was recommended. As the number of survivors of cancer continues to grow, integration of these essential competencies within physical therapist professional education programs will improve the profession's capacity to provide quality care to meet the societal need of persons living with and beyond cancer. Academic and clinical educators should integrate these competencies to ensure that physical therapist professional education programs appropriately prepare physical therapists for providing care for persons living with and beyond cancer across the lifespan.

Blueprint for Building and Sustaining a Cardiogenic Shock Program: Qualitative Survey of 12 US Programs

BackgroundMultidisciplinary cardiogenic shock (CS) programs have been associated with improved outcomes, yet practical guidance for developing a CS program is lacking. MethodsA survey on CS program development and operational best practices was administered to 12 institutions in diverse sociogeographic regions and practice settings. Common steps in program development were identified. ResultsKey steps for program development were identified: measuring baseline outcomes; identifying subspecialty champions; gaining leadership and team buy-in; developing institution-specific CS protocols; educating staff and referring providers; consulting with external experts; and developing quality assessment and process improvement. ConclusionsAn assessment of 12 US CS programs highlights a blueprint for establishing and maintaining a successful, multidisciplinary shock program.

Guides for facilitating the implementation and evaluation of social prescribing: lessons from the "Access to Resources in the Community" model.

Social prescribing (SP) embodies a comprehensive approach to addressing the social determinants of health. Access to Resources in the Community (ARC) is an innovative SP program offering bilingual services that involves a single point of entry for health and social needs and introduces practice changes to assist primary care providers in engaging patients, along with a nonclinical lay navigator who supports patients in accessing relevant community resources. The ARC team has created a SP toolkit offering practical guidance for setting up, implementing, monitoring the progress of and evaluating SP programs. The four ARC guides can be easily customized for application in diverse practice and research settings.

Mitigating Misinformation Toolkit: A Medical Student Role-Play Curriculum on Communication Techniques to Facilitate Vaccine Misinformation Conversations.

The COVID pandemic and affiliated infodemic led to widespread health misinformation, generating confusion and distrust. Physicians must identify and address misinformation, with attention to cultural/health literacy, equity, and autonomy. Most medical students receive training in core communication techniques but are rarely taught how to combat misinformation with patients and lack opportunities for practice in diverse settings. We used mixed methods to evaluate the impact of a role-play-based training curriculum on 44 third- and fourth-year medical students' comfort and confidence applying ask-respond-tell-seek solutions (ARTS) and motivational interviewing (MI) to discuss vaccine hesitancy, using COVID-19 as an example. There were three training iterations: prior to volunteering at a community health fair, during a medicine clinical rotation, and during a pediatrics rotation. Pre- and postsession questionnaires were administered. Likert-scale questions assessed comfort and confidence using ARTS and MI. Narrative responses focused on previous experiences with vaccine hesitancy, challenges faced, and session takeaways. Students' comfort, confidence with ARTS/MI, and self-reported ability to discuss COVID-19 vaccinations improved as measured by pre- and postsession surveys (p < .05). Qualitatively, students reported increased confidence delivering recommendations in plain language and exploring patients' thought processes behind choices. Reinforcement of core communications strategies in medical school can positively impact trainees' ability and ease addressing misinformation. We recommend this 45-minute training session to effectively increase medical students' comfort and confidence in discussing COVID-19 vaccines with patients. It can be adapted to any health professions school with an existing communications thread.

Defining practices suitable for care via teleconsultation in gynaecological and obstetrical care: a French Delphi survey

ObjectiveDelineate the scope of teleconsultation services that can be effectively performed to provide women with comprehensive gynaecological and obstetrical care.DesignBased on the literature and experts’ insights, we identified a list...

