Successful Recruitment Research Articles

The efficacy of Merit-based Recruitment in Amolatar district in Northern Uganda

Purpose: This study aimed to assess the success of merit-based recruitment in Amolatar District Local Government Administration, Uganda. Methodology: A case-study research design was adopted backed by quantitative and qualitative analysis that involved a careful and in-depth investigation of a particular unit or events under study for the purposes of generalization. It was conducted in Amolatar District. We chose this area because merit-based recruitment had failed as a result of weak decision-making processes by the district service communion and the influence-peddling by political leaders in the district. We took a sample of 60 respondents and interviewed 52 respondents living within the District Headquarters and in Amolatar Town Council. Findings: The results revealed that the success of merit-based recruitment in Local Government Administration is very essential in terms of stakeholder responsibility, enhancing citizen confidence in the local government institution, and enabling the district service commission to recruit the best human resources for the provision of quality service. Contribution to Theory, Policy and Practice: This study is central as it strengthens the merit-based recruitment model over and above other models of recruitment as well as enabling local governments to prioritize meritocracy over political patronage in every staff recruitment cycle.

A STUDY ON RECRUITMENT AND SELECTION PRACTICES OF HOME FIRST FINANCE COMPANY INDIA LTD., RAJAHMUNDRY-AP

In order to accomplish its goals, every business must employ a staff that is both capable and experienced. The degree of expertise required in the workplace must rise, as must workers' adaptability and flexibility. Investment in employee Recruitment and selection is not just a good idea, but a must for any company that wants to keep its workforce competitive and well-informed. The purpose of the research was to determine how successful Recruitment and selection strategies are in improving the knowledge and skills of staff members at the HOME FIRST FINANCE COMPANY INDIA LIMITED in Visakhapatnam. The information was gathered from 120 workers who were chosen at random. Currently employed by the HOME FIRST FINANCE COMPANY INDIA LIMITED the vast majority of respondents to a recent survey agreed that Recruitment and selection programs are effective in increasing workers' levels of expertise. The goal of this effort has been to compile a body of information on Recruitment and selection that may be used as a resource by anyone doing Recruitment-related research. *** KEYWORDS: Recruitment, Selection, Organization, Effectiveness.

Reddit for research recruitment? Social media as a novel clinical trial recruitment tool for adolescent and young adult (AYA) cancer survivors.

Adolescent and young adult cancer survivors (AYAs) have been considered a hard-to-reach population with low enrollment rates in cancer clinical trials. Race, ethnicity, socioeconomic status, and inaccessibility have been identified as barriers impacting research participation. Social media has the potential to overcome these barriers and increase AYA enrollment. This secondary analysis of a randomized controlled behavioral trial aims to (1) examine differences in participant characteristics and engagement as stratified by recruitment method and (2) offer considerations for using social media to recruit AYAs. Social media and traditional recruitment methods were employed to recruit 72 post-treatment AYAs (ages 16-29) for a virtual synchronous group-based resiliency intervention (Bounce Back). Screening surveys assessed sociodemographic, medical, and psychosocial characteristics. Feasibility was assessed via attendance and follow-up survey completion. Post-intervention program acceptability and treatment satisfaction ratings were collected. A total of 61% of AYAs were recruited via social media; with 40% from Reddit, 18% from Facebook, and 3% from Twitter. Participants recruited via social media had greater sociodemographic and geographic diversity, completed cancer treatment more recently, and reported increased anxiety and prospective worry compared to participants recruited via traditional channels. No significant between-group differences in retention, engagement, acceptability, or treatment satisfaction ratings were detected. Challenges encountered included bots, malingerers, and scheduling considerations. Recruiting via social media platforms, especially Reddit, enhanced participant diversity and intervention accessibility. Researchers should identify recruitment methods that promote inclusivity while preserving safety and research integrity. Social media recruitment was a successful and comparable recruitment strategy for engaging early post-treatment AYAs in a behavioral intervention trial.

Two decades of body length measurements of larval and juvenile fish populations in English rivers

Long-term datasets provide context and understanding of complex ecological processes, including temporal variations in species diversity and ecosystem dynamics. This dataset is comprised of body length measurements (mm) of more than 380,000 larval or juvenile fish of 30 species from five English river catchments collected almost monthly over two decades. Such information can be used to determine growth rates, future recruitment success, population structure and compliance with monitoring protocols and conservation objectives. The dataset provides a baseline for analysing the impacts of anthropogenic disturbances such as climate change, pollution and habitat degradation, and, given that many fish populations are size structured with a positive relationship between fish body length and various biological attributes such as swimming ability, survival and fecundity, it will be invaluable for investigating natural and human- induced disturbances.

