Program Training Research Articles

UNVEILING THE DYNAMICS: EXPLORING POLICE TRAINEES FIELD TRAINING EXPERIENCES IN THE CORDILLERA REGION

The Field Training Program involved the experience and assignment in patrol, traffic, and investigation in the police stations as active observers and passive performers. With this, the study aimed to determine the experiences of the Philippine National Police Field Training Program trainees of Cordillera. Specifically, it investigated the learning experiences of the Field Training Program trainees in Investigation, Traffic, and Patrol and common problems encountered by FTP during their Field Training Program. A qualitative descriptive design was used for the inquiry. Data collection involved using an interview guide. 70 Police Trainees from the Cordillera Administrative Region Training Center. Most of the key informants stated that the major learnings they have acquired during their assignment at the Investigation unit include the proper way to accomplish the blotter entry and incident report form, the Basic Process of Crime Investigation, how to make basic investigation reports, and modes of filing criminal cases. On their duty at the Traffic Management Unit, the police trainees learned how to conduct traffic direction and control effectively. They learned the value or importance of courtesy, discipline, and maximum tolerance when directing, controlling, and managing traffic and how to engage the members of the community effectively. Another is that police trainees have learned the importance of police visibility relative to crime prevention. The common problems encountered by FTP trainees during their Field Training Program include Unclear and conflicting Instructions, lack of equipment for mobility in responding to police assistance or incidents, the lack of enhancement lectures and table tap exercises rendered to police trainees on OJT is another challenge encountered and Lack of Communication and Coordination among trainees.

Extending social accountability mandates to biomedical research in Canadian faculties of medicine.

Social accountability (SA), as defined by Boelen and Heck, is the obligation of medical schools to address the needs of communities through education, research and service activities. While SA is embedded within health profession education frameworks in medicine, they are rarely taught within graduate-level (MSc/PhD) education. As these programs train future medical researchers, we invited first-year graduate students enrolled in a mandatory professionalism class at our institution (n = 111) to complete a survey on their perceptions of the importance of SA in their research, training, and future careers. Over 80% (n = 87) of respondents agreed that SA is relevant and felt committed to integrating it into their future research activities, only a limited number of students felt confident and/or supported in their abilities to integrate SA into their research. Specific SA training in graduate education is necessary for students to effectively incorporate elements of SA into their research, and as such support the SA mandates of their training institutions. We posit that awareness of SA principles formalizes the professional standards for biomedical researchers and is thus foundational for developing a professionalism curriculum in graduate education programs in medicine. We propose an expansion of the World Health Organization (WHO) partnership pentagon to include partners within the research ecosystem (funding partners, certification bodies) that collaborate with biomedical researchers to make research socially accountable.

Designing and Developing Online Training for Diabetes Prevention Program Coaches Using an Integrated Knowledge Translation Approach: Development and Usability Study.

e-Learning has rapidly become a popular alternative to in-person learning due to its flexibility, convenience, and wide reach. Using a systematic and partnered process to transfer in-person training to an e-learning platform helps to ensure the training will be effective and acceptable to learners. This study aimed to develop an e-learning platform for Small Steps for Big Changes (SSBC) type 2 diabetes prevention program coaches to improve the viability of coach training. An integrated knowledge translation approach was used in the first 3 stages of the technology-enhanced learning (TEL) evaluation framework to address the study objective. This included three steps: (1) conducting a needs analysis based on focus groups with previously trained SSBC coaches, meetings with the SSBC research team, and a review of research results on the effectiveness of the previous in-person version of the training; (2) documenting processes and decisions in the design and development of the e-learning training platform; and (3) performing usability testing. Previously trained SSBC coaches and the SSBC research team were included in all stages of this study. Step 1 identified components from the in-person training that should be maintained in the e-learning training (ie, a focus on motivational interviewing), additional components to be added to the e-learning training (ie, how to deliver culturally safe and inclusive care), and mode of delivery (videos and opportunities to synchronously practice skills). Step 2 documented the processes and decisions made in the design and development of the e-learning training, including the resources (ie, time and finances) used, the content of the training modules, and how coaches would flow through the training process. The design and development process consisted of creating a blueprint of the training. The training included 7 e-learning modules, the learning modalities of which included narrated demonstration videos and user-engaging activities, a mock session with feedback from the research team, and a final knowledge test. Step 3, usability testing, demonstrated high levels of learnability, efficiency, memorability, and satisfaction, with minor bugs documented and resolved. Using an integrated knowledge translation approach to the technology-enhanced learning evaluation framework was successful in developing an e-learning training platform for SSBC coaches. Incorporating end users in this process can increase the chances that the e-learning training platform is usable, engaging, and acceptable. Future research will include examining the satisfaction of coaches using the SSBC coach e-learning training platform, assessing coach learning outcomes (ie, knowledge and behavior), and estimating the cost and viability of implementing this training.