Implementation and Adaptations of Written Exposure Therapy: Lessons Learned Across Settings

Written Exposure Therapy (WET) is a promising evidence-based psychotherapy (EBP) for posttraumatic stress disorder (PTSD), in part because it is less time-intensive (i.e., five sessions with no between-session assignments) and has lower dropout than other first-line PTSD psychotherapies. As such, WET has the potential to improve access to quality care and reduce attrition, particularly among difficult-to-reach populations (e.g., veterans, military service members, and minoritized groups). The process of effectively translating WET to diverse practice settings is likely to require the development of customized treatment-congruent adaptations to facilitate access to care and the uptake of the intervention.This article outlines several recent efforts to implement WET in novel ways, while maintaining an emphasis on fidelity to the core mechanisms of the treatment. Implementation efforts include a cultural center with Spanish-speaking immigrants, active-duty military behavioral health, technology-based approaches, and group format in residential and outpatient Veterans Affairs (VA) settings. We will review lessons learned and program evaluation data from the included sites and will offer suggestions for clinic administrators and providers hoping to implement WET.

The Impact of Phonological Variation on Speech Perception and

Purpose: The general aim of the study was to examine the impact of phonological variation on speech perception and production.&#x0D; Methodology: The study adopted a desktop research methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low cost technique as compared to field research, as the main cost is involved in executive’s time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library.&#x0D; Findings: The findings reveal that there exists a contextual and methodological gap relating to phonological variation on speech perception and production. Preliminary empirical review revealed that that phonological variation significantly influences both speech perception and production processes. It highlighted the complex interplay between phonological variation, social factors, cultural context, and cognitive mechanisms. Moreover, the study emphasized the importance of addressing phonological variation in language education, clinical practice, and intercultural communication to promote inclusive communication practices in diverse settings. Overall, the findings contribute to a deeper understanding of language diversity and its implications for communication.&#x0D; Unique Contribution to Theory, Practice and Policy: Labov's theory of Variationist Sociolinguistics, Optimality theory and Speech Accommodation theory may be used to anchor future studies on phonological variation on speech perception and production. The study provided valuable recommendations that contributed to theoretical understanding, practical communication outcomes, and language policy decisions. It integrated insights from phonological variation research into linguistic theories, recommended the integration of phonological training into language instruction programs, and emphasized the importance of inclusive language policies. Additionally, the study suggested interventions to improve communication effectiveness, bridge communication gaps, address language disorders, and promote linguistic diversity. By incorporating these recommendations, stakeholders worked towards enhancing communication and fostering linguistic inclusivity across diverse linguistic contexts.

Feasibility of Prospective Assignment of Initial Method of Detection of Breast Cancer: A Multicenter Pilot Study

ObjectiveTo determine the feasibility of standardized, prospective assignment of initial method of detection (MOD) of breast cancer by radiologists in diverse practice settings. MethodsThis multicenter, retrospective study analyzed the rate of assignment of MOD in four geographically varied health systems. A universal protocol for basic MOD assignment was agreed upon by the authors before start of the pilot study. Radiologists at each site were instructed how to assign MOD. Charts were then reviewed to determine the frequency and accuracy of MOD assignment for all cases subsequently diagnosed with breast cancer. When available, data regarding frequency of tumor registry abstraction were also reviewed for frequency and accuracy. ResultsA total of 2,328 patients with a new diagnosis of breast cancer were evaluated across the sites over the study period. Of these patients, initial MOD was prospectively assigned by the radiologist in 94% of cases. Of the cases in which MOD was assigned, retrospective review confirmed accurate assignment in 96% of cases. ConclusionsProspective, standardized assignment of initial MOD of breast cancer is feasible across different practice sites and can be accurately captured in tumor registries. Standard collection of MOD would provide critical data about the impact of screening mammography in the United States.

