Junior Professionals Research Articles

Interpretable machine learning and radiomics in hip MRI diagnostics: comparing ONFH and OA predictions to experts

PurposeDistinguishing between Osteonecrosis of the femoral head (ONFH) and Osteoarthritis (OA) can be subjective and vary between users with different backgrounds and expertise. This study aimed to construct and evaluate several Radiomics-based machine learning models using MRI to differentiate between those two disorders and compare their efficacies to those of medical experts.Methods140 MRI scans were retrospectively collected from the electronic medical records. They were split into training and testing sets in a 7:3 ratio. Handcrafted radiomics features were harvested following the careful manual segmentation of the regions of interest (ROI). After thoroughly selecting these features, various machine learning models have been constructed. The evaluation was carried out using receiver operating characteristic (ROC) curves. Then NaiveBayes (NB) was selected to establish our final Radiomics-model as it performed the best. Three users with different expertise and backgrounds diagnosed and labeled the dataset into either OA or ONFH. Their results have been compared to our Radiomics-model.ResultsThe amount of handcrafted radiomics features was 1197 before processing; after the final selection, only 12 key features were retained and used. User 1 had an AUC of 0.632 (95% CI 0.4801-0.7843), User 2 recorded an AUC of 0.565 (95% CI 0.4102-0.7196); while User 3 was on top with an AUC of 0.880 (95% CI 0.7753-0.9843). On the other hand, the Radiomics model attained an AUC of 0.971 (95% CI 0.9298-1.0000); showing greater efficacy than all other users. It also demonstrated a sensitivity of 0.937 and a specificity of 0.885. DCA (Decision Curve Analysis displayed that the radiomics-model had a greater clinical benefit in differentiating OA and ONFH.ConclusionWe have successfully constructed and evaluated an interpretable radiomics-based machine learning model that could distinguish between OA and ONFH. This method has the ability to aid both junior and senior medical professionals to precisely diagnose and take prompt treatment measures.

Building the capacity of young professionals in family planning to publish: Insights from the ICFP2022 WHO scientific writing, mentoring and coaching course.

We describe the development, delivery, and evaluation of a program to support junior professionals to publish their work in a scientific journal. Conference delegates with an accepted abstract at the International Conference on Family Planning (ICFP), self-identifying as junior professionals and from a low- or middle-income country (LMIC) or working predominantly in LMIC settings, were eligible for the program. The program involved: (1) Four face-to-face workshops at ICFP from the 14th to 17th of November 2022; (2) mentoring meetings at ICFP; (3) a six-month post-conference online coaching program; and (4) post-conference learning webinars from December 2022 to May 2023. We used online surveys to assess the participants' reactions, learning, and behaviour changes to the workshops and the online coaching program. We present participants' self-reported progress towards achieving a scientific publication. Sixty-seven participants from 29 countries participated in the workshops, and 40 attended the post-conference program. Workshops were rated positively, though the in-conference mentoring program faced challenges, including low attendance. The post-conference program was highly rated, with most participants engaging well with coaching and the webinars. At the end of the six-month program, 31 (46%) participants reported some progress in manuscript writing, with five completed manuscripts submitted. Scientific writing is a complex skill, and whilst our program had several positive elements, our participants faced many challenges completing their manuscripts within six months. The post-conference coaching and webinar program was rated highly, emphasising the need for ongoing support. Future programs should address this and other difficulties we highlight.

Facilitating workplace learning in clinical practice, an evaluation among medical specialists

Purpose Training of medical students, interns and residents (junior professionals, JP) happens predominantly through workplace learning. This is supported by medical specialists (MS) and varies by MS, workplace, medical specialty, and social context. This study aimed to gain insights into the facilitation of workplace learning in clinical practice by MS. Method Thirteen semi-structured interviews were conducted with MS at the gynaecology and paediatrics department in an academic and three non-academic hospitals in the Netherlands. Participants were purposively sampled to be involved in the training of JP. Transcribed interviews were thematically analysed to describe facilitators and barriers for workplace learning. Results Workplace learning was interpreted as a broad concept, with some MS acknowledging its occurrence beyond created opportunities. Four themes revealed facilitators and barriers related to (1) Connection and alignment, (2) Attitude, (3) Organizational and learning dynamics, and (4) Policy and Logistics. Our research suggests MS’ beliefs and awareness regarding workplace learning guide their ability to recognize and utilize learning moments. Conclusions Our findings underscore the importance of a work environment for MS that is founded on interpersonal relationships, supportive logistics of healthcare institutions and a culture of active involvement within the team, all of which are essential for recognizing and utilizing learning opportunities.

