Educational Pathways Research Articles

Educational Pathways in Italy: Emanuel’s Perspective—Reflective Essay for the Special Issue: “Community Sponsorship and Complementary Pathways: Global Movements for Resettling Refugees Driven by Local Actors”

Educational Pathways in Italy: Emanuel’s Perspective—Reflective Essay for the Special Issue: “Community Sponsorship and Complementary Pathways: Global Movements for Resettling Refugees Driven by Local Actors”

Medical learner perspectives on elements of an educational rural generalist pathway: survey outcomes

IntroductionThe Northern Ontario School of Medicine University (NOSM U) continues to be challenged in meeting its social accountability mandate of addressing the rural health human resource crises in its catchment of Northern Ontario. Its new educational initiative, the Rural Generalist Pathway (RGP) aims to graduate family physicians specifically prepared for rural practice. This study elicits the perspective of NOSM U learners on the various components being considered for this educational pathway.MethodsA mixed methods survey was created for each of two medical learner groups, undergraduate NOSM U students and its family medicine residents. Quantitative data was analyzed for frequencies and percentages and qualitative data underwent thematic analysis.ResultsWith a response rate of 24.6% for undergraduates and 37.9% for residents, the survey discovered undergraduates consider rural clinical rotations as the most valuable experiences in rural medicine. Among the findings, both the majority of medical students and residents (87.3% and 87.9% respectively) agreed that support for a resident’s family well-being and community integration was the element of the pathway most likely to influence them in pursuing the RGP. Mentorship by a practicing rural physician was an element highly supported by 81% of undergraduate and 81.8% of postgraduate learners as likely to influence them to take the RGP.DiscussionIncorporating learner perceptions into the development of the RGP could help focus institutional resources and enhance learner participation in this pathway, producing more rural family doctors to serve Northern Ontario.

Unveiling the Core Competencies in Neuroscience Nursing Within the Context of Italy: A Qualitative Phenomenological Analysis.

Background: In 2008, the European Association of Neuroscience Nursing (EANN) initiated the NeuroBlend™ project, which aimed to delineate the roles and competencies of neuroscience nurses across Europe. This project resulted in the development of the European Competence Profile (ECP), intended to standardize educational pathways and professional recognition for this specialized field. Aim: This study examines the relevance of neuroscience nursing practices to the competencies outlined in NeuroBlend™ across different Italian care settings, including multiple sclerosis, pediatric neurosurgery, pediatric neurology, Alzheimer's disease, and substance addiction. Methods: A phenomenological approach was employed, utilizing focus groups to gather the perspectives of nurses on the competencies defined by the NeuroBlend™ model. The focus groups were conducted from May 2022 to September 2022. The data collected from the focus groups were analyzed using thematic analysis. Results: Thirty nurses participated in the focus groups. Thematic analysis revealed the core competencies, such as communication, empathy, flexibility, and reflective skills, as critical in all care settings. The main themes that emerged were relationships with patients and families, personalized care, and continuity of care. Conclusions: The competencies outlined in the NeuroBlend™ framework are vital to the role of neuroscience nurses in the settings studied and remain highly relevant in the context of Italian healthcare.

One way or another: An optimal matching analysis of students' educational pathways and the impact of socioeconomic background and engagement

AbstractUnderstanding social disparities in educational attainment requires understanding of students' decision‐making throughout their educational career. We focused on students' pathways throughout upper secondary and higher education (HE), identified common types of pathways and studied the role of SES as a determinant of students' pathways. Additionally, we researched the role of engagement for overcoming socioeconomic disadvantages in students' educational decision‐making. Using data from 965 Flemish students, optimal matching analyses identified seven distinct pathways throughout upper secondary and HE. While pathways largely mirrored the tracked structure of the Flemish educational system, there was considerable within‐track heterogeneity. Multinomial regression analyses demonstrated that even among the academic track students, socioeconomic background affected programme choice and long‐term academic success. Less engaged students were less likely to follow university pathways. Moreover, higher cognitive engagement decreased disadvantaged students' chances of ending up in typical vocational pathways.