A digitally supported multimodal lifestyle program to promote brain health among older adults (the LETHE randomized controlled feasibility trial): study design, progress, and first results

BackgroundThe Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) multimodal lifestyle intervention yielded cognitive and other health benefits in older adults at risk of cognitive decline. The two-year multinational randomized controlled LETHE trial evaluates the feasibility of a digitally supported, adapted FINGER intervention among at-risk older adults. Technology is used to complement in-person activities, streamline the intervention delivery, personalize recommendations, and collect digital biomarkers.MethodsTrial includes older adults (60–77 years) with digital readiness/experience with smart devices and increased dementia risk but without substantial cognitive impairment. Participants are enrolled at four sites (Austria, Finland, Italy, Sweden). At baseline, participants were randomized 1:1 ratio to 1) intervention i.e., structured multimodal lifestyle program (including diet, exercise, cognitive training, vascular/metabolic risk management, social stimulation, sleep/stress management) where in-person activities led by professionals are supported with an Android mobile phone application developed by the consortium (the LETHE App); or 2) control i.e., self-guided program (regular health advice; simplified App with no personalized/interactive content). All participants wear smartwatches to gather passive data (e.g., physical activity, sleep). Primary outcomes are retention, adherence, and change in validated dementia risk scores. Secondary outcomes include changes in lifestyle, cognition, stress, sleep, health-related quality of life, and health literacy. Additional outcomes (exploratory) include e.g. participant experiences and dementia-related biomarkers (Alzheimer’s disease blood markers, neuroimaging). A sub-study explores the feasibility of novel interactive technology (audio glasses, social robot).ResultsRecruitment began in September 2022, and the last participant was randomized in June 2023. In total, 156 individuals were randomized (mean age 69 years, 65% women; balanced recruitment across the four sites). Vascular and lifestyle risk factors were common (e.g., 65% with hypertension, 69% with hypercholesterolemia, 39% physically inactive), indicating successful recruitment of a population with risk reduction potential. Trial will be completed by summer 2025. Retention until the first post-baseline visit at 6 months is high (n = 2 discontinued, retention 98.7%).ConclusionLETHE provides crucial information about the feasibility of technology and a digitally supported FINGER lifestyle program to promote brain health. Digital tools specifically designed for older adults could offer potential for large-scale, cost-effective prevention programs.Trial registrationClinicalTrials.gov (NCT05565170).

Linking PVA models into metamodels to explore impacts of declining sea ice on ice-dependent species in the Arctic: the ringed seal, bearded seal, polar bear complex

Arctic ecosystems are especially vulnerable to the impacts of climate change because of the limit to possible northward shifts for species dependent on land or continental shelf and because the rate of warming of the region has been 2-4 x the global average in recent decades. The decline in sea ice in the Arctic has both direct and indirect impacts on the species that live in association with ice, breeding on it, traveling over it, feeding on other ice-dependent species or avoiding competition with subarctic species that cannot exploit resources in ice-covered areas. Herein, we present a metamodel of a top-level predator, the polar bear (Ursus maritimus), and two of its key prey species, ringed seals (Pusa hispida) and bearded seals (Erignathus barbatus), which are important in maintaining current polar bear densities and in turn are strongly influenced by bear predation. We used a metamodel that links Population Viability Analyses of the three species in order to examine how the impacts of declining spring land-fast sea ice on the fjords of Svalbard (Norway) and Frans Josef Land (Russia) can cascade through this predator-prey system. As the ice conditions that allow ringed seals to raise pups in snow-covered lairs on the frozen fjords diminish, or even disappear, ringed seal populations using the land-fast sea ice will collapse due to lack of successful recruitment. Consequently, the polar bear population, which relies heavily on hunting ringed seals in the land-fast sea ice to be able to raise their own offspring is also likely to decline. Our models suggest time-lags of decades, with the polar bear population not entering into decline until the lack of recruitment of ringed seals results in the depletion of breeding age ringed seals – starting in the third decade from the start point of the model and dropping below the initial population size only some decades later. Although lags between climate change and impacts on the ice-associated fauna are expected, the sea ice conditions have already changed dramatically in the northern Barents Sea region, including the Svalbard Archipelago, and the collapse of this Arctic species assemblage might already be underway.