Impact of High-Fidelity Simulation on the Confidence Level of Pediatric Residents to Manage Pediatric Emergencies

Background: Children having seriously ill health conditions pose new challenges to healthcare professionals in pediatric emergencies. The training based on simulation is a promising procedure for equipping junior professionals with the required potential. Objectives: Studying the impact of High-Fidelity Simulation (HFS) on the confidence levels of pediatric residents for taking care of patients having complications that are critical and also considering emergency procedures. Methodology: A quasi-experimental design utilized having surveys done before and after training to evaluate confidence levels. The research was executed in October 2023. The evaluation model of Kirkpatrick was supposed to evaluate the training program impact. After that, data was collected and entered into MS Excel and then analyzed on SPSS. Results: The research executed two sorts of surveys, including a pre-course survey and a post-course survey. Out of 40 residents, only 30 gave responses with a 75% rate. Descriptive analysis revealed varying levels of confidence across different domains of pediatric care. However, statistical analysis revealed no significant changes in confidence levels post-training in certain areas. These findings suggest that while the training program may have positively influenced confidence in some domains, further investigation is needed to determine its comprehensive impact on the confidence of residents. Conclusion: Our study emphasizes the effectiveness of HFS in enhancing the confidence of pediatric residents in managing critically ill patients and emergency procedures. While statistical significance was not achieved across all domains, the overall trend indicates a positive impact on residents' perceptions of their abilities in pediatric emergency care. Research in the future should revolve around more strategies augmenting the confidence of the residents in the care of pediatric emergencies.

To repeat or not repeat? A matter of economic reward and individual differences

This study explores the tendency to prefer more repetitive (but highly economic rewarding) tasks over less repetitive (and less economic rewarding) tasks in a sample of junior professionals, as well as their relationship to individual differences. Behavioral performance at a novel decisionmaking task, decision-making and personality profiles were collected. Findings showed that most junior professionals seem to prefer highly repetitive tasks (with greater economic reward) than less boring and less rewarding tasks. However, a cluster approach allows distinguishing between four distinct clusters of decision-makers: the “reward seekers”, the “temporizers”, the “balancers” and the “outsiders”. Each cluster of professionals exhibits unique individual differences in terms of decision-making styles and personality profiles (except for reward responsiveness). Evaluating junior professionals decision-making profiles in choosing which tasks to carry out is extremely relevant in company selection processes, as it allows you to assign the new resource to the best job position.

Help! I Have Been Thinking to Do It Lately: Workplace Mistreatment and Suicidal Ideation Among Internship Students in Klang Valley

Workplace mistreatment, such as bullying, abusive supervision, and interpersonal conflict, is increasingly conceded as a critical issue affecting the mental health of junior professionals, particularly interns. Due to their momentary status, high expectations, and lack of support, interns are highly susceptible to negative workplace interactions that can lead to severe psychological outcomes such as including suicidal ideation. Drawing on the Fluid Vulnerability Theory, this study aims to examine the prevalence and impact of various forms of workplace mistreatment on suicidal ideation among internship students in Malaysia, providing insights for effective intervention strategies. The study used a cross-sectional research design and involved 247 internship students from the Faculty of Business and Management at UiTM Puncak Alam, Selangor, Malaysia. Data were collected through a structured online questionnaire assessing experiences of workplace bullying, abusive supervision, interpersonal conflict, and suicidal ideation. Statistical analyses, including descriptive statistics, correlation, and regression analysis, were employed to examine the relationships between the variables. The analysis revealed significant correlations between workplace bullying, abusive supervision, and interpersonal conflict with suicidal ideation. Regression models indicated that workplace bullying and interpersonal conflict were significant predictors of suicidal ideation, accentuating the critical need for targeted interventions in educational and professional environments. The findings suggest that workplace mistreatment significantly contributes to suicidal ideation among interns, highlighting the importance of developing supportive interventions and policies. Addressing workplace mistreatment through targeted programs can improve mental health outcomes for young professionals and foster healthier work environments.

