Senior Mentor Research Articles

Mentoring Program on Shipboard Training, Navigation and Seamanship: PMMA’s Supplementary Learning Support amid Learning Crisis due to Covid-19

The onset of the COVID-19 pandemic disrupts not only the delivery and implementation of the maritime curriculum but also training preparations before apprenticeships of higher education institution students. While the Philippine Merchant Marine Academy adapts the Alternative Learning Delivery mode during the quarantine and restriction period, the College of Marine Transportation led the implementation of two supplementary learning support (SLS) programs to utilize time and availability and therefore maximize the learning of in-house scholars. The implementation of the Peer Mentoring Program in preparation for the Shipboard Training Program (STP) and Collaborative Learning in Navigation and Seamanship subjects urged this program evaluation research. Using the Context, Input, Process, and Product (CIPP) model for the implementation of SLS, the study shows that both mentoring and collaborative learning programs intensify the knowledge, understanding, and know-how skills of the beneficiaries in terms of shipboard training, navigation, and seamanship by providing the simplest approach to learning. The programs promoted camaraderie and established interactive-academic relationships between the senior and junior cadets/cadettes. Through the SLS programs, senior mentors and peers increased the awareness, readiness, and confidence of the mentees or the juniors despite the academic interruption brought by the pandemic. However, the study identifies a gap in the curriculum particularly in the shipboard training program. The results of this program evaluation research shall be considered before the institutionalization of these SLSs.

국내 간호대학생의 핵심간호술 교육 중재의 효과: 체계적 고찰

Objectives This study systematically reviewed the effectiveness of core nursing skill training intervention programs for nursing students in Korea. Methods Literature searches were conducted using the databases RISS, KISS, DBpia, and KCI for papers published up to June 2024, with the keyword ‘core nursing skills’. A total of 130 papers were identified, and ultimately, 14 papers were selected for the literature review. Results The literature review revealed that among the research designs, 1 was randomized and 13 were nonrandomized. Core nursing skill training interventions included studies using various methods of retraining and evaluation (10 papers) and studies using various methods of self-practice and evaluation (4 papers). Retraining and evaluation methods included traditional retraining, STEPS Model retraining, senior mentoring retraining, multimedia retraining, and online learning retraining, while self-practice and evaluation methods included traditional self-practice, scenario-based self-practice, Virtual Reality-based self-practice, and self-observation methods. The most frequently applied core nursing skill was subcutaneous injection, appearing in 10 studies, followed by vital signs measurement, intramuscular injection, intermittent gastric tube feeding, and foley catheterization, each appearing in 8 studies. Outcome variables of core nursing skill training programs showed significant effects on confidence in performance (9 papers), clinical performance ability (4 papers), self-efficacy (3 papers), and knowledge (3 papers). Conclusions Korean nursing colleges have researched various intervention programs to achieve core nursing skill competency levels in accordance with the Nursing Education Evaluation Criteria. These programs have shown significant effects on performance confidence, clinical performance ability, and self-efficacy. Therefore, there is a need to develop and utilize diverse intervention programs to enhance learning motivation and satisfaction among nursing students.

An Implementation Research Study on Uterotonics Use Patterns and Heat-stable Carbetocin Acceptability and Safety for Prevention of Postpartum Hemorrhage in Nigeria.