Effects of vegetative ground cover on seedling establishment of the invasive liana old man’s beard (Clematis vitalba)

Abstract Opportunistic use of limited resources is often attributed to invasive species, and as a mature vine, old man’s beard (Clematis vitalba L.) is known to have devastating negative impacts on the trees it colonizes. No previous experimental studies have been published on how easily C. vitalba seedlings can colonize ground covered by other established vegetation. This species has had an increasing presence in forestry blocks and riparian zones in New Zealand, both of which usually maintain some grass cover. To determine the importance of vegetative ground cover for preventing ingress of new C. vitalba plants, this study looked at seedling emergence through the soil and establishment of C. vitalba within four different levels of grassy cover at three sites: (1) ground kept bare after vegetation removal; (2) ground bare at C. vitalba seed sowing, but thereafter allowed to recover; (3) vegetative cover trimmed to 4 cm high at C. vitalba sowing, and then allowed to recover; and (4) unmanaged vegetation. At the highest level of vegetation density (unmanaged vegetation), no C. vitalba seedlings were ever detected throughout a 1-yr monitoring period. At lower ground cover densities, poor seedling emergence was observed, with a maximum of 36% of seeds sown in bare plots producing a seedling. Also, seedlings did not survive past 1 yr, except in bare plots or in plots where vegetation grew sparsely. However, seedlings that did survive began producing multiple stems within 6 mo of emergence. These results indicate that obstacles to seedling emergence and poor development at the young seedling stage when vegetative cover is dense severely limit C. vitalba’s chances to invade new sites via seed. Yet some successful seedling recruitment does occur due to the magnitude of the propagule pressure on the landscape and the difficulty of maintaining high-density ground cover across large areas throughout the year.

Qualitative understanding of experiences of people with cystic fibrosis in a treatment discontinuation trial: The QUEST study

BackgroundAs people with cystic fibrosis (PWCF) live longer due to the breakthrough drug elexacaftor-tezacaftor-ivacaftor (ETI), they have questioned whether other CF therapies could be safely discontinued. SIMPLIFY was the first prospective, randomized trial to evaluate non-inferiority of discontinuing versus continuing two therapies. The QUEST (Qualitative Understanding of Experiences in the SIMPLIFY Trial) study was conducted to understand experiences of PWCF enrolled in SIMPLIFY, including why they joined, perceptions of randomization, decision-making around study withdrawal, and considerations for future discontinuation studies. MethodsQUEST enrolled SIMPLIFY participants 14 years or older stable on ETI and caregivers of the 14–17 year-olds. Interviews were audio-recorded, transcribed, and coded. A phenomenological approach was used to inductively develop codes with no a priori hypotheses; identified themes were then organized around current research and recruitment literature. Results114 interviews were completed (68 adults, 23 teenagers, and 23 caregivers). Among PWCF, median age was 27.8 years, 49 % were female and 80 % had participated in research before SIMPLIFY. Five themes were identified: (1) Experience with SIMPLIFY randomization, [2] Trust, [3] Altruism, [4] Perceived personal benefits, and [5]) Perceived risks and protocol burden. ConclusionQUEST findings highlight how a long-standing culture of research and thoughtful protocol design contributed to SIMPLIFY's successful recruitment and retention. This included understanding the importance of remaining in the trial despite not being randomized to their preferred treatment assignment. Using patient-centered approaches to select research questions, design a protocol to minimize participant barriers, and frame recruitment materials messaging contribute to successful research participation.

Restricted recovery of Eisenia bicyclis kelp forest following sea urchin removal on the Pacific coast of Tohoku, Japan