Orientation and mental representations in the decision-making process: a comparison between junior and senior professional

In the workplace, professionals have an orientation to individual or group decision-making based on ideal or real representation of the group situation. However, no previous studies investigated these dimensions in professionals of different ages. A total of 216 professionals were enrolled in this study based on their work experience and seniority. Specifically, senior professionals were from different Italian consulting companies, while juniors had not yet approached the world of work, but were completing their professional education. Participants were asked to read a realistic decision-making scenario and rate their individual or group decision-making orientation, thinking of an ideal and real group situation. A stronger group decision-making orientation was found in both groups of professionals, independent of age. However, professionals appear less group-oriented when they mentally self-represent their real compared to their ideal group. Additionally, in senior professionals, a positive correlation between individual and group orientation was found in the ideal group situation. Indeed, in junior professionals, a positive correlation between individual and group orientation was found in the real situation. Therefore, it might be that becoming older and increasing professionalism level correlate with awareness of the difference between real and ideal group representations.

Prevalence of Career Indecision and Factors Influencing It Among Medical Students and Interns in Oman: A Cross-Sectional Questionnaire Study.

Career indecision is a broad term that refers to the uncertainty and difficulty of decision-making regarding future careers among junior professionals. This study aims primarily to estimate the prevalence of career indecisiveness among senior medical students and medical interns in Oman. Secondly, it assesses the association of sociodemographic factors influencing it. Finally, it examines the association between participation in career development activities and career indecision among them during the academic year of 2022-2023. A cross-sectional study was conducted using an anonymous self-administered questionnaire in the English language. Unpaired t-test and ANOVA test were used to compare means between groups. A 21-item Career Factors Inventory (CFI) was used to determine thecareer indecision score. These scores were further classified as low-level (score 27-71) and high-level (score 72-105). Results: The total number of participants was 161. The minimum sample size calculated was 153 participants for 95% confidence intervals. The prevalence of high-level career indecision was 63.4% (95%CI 55.4%-70.8%) among the participants. Participants with one of their parents in healthcare professions and those who did not participate in career development activities had high career indecision scores with P-values of 0.002 and 0.022, respectively. Moreover, participants younger than 25 years of age in comparison to older participants had higher need-for-self-knowledge (NSK) scores (p-value 0.018). A high prevalence of high-level career indecision was seen among senior medical students and medical interns in Oman. Few factors were found to be statistically associated with career indecision, especiallyparticipation in career development activities.Further studies are recommended to investigate the causality of high-level career indecision among junior professionals in Oman and the contributing factors. Curricular and extra-curricular career development activities and counseling may reduce career indecision.

Use of social media for academic and professional purposes by gynecologic oncologists

ObjectiveTo investigate the prevalence and patterns of social media use among gynecologic oncologists for professional and academic purposes.MethodsA prospective online survey between November and December 2022 targeted gynecologic oncology practitioners...

The Role of the Audit Room in Auditor Development: Remote Work Experiences of Junior Auditors during the COVID-19 Pandemic

SUMMARY This study examines the work experiences of junior auditors during the COVID-19 pandemic (“the pandemic”). In response to the pandemic, audit firms closed offices and conducted audits in remote work environments. I used semistructured interviews to gather qualitative data about the experiences of junior auditors during the pandemic. The evidence collected suggests that the loss of the audit room (i.e., a physical space for audit teams to collaborate) during the pandemic increased challenges for junior auditors in developing technical knowledge, socializing within the firm, and separating personal and professional lives. These challenges increased the difficulty of forming a professional identity as an auditor. My data suggest that the audit room serves as a classroom, social hub, and a physical barrier between work and life. My study extends research on auditor development and provides insights into how the pandemic and remote work arrangements impacted junior auditors and professionals in general.

Can professionals "keep the tiller straight" in organizations? Resistance to reframing and decoy alternatives in workplace decision-making.