The burden of maternal mortality attributable to postpartum hemorrhage (PPH) remains high in Nigeria. Currently, oxytocin, and misoprostol, which are largely of suboptimal quality, are used for PPH prevention and treatment. Heat-stable carbetocin (HSC) is a viable uterotonic option for PPH prevention in a setting like Nigeria where compromised supply and cold chain systems result in the preponderance of poor-quality oxytocin and suboptimal PPH management. It is crucial to understand how healthcare providers (HCPs) accept and use HSC for PPH prevention, and what factors encourage correct uterotonic usage in health facilities, given PPH's ongoing public health challenge. This study aims to elucidate the current prophylactic use of HSC, oxytocin, and misoprostol in secondary and tertiary public health facilities while assessing HSC acceptability to clinicians and establishing factors that enable the appropriate use of uterotonics in health facilities. Descriptive analysis conducted on quantitative data from patient chart reviews, HCP interviews and assessment, and facility assessment using Stata 15 and Microsoft Excel are presented as counts and percentages, while qualitative data from key informant interviews and in-depth interviews are coded and analyzed using NVivo. The findings from 18 publicly owned secondary and tertiary healthcare facilities across Kano, Lagos, and Niger states in Nigeria were interpreted according to thematic areas. Health facilities selection criteria were high volume of deliveries (≥30 deliveries per month), accessible location, availability of trained HCPs (specifically doctors, nurses, and midwives), and willingness to participate in the study. HSC was administered prophylactically in 10,284 (56%) of 18,364 deliveries, with a total of 148 (0.8%) women developing PPH. Approximately 76% of HCPs preferred HSC for PPH prevention compared to other available uterotonics, with clinical guidance from senior HCPs (76%), in-service training (76%), mentoring (84%), and supportive supervision (75%) contributing significantly to the choice and practice of uterotonics use by HCPs. HSC, a thermostable analog of oxytocin, holds the potential to prevent PPH without the added cost of administering additional uterotonics and interventions. The introduction of HSC requires concerted procurement and capacity-building efforts to create an enabling environment for scale-up. HSC is non-inferior to oxytocin in preventing PPH, has few side effects compared to misoprostol or oxytocin-misoprostol combination, and more cost-effective when compared with the other three uterotonics. Although the geographical scope of our study is only three states in Nigeria, the preponderance of suboptimal uterotonics across the country makes our findings applicable to the whole country and other low- and middle-income countries with similar challenges.

Lessons for expanding virtual mentoring in academic medical institutions: a qualitative study among senior mentors

BackgroundVirtual activities, hybrid work and virtual mentoring have become part of the ongoing milieu of academic medicine. As the shift to remote mentoring continues to evolve, it is now possible to adapt, refine, and improve tools to support thriving mentoring relationships that take place virtually. This study explores strategies for virtual mentoring as a cornerstone for effective training programs among senior mentors participating in an ongoing mentoring program.MethodsWe conducted a qualitative study among prior and current participants of an ongoing “Mentoring the Mentors” program about key strategies for optimizing virtual mentoring. Data were coded and analyzed following a thematic analysis approach.ResultsRespondents were mostly female (62%), white (58%), and associate (39%) or full professors (32%). We found that, with the expansion of hybrid and fully remote work, there are now fewer opportunities for informal but important chance meetings between mentors and mentees; however, virtual mentoring provides opportunities to compensate for reduced interactivity normally experienced in the workplace. The heightened need to plan and be more deliberate in the virtual sphere was woven throughout narratives and was the foundation of most recommendations. Specifically, a central obstacle for respondents was that spontaneous conversations were harder to initiate because virtual conversations are expected to have set agendas.ConclusionsDeveloping new ways to maintain meaningful interpersonal relationships in a virtual training environment, including opportunities for serendipitous and informal engagement, is critical to the success of virtual mentoring programs.

The Double Burden: The Digital Exclusion and Identity Crisis of Elderly Patients in Rural China

The rapid digitalization of China’s healthcare system, a phenomenon that accelerated during the Covid-19 pandemic, had two negative consequences for a significant portion of elderly persons in China. The first is an unfortunate practical outcome: their exclusion from many health services such as online medical appointment platforms, e-prescription requests, obtaining e-referrals, and sharing electronic medical records. The second is an emotionally debilitating identity crisis as elderly persons’ former status as knowledgeable senior mentors was replaced with social perceptions of them as helpless and ignorant souls reliant on more youthful persons for guidance and assistance. This article adopts a grounded theory to explore the phenomenon from the perception of excluded elderly persons using participatory observation and in-depth interviews of 44 elderly clients of a rural hospital in the Shandong province in eastern China. The study shows that the current focus on direct practical aspects of digital exclusion may fail to capture the impact and ancillary consequences such as a painful loss of self-esteem by the digitally excluded. As the study illustrates, the practical aspects can all be overcome through intervention by those who aid the digitally excluded but this help may exacerbate the rarely considered ancillary harms of digital exclusion. Studies of digital exclusion will make more significant contributions to our understanding of the phenomenon if they look beyond the obvious direct consequences of digital exclusion to consider possible ancillary and flow-on effects.