Longitudinal increases in mindfulness practice quality are associated with changes in psychological outcomes and not vice versa - a brief report.

With research on mindfulness increasing exponentially, it is important to clarify factors that may influence the success of this approach. We examined the construct of mindfulness meditation practice quality using longitudinal data drawn from a randomized controlled trial testing low-dose mindfulness practices with novice mindfulness practitioners from the general population (N = 48). Results suggest that increases in mindfulness practice quality over time are associated with improvements in psychological outcomes (anxiety, stress, and mindfulness), but not vice versa. Findings join previous research supporting the notion that mindfulness practice quality is an important element of mindfulness training in higher-dose programs as well as low-dose and self-help mindfulness programs and practices. Therefore, this research contributes to finding further support of the importance of mindfulness practice quality as a cause of improvement in psychological distress. This needs to be explored further in future research.

The State of National Institute of Health Awards for funding genetic counseling research, resources, and training over the past decade.

Research related to the practice of genetic counseling has historically been accomplished through student projects, small private grants, or as a part of a larger research study. Yet, recent initiatives supported by the National Society of Genetic Counselors and the National Human Genome Research Institute have recognized and promoted the need for additional genetic counseling research funding and training. In this study, we aimed to characterize awards from the United States' National Institutes of Health (NIH) over the past 10 years that support research related to genetic counseling. Asearch of the NIH RePORTER database conducted on April 25, 2022, using terms broadly related to genetic counseling, identified 3993 awards from fiscal years 2011 to 2022. After deduplication, 1231 grants were reviewed for screening. The final dataset included 43 awards of various types with the majority being research or R series grants [R01 (n = 17), R21 (n = 7)]. The remaining awards were Cooperative Agreements (U01, n = 6), intramural (Z-grants, n = 5), Center Core (P30, n = 2), Specialized Center (P50, n = 1), Career Development Award (K01, n = 1), Other Transactions (OT2, n = 1), Resource Program (G13, n = 1), and Research Training and Fellowship (T32, n = 1). Most grants were awarded between 2019 and 2022 (n = 24, 55.8%). The majority of awards were categorized as studies that included a comparison of different genetic counseling models (n = 23), outcomes of implementing genetic counseling (n = 11), core resources for genetic counselors (n = 5), and genetic counseling training programs (n = 4). Thirteen of the awards (30.2%) had a specific aim/goal/focus on underserved or underrepresented populations. The topics were predominantly related to cancer (n = 26). Nine awards were led or co-led by a genetic counselor (20.9%). Despite significant growth in genetic counseling research support from US-based funders over the past 3 years, major gaps related to funding exist, including that most award recipients are not genetic counselors.

Effectiveness of Positive Resilience Training on Emotional Self-Regulation, Psychological Distress and Parent-Child Interaction among Mothers of Mentally Retarded Children

Introduction: This study aims to investigate the effect of positive resilience training on improving emotional self-regulation, psychological distress, and parent-child interactions in mothers of children with intellectual disabilities.
 Methods: Data collection tools included Kessler Psychological Distress Scale (1992), Emotion Self-Regulation Questionnaire by Hofmann and Kashdan (2010), and Parent-Child Interaction Questionnaire by Pianta (1994). Positive resilience training was implemented in 8 sessions, each lasting 90 minutes. Data analysis was done using SPSS.v21 software and univariate and multivariate analysis of covariance tests. 30 individuals were selected using purposive sampling method who were randomly assigned to two groups (15 individuals per group).
 Results: The results showed that positive resilience training was effective on the overall score of emotional self-regulation and the components of concealment and compromise. In addition, the effectiveness of this intervention on psychological distress had also been significant. Also, the results showed that positive resilience training had a significant effect on general positive relationship and the components of closeness and dependence.
 Conclusion: Based on the results of this study, it is recommended to prioritize positive resilience training in intervention programs aimed at improving mental health of the mothers of children with intellectual disabilities.