Outcomes of Accelerated 3-Year MD Graduates at NYU Grossman School of Medicine During Medical School and Early Residency.

For accelerated 3-year MD (3YMD) pathways to be fully adopted in medical education, a comprehensive analysis of outcome data is needed. This study includes 7 accelerated 3YMD graduating classes at NYU Grossman School of Medicine (NYUGSOM) and reports on outcomes from both medical school and internship compared to their 4-year MD (4YMD) counterparts. Outcomes across the undergraduate-graduate medical education continuum for the first 7 classes of NYUGSOM graduates (matriculated from 2013-2019) from the accelerated 3YMD (n = 136) and 4YMD pathways (n = 681) were compared. For the internship outcomes, 3YMD interns were compared with 4YMD interns who graduated from NYUGSOM and all 4YMD interns (4YMD graduates from NYUGSOM and any other medical school) at NYUGSOM residencies. Accelerated 3YMD students were approximately 5 months older at admission and had higher multiple mini-interview scores than 4YMD students. Overall, accelerated 3YMD students performed similarly to 4YMD students during medical school and internship. Significant differences included higher performance by 3YMD students on preclerkship exams and lower performance on Steps 1 and 2 (average: 5.6 and 8.3 fewer points, respectively) and the physical examination portion of the NYUGSOM Comprehensive Clinical Skills Exam. Internship data indicated comparable team assessments across all residencies, statistically significant higher performance on Step 3 when compared to all 4YMD interns, and, in internal medicine, comparable clinical reasoning between 3YMD and all 4YMD interns. When comparing 3YMD interns to all 4YMD interns in the internal medicine residency program, 3YMD interns had a statistically significantly higher performance on milestones. The outcomes from 7 years of graduating accelerated 3YMD students at NYUGSOM show similar performance in medical school and early residency to 4YMD graduates. Long-term study of accelerated 3YMD students from NYUGSOM and other medical schools is needed to further validate the success of this innovative medical education pathway.

Examining the Effect of Parents on Children’s Career Choices in the Context of Class Positions

This article delves into the social mobility strategies employed by parents and their descendants from diverse social classes in structuring educational pathways and vocational choices across successive generations. The study relies on qualitative data from in-depth interviews conducted in Ankara with 24 parents and 18 offspring. Data analysis reveals that the strategies parents and their offspring embrace are intricately shaped by their social class positions and the cultural, social, and economic capital available to the latter. Labourer families grappling with cultural capital limitations exhibit constrained guidance to their offspring. In contrast, self-employed professional families actively deploy their comprehensive cultural capital to perpetuate privileged class positions across generations. Business owners or commercial entrepreneurs, characterised by a distinctive outlook, view education as a pathway to attain heightened social status rather than as a means of upward mobility. To address the inequalities uncovered in this research, establishing counselling centres for families to guide how to mentor their children and for the children themselves to facilitate the discovery of their abilities and interests could offer a solution toward mitigating these inequalities.

Massive Education in Prison Health in Brazil: A Look Beyond the Walls

Equal access to health initiatives and services under the principles of universal and comprehensive care remains a challenge in Brazil. The realization of public health policies is further intricate when one examines the health situation of people deprived of liberty. This study showcases the “Prison System: Beyond the Walls” educational pathway, available on the Virtual Learning Environment of the Brazilian National Health System (AVASUS). The action research methodological strategy guided the pathway development, emphasizing dialogic learning. The goal was to address the need for massive training on the topic of prison health, with the model focusing on engagement through spontaneous, non-mandatory participation in the pathway courses. The pathway comprised four modules, whose educational offerings were based on the self-learning model. Students were free to choose which courses to take and in what order, as there was no prerequisite for participating in modules. Hence, students could either take all the courses or only those with which they identify their learning needs, regardless of work demands or personal interests. Structuring the pathway through action research facilitated a massive, cohesive, and continuous training process. This approach expanded knowledge and established meaningful relationships among the related topics and the key players involved: health professionals, prison officers, and people deprived of liberty. Notably, the pathway courses have surpassed the 50,000-enrollment mark, spanning all five regions of Brazil. In this context, this article presents and discusses the development of the “Prison System: Beyond the Walls” pathway, emphasizing the massive improvement of health within Brazil’s prison system and highlighting the results achieved.