Mentoring: Shaping the professional identity of the academic internal medicine hospitalist.

Burnout and lagging academic productivity are pressing challenges in hospital medicine, leading to stagnation and attrition. Mentoring shapes professional identity formation and enhances faculty vitality and retention, but has not been optimized among academic hospitalists. We sought to explore how mentoring impacts academic hospitalist professional identity and to elucidate barriers to mentoring in the field. We conducted focus groups at three academic medical centers. Informed by social-constructivist theory of identity development, we coded deidentified data and performed thematic analysis. Thirty-one academic hospitalists participated with 1 to >20 years experience. Mentoring shaped professional identity formation in six core domains: choosing academic hospital medicine, identifying and focusing on an area of interest, progressing career, navigating work-life integration, staying in academic medicine, and becoming a mentor. Distinct models included dyadic mentoring, peer mentoring, organic mentoring, and mentoring teams, each with benefits and limitations. We identified nine key mentoring actions that influenced hospitalist professional identity formation and career development. Mentoring barriers included lack of time, awareness, and access to experienced mentors, as well as poor quality mentoring and mentor-mentee malalignment. Aspects of hospitalists' professional identity also posed barriers, including ambivalence around academic identity. Mentoring fosters academic thriving and retention in academic hospitalists. Access to effective mentoring remains lacking due to few senior mentors in the relatively new field of hospital medicine and reticence in academic identity, among other factors. Mentoring training, impact on underrepresented minority hospitalists, and integration into institutional culture should be considered for enhancing the career development of academic hospitalists.

조직 내 세대 갈등과 시니어의 기대 역할

The aging workforce and resulting intergenerational conflict in workplaces present common challenges for many enterprises. This study aims to explore potential solutions to this issue by investigating what younger employees (referred to as “juniors”) expect from their older counterparts (“seniors”). In order to do so, the movie “The Intern,” which depicts an older intern navigating intergenerational conflicts at work, serves as the focal point of analysis. selected as a research subject, and reviews of the movie have been used as a research sample. Reviews of the movie, predominantly written by individuals in their twenties and thirties, constitute the primary data sample representing “juniors.” A total of 44,657 reviews were collected using multiple text-minig techniques to extract connotative rather than denotative meanings from the dataset. Following preprocessing, these reviews were splitted into 72,286 sentences. Leveraging sentiment analysis, word frequency analysis, and k-means clustering method, the study categorized sentences into six distinct clusters based on their thematic content. Finally, the technical support of Large Language Model (LLM) and Retrieval Augmented Generation (RAG) produces the main themes and their corresponding key topics within each cluster. The study identifies four main themes: “Senior Mentors,” “Seniors in the Workplace,” “Seniors in General,” and “Senior-related Social Issues.” These findings shed light on the social roles that juniors expect seniors to perform, such as providing wisdom, mentorship, and serving as role models. Building upon existing literature suggesting that enhanced communication can narrow generation gaps in the workplace, the study underscores the importance of effective communication topics. Futher empirical research is encouraged to validate and expand upon these findings, exploring their practical implications.