Investigate how Frequently Dental Professionals Conduct Oral Cancer Screenings During Routine Dental Check-Ups and the Methods they Use

ABSTRACT Background: Oral cancer is a significant global health concern with substantial morbidity and mortality rates. Early detection during routine dental check-ups is crucial for improved patient outcomes. Dental professionals play a pivotal role in conducting oral cancer screenings, but the frequency and methods they employ remain understudied. Aim: This cross-sectional study aimed to investigate the frequency of oral cancer screenings during routine dental check-ups conducted by dental professionals and the methods they commonly use Materials and Methods: A survey was administered to 500 dental professionals, including dentists and dental hygienists, representing diverse demographics and practice settings. The survey collected data on the frequency of oral cancer screenings and the primary methods employed. Descriptive statistics and Chi-square tests were used for data analysis. Results: The study found that 85% of dental professionals conduct oral cancer screenings during routine dental check-ups, with 48% performing them annually and 33% at every visit. Visual inspection (97%) and palpation (83%) were the most commonly used methods, while adjunctive screening tools (45%) were less frequently incorporated Conclusion: Dental professionals are actively engaged in oral cancer screenings during routine dental check-ups, demonstrating a commitment to early detection. Visual inspection and palpation are commonly employed methods, but there is room for improvement in the adoption of adjunctive screening tools.

Characteristics of Health Care Settings Where Adolescents and Young Adults Receive Care for ALL.

Individuals diagnosed with cancer between 15 and 39 years (adolescent and young adult [AYA]) face unique vulnerability. Detail is lacking about care delivery for these patients, especially those with ALL. We address these knowledge gaps by describing AYA ALL care delivery details at National Cancer Institute Community Oncology Research Program (NCORP) (sub)affiliates by model of care. Participating institutions treated at least one AYA with ALL from 2012 to 2016. Study-specific criteria were used to determine the number of unique clinical facilities (CFs) per NCORP and their model of care (adult/internal medicine [IM], pediatric, mixed [both]). Surveys completed by NCORPs for each CF by model of care captured size, resources, services, and communication. Among 84 participating CFs (adult/IM, n=47; pediatric, n=15; mixed, n=24), 34% treated 5-10 AYAs with ALL annually; adult/IM CFs more often treated <5 (adult/IM, 60%; pediatric, 40%; mixed, 29%). Referral decisions were commonly driven by an age/diagnosis combination (58%), with frequent ALL-specific age minimums (87%) or maximums (80%). Medical, navigational, and social work services were similar across models while psychology was available at more pediatric CFs (pediatric, 80%; adult/IM, 40%; mixed, 46%-54%). More pediatric or mixed CFs reported oncologists interacting with pediatric/adult counterparts via tumor boards (pediatric, 93%; adult/IM, 26%; mixed, 96%) or initiating contact (pediatric, 100%; adult/IM, 77%; mixed 96%); more pediatric CFs reported an affiliated counterpart (pediatric, 53%; adult, 19%). Most CFs reported no AYA-specific resources (79%) or meetings (83%-98%). System-level aspects of AYA ALL care delivery have not been examined previously. At NCORPs, these characteristics differ by models of care. Additional work is ongoing to investigate the impact of these facility-level factors on guideline-concordant care in this population. Together, these findings can inform a system-level intervention for diverse practice settings.

Delirium as a presenting feature on admission in medicine unit at a tertiary care hospital of Bangladesh

Background: Delirium, a complex neuropsychiatric syndrome, poses challenges in clinical settings due to its varied aetiology and under diagnosis. This study aimed to explore the prevalence, demographic characteristics, and contributing factors of delirium as a presenting feature in the population admitted to a tertiary care hospital in Bangladesh. Limited studies on delirium in low- and middle-income countries necessitate a comprehensive investigation to inform healthcare practices in diverse settings. Methods: A prospective observational study was conducted on 102 patients diagnosed with delirium among a total of 2599 patients admitted to the medicine unit over six months. Delirium was assessed using the Confusion Assessment Method (CAM) score, with demographic variables and comorbidities analyzed. Results: The study identified a delirium prevalence of 3.8%, with stroke and poisoning as major contributors. Females (56.8%), individuals above 50 years (69.8%), and those with comorbidities (67.6%) exhibited higher susceptibility to delirium. The multifactorial aetiology included stroke (49.3%), poisoning (1.42%), electrolyte imbalance (0.76%), and others. Sedative poisoning predominated (45.9%) among poisoning cases. Conclusion: This study highlights the demographic and etiological dimensions of delirium. The significant impact of stroke, the underexplored realm of poisoning-related delirium, and the influence of age and comorbidities underscore the need for targeted interventions and increased awareness. Bangladesh J Medicine 2024; 35(1): 20-25

Are we being equitable enough? Lessons learned from sites lost in an implementation trial.