So far, little is known about the ability to contrast contextual bias as a protective factor in an ever-changing organizational environment. This study assessed whether professionals with different seniority can resist the reframing and the decoy effect under decision-making conditions and whether decision-making styles can predict the resistance to such covert influence tactics. To reach this aim, two groups of professionals divided into senior and junior professionals performed two novel tasks, a Resistance to Reframe Task (RRT) and a Resistance to Alternatives Task (RAT), which, by including ecological scenarios that represent typical decision situations that could arise in the company, can measure the resistance to such covert influence tactics. Decision-making styles were measured through the General Decision-Making Style (GDMS) and the Maximization Scale (MS). Results showed that all professionals were able to resist more to the reframing (at the RRT) than the decoy alternatives (RAT), without any difference between groups. In addition, higher GDMS-dependent subscale scores predict lower RRT scores, especially in the group of senior professionals. However, in the group of junior professionals, the GDMS-dependent subscale and MS high standards subscale predicted lower RAT scores. To conclude, this study showed that professionals know how to "keep the tiller straight" in organizations, especially when facing reframing conditions, rather than decoy alternatives; however, the predominance of dependent decision-making styles (for both senior and junior professionals) and the tendency to hold high standards in decisions (mainly for juniors) could undermine their resistance capacity and make them vulnerable to these covert influence tactics.

Prevalence of Career Indecision and Factors Influencing it among Medical Students and Interns in Oman

Aim and objectives: Career indecision (CI) is a broad term refers to the uncertainty and difficulty of decision- making of the future career among junior professionals. This study aims primarily to estimate the prevalence of CI among senior medical students and medical interns in Oman. Secondly, it assesses the association of socio-demographics factors influencing it. Finally, it examines the association between participation in career development activities and CI among them during the academic year of 2022-2023. Methods: A cross-sectional study was conducted using anonymous self-administered questionnaire in English language. We used a 21-item Career Factors Inventory (CFI) to determine CI score. CI scores were further classified to low-level CI (score 27-71) and high-level CI (score 72-105). Results: Total number of participants was 161. The minimum sample size calculated was 153 participants for 95% confidence interval. Unpaired t test and ANOVA test were used to determine association. The results showed the prevalence of high-level CI is 63.4% (95% CI 55.4% - 70.8%) among the participants. Participants with one of their parents in healthcare professions and those who did not participate in career development activities have high CI scores with P-value 0.002 and 0.022 respectively. Moreover, participants younger than 25 years of age in comparison to older participants had higher Need for Self-Knowledge (NSK) scores (p-value 0.018). Conclusion: Study participants showed high prevalence of high-level CI among senior medical students and medical interns in Oman. Few factors were found to be statistically associated, especially participation in career development activities. Further studies are recommended to investigate the causality of high CI levels among junior professionals in Oman and the contributing factors. Curricular and extra-curricular career development activities and counselling may improve CI and reduce its burden.

Training assessment: prevention of major accidents through the approach of proactive safety, risks, and emergencies (APSRE)

This article presents Training Assessment: Prevention of Major Accidents through the Approach of Proactive Safety, Risks, and Emergencies (APSRE), for senior, full, junior, and undergraduate professionals and university graduate and postgraduate students, with the aim of improving the way thinking about a Proactive Safety Environment. With the development of research on Risk Management and the conception of the Proactive Safety Approach, with the aim of preventing major accidents and the damage arising from these events, the need to train people in organizations was verified, to support the survey and research of information, warning signs, analysis of proactive safety demands, planning, and development of actions, for the prevention of these major accidents, which are historically recurrent. The training for this course is made up of four free online consultation modules and is hosted on the Internet. The course presents in Module 1, an introductory basis, in Module 2, the theory of accidents, in Module 3, case studies of major accidents in the world, and in Module 4, activities and exercises to prevent and mitigate these major accidents. After the creation of this course, training was developed individually and in classes. In total, 12 classes of the Risk Management and Major Accident Prevention Course were trained, around 250 people in the class format, and around 50 people individually, totaling 300 people. The qualification of the Course Management of Risks and Prevention of Major Accidents, according to the validation presented in this article, can be used to meet different profiles, for senior professionals with knowledge in this subject, the qualification can be propitious for debates and reflections, for the full levels, training can be conducive to deepening the concepts and proposals, for junior levels and students, training can provide an initial base of learning for development in Risk Management and Major Accident Prevention. Conventional risk assessments can be reassessed, due to the contents presented in this article, and the Approach of Proactive Safety, Risks, and Emergencies (APSRE) through the presented framework, can be used to supplement conventional risk assessments.