Analisis Pengaruh Budaya Organisasi, Program Magang, dan Pelatihan Online terhadap Kesiapan Calon Tenaga Kerja : Studi Pada Mahasiswa Anggota Organisasi Fakultas Ekonomi Universitas Sarjanawiyata Tamansiswa

The purpose of this study is to explain the influence of organizational culture, internship programs, and online training on the readiness of prospective workers. This research will be conducted at the Faculty of Economics, University of Sarjanawiyata Tamansiswa on students who follow the organization. This study is a quantitative study and primary data were taken using questionnaires in nonprobability sampling census on 35 respondents. The Data was collected through google Forms, then processed using multiple linear regression analysis. The results showed that culture has a significant effect on the readiness of prospective workers. As for the internship program and online training has no influence on the readiness of job candidates. The results of this study are expected to be able to prepare students to become prospective workers who are ready to plunge in the world of work.

Comparing the Effectiveness of Mikhled Knee Exercise Program and Quadriceps Based Training in Patellofemoral Pain Syndrome among Collegiate Athletes

Background: Patellofemoral pain syndrome (PFPS) is a relatively common musculoskeletal condition thatproduces pain at the front of the knee that may last for a long period. It is characterized by extensive pain in/around the patella. Individuals commonly report an exacerbation of their symptoms when engaging in activitiesthat increase compressive load pressures in the joint.Purpose: The purpose of the study is to determine the effects of Mikheld knee exercise program and quadricepsbased training in patellofemoral pain syndrome among collegiate athletes.Material and Method: From November 2022 to April 2023, 54 participants with patellofemoral pain syndromewere selected and randomly divided into two equal groups at Saveetha Medical College and Hospital .Duringa four-week treatment session, Group A received a Mikheld knee exercise program, whereas Group B receivedquadriceps-based training. Subjects were evaluated twice (pre-treatment and post-treatment) using the NumericalPain Rating Scale (NPRS) and the Kujala Patellofemoral Scale.Results: Statistical analysis show that there is a significant change within-group for NPRS, kujala patellofemoralscale in pre and post treatment, with a p value of < 0.0001, the mean of the Mikhled knee exercise program at thepost test was shown to be greater than the mean of quadriceps-based training.Conclusion: According to the findings of this study, the Mikheld knee exercise program is more helpful inparticipants suffering from patellofemoral pain syndrome than quadriceps-based training persons. The study waslimited by the small number of participants.

Effects of Bafa Wubu and He-Style Tai Chi exercise training on physical fitness of overweight male university students: A randomized controlled trial.

This study aimed to compare the effects of 12-week Bafa Wubu Tai Chi (BW-TC) and traditional He-style Tai Chi (TH-TC) exercise training on physical fitness parameters in overweight university students and to compare the differences in their effects. A total of 81 overweight male university students were randomly assigned to the BW-TC group (N = 27), the TH-TC group (N = 27), and the control group (CG, N = 27). Upper limb grip strength, wall squat, sitting and reaching, 6-minute walk, single-leg stance, and Y-balance were measured at baseline and after 12 weeks of Tai Chi training. There were no significant differences in demographic characteristics and assessment parameters among the groups at baseline (p>0.05). Both BW-TC and TH-TC performed Tai Chi exercise program training lasting 12 weeks, with three sessions per week, each lasting 60 minutes intervention. The changes in mean scores for the sit-and-reach test were 3.11 cm and 4.52 cm, for the wall squat test were 27.56 s and 36.85 s, and for the 6-minute walk test were 22.93 m and 63.22 m, and Y-balance (p<0.05) significantly increased in both BW-TC and TH-TC groups, while the mean score of single-leg stance significantly decreased (p<0.05). Additionally, compared to the BW-TC group, the TH-TC group showed a significant increase in lower limb strength (13.89 s, p = 0.048) and the distance of the Y-balance test in the left posterior medial direction (4.04 cm, p = 0.031). BW-TC and TH-TC interventions effectively improved physical fitness in overweight university students. However, TH-TC showed superior results in lower limb strength improvement. Trial registration number: ChiCTR2200059427 (https://www.chictr.org.cn).