There is a growing interest in practice-based implementation research, yet too often research prioritizes and is most successful in academic settings. During a national implementation trial to evaluate the effectiveness of Collaborative Care for co-occurring opioid use and mental health disorders, we lost three of our 11 participating implementation sites, all representing community sites. To better understand needed supports for implementation trial participation, we conducted exit interviews (n = 5) with key staff at these community sites. Interview transcripts were double-coded and analyzed using Rapid Assessment Process. Qualitative themes were iteratively reviewed by the study team. Three themes emerged characterizing challenges for community sites, including that: (1) research threatens sites' most precious resource-staff; (2) staff lack comfort with and skills for research; and (3) research participation in its current form does not offer a clear return on investment. Learnings from this work illuminate some of the barriers community sites face when trying to participate in multisite implementation research. An undercurrent of participant perspectives was the belief that community sites like theirs are just not set up to successfully participate in clinical trial research, including population-based implementation trials. Future implementation trials should consider strategies that disrupt traditional approaches, increasing the equitable inclusion of diverse practice settings in implementation research.

Configurations of Care Work: Fragile Partnerships in the Co-Production of Long-Term Care Services

Over the last decade, authorities in several Western countries have stated their ambitions to increase the share of volunteers contributing alongside professionals in the future long-term care (LTC) sector, but the introduction of volunteers as co-producers of care services is sparsely investigated. This article is based on an empirical case study in Norway and investigates how co-production is translated into practice in diverse settings. Our findings demonstrate that understandings of voluntary work were fragmented. Co-production appears as a fragile partnership with an unclear understanding of the roles, expectations, and opportunities among the various parties who had different purposes/agendas and limited knowledge. To successfully provide added value in coproducing care, agents need to understand the whole picture and context, and build a common understanding of ‘why’ coproduce.

Illusions of Equity: Fulfilled and Unfulfilled Needs of Students with Disabilities in Higher Education

ABSTRACT This study documents both the accommodations and fulfilled/unfulfilled needs of students with disabilities (SWD) in one US university and two universities in Morocco, . The empirical facts from the two case studies are not in dispute; rather, how these two settings approach the concept of equity were very different, indicating that equity itself is a contested concept. However, our purpose was to explore whether fulfilling the needs for SWDs – as ‘legitimate’ equitable practices in diverse settings – might provide leadership and systemic change insights in higher education. The data was collected qualitatively using semi-structured interviews with SWD and – the US – university staff assigned to the area of student accommodations. Equity in Morocco assumed a personal humanistic approach embedded within the liberal arts and, therefore, took a laissez-faire approach institutionally. Equity in the US was manifested institutionally through individual accommodations across academics in terms of tutoring and assistive technologies, and through social and emotional learning supports. The implications for leadership suggest how institutions could improve upon fulfilled needs and how unfulfilled needs remain problematic. Thus, the meanings of equity in practice indicate how the illusions of equity continue to dominate leadership discourses.

Abstract P352: High Rates Of Hypertension Control Require Mean Systolic Blood Pressure 10 Mm Hg Or More Below Target.