Little information is available on the destruction of Eisenia bicyclis kelp forests (Phaeophyceae: Laminariales) due to overgrazing by sea urchins. In Shizugawa Bay, on the northeastern Pacific coast of Japan, overgrazing by the sea urchin Mesocentrotus nudus caused the destruction of E. bicyclis forests between 2014 and 2015. This study investigated the recovery of an adult kelp forest in relation to sea urchin densities through the continuous removal of sea urchins at 3 permanent experimental transects spanning 100 m2 for 3.8 yr from September 2015 to June 2019. The relationship between the densities of sea urchins and kelp juveniles was also analyzed. Estimates of the threshold density and biomass of sea urchins required to trigger the phase shift from an E. bicyclis forest to a barren were 15.5 ind. m-2 and 712.0 g m-2, respectively. The removal of sea urchins expanded the offshore kelp growth area. However, an increase in adult kelp following the return of juveniles was restricted to the nearshore half of the transects. The successful recruitment of kelp juveniles, followed by the recovery of adult kelp forest, requires reduction of the density of M. nudus of 40-50 mm diameter to 0 or 1 ind. m-2. Reducing sea urchin densities in autumn, when many move from barrens to invade kelp forests, is crucial to ensure the survival of kelp juveniles. This study highlights the presence of an intensified positive feedback mechanism of the barren state due to high grazing intensity and a weakened Oyashio Current.

Tropical teleconnections through the Amundsen Sea Low impact Antarctic toothfish recruitment within the Ross Gyre

Antarctic toothfish (Dissostichus mawsoni) in the Ross Sea region are believed to spawn predominantly in the northern parts of the Ross Gyre during the austral winter with fluctuations in their recruitment observed. This Lagrangian modelling study attempts to explain these fluctuations and shows how sea-ice drift impacts the buoyant eggs and the overall recruitment of juveniles reaching the Amundsen shelf break. Interannual variations in the Amundsen Sea Low, linked to tropical sea surface temperatures, cause modulations in the sea-ice drift and subsequent recruitment. When the Amundsen Sea Low is weaker, consistent with El Niño conditions, the northward sea-ice drift reduces, and more eggs remain within the Ross Gyre leading to a larger recruitment success. Conversely, recruitment success reduces during La Niña conditions. The sea-ice drift may explain about 80% of the interannual Antarctic toothfish recruitment variability over the period 1975–2016 and is of particular importance during the first year after spawning. These results enable future interannual changes in Antarctic toothfish recruitment success based on remote observations to be anticipated. Our findings suggest that ongoing climate change strengthening of the Amundsen Sea Low, will likely contribute to a long-term toothfish recruitment decline in the Ross Gyre region.

Evaluating the Effectiveness of Traditional Recruitment and Selection Practices in a Technologically Dominated Economy

In the contemporary business environment, there is a need for firms to plan and implement proactive traditional recruitment and selection, especially regarding employees working in the gig economy. However, the poor handling of traditional recruitment and selection processes can significantly affect the quality of employees and their performance in an organisation. This study aimed to evaluate the effectiveness of traditional recruitment and selection practices in a technologically dominated economy. The importance of attracting and selecting a highly skilled workforce in a tight and competitive market has made adopting best practices in recruitment and selection by organisations critical. Firstly, the study highlighted various traditional recruitment and selection methods in organisations. Secondly, the overall recruitment and selection process was identified. Finally, strategies to mitigate the identified challenges faced in the traditional recruitment and selection process were suggested. The study was qualitative, adopting the survey strategy. Purposive was adopted, and hematic was used for data analysis. Findings revealed that traditional recruitment and selection as a practice is important for both employees involved in the gig economy. Importantly, the strategic approach to traditional recruitment and selection practices is vital and should be the cornerstone of any projected recruitment and selection process in a gig economy. Results validate the critical role of the traditional recruitment and selection process in achieving organisational aims and objectives in a technologically dominated economy. The study also proves that collaborative methods are central to the success of any traditional recruitment and selection process. Recommendations affirmed that recruitment and selection should be planned and well implemented. Human resource planning was also measured to be vital and emphasis on significant features of traditional recruitment and selection as a process such as having a place a well and implemented traditional recruitment and selection policy was asserted.

P144 Recruitment success in a randomised controlled trial: Tracer-based radioguided surgery for recurrent prostate cancer (TRACE-II)

P144 Recruitment success in a randomised controlled trial: Tracer-based radioguided surgery for recurrent prostate cancer (TRACE-II)

Lessons From 3 Longitudinal Sensor-Based Human Behavior Assessment Field Studies and an Approach to Support Stakeholder Management: Content Analysis.