Analisis Profil Pelajar Pancasila Sub-Elemen Disiplin Diri Dalam Ekstrakurikuler Pramuka Pada Siswa Kelas IV

The purpose of this research is to determine the profile of Pancasila students, the sub-element of self-discipline in Scout extracurriculars for grade 4 students. This research used descriptive qualitative methods. The subjects used were grade 4 students. The sampling used non-probability sampling. The research sample was 3 students, with the consideration that the students’ scout grades were good and sufficient. Data collection using observation sheets, interviews and documentation. The results of the research showed that Students had a self-disciplined attitude in the process of Scout extracurricular activities, Students were able to organize themselves independently regarding the data before the Scout activity started, Students wore scout uniforms carrying sticks, ropes according to the needs of the learning process, students were able to organize themselves to be orderly when scouting activities take place, Students also carry out activities or tasks that have been agreed upon independently, Students are able to pray according to the agreed habits, follow instructions from their senior mentor, carry out the tasks given independently to their part during the task of making scouts in groups. For students in the sufficient category, the appear in all activities except for the practice of making a stretcher which is still needed.

Fixing the anesthesia research crisis in Japan.

To explore the current status of anesthesia research activity in Japan, we analyzed the number of abstracts presented at the Japanese Society of Anesthesiologists (JSA) annual meetings by several factors including gender, society branches, and subspecialty categories. The number of abstracts at JSA annual meetings has declined sharply since 2016 with no gender gap. A decrease in the neurological field predated the overall decline, but other subspecialty categories showed a similar decline. Although the Tokyo, Tokai-Hokuriku, and Kyushu branches were responsible for more than half of the reduction, the trend was similar among all branches. In a survey regarding academic activities of university hospital residents and faculty, Ph.D. aspirants' rate was only 20-30%. Residents had never presented an abstract at scientific conferences and never published any papers at nearly 40% and 30% of the university hospitals, respectively. Our survey suggests that junior anesthetists are losing interest in research. Senior faculty and mentors must redouble efforts to embed and encourage research in departments and by anesthetists in training. If a revival of anesthesia research in Japan does not occur then a service only specialty awaits.

Clinical nursing mentors’ motivation, attitude, and practice for mentoring and factors associated with them

ObjectiveTo investigate the motivation, attitude, and practice toward mentoring and related factors among clinical nursing mentors.MethodsThis cross-sectional study included clinical nursing mentors from 30 hospitals in Zhejiang Province between August and September 2023. Demographic information, motivation, attitude, and practice were collected through a self-administered questionnaire.ResultsA total of 495 valid questionnaires were collected, and most of the participants were 30–39 years old (68.7%). Average motivation, attitude, and practice scores were 29 [26, 32] (possible range: 8–40), 87 (82, 94) (possible range: 22–110), and 41 (38, 45) (possible range: 11–55), respectively. Correlation analyses showed that the motivation scores were positively correlated with attitude scores (r = 0.498, P < 0.001) and practice scores (r = 0.408, P = 0.001), while attitude scores were positively correlated with practice scores (r = 0.554, P < 0.001). Multivariate logistic regression showed that intermediate and senior nursing mentors (OR = 0.638, 95% CI: [0.426–0.956], P = 0.030) and different hospitals (OR = 1.627, 95% CI: [1.054–2.511], P = 0.028) were independently associated with motivation. The hospital’s frequency of psychological care was a significant factor associated with nursing mentoring motivation, attitude, and practice. Participation in training (OR = 2.908, 95% CI: [1.430, 5.913], P = 0.003) and lower frequency of job evaluation in hospital (“Often”: OR = 0.416, 95% CI: [0.244–0.709], P = 0.001 and “Sometimes”: OR = 0.346, 95% CI: [0.184–0.650], P = 0.001) were independently associated with practice.ConclusionClinical nursing mentors had adequate motivation, positive attitude, and proactive practice towards mentoring and associated factors. Clinical nursing mentorship should be enhanced by prioritizing mentor training, fostering a supportive environment with consistent psychological care, and promoting structured mentorship activities.

Peer Mentorship: Career Support in Full Bloom.

Peer mentorship, referring to interactions among colleagues at similar career stages for the purpose of bidirectional career development, is a powerful tool to promote personal and professional growth. While dyadic mentoring has traditionally been the norm in academia, the needs of junior faculty may span multiple domains that a single senior mentor may not be able to address. 1,2 A vibrant community garden of peer mentors can help to harvest ideas, encourage mutual collaboration, increase personal satisfaction, and promote career advancement.