Revolutionizing Education: Harnessing AI for Personalized Learning Pathways and Student Success

The integration of Artificial Intelligence (AI) into education is rapidly transforming traditional learning environments by enabling personalized learning experiences. This paper explores the role of AI in developing adaptive learning systems that tailor educational content and pathways to individual students' needs. By leveraging machine learning algorithms and learning analytics, AI-driven platforms dynamically adjust instructional materials based on students’ performance, cognitive abilities, and engagement levels. The study examines the potential of AI to enhance student outcomes by creating more interactive and engaging educational experiences, thus fostering better retention and comprehension. Key challenges, such as data privacy, algorithmic bias, and equitable access, are also addressed to ensure the effective deployment of AI in diverse learning environments. Through case studies and real-world examples, this research highlights how AI is reshaping education by making it more flexible, student-centered, and accessible.

Special Issue on Informatics Education A Longitudinal Graduate Medical Education Curriculum in Clinical Informatics: Function, Structure, and Evaluation.

There is a need to integrate informatics education into medical training programs given the rise in demand for health informaticians and the call on the Accreditation Council for Graduate Medical Education (ACGME) and the body of undergraduate medical education (UGME) for implementation of informatics curricula. This report outlines a 2-year longitudinal informatics curriculum now currently in its seventh year of implementation. This report is intended to inform United States (US) Graduate Medical Education (GME) program leaders of the necessary requirements for implementation of a similar program at their institution. The curriculum aligns with the core content for the subspecialty of clinical informatics (CI) and is led by a multidisciplinary team with both informatics and clinical expertise. This educational pathway has a low direct cost and is a practical example of the academic learning health system (aLHS) in action. The pathway is housed within an internal medicine department at a large tertiary academic medical center. The curriculum has yielded 13 graduates from both internal medicine (11, 85%) and pediatrics (2, 15%) whose projects have spanned acute and ambulatory care and multiple specialties. Projects have included Clinical Decision Support (CDS) tools, of which some will be leveraged as substrate in applications seeking extramural funding. Graduates have gone on to CI board certification and fellowship, as well as several other specialties, creating a distributed network of clinicians with specialized experience in applied CI. An informatics curriculum at the GME level may increase matriculation to CI fellowship and more broadly increase development of the CI workforce through building a cadre of physicians with HIT expertise across specialties without formal CI board certification. We offer an example of a longitudinal pathway which is rooted in aLHS principles. The pathway requires a dedicated multidisciplinary team and departmental and IT leadership support.

Towards a New Integrated Model for Taking Into Account the Experiential Knowledge of People With Chronic Diseases, Integrating Mediation, Therapeutic Education and Partnership: The Expanded Chronic Care Patient-Professional Partnership Model.