Pervasive technologies are used to investigate various phenomena outside the laboratory setting, providing valuable insights into real-world human behavior and interaction with the environment. However, conducting longitudinal field trials in natural settings remains challenging due to factors such as low recruitment success and high dropout rates due to participation burden or data quality issues with wireless sensing in changing environments. This study gathers insights and lessons from 3 real-world longitudinal field studies assessing human behavior and derives factors that impacted their research success. We aim to categorize challenges, observe how they were managed, and offer recommendations for designing and conducting studies involving human participants and pervasive technology in natural settings. We developed a qualitative coding framework to categorize and address the unique challenges encountered in real-life studies related to influential factor identification, stakeholder management, data harvesting and management, and analysis and interpretation. We applied inductive reasoning to identify issues and related mitigation actions in 3 separate field studies carried out between 2018 and 2022. These 3 field studies relied on gathering annotated sensor data. The topics involved stress and environmental assessment in an office and a school, collecting self-reports and wrist device and environmental sensor data from 27 participants for 3.5 to 7 months; work activity recognition at a construction site, collecting observations and wearable sensor data from 15 participants for 3 months; and stress recognition in location-independent knowledge work, collecting self-reports and computer use data from 57 participants for 2 to 5 months. Our key extension for the coding framework used a stakeholder identification method to identify the type and role of the involved stakeholder groups, evaluating the nature and degree of their involvement and influence on the field trial success. Our analysis identifies 17 key lessons related to planning, implementing, and managing a longitudinal, sensor-based field study on human behavior. The findings highlight the importance of recognizing different stakeholder groups, including those not directly involved but whose areas of responsibility are impacted by the study and therefore have the power to influence it. In general, customizing communication strategies to engage stakeholders on their terms and addressing their concerns and expectations is essential, while planning for dropouts, offering incentives for participants, conducting field tests to identify problems, and using tools for quality assurance are relevant for successful outcomes. Our findings suggest that field trial implementation should include additional effort to clarify the expectations of stakeholders and to communicate with them throughout the process. Our framework provides a structured approach that can be adopted by other researchers in the field, facilitating robust and comparable studies across different contexts. Constantly managing the possible challenges will lead to better success in longitudinal field trials and developing future technology-based solutions.

Health in Germany – A new panel infrastructure for Public Health Research in Germany: study design

Abstract Background The Robert Koch Institute (RKI) is developing a new panel infrastructure, ‘Health in Germany,’ to enhance public health research through continuous, rapid data collection from questionnaire surveys, measurements, and laboratory analyses. Using online and offline collection methods (CAWI and PAPI), the project aims to have 30,000 registered panelists by Spring 2024. Methods The sample of the recruitment study is based on address data from Germany’s local registration offices, whereby a mixed-mode design is used for data collection. Individuals aged 16-69 receive an initial online-only invitation, followed by postal reminders that include a paper questionnaire. For those aged 70 and above, both online and paper options are available from the outset. Incentives include an unconditional €5 cash payment for all invitees and an additional €10 for successful registration into the panel infrastructure. Results The initial response rate of the recruitment study is 35%. Of the CAWI participants, approx. 90% expressed willingness to participate again, with approx. 80% completing the online registration. To date, over 42,000 panelists have been recruited. Further detailed results on response rates, non-response bias, and sample composition will be presented at the conference. Conclusions RKI’s ‘Health in Germany’ is one of the largest probability panels in public health research, effectively gathering and analyzing data. The recruitment success and strong participant engagement highlight the infrastructure’s efficiency and its significant contribution to epidemiological research in Germany. Key messages • Successful recruitment of over 42,000 panelists demonstrates robust engagement and effective implementation. • The push-to-web strategy (or web-push strategy) underscores the infrastructure’s adaptability and efficiency.

The role of larval transport on recruitment dynamics of red mullet (Mullus barbatus) in the Central Mediterranean Sea

Recruitment success depends on external forcing mechanisms such as ocean currents that affect the transport of eggs and larvae to favorable habitats. In this study, we investigated the role of larval transport in the recruitment of Mullus barbatus in the Central Mediterranean Sea by modeling the recruits' abundance as a function of both spawning stock size and dispersal rates of the species’ early life stages. Our analysis involved twenty years of data on recruits and spawners abundance obtained from scientific trawl surveys, and data on larval dispersal rates derived from a combination of actualized published sources and original data. By calculating the estimates of retention, import and uniformity of the contribution of the spawning areas distributed among different Geographical Sub Areas (GSAs) in the Sicilian nurseries, we assessed their contribution to recruitment using modified Ricker stock size-recruits models. In particular, our results show that a high uniform contribution from spawning areas within GSA16, mainly related to the oceanographic patterns promoting larval retention, together with spawners abundance, significantly reduced the variability of red mullet recruitment. We further highlighted that when switching from a higher to a lower level of evenness of contribution to the recruit population from different spawning areas in the GSA16, the expected spawning stock abundance per recruit for a given fishing pattern can suffer a rapid short-term decline, which is likely to have negative consequences for stock assessment and management decisions. Our results suggest that larval transport plays a crucial role in explaining the interannual variability of recruitment, thereby contributing to a better understanding of stock size variation. Additionally, our study enhances the understanding of the spatial dynamics involved in the recruitment of this species, which is of increasing interest within fisheries management frameworks.