ПРИМЕНЕНИЕ СКАФФОЛДИНГА В ПРОЦЕССЕ ОРГАНИЗАЦИИ УЧЕБНОЙ ПРАКТИКИ СТУДЕНТОВ ПЕДАГОГИЧЕСКОГО ВУЗА

The relevance of the study is due to the need for professional training of future foreign language tea chers who are confi dent in their abilities and strive for self-develop ment. A senior mentor can play a signifi cant role in their development, providing timely support, guidance and sharing his experience with future teachers. The purpose of the study is to substantiate the feasibility of using scaffolding during students’ educational practice, ensuring that students receive support and assistance from the teacher in the learning process, as a result of which students increase their level of independence when performing more complex tasks. The novelty of the study is presented as the development of specifi c educational tactics in the preparation of future teachers based on the use of scaffolding principles: provide support and guidance at the beginning, gradually cede their role to the student, allowing him to independently cope with tasks and draw conclusions.

Leveraging stylometry analysis to identify unique characteristics of peer support user groups in online mental health forums

Online peer support mental health forums provide an effective and accessible form of support, augmenting scarce clinical and face-to-face assistance. However, to enhance their effectiveness, it is essential to understand the unique characteristics of peer support user groups, and how they participate, contribute and communicate in these forums. This paper proposes and tests a novel approach that leverages stylometry analysis to uncover the unique characteristics of peer support user groups in such forums. Our approach identifies how each group empowers and supports other users, and what distinguishes them from others. The analysis shows that emotion-related words are crucial in identifying and distinguishing user groups based on their writing style. Comparative analysis of emotion expressions across user groups also uncovers the significance of emotional content in these forums in promoting mental well-being. Valued ‘senior contributors’ were more likely than all other groups including trained community guides to use a wide range of both positive and negative emotions in their posts. These findings have significant implications for improving the training of peer-mentors and moderators, scaling forum services, and improving guidelines for emotional expression among peer support users. Our approach presents an objective approach to differentiating the characteristics and communication patterns of valued senior contributors, mentors, and guides, enabling service providers to foster the kinds of communication that supports positive outcomes for distressed users.

The Effect of Positive Psychological Capital on Interpersonal Communication Ability and Turnover Intention of Beauty Workers

This study verifies the effect of positive psychological capital on interpersonal communication ability and turnover intention. By verifying that job improvement and fulfillment through interpersonal communication ability lower turnover intention and basic data necessary for efficient and effective operation of human resource management. The purpose is to present A survey was conducted targeting beauty workers, and a total of 305 copies were used as the final analysis data. The collected data were subjected to frequency analysis, factor analysis, reliability analysis, and multiple regression analysis using SPSS 24.0. As a result of the analysis, positive psychological capital has three dimensions of self-efficacy, hope, and optimism, interpersonal communication ability has two dimensions of understanding and reliability, and turnover intention has a single dimension. The effect of positive psychological capital on interpersonal communication ability had a positive effect, and the effect of positive psychological capital and turnover intention showed a negative effect. The conclusion from the results of this study is that it is important to form a sense of unity with the organization so that the goals and vision of the organization can be shared in the same direction as the goals of the employees. needs to be developed. It is necessary to create a culture that respects and understands positive communication methods and opinions among members by utilizing emotional education programs, and improves organizational performance by satisfying individual professional growth and development through consultation with senior mentors and technical training. It is presumed that it can be done. In relation to this study, suggestions for follow-up studies are as follows. A study on the influence of current leadership, which is being emphasized by positive psychological capital, on communication and behavioral intention is also considered to be a meaningful study.