The Chronic Care Model (CCM), the Expanded Chronic Care Model (ECCM) and the eHealth Enhanced Chronic Care Model (eCCM) focus on how healthcare teams and eHealth support can offer effective care and relevant solutions for patients facing chronic care conditions. However, they do not consider how patients can help these teams in their work, nor do they promote ways in which patients can help themselves. However, in the last decade, three different models have emerged that can complete our capacity to design and deliver integrated care for people with chronic diseases. In this article, we propose a revised version of the model that integrates the patient perspective and patients' experience-based knowledge. It integrates three different ways of engaging patients that complement the other patient engagement point of view: the experience of care and mediation in healthcare, therapeutic patient education and patient learning pathways, as well as patient-professional partnership. For each of the three models, we conducted a review of the literature using CINAHL, Medline, OVID, EMBASE PsychINFO, Science Direct and government reports on patient engagement and partnership with their healthcare providers, to integrate the different components of these models into the ECCM and eCCM. The goal is to create a model that better takes into account the experiential knowledge of patients and citizens throughout its different dimensions. We identified 129 papers based on their framework, design, sample, measures and fit with patient engagement and chronic illness and added our own research when relevant. Integrating the three models provides an opportunity to amplify the role played by the patient perspective in the management of chronic disease. The Expanded Chronic Care Patient-Professional Partnership Model (E2C3PM) is intended to rebalance power relations between healthcare professionals and patients (and their caregivers). This new model is based on recognizing patients' experiential knowledge and their roles as caregivers and as full members of the care team. Integrating patient empowerment into the E2C3PM underscores the importance of coproduction care with patients at the clinical, organizational and system levels within a supportive environment. Applying this new model should make it possible to better take into account the complexity of chronic diseases, improving the integration not only of care, services and eHealth support but also the various determinants of health and reaching a mutually beneficial settlement among all actors involved. A patient-researcher contributed to the development of the protocol, the data collection and the preparation and writing of this manuscript.

Newly graduated and nurse resident competencies: Perceptions of nurse faculty and acute care hospital leaders in the state of Maryland

BackgroundThe many educational pathways to obtain a professional nursing degree create confusion among healthcare leaders about new graduate nurses' (NGNs) competency expectations when entering practice. PurposeThis research sought to identify, among Maryland nursing academic and practice leaders, a standard set of NGN competencies after completing their prelicensure program and nurse residency program (NRP) at 12 months. MethodA mixed-method approach was used, including a survey of 109 outcome statements and faculty and practice leader focus groups. ResultsResults suggested that 90 % of the nursing programs could collectively meet 18 of the 109 outcomes by NGN program completion, with few differences in responses from the varying academic programs. Faculty attributed these low results to the heavy focus on preparing students for the NCLEX examination, overloaded curricula, and competing priorities. Practice leaders perceived NGNs only partially met/did not meet most competencies, viewing many as unrealistic. Findings support requirements for NGNs to complete an NRP and the existence of a practice-education gap. ConclusionsResearch findings can help inform the development of a nationally accepted, competency-based educational framework for students, new-to-practice nurse residents, and professional nurses to help align entry-level nursing practice expectations with those of nursing programs and NRPs.

Characteristics of people with type 1 diabetes influence the educational process for starting insulin pump therapy: an observational study.

Limited data exist on educational programs for people using insulin pump (IP) therapy or those considering its initiation, and the influence of individual characteristics on their educational pathway remains unclear. Our aim was to analyze the characteristics of people with type 1 diabetes (T1D) referred for IP therapy and how these characteristics may influence their educational process. A retrospective descriptive observational study was carried out on people with T1D referred for participation in a structured pre-IP educational program in a hospital setting. Educational, sociodemographic and clinical variables were collected and analyzed. Participants were followed up 5 years after IP placement. Seventy-one people finalized the educational program, of whom 10 experienced major barriers to completing it. People with lower educational level required more sessions and weeks to complete it compared to those with higher educational levels. People referred due to suboptimal metabolic control and hypoglycemia also required more time to complete the process. It is essential for diabetes educators to recognize the diversity of characteristics, needs and challenges among the participants in an educational program. Based on this, they must adapt strategies to provide more effective, person-centered diabetes education and support, fostering positive and sustained outcomes and engagement for participants.

Strengthening Educational Identity: Linking an Identity-Based Motivation Intervention to Educational Identity Processes