Onboarding of young professionals in the intensive care unit : Nationwide online survey by young DIVI-an initiative of the German interdisciplinary association for intensive and emergency medicine (DIVI)

Onboarding of junior staff in the intensive care unit is vital to ensure high-quality critical care treatment. This process depends on beginner's training. We aimed to determine structure and duration of intensive care onboarding and the job satisfaction of junior professionals in German intensive care units. We conducted an anonymous, interprofessional online survey regarding quality of onboarding and job satisfaction among young professionals. A total of 554 young professionals participated, about two thirds were physicians. Awritten concept was used in 59% of the nurse's and 27% of physicians' training. Median duration of training before taking full charge of patient treatment was 30days among nurses and 7days among physicians. About one third of nurses and 17% of physicians stated that they were sufficiently prepared after the training period, whereby 49% of physicians often felt overwhelmed. More than 42% can imagine working in critical care longer than the next 3years. Fundamental methods for training of critical care professionals starting their intensive care career are underused in Germany and the duration of training blatantly differs from national guideline recommendations. Although there seem to be deficits concerning material and staff resources, participants are satisfied with learning progress and teamwork.

Reverse engineering tax education: How tax practice can inform the classroom experience

If the purpose of collegiate tax education is to prepare tax professionals, it should begin with the end in mind. An accurate and up-to-date appreciation of tax practice should inform the formal education that precedes it. Grounded in the theory of situated learning, this paper offers the insights of interviews with junior and senior tax professionals about their work and careers. The results suggest that we need to improve our appreciation for how people learn in their professional careers. Even though there remains value to a generalist appreciation of tax, formal education also needs to help students develop their specialization. Tax education also needs to help students adjust to the technology of tax compliance that they are likely to encounter in practice. Other suggestions are made for the reconsideration of traditional elements of introductory tax courses, based on the reflections of practitioners.

Towards collaborative action: A project on interprofessional stroke care in the Covid-19 pandemic

Abstract Background Stroke is one of the leading causes of disability in adulthood. Cooperatively organised stroke care requires a high degree of interprofessional competence of junior professionals. Objectives The project aim was to develop interprofessional competences for stroke care, to identify gaps in care as well as approaches to innovation during the pandemic through joint research. The focus was on person-centred care, communication and collaboration, roles and responsibilities, including stroke-navigators. German Bachelor students of occupational therapy, physiotherapy and speech therapy of the 7th semester (n = 22) were accompanied online in 60 teaching units in 2020/2021. The seminars consisted of (a) theoretical introduction to interprofessional stroke care (b) case-based collaboration with problem-based learning (c) applied health services research. The evaluation was based on a central questionnaire and written reflections from all students. Results The following themes were identified and investigated in 5 interprofessional groups: (1) Impact of the Covid-19 pandemic on the acute care and rehabilitation of stroke patients, (2) International comparison of interprofessional stroke care based on guidelines to improve current practice, (3) Interprofessional diagnostics in stroke care, (4) Interprofessional patient-centered goal setting in outpatient stroke care, (5) Agreements of actors involved in stroke treatment to best serve the needs of the patient. The response rate to the centralised evaluation was low (14%). The project was rated good to very good in terms of planning and presentation, relevance, and interaction with students. Conclusions The students reported central aspects for interprofessional learning: The reflections predominantly described growth in professional competences, in skills for cooperation and problem solving, which can be transferred to professional life. The main point of criticism was the necessity of digital teaching in the pandemic. Key messages • Empowering interprofessional cooperation through a joint project of different Bachelor programmes helps to strengthen the students’ professional identity and shared responsibility for stroke care. • Online teaching can be a valuable facilitator of learning, but should not completely replace face-to-face teaching for stroke care.

Approaching Training-Practice Gaps After the Transition: A Practice Proposal for Supervision After Training.