Background: Given BP variability, we hypothesized that hypertension (HTN) control rates &amp;gt80% to &amp;lt140/90, required by some national recognition programs, occur when mean systolic (S)BP is 10 mmHg or more below target. Methods: Two cohort databases were analyzed: (i) SBP Intervention Trial (SPRINT-POP) Year 02 and (ii) American Medical Association’s Measure accurately, Act Rapidly, Partner with patients BP (AMA MAP TM BP) quality improvement program. MAP BP included adults with HTN at diverse health systems who had 2+ healthcare visits and received care from clinicians (N=544) with 24+ patients. The main outcome was the relationship of mean SBP to BP control (&amp;lt140/90) in SPRINT standard (SPRINT-S) and intensive (SPRINT-I) treatment arms and by 5 mmHg increments in mean patient-panel SBP of clinicians in MAP BP. Results: In SPRINT-S (n=4,303) and SPRINT-I (n=4,323), mean SBP was 136.7 and 121.7 at the last visit with BP &amp;lt140/90 in 60.7% and 88.4% of participants, respectively (Figure). In AMA MAP BP (n=168,978), mean SBP at the last visit was 132.1 with BP &amp;lt140/&amp;lt90 in 69.8% of patients. For MAP BP clinicians with mean patient-panel SBP 120-&lt;125 (similar to SPRINT-I), 87.6% of patients were controlled to &amp;lt140/90 (Figure) with control falling to 78.8%, 70.8% and 56.9% with mean clinician SBP 125-&amp;lt130, 130-&amp;lt135, 135-&amp;lt140 (similar to SPRINT-S), respectively. In MAP BP, mean SBP accounted for 80% of variance (R 2 =0.80) in control to &amp;lt140/90. Conclusions: Attaining HTN control rates &amp;gt80% to &amp;lt140/90 in a clinical trial and diverse practice settings occurs with group mean SBP &amp;lt130. The findings are relevant to clinicians, BP targets, and incentives for HTN control.

Artificial Intelligence versus Surgeon Gestalt in Predicting Risk of Emergency General Surgery.

Artificial Intelligence (AI) risk prediction algorithms such as the smartphone-available POTTER for emergency general surgery (EGS) are superior to traditional risk calculators because they account for complex nonlinear interactions between variables, but how they compare to surgeons' gestalt remains unknown. Herein, we sought to: (1) compare POTTER to surgeons' surgical risk estimation and (2) assess how POTTER influences surgeons' risk estimation. A total of 150 patients who underwent EGS at a large quaternary care center between May 2018 and May 2019 were prospectively followed for 30-day postoperative outcomes (mortality, septic shock, ventilator dependence, bleeding requiring transfusion, pneumonia), and clinical cases were systematically created representing their initial presentation. POTTER's outcome predictions for each case were also recorded. Thirty acute care surgeons with diverse practice settings and levels of experience were then randomized into 2 groups: 15 surgeons (SURG) were asked to predict the outcomes without access to POTTER's predictions while the remaining 15 (SURG-POTTER) were asked to predict the same outcomes after interacting with POTTER. Comparing to actual patient outcomes, the Area Under the Curve (AUC) methodology was used to assess the predictive performance of 1) POTTER vs. SURG, and 2) SURG vs. SURG-POTTER. POTTER outperformed SURG in predicting all outcomes (mortality - AUC: 0.880 vs. 0.841; ventilator dependence - AUC: 0.928 vs. 0.833; bleeding - AUC: 0.832 vs. 0.735; pneumonia - AUC: 0.837 vs. 0.753) except septic shock (AUC: 0.816 vs 0.820). SURG-POTTER outperformed SURG in predicting mortality (AUC: 0.870 vs 0.841), bleeding (AUC: 0.811 vs 0.735), pneumonia (AUC: 0.803 vs 0.753) but not septic shock (AUC: 0.712 vs 0.820) or ventilator dependence (AUC: 0.834 vs 0.833). The AI risk calculator POTTER outperformed surgeons' gestalt in predicting the postoperative mortality and outcomes of EGS patients, and when used, improved the individual surgeons' risk prediction. AI algorithms such as POTTER could prove useful as a bedside adjunct to surgeons when preoperatively counselling patients. Level II, Prognostic/Epidemiological.