ABSTRACT School learning is not always easy or fun. It can be tough and not always enjoyable, often presenting difficult and challenging situations. However, when students are encouraged to envision a future that depends on their educational pathway, they may understand that what they are doing now in school is meaningful for their future, despite encountering difficulties in approaching school tasks. Using an experimental design with a pre-post intervention assessment, we addressed educational identity construction by implementing the Pathways-to-Success intervention. We aimed to link identity-based motivation (difficulty-as-importance and difficulty-as-impossibility mind-sets) and educational identity processes (commitment, in-depth exploration, and reconsideration). 182 Romanian middle-schoolers participated in the study (Mage = 13.35 years, SDage = 0.55, 54.4% girls, 44% from rural areas). The intervention strengthened the difficulty-as-importance mind-set in the experimental group (n = 100), while in the control group it decreased (n = 82). The difficulty-as-impossibility mind-set increased in both groups, indicating that students doubt themselves when facing difficulties. Educational commitment decreased in both groups, but less for the experimental group, as the intervention alleviated this decline. In-depth exploration significantly increased in the experimental group. Reconsideration of commitment decreased for the control group and increased for the experimental group. Students from urban areas benefited more from the intervention than students from rural areas. Implications for theory and practice are discussed, highlighting the role of educational systems and cultural norms in educational identity construction.

Extended education and well-being of children: A case study of Iceland

This article explores the emergent trend of global educational policy which focuses on educational values such as well-being and holistic skills. It makes connections between the emergent trend of “education-as-flourishing” and current developments of extended education, using a specific case for illustration, i.e. school-age educare in Iceland. The author argues that there is an internal tension in the current educational global policy which emphasizes holistic skills and well-being in education but eventually produces a policy framework that overlooks the educational pathways of learners through extended education spaces. The case study shows that the manifold learning outcomes of extended education are largely overlooked in policy and practice. There are external and internal challenges at play that feed this tension, specifically a lack of agency of stakeholders and a supportive social structure. A new Act on Well-being of Children in Iceland encourages municipalities and professionals to align resources from diverse sectors, such as education, health, and social services. This study indicates a primary need for policy makers to work strategically with educators from all sectors to develop innovate educational practices within and outside of school to support the education and well-being of children and youth.

Preparing for a Career at the Intersection of Geography and Computing: Availability and Access to Training Along Geocomputational Career Pathways

The growth of the geospatial services industry is increasing the demand for a workforce with training at the intersection of geography and computing (i.e., geocomputation) in terms of skills, knowledge, and disciplinary background. To be more effective at increasing the supply of geocomputational professionals, we need to better understand the existing educational pathways that are available to acquire knowledge and skills in geography, computing, or both. In this article, we aimed to enhance our understanding of the current standing of geocomputational career pathways by (1) articulating the existing curriculum pathways from school to career and identifying broadening participation challenges associated with training opportunities; and (2) identifying specific gaps in knowledge, skills, and training needs and opportunities between geographers, computer scientists, and the geospatial technology industry. Our analysis of a survey of geocomputational professionals identified significant differences in knowledge, skills, and access to training between different educational pathways and between different demographic groups.

Integrating employability learning and career development learning: Insights into a business school approach

This practitioner reflection shares insights based on our seven-year journey pursuing an ambitious curriculum transformation espousing partnerships pedagogy within the School of Business (SOB) at Western Sydney University (WSU). With a significant proportion of first-generation and culturally and linguistically diverse students, employability is of strategic significance for WSU. The objective was to integrate employability and career development learning while addressing confidence and self-esteem deficits among graduates. Massification of the higher education sector, new universities, courses and pathways along with the competition among university graduates for employment all compound the issue. This challenging landscape required a unique approach to achieve a fundamental shift in learning and outcomes to prepare students for life beyond university. A massive curriculum transformation was endorsed and led by a cross-disciplinary team adopting partnerships pedagogy to transform the student learning experience. This reflection documents the practitioner journey involved in developing a program expressly targeting graduate employability for business students. Emphasis is on the experiences and challenges encountered while implementing a partnership-based approach to build, sustain, and cultivate graduate employability, through the development of industry networking experiences.