A Biodegradable and Flexible Triboelectric Nanogenerator Based on Human Motion Monitoring

Chronic diseases have now become a societal issue globally; early detection and monitoring of these diseases are essential. Herein, a wireless intelligent health monitoring system has been developed, which includes a flexible, biodegradable eggshell membrane‐based triboelectric nanogenerator (EM‐TENG), a Bluetooth transmitting sensing terminal wirelessly, and an intelligent terminal processing digital signal reception from a host computer. This study uses natural fiber‐rich and biodegradable EMs to fabricate high‐performance friction nanogenerators. The EM‐TENG can be attachable to the neck, elbow, wrist, and waist, and convert mechanical contact into electrical output signals. By analyzing these signals, EM‐TENG can monitor and distinguish body postures, offer warnings about abnormal cervical flexion and extension, and assess the quality shot put throw motions accurately and continuously. These functions provide personal health monitoring and athletic program training monitoring for alerting and displaying through terminal devices. The devices are crucial for monitoring and rectifying motion patterns in younger individuals and certain patient groups. EM‐TENG is a wearable motion monitoring sensor, which provides a new strategy to human health, motion monitoring, and smart sports training.

Writing teacher feedback literacy: Surveying second language teachers’ knowledge, values, and abilities

Despite a significant rise in awareness of the critical role of assessment literacy, teacher feedback literacy as an important component of assessment literacy has received scant attention in the domain of second language (L2) writing. By drawing on questionnaire data gathered from 353 English as a foreign language teachers and follow-up interviews with 34 focal teachers, this study attempts to ascertain L2 writing teachers’ self-reported feedback literacy in relation to their knowledge, values, and abilities regarding feedback. Findings of the study reveal both deficiencies and gaps in the participants’ writing feedback literacy. While the respondents reported a fundamental understanding of writing teacher feedback literacy, they appeared less certain of their abilities to implement feedback practices in the writing classroom. Despite this uncertainly, they held values about feedback that largely align with the principles supported by existing literature. The current study serves to make a novel contribution to existing research by shedding light on the underexplored concept of L2 writing teacher feedback literacy, with clear implications for the delivery of feedback training in teacher education programs.

Determinants of Accuracy of Freehand, EVD Placement by Neurosurgical Trainees.

Background: The insertion of an external ventricular drain (EVD) is a fundamental neurosurgical procedure predominantly performed by junior neurosurgical trainees. It is vital for managing conditions like hydrocephalus, intracranial hypertension, traumatic brain injury, and others. The procedure's success heavily relies on the precise identification of anatomical landmarks and the trainee's experience. Objective: This study aims to assess the precision and safety of EVD placement in patients treated by first-year (R1) and second-year (R2) neurosurgical residents, evaluating the impact of the residents' experience levels on the outcomes of the procedure. Methods: Conducted at the Neurosurgery Department of Jinnah Post Graduate Medical Center, Karachi, from February to July 2022, this prospective cohort study involved individuals aged 18 years or older undergoing EVD placement for hydrocephalus. Exclusion criteria included patients with more than 5mm midline shift on initial scans or those without a post-EVD placement scan. Procedures were performed under senior resident supervision, with postoperative CT scans assessing catheter tip placement and potential complications. Statistical analyses utilized IBM SPSS Statistics for Windows, Version 25.0, with Student’s t-test, Chi-square, and Fisher exact tests applied as appropriate. Results: The study comprised 152 patients (mean age: 39.4 ± 10.7 years; 52.6% male). The initial GCS scores varied, with 44.7% scoring above 8. Most EVD placements (60.5%) were by residents in their fourth or fifth year. The average procedure duration was 43 ± 8.7 minutes, with an average of 1.44 ± 0.12 passes. Optimal placement (Kakarla Grade 1) was achieved in 59.2% of cases, with significant differences in placement accuracy between R1 and R2 residents (p&lt;0.05). Conclusion: The study highlights the significant role of experience and training in the successful placement of EVDs. The higher accuracy rates in more experienced residents underscore the need for enhanced training programs for junior neurosurgical trainees, focusing on anatomical landmark identification and procedural practice.