Expanding the Trauma-Informed Care Measurement Toolkit: An Evaluation of the Attitudes Related to Trauma-Informed Care (ARTIC-45) Scale with SUD Workers in PIMH

Human service organizations (HSO) have increasingly recognized the value of employing trauma-informed care (TIC) in a variety of practice settings. Evidence suggests that effectively adopting TIC has shown client improvements. Organizational barriers to TIC implementation, however, exist. To improve TIC practice, the attitudes related to trauma-informed care (ARTIC) scale was developed to measure staff attitudes and beliefs towards TIC. The ARTIC has been widely adopted by researchers without evaluating its psychometric performance in diverse practice settings. The purpose of this study was to independently validate the ARTIC scale drawn from a sample of staff (n = 373) who provide services to substance-using parents. Psychometric tests were conducted to evaluate how the ARTIC performs with our HSO population. Results from a confirmatory factor analysis showed poor fit (X2 = 2761.62, df = 2.96; RMSEA = 0.07 [0.07, 0.08]; CFI = 0.72). An exploratory factor analysis was conducted to analyze how the data fit with our specific population, yielding 10 factors. Finally, a qualitative inter-item analysis of these factors was conducted, resulting in nine factors. Our findings suggest that measuring TIC attitudes and beliefs may vary according to field of practice and ethno-racially diverse workers. Further refinement of the ARTIC may be necessary for various services domains.

Ethically Translating Novel Neurotechnologies for Detecting Covert Consciousness: Clinician Perspectives from an Interim Analysis of the DECODE Study (S11.005)

<h3>Objective:</h3> To develop an ethical framework for responsible clinical translation of novel neurotechnologies to detect covert consciousness in patients following severe brain injury. <h3>Background:</h3> Up to 20% of behaviorally unresponsive patients following severe brain injury may harbor covert awareness that evades detection via bedside examination, but which may be identified through advanced neurotechnologies including task-based or stimulus-based EEG and functional MRI. However, questions surrounding how to optimally deploy these neurotechnologies, communicate results, and translate findings into clinical practice are crucially underexplored. <h3>Design/Methods:</h3> Semi-structured interviews with 14 clinicians were conducted as part of DECODE (Data-driven neuroEthics for COnsciousness DEtection). Qualitative research methodology utilizing grounded theory and empirical neuroethics analysis were used to capture salient concerns and perspectives among clinicians surrounding the ethics of deploying and responsibly sharing results of advanced neurotechnologies to detect consciousness in patients with disorders of consciousness (DoC). <h3>Results:</h3> Clinicians with expertise caring for patients with DoC in diverse practice settings displayed varied ethical, clinical and philosophical perspectives surrounding the optimal use of neurotechnologies to detect consciousness in patients following brain injury. A general consensus was noted surrounding ethical obligations to ensure equitable access and communicate test results from novel neurotechnologies with families/surrogates, however, significant differences were observed in how clinicians perceived optimally contextualizing and conveying such information to surrogates/family members. Furthermore, divergent perspectives were highlighted surrounding optimum methods of clinical translation as well as which patients could benefit from the use of neurotechnologies for covert consciousness detection. <h3>Conclusions:</h3> Salient ethical themes emerging from interim analyses of interviews with clinicians revealed substantial variation in ethical perspectives on how to most effectively deploy these neurotechnologies in clinical practice. Further study is necessary and planned to capture perspectives of individuals from other stakeholder groups, including patients, surrogates and researchers, to inform the creation of a harmonized neuroethical framework for responsible clinical translation of these neurotechnologies. <b>Disclosure:</b> Dr. Young has nothing to disclose. Ms. A Lissak has nothing to disclose. Dr. Bodien has nothing to disclose. The institution of Dr. Hochberg has received research support from Paradromics, Synchron, and Neuralink through the MGH Translational Research Center. Dr. Hochberg has received intellectual property interests from a discovery or technology relating to health care. Dr. Edlow has received research support from NIH.