Applying methodological innovation to explore generativity development among collegiate leadership mentors

PurposeBuilding upon a larger mixed-methods research agenda, the purpose of this research study was to explore the growth of generativity (i.e. care for the next generation) among college student leaders who mentor, answering the central question “What changes in generativity do college student leaders who mentor associate with their mentoring experience, and why?” and associated sub-question “How does generativity develop among college student leaders who mentor?”Design/methodology/approachApplying methodological innovation to a phenomenological design, semi-structured interviews were conducted and triangulated with pictorial degree-of-change graphs among 33 collegiate leadership mentors at a large Midwestern USA land-grant university.FindingsThe findings indicated that senior collegiate leadership mentors overwhelmingly acknowledged sustained generativity increases as a result of mentoring a younger student when given the tools, environment to process and time needed to develop trusting investment relationships. These increases in generativity were associated with changes in their understanding of generativity, the desire to pass on the knowledge given to them and growth in both mentor and mentee.Originality/valueFindings from the current study advance mentoring research and practice by providing a deeper understanding of mentoring as a developmental intervention, informing antecedents of generativity and utilizing innovative qualitative methodological techniques.

Determinants of Attitude Toward End-of-Life Care Among Junior Physicians: Findings from a Nationwide Survey in Japan.

Physicians' attitudes can be critical in quality end-of-life care. However, the determinants of the attitudes and whether the attitudes can be modified remain unclear. To investigate factors correlated with physicians' positive attitudes toward end-of-life care and whether these attitudes are modifiable through acquired factors (e.g., education or mentorship). A nationwide survey was conducted in 300 institutions and selected randomly from 1037 clinical training hospitals in Japan. From each selected institution, two resident physicians of postgraduate year (PGY) 1 or 2 and two clinical fellows from PGY 3-5 were requested to answer the survey. The primary outcome was the Frommelt Attitudes Toward the Care of the Dying (FATCOD) scale score. Factors (e.g., the respondents' age, sex, number of years of clinical experience, training environment, religion, and beliefs around death) were examined for correlation with FATCOD score. In all, 198 physicians and 134 clinical fellows responded to the survey (response rate: 33.0% and 22.3%, respectively). Factors with the strongest correlation with FATCOD scores were mostly unmodifiable factors (e.g., being female and one's beliefs around death). Modifiable factors were also identified-number of patient deaths experienced, level of interest in palliative care, availability of support from senior mentors, and frequency of consultation with nonphysician medical staff. Physicians' attitudes toward end-of-life care correlate more strongly with nonmodifiable factors, but attitudes can be meaningfully improved via mentoring by senior physicians. Future studies are warranted to determine the effective interventions to foster positive attitudes among physicians involved in end-of-life care.

15 Impact of Mentoring of Underrepresented Minorities in Undergraduate Medical Education: A Systematic Review

Abstract Aim The aim of this review is to evaluate the impact of structured mentoring programs on underrepresented minorities in undergraduate medical education. Method A comprehensive search strategy was performed of electronic databases including PubMed, Ovid Medline, and EMBASE between January- September 2022 in accordance with PRISMA guidelines. Both qualitative and quantitative outcomes including characteristics of the mentoring structure explored within each study were collected, and differences in study outcomes analysed. Results In total 17 studies were included for analysis. Mentoring within underrepresented minorities resulted in an increase in research opportunities, exam performance, medical specialty applications and residency matching. Structured feedback yielded positive experiences by both mentors and mentees participating in programs, with both emotional and cultural competence issues explored across studies included for analysis. Conclusions Mentoring for medical students underrepresented in medicine across mentoring relationships including peer, senior, formal, and informal structures yield positive outcomes within research, academic modules, and career pathways. Future applications of mentoring programs should consider the use of tandem mentoring from both senior and peer mentors to optimise benefits URM students derive from each mentoring relationship.