Reported pain at work is a risk factor for vascular surgery trainee burnout

BackgroundWork-related pain is a known risk factor for vascular surgeon burnout. It risks early attrition from our workforce and is a recognized threat to the specialty. Our study aimed to understand whether work-related pain similarly contributed to vascular surgery trainee well-being. MethodsA confidential, voluntary survey was administered after the 2022 Vascular Surgery In-Service Examination to trainees in all Accreditation Council for Graduate Medical Education-accredited vascular surgery programs. Burnout was measured by a modified, abbreviated Maslach Burnout Inventory; pain after a full day of work was measured using a 10-point Likert scale and then dichotomized as “no to mild pain” (0-2) vs “moderate to severe pain” (3-9). Univariable analyses and multivariable regression assessed associations of pain with well-being indicators (eg, burnout, thoughts of attrition, and thoughts of career change). Pain management strategies were included as additional covariables in our study. ResultsWe included 527 trainees who completed the survey (82.2% response rate); 38% reported moderate to severe pain after a full day of work, of whom 73.6% reported using ergonomic adjustments and 67.0% used over-the-counter medications. Significantly more women reported moderate to severe pain than men (44.3% vs 34.5%; P < .01). After adjusting for gender, training level, race/ethnicity, mistreatment, and dissatisfaction with operative autonomy, moderate-to-severe pain (odds ratio, 2.52; 95% confidence interval, 1.48-4.26) and using physiotherapy as pain management (odds ratio, 3.06; 95% confidence interval, 1.02-9.14) were risk factors for burnout. Moderate to severe pain was not a risk factor for thoughts of attrition or career change after adjustment. ConclusionsPhysical pain is prevalent among vascular surgery trainees and represents a risk factor for trainee burnout. Programs should consider mitigating this occupational hazard by offering ergonomic education and adjuncts, such as posture awareness and microbreaks during surgery, early and throughout training.

Construction Safety Management Systems Using Promethee Method

Construction safety management is at the construction site safe working environment security to ensure to control activities a method that can be used. Planning and design taken during the process results of the construction project when the protection is largely affected. Construction and demolition sites, labor protection, and health hazard the result is unique hazards and risks causing professional safety and health management protection of systems organizations and health hazards continue to detect and remove help, incident possibilities reduce, to regulations compliance and risk-reduction implement interventions. Construction industry sites employee health and safety very dangerous to work with one of the workplace environments. Manufacturing processes, labor intensive characteristics, and occupational accidents due to the construction industry the greater the risk, the greater it is scale of financial losses, and the worst the company results from reputation. Construction in the construction industry site security is very important this is an important requirement mostly on project sites is ignored. Correct without safety regulations, hazards of the construction industry and because of the dynamic environment, staff small and large are prone to accidents. Security management systematic risk management in detection, and with it related risks can also help control, at the same time this control activities of the construction site useful in aiding protection it promises to be. Safety management process roughly the following steps outlines: planning related to the workplace at the stage identity hazards and accident or to avoid property damage ensure construction safety appropriate restrictions for making and advance the determination of the step. Accidents possible actions early detection, safe practices followed and safe conditions whether maintained monitoring of verification work. Neighbors are public and private protection of assets at all levels of the organization effective communication implementation and promotion. Safe operating modes attractive to use regularly with incentive programs safety education and training providing. Constant professionalism health and safety compliance with regulations. PROMETHEEE is a priority for assessment enrichment Ranking system and its interactive help Descriptive complementary geometric analysis known as PROMETHEEE methods. In this, The PROMETHEEE method is the best solution from the analysis The shorter the distance and the longer the negative-ideal solution Determines the solution with the distance, but of these distances, The comparison was not considered significant. Alternative is Safety Commitment by Senior Management, Competency Profiles, Safety Climate, Project Management, Safety Requirements and Incentives, Safe Working Environment/ Conditions. Evaluation preference is Government building, Private building, Civil engineering, Industrial building. From the result it is seen that Government building is got the first rank where as is the Industrial building is having the lowest rank. Government building is ranked first and industrial building is ranked lowest.