Transitions within medical, veterinarian, and other health professional training, from classroom to workplace, between undergraduate, postgraduate, fellowship phases, and to unsupervised clinical practice, are often stressful. Endeavors to alleviate inadequate connections between phases have typically focused on preparation of learners for a next phase. Yet, while some of these efforts show results, they cannot obliviate transitional gaps. If reformulated as ‘not completely ready to assume the expected responsibilities in the next phase’, transitions may reflect intrinsic problems in a training trajectory. Indeed, the nature of classroom teaching and even skills training for example, will never fully reflect the true context of clinical training. In various stages of clinical training, the supervision provided to trainees, particularly medical residents, has increased over the past decades. This addresses calls for enhanced patient safety, but may inadequately prepare trainees for unsupervised practice. Transitions often evolve around the question how much support or supervision incoming trainees or junior professionals require. We propose to consider receiving incoming trainees and new employees in clinical workplaces with a conversation about required supervision for discrete tasks, or entrustable professional activities (EPAs). EPAs lend themselves for the question: “At what level of supervision will you be able to carry out this task?”. This question can be answered by both the trainee or junior employee and the supervisor or employer and can lead to agreement about specified supervision for a defined period of time. We expect that this “supported autonomy tool” could alleviate stress and enhance continued development after transitions.

Impact of COVID-19 pandemics on advanced neuroscientific R &D activities: a focus on job age

Notwithstanding the implementation of strategic responses to recover habitual levels of performance and productivity, global data points out that the outbreak and diffusion of COVID-19 have imposed a high cost on research activities. Starting from a national survey investigating the impact of pandemics on Italian research in neuroscience, we here specifically aims at exploring its effects on scientific productivity across junior-to-senior professionals. Data highlighted that, given a generalized decrease of objective markers of scientific productivity (i.e. submitted projects or papers), the extent of such decrease was most notable in junior, mid-level and early senior researchers. Also, subjective measures of impact of the pandemics on professional life and work efficiency revealed a coherent profile, with junior and mid-level research professionals referring the highest perceived impact, while the impact of pandemics at psychological and socio-relational levels was rated almost similarly by researchers with different levels of seniority.

Sunnybrook Facial Grading System: Intra-rater and Inter-rater Variabilities.

Evaluate intra-rater and inter-rater variabilities of the Sunnybrook Facial Grading System (SFGS) and explore potential factors of variability. Prospective test of hypothesis. University tertiary referral center. Facial video recordings of 20 patients with variable degrees of peripheral facial palsy (PFP) were anonymized then presented to 31 independents raters in 2 trials. The raters were senior and junior professionals involved in the management of PFP: ENT specialists, physiotherapists, and speech therapists. The SFGS was used for grading paralysis. Intra-rater and inter-rater variabilities were estimated by intraclass correlation coefficient (ICC [95% confidence interval]) for the composite score and the three subscores of the SFGS. Factors of variability studied were: rater professions and rater experience (senior vs junior). For the total population, the intra-rater ICC was 0.915[0.900-0.929] for the composite score considered to represent almost perfect repeatability. Repeatability was important for symmetry at rest (0.694[0.646-0.737]), almost perfect for voluntary movements (0.903[0.886-0.918]), and important to almost perfect for synkinesis (0.810[0.778-0.838]). The inter-rater ICC for the composite score was 0.847[0.755-0.923] indicating important to almost perfect agreement between all raters. Agreement between raters was important to almost perfect for voluntary movements (0.839[0.746-0.919]), but moderate to important for symmetry at rest (0.553[0.408-0.730]) and weak to important for synkinesis (0.476[0.333-0.666]). Some variability was found between raters groups; however, repeatability and agreement were good for all raters. The SFGS is a reproducible scale. It can be used with good reproducibility by both novices and experts, and by all professionals involved in the management of PFP.

Academic library leadership in the dawn of the new millennium: a systematic literature review

This study was conducted to systematically collect and analyze the literature on academic library leaders focusing on the challenges faced by them, the set of skills needed to overcome these challenges, and ways for them to develop these leadership skills. A systematic literature review was conducted of the relevant studies published in the first two decades of the 21st century by following the Preferred Reporting Items for Systematic Literature Review and Meta-Analyses (PRISMA) guidelines. Five major scholarly databases (Scopus, Web of Science, Library, Information Science & Technology Abstracts (LISTA), Library and Information Science Abstracts (LISA), and Google Scholar) were searched for the relevant literature. It was found that rapid change, primarily a consequence of rapid technological innovation, continued to present a fundamental challenge for the profession. It emerged that library leaders needed to be visionary and innovative with effective communication and social skills to encourage a collaborative and agile culture in academic institutions. It was also found that the development of library leadership skills has been a comparatively neglected area in the library profession especially for junior and mid-career library professionals.