Improving seedling recruitment and dryland restoration using a targeted fungicide seed coating

The success of seeding projects in dryland systems is sporadic, with failure primarily driven by low seedling emergence and survival. This sporadic nature is influenced by a litany of biotic and abiotic factors that act in synergy to reduce recruitment success. These factors include erratic seasonal weather patterns, competition, predation, plant material selection, and restoration strategies. While some events are unpredictable and uncontrollable, others may be mitigated through thoughtful deliberation. Pathogenesis from soil‐ and seed‐borne fungi is one form of predation that can decrease restoration success. Fungicide seed coatings are technologies used in the agriculture industry to mitigate fungal pathogens, yet these technologies are novel to wildland seeding. We evaluated the ability of a fungicide seed coating to improve bluebunch wheatgrass (Pseudoroegneria spicata) recruitment across a broad range of sites and determined how soil and climate affected seed treatments across six sites over 650 linear kilometers of sagebrush‐steppe habitat in the Great Basin, United States. Treatment effects varied by site; however, on average, the fungicide treatment increased germination by 16%, emergence by 42%, and juvenile plant establishment by 60%. Fungicide seed treatments had a greater effect on seedling emergence in soils with lower pH, reduced wet‐thermal accumulation during the winter, lower bulk density, and higher organic matter content. Most notably, the fungicide seed treatment resulted in higher plant establishment when emerged seedlings were exposed to longer periods of available soil moisture. Fungicide seed treatments can improve the establishment of native bunchgrasses, when soil and climate regimes are considered.

Factors Associated With the Recruitment of Primary Care Workforce in Rural Vermont: A Pilot Study.

Objective This study, conducted in collaboration with Windham Aging, aims to explore the key factors influencing the recruitment of primary care professionals (PCPs) in rural Vermont. It strives to contribute to the development of effective strategies to address the healthcare needs of rural communities, particularly focusing on the aging population. Methods The study employed a qualitative approach, involving structured interviews with Family Medicine residents and Doctor of Nurse Practitioner (DNP) students training at the University of Vermont Medical Center who were interested in pursuing primary care. The interview questions were developed after a roundtable discussion with rural Vermont PCPs. The data were analyzed using thematic, inductive methods. Results The study included 12 participants. Its findings challenge common assumptions about rural healthcare recruitment. While financial incentives are traditionally considered pivotal, this research revealed that personal and lifestyle factors play a more crucial role. Such factors include prior experiences in rural healthcare, preferences for rural living, and community attributes such as housing availability, educational facilities, and political landscape. These insights reveal a complex interplay of personal and community factors in the decision-making process. Conclusions To effectively recruit PCPs in rural areas of Vermont, strategies need to extend beyond financial incentives. Emphasizing rural exposure during medical education and fostering stronger ties with rural healthcare settings during clinical rotations are key. Understanding the varied motivations behind healthcare professionals' choices is crucial for developing successful recruitment strategies in rural areas.

Labor Market Analysis as a Condition for Successful Recruiting

The article is devoted to the study of the importance of labor market analysis for attracting personnel to a company. The labor market, its structure, functions, and main parameters are characterized. Key market indicators important for recruiting are emphasized. Sources for analyzing the labor market are described and an approach to assessing its current state in the process of filling a vacancy is proposed. The authors reveal the dependence of recruiting success on the degree of development of the employer’s value proposition and its positioning against competitors.

Transpulmonary Pressure as a Predictor of Successful Lung Recruitment: Reanalysis of a Multicenter International Randomized Clinical Trial.