Grief Training in Palliative Care Fellowships

IntroductionNo prior study has assessed grief and bereavement curriculum in Hospice and Palliative Medicine (HPM) fellowship programs in the United States. MethodsA 14-item survey was created and distributed to Accreditation Council for Graduate Medical Education (ACGME)-accredited HPM fellowship Program Directors to assess program demographics, curriculum emphasis, grief and bereavement programming, and attitudes toward grief and bereavement training for HPM fellows. ResultsThe overall survey response rate was 63%. Most palliative care programs were academic (74%) and had four or fewer fellows (85%). 90% devoted a minority (0%–10%) of their curriculum to grief and bereavement training. Most programs reported at least some program-led grief and bereavement programming (69%); however, 53% endorsed that fellows are not very or not at all involved in this programming. Almost half of programs only have a small amount of programming related to supporting families after loss (49%). The majority endorsed having a great deal of programming for debriefing or supporting fellows through professional grief (55%), and the most common modalities were debriefing sessions (62%) and ensuring access to mental health resources (41%). The most common ways of teaching grief and bereavement were through bedside/anecdotal teaching and lectures/case conferences. Most program directors felt that palliative care fellowships should provide grief and bereavement training (81%) and consider it important or very important for fellows to learn how to process grief and bereavement (92%). DiscussionIt was widely reported by program directors that grief and bereavement training are important curricular components for HPM fellows. Acknowledging professional grief remains an underrecognized need in palliative care training and practice. Our study suggests that for grief and bereavement curricula in HPM fellowships, the time dedicated, specific types, and amount of fellow involvement was highly variable. It will be critical for programs to disseminate best practices to help move toward a more uniform approach for ensuring basic competency in grief and bereavement training in HPM fellowship programs in the United States.

Resident Involvement in Curricular and Clinical Practice Change and Satisfaction With Training According to Length of Training in Family Medicine.

Most research in residency training has focused on quality improvement within a single program. We explored resident involvement in curricular and clinical practice change, the learning environment, and resident satisfaction in 3-year family medicine residencies compared to matched 4-year residencies. We used two surveys to capture data. One was for program directors, which assessed the level of resident involvement in curricular and practice transformation. The second was a resident survey, which asked residents to rate their involvement in curricular change and practice transformation, the learning environment, and satisfaction with training. Both were administered annually between 2013 and 2019. Response rates ranged from 84.6% to 100%. Findings revealed no overall difference in resident involvement in curricular change, but the program director survey findings indicated that a higher proportion of residents in 4-year programs were using a broader diversity of approaches to working on quality improvement (QI) projects compared to those in 3-year programs. We also found statistical differences in the number of QI projects completed per year, with 34.1% completing three or more in 4-year programs compared to 13.3% in 3-year programs (P&lt;.001). We found a positive correlation between resident involvement, learning environment, and satisfaction with training for both 3-year (range 0.489-0.666; P=.001) and 4-year residents (range 0.441-0.529; P=.001). Four-year residents were involved in a greater number of quality improvement projects and had a more diverse profile of involvement than those in 3-year residency programs. Involvement in practice and curricular change and the learning environment were associated with greater levels of resident satisfaction with training in both 3-year and 4-year programs.

Implementation of a Multi-Site Digitally-Enhanced School Clinician Training and ADHD/ODD Intervention Program in Mexico: Randomized Controlled Trial of CLS-R-FUERTE

Childhood conditions of inattention and disruptive behavior, such as Attention-Deficit/Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD), are prevalent but undertreated worldwide. One promising solution is harnessing digital technology to enhance school clinician training and ADHD/ODD intervention programs. We conducted a school-clustered randomized controlled trial of CLS-R-FUERTE: a program featuring training/consultation for school clinicians to deliver a six-week intervention comprised of weekly parent and student skills groups, as well as support teachers’ classroom management in the form of a Daily Report Card, all facilitated by electronic program manuals/materials and videoconferencing. A total of N = 163 (n = 6–8 students/school [ages 6–12] and their parents, teachers, and school clinicians) participated across eight public schools in Sinaloa, Mexico. We randomly assigned four schools to receive CLS-R-FUERTE immediately and four schools to receive school services as usual. We compared groups post-treatment on parent- and teacher-rated ADHD/ODD and impairment. We observed the program implementation in vivo, tracking trainer and school clinician program fidelity, as well as participant attendance and adherence, to evaluate feasibility. We also collected participant ratings of satisfaction and usability on the System Usability Scale to evaluate acceptability. Our CLS-R-FUERTE trial demonstrated high rates of program feasibility and acceptability comparable to prior in-person program trial findings. Students receiving CLS-R-FUERTE showed greater improvement in parent- and teacher-rated ADHD, as well as parent-rated ODD and impairment, compared to students receiving school services as usual. Results support the utility of global digital mental health programs training school clinicians to implement ADHD/ODD interventions, which have the potential to increase evidence-based treatment access and uptake across worldwide contexts.