Impact of mentoring on the likelihood of getting jobs in the agricultural sector in Benin

ABSTRACT This study evaluates the impact of mentoring programs on the likelihood of getting a job in the agricultural sector after a one-year experiment conducted in Benin. The program provides graduates in agriculture-related fields with capacity building (digital skills, job search skills, and interpersonal skills) – as well as the support of a professional who is either a junior (junior model) or a senior (senior model) – as they seek jobs. The evaluation framework followed a mixed-methods design that incorporated survey data and qualitative data. The findings from the randomised controlled trial (RCT) showed a positive impact of the senior mentoring model, which increased the likelihood of getting a job in the agricultural sector by 16.4 per cent. In addition, the senior mentoring model had more impact on the likelihood of getting a job for both genders with an increase of 18.7 per cent for men and 11.9 per cent for women. Furthermore, mentees valued receiving practical career-related assistance, a realistic perspective on the workplace, and psychological and emotional support. The study suggests the need for a comprehensive policy package by policymakers and the institutionalisation of a formal mentoring program by youth-serving organisations based on the senior model.

What has changed in pediatric neurosurgical care in spina bifida? A 30-year UAB/Children's of Alabama observational overview.

Spina bifida (SB) remains the most serious and most common congenital anomaly of the human nervous system that is compatible with life. The open myelomeningocele on the back is perhaps the most obvious initial problem, but the collective impact of dysraphism upon the entirety of the nervous system and innervated organs is an equal or greater longitudinal threat. As such, patients with myelomeningocele (MMC) are best managed in a multi-disciplinary clinic that brings together experienced medical, nursing, and therapy teams that provide high standards of care while studying outcomes and sharing insights and experiences.Since its inception 30years ago, the spina bifida program at UAB/Children's of Alabama has remained dedicated to providing exemplary multi-disciplinary care for affected children and their families. During this time, there has been great change in the care landscape, but many of the neurosurgical principles and primary issues have remained the same. In utero myelomeningocele closure (IUMC) has revolutionized initial care and has favorable impact on several important co-morbidities of SB including hydrocephalus, the Chiari II malformation, and the functional level of the neurologic deficit. Hydrocephalus however is not solved by IUMC, and hydrocephalus management remains at the center of neurosurgical care in SB. Ventricular shunts were long the cornerstone of treatment for hydrocephalus, but we came to assess and incorporate endoscopic third ventriculostomy with choroid plexus coagulation (ETV-CPC).Educated and nurtured by an experienced senior mentor, we dedicated ourselves to fundamental concepts but persistently evaluated our care outcomes and evolved our protocols and paradigms for improvement. Active conversations amidst networks of treasured colleagues were central to this development and growth. While hydrocephalus support and treatment of tethered spinal cord remained our principal neurosurgical charges, we evolved to embrace a holistic perspective and approach that is reflected and captured in the Lifetime Care Plan. Our team engaged actively in important workshops and guideline initiatives and was central to the development and support of the National Spina Bifida Patient Registry.We started and developed an adult SB clinic to support our patients who aged out of pediatric care. Lessons there taught us the importance of a model of transition that emphasized personal responsibility and awareness of health and the crucial role of dedicated support over time. Support for sleep, bowel health, and personal intimate cares are important contributors to overall health and care. This paper details our growth, learning, and evolution of care provision over the past 30years.

State of the Art and New Trends from the 2022 Gism Annual Meeting.

The 2022 Italian Mesenchymal Stem Cell Group (Gruppo Italiano Staminali Mesenchimali, GISM) Annual Meeting took place on 20-21 October 2022 in Turin (Italy), with the support of the University of Turin and the City of Health and Science of Turin. The novelty of this year's meeting was its articulation, reflecting the new structure of GISM based on six sections: (1) Bringing advanced therapies to the clinic: trends and strategies, (2) GISM Next Generation, (3) New technologies for 3D culture systems, (4) Therapeutic applications of MSC-EVs in veterinary and human medicine, (5) Advancing MSC therapies in veterinary medicine: present challenges and future perspectives, (6) MSCs: a double-edged sword: friend or foe in oncology. National and international speakers presented their scientific works with the aim of promoting an interactive discussion and training for all attendees. The atmosphere was interactive, where ideas and questions between younger researchers and senior mentors were shared in all moments of the congress.