Recruitment maneuvers are used in patients with ARDS to enhance oxygenation and lung mechanics. Heterogeneous lung and chest-wall mechanics lead to unpredictable transpulmonary pressures and could impact recruitment maneuver success. Tailoring care based on individualized transpulmonary pressure might optimize recruitment, preventing overdistention. This study aimed to identify the optimal transpulmonary pressure for effective recruitment and to explore its association with baseline characteristics. We performed post hoc analysis on the Esophageal Pressure Guided Ventilation (EpVent2) trial. We estimated the dose-response relationship between end-recruitment end-inspiratory transpulmonary pressure and the change in lung elastance after a recruitment maneuver by using logistic regression weighted by a generalized propensity score. A positive change in lung elastance was indicative of overdistention. We examined how patient characteristics, disease severity markers, and respiratory parameters predict transpulmonary pressure by using multivariate linear regression models and dominance analyses. Of 121 subjects, 43.8% had a positive change in lung elastance. Subjects with a positive change in lung elastance had a mean ± SD transpulmonary pressure of 15.1 ± 4.9 cm H2O, compared with 13.9 ± 3.9 cm H2O in those with a negative change in lung elastance. Higher transpulmonary pressure was associated with increased probability of a positive change in lung elastance (adjusted odds ratio 1.35 per 1 cm H2O of transpulmonary pressure, 95% CI 1.13-1.61; P = .001), which indicated an S-shaped dose-response curve, with overdistention probability > 50% at transpulmonary pressure values > 18.3 cm H2O. The volume of recruitment was transpulmonary pressure-dependent (P < .001; R2 = 0.49) and inversely related to a change in lung elastance after adjusting for baseline lung elastance (P < .001; R2= 0.43). Negative correlations were observed between transpulmonary pressure and body mass index, PEEP, Sequential Organ Failure Assessment score, and PaO2 /FIO2 , whereas baseline lung elastance showed a positive correlation. The body mass index emerged as the dominant negative predictor of transpulmonary pressure (ranking 1; contribution to R2 = 0.08), whereas pre-recruitment elastance was the sole positive predictor (contribution to R2 = 0.06). Higher end-recruitment transpulmonary pressure increases the volume of recruitment but raises the risk of overdistention, providing the rationale for transpulmonary pressure to be used as a clinical target. Predictors, for example, body mass index, could guide recruitment maneuver individualization to balance adequate volume gain with overdistention.

8076 Advancing Career Development of Physician-Scientists Engaged in Diabetes Research: Insights into the National K12 DiabDocs Program

Abstract Disclosure: K.D. Dasani: None. F.K. Bishop: None. S.H. Golden: None. L.M. Laffel: None. R.G. Mirmira: None. A.K. Steck: None. S.M. Willi: None. D.M. Maahs: None. L.A. DiMeglio: None. Background: In July 2022 the NIH established a multi-center National K12 “Diabetes-Docs: Physician-Scientist Career Development Program” (DiabDocs) to support mentored research experiences and tailored career development training for cohorts of physician scientists focused on diabetes research. DiabDocs scholars are board-certified or board-eligible physicians with training in pediatric or adult endocrinology or in another area tied to diabetes research and care. The program addresses the shortage of physicians engaged in diabetes research and is open to scholars at any eligible institution in the United States. Methods: The DiabDocs program was implemented by two multi-center Program Directors (MPD), in collaboration with an Executive Leadership Committee (ELC) comprised of experienced basic science and clinical/translational physician-scientists. Additional faculty from 19 different institutions have engaged in advisory and reviewer roles. The program solicits Letters of Intent (LOIs) annually from interested candidates followed by invitations for full applications; a program retreat features educational workshops and diversity training; and a Study Section selects Scholars. Currently, the program is in its third recruitment cycle for additional scholars to start Summer 2024. Additional career development programming is available through a series of interactive webinars. The program also has a strong commitment to diversity, equity, and inclusion, including a “DiabDiversity” program to support in-person engagement in DiabDocs experiences by under-represented in medicine trainees. Results: After two successful recruitment cycles in 2022-2023 that reviewed 24 LOIs, 11 scholars were selected. The funded scholars (6 Adult and 5 Pediatric Endocrinologists) include 3 individuals self-identifying as underrepresented in medicine and 7 females. For the 2023 application cycle, 24 LOIs were received (11 from Adult and 9 from Pediatric Endocrinology, 2 in combined Pediatric/Adult Endocrinology, and 2 from other specialties). Conclusions: The DiabDocs program aims to identify, recruit, and support outstanding early career physician scientists. The program provides a national network with resources for protected research time, career development programs, and national mentorship to develop cohorts of skilled professionals contributing to the advancement of diabetes research. Presentation: 6/2/2024