National survey of infectious disease fellowship program directors: A call for subspecialized training in infection prevention and control and healthcare epidemiology.

The importance of infection prevention and control and healthcare epidemiology (IPC/HE) in healthcare facilities was highlighted during the COVID-19 pandemic. Infectious disease (ID) clinicians often hold leadership positions in IPC/HE teams; however, there is no standard for training or certification of ID physicians specializing in IPC/HE. We evaluated the current state of IPC/HE training in ID fellowship programs. A national survey of ID fellowship program directors was conducted to assess current IPC/HE training components in programs and plans for expanded offerings. All ID fellowship program directors in the United States and Puerto Rico. Surveys were distributed using Research Electronic Data Capture (REDCap) to program directors in March 2023, with 2 reminder emails; the survey closed after 4 weeks. Of 166 program directors, 54 (32.5%) responded to the survey. Among respondent programs, 49 (90.7%) of 54 programs reported didactic training in IPC/HE averaging 4.4 hours over the course of the fellowship. Also, 18 (33.3%) of 54 reported a dedicated IPC/HE training track. Furthermore, 23 programs (42.6%) reported barriers to expanding training. There was support (n = 47, 87.0%) for formal IPC/HE certification from a professional society within the standard fellowship. Despite the COVID-19 pandemic highlighting the need for ID medical doctors with IPC/HE expertise, formal training in ID fellowship remains limited. Most program directors support formalization of IPC/HE training by a professional organization. Creation of standardized advanced curriculums for ID fellowship training in IPC/HE could be considered by the Society of Healthcare Epidemiology of America (SHEA) to grow, retain, and enhance the IPC/HE physician workforce.

Development and Effectiveness of a Rapid Cycle Deliberate Practice Neonatal Resuscitation Simulation Program: A Quasi-Experimental Study.

The Rapid Cycle Deliberate Practice (RCDP) simulation during neonatal resuscitation program (NRP) training provides in-event feedback for each simulation step, repeats the simulation from the beginning, and undergoes a continuous improvement process. It also offers after-event debriefing that involves follow-up discussion and reflection after completing simulations. These two methods differ in the timing and frequency of feedback application, and there may be differences in the effectiveness of neonatal resuscitation training. A quasi-experimental simulation study with a pre- and post-test design was used; the experimental group received RCDP simulation NRP training, based on the self-determination theory, while the control group received an after-event debriefing, following the NRP scenario. The experimental group displayed significantly improved clinical decision-making skills compared with the control group. When responding to emergencies involving high-risk newborns, we found that RCDP simulation during NRP training and better preparation for neonatal resuscitation among nursing students improved outcomes for newborns.

Qualitative research training in graduate programs in Public Health: an overview in Brazil

This article analyzes the evidence of qualitative research training in graduate programs in Public Health accredited by Brazilian Coordination for the Improvement of Higher Education Personnel (CAPES) in Brazil in 2021. To map out the disciplines, the Sucupira Platform was accessed to locate the graduate programs in Public Health, and the institutional portals were searched. A total of 98 courses were identified. Using reflective thematic analysis, it was possible to group the data production and the characterization of the courses into the following macro categories of analysis: (a) workload and type of course offered (mandatory or optional); (b) teaching-learning objectives; (c) content (with emphasis on the investigation of scientific paradigms or different theoretical-methodological approaches to qualitative research); (d) teaching-learning methodologies. The results show that only 40.4% of the courses are mandatory and the predominant teaching-learning objectives focus on instrumentalization and enabling graduate students to create research projects. In total, 59.3% of the courses did not inform the type of teaching-learning methodology. There is a gap in the use of digital technologies and spaces and a predominance of the text-based approach. Furthermore, the epistemological-theoretical training is fragile. The learning of the Positivist paradigm predominates over the interpretive paradigm of critical theories/traditions. The article concludes by systematizing elements for a training itinerary with increasing degrees of complexity, intentionally structured and developed in an institutional environment that fosters decoloniality and epistemic reparation.