Proposed health education pathway among patients with Diabetes Mellitus

Proposed health education pathway among patients with Diabetes Mellitus

Career Advancement towards Nascent Technologies: RNA in Focus

Biotechnology is a fast-changing field, and Ribonucleic acid (RNA) technology has acted as a major driving force in this. RNA, which is vital to life, has led to revolutionary changes in therapeutics, especially RNA-based vaccines and RNA interference (RNAi) therapies. This mini-review discusses the current state of research in RNA, including mRNA therapeutics, RNAi, and CRISPR-Cas systems, which are innovative RNA research products. These advancements not only offer new treatments for diseases but also lead to various career prospects. The review also highlighted the essential skills and educational pathways for aspiring professionals in this area. As a result, this review serves as an extensive go-between in navigating through the vigorous world of RNA technologies by providing information about skill requirements and even career opportunities available. The review made use of the most recent research and advancements in RNA technology from credible online resources, scholarly journals, and conference proceedings. Keywords: Ribonucleic acid, mRNA therapeutics, RNA interference, CRISPR-Cas systems, Biotechnology, Bioinformatics

Bildung, hermeneutics, divergence: learning in the dystopian university

Abstract In this article, I offer an account of the 2014 dystopian-fiction film Divergent, based on the novel by Veronica Roth. The film tells the story of Beatrice, a young woman living in a postapocalyptic Chicago, and her process of enrolment into the higher education system. I argue that Beatrice’s troubled story can help us to uncover the high tension between today’s university’s self-alienating mechanisms and the thirst for Bildung. I suggest that the notion of ‘divergence’ can help to develop an account of Bildung in an innovative direction. ‘Divergence’ is a term used in the film to define individuals—like Beatrice—who cannot fit into the categories established by the government to sort students into appropriate educational pathways. I link the notion of ‘divergence’ to an interpretation of Gadamer’s account of Bildung. First, I draw on Gadamer’s thinking to suggest the metaphor of the university as a ‘crossroads’ and outline the idea of the risks and possibilities that are attached to authentic learning experience. Then I explore the self-alienating mechanisms that Gadamer saw at work within the postindustrial structure of the university. In conclusion, I develop Gadamer’s notion of self-education along the lines of the idea of divergence. While some argue that the university can still be a place for human encounter and gathering, I aim to show that, without divergence, it remains a site of displacement, or a dystopia.

Implementation and Preliminary Evaluation of an Entrepreneurship, Biomedical Innovation, and Design Pathway in a School of Medicine Curriculum.

New educational curricula are emerging to train physicians to practice healthcare in the 21st century. The University of Massachusetts Chan Medical School T.H. Chan School of Medicine (UMass Chan) implemented an MD curriculum redesign in the fall of 2022 that included seven educational pathways, including Entrepreneurship, Biomedical Innovation and Design. This pathway is modeled after the I-Corps curriculum with added material regarding engineering design. This manuscript describes this pathway curriculum and provides preliminary evaluation data and learning outcomes. First-year (Class of 2027) and second-year (Class of 2026) pathway students were invited to participate in online surveys evaluating course material and their knowledge of course content. Course evaluations and self-assessments were performed on a 4 or 5 point Likert scale. The material assessment comprised of multiple-choice questions; some had four options while others had five. Simple means were calculated for each question of the self-assessment, and as an aggregate. A two-sample t-test was performed using those means to assess statistical significance. A distribution of correct and incorrect answers was generated between the pre and post survey results, and a chi-squared analysis was used to determine whether the two correct/incorrect distributions were significantly different. Initial results show that the program was well received, with 15/20 (75%) of first year students rating the experience as good or excellent and 8/10 (80%) of second year students rating the experience as good or excellent. Three lectures were provided during the Fall 2023 semester to 11 second-year students. Results of self-assessment of student comfort and understanding of engineering content significantly improved after delivery of these lectures. Objective student knowledge also significantly improved. This new pathway curriculum at UMass Chan is designed to introduce students to the principles of innovation, entrepreneurship, and technology commercialization. An element of this pathway focused on basic engineering principles provided students with baseline understandings of biomedical design, human factors, and risk/hazard analysis. Despite small sample sizes, the results show improvements in student comfort with the material and knowledge. Novel curricula have the potential to transform medical education and prepare future physicians to practice healthcare in the 21st Century.