Training Directors Research Articles

B - 112 Challenges and Opportunities for Training in a New Era in Neuropsychology: a Survey Study

Abstract Objective The field of neuropsychology is undergoing significant changes, especially as the Minnesota Update Conference (MUC) drafts are developed. In late 2023, a group of neuropsychology trainee-leaders, united through the Clinical Neuropsychology Trainee Forum (CNTF), surveyed trainees in the United States and Canada to better understand their needs and perception of the neuropsychology training climate. Method Survey items were written by a CNTF task force consisting of trainee-leaders from major neuropsychology organizations before being refined by four independent neuropsychologists, including two current neuropsychology postdoctoral fellowship training directors. The survey was distributed via listservs and social media. Results 220 respondents completed a majority of the survey, and they were primarily female (86%), White (71%), and training in the United States (92%). More than 75% of respondents reported satisfaction with their doctoral program, internship, and/or fellowship. Similarly, 90% and 73% of respondents, respectively, felt their opinions on the future of the field are listened to and/or valued in discussions with peers and supervisors/mentors. However, only 57% of respondents felt their opinions are valued by neuropsychology organizational leadership, and nearly 70% were uncertain or disagreed that trainees’ opinions were valued during the MUC draft development and review period. Conclusions Most neuropsychology trainees are satisfied with their training programs yet expressed concern about their opinions on the future of the field being heard by neuropsychology leadership. Trainee stakeholder engagement will be key to the vitality of neuropsychology in light of anticipated MUC Guidelines. Recommendations for supervisors, training directors, and neuropsychology organizational leadership will be discussed.

Psychedelic medicine in psychiatry residency training: a survey of psychiatric residency program directors

Objective The growth of psychedelic medicine creates new challenges in psychiatric education as physicians may soon be responsible for prescribing a number of psychedelic interventions. Despite this growing need for educated providers, very little is known about the training psychiatry residents receive in psychedelic medicine. We conducted a survey to determine the current educational opportunities as well as the priorities and concerns held by training directors about this emerging field. Methods We emailed an online survey to US psychiatry residency training directors. Respondents answered questions about current offerings in psychedelic medicine, as well as their interest, priorities, and concerns about curricular materials and their delivery. Results Sixty-one programs responded to our survey. The majority of respondents (64%) favored devoting additional time to psychedelic education, but many endorsed concerns about the dearth of educational materials (54%) and limited availability of faculty to deliver content (46%). The majority of programs (94%) expressed some interest in implementing a standardized curriculum in psychedelic medicine. Conclusion Training directors recognized that their current curricular materials are limited, and they appeared interested in additional support to meet the upcoming demand in psychedelic education. Further research can inform curriculum development and implementation of psychedelic education in residency training.

Family Medicine Resident Remediation Compared Across Two CERA Studies.

From 2020 to 2022, multiple medical schools transitioned from teaching patient care directly to online electives. Family medicine program directors reported on these learners' abilities to meet the Accreditation Council of Graduate Medical Education (ACGME) core competencies during residency. The authors hypothesized an increased need for medical knowledge remediation in the 2023 Council of Academic Family Medicine Educational Research Alliance (CERA) study. Using the 2017 and 2023 CERA studies, the authors evaluated which factors were associated with residents requiring remediation, residents completing remediation, the duration of remediation, and the most remediated core competency. Compared to 2017, the percentage of residents who successfully remediated in the 2023 study increased (P=.006), while remediation duration stayed unchanged at 6 to 12 months. The top ACGME core competency needing remediation remained professionalism in both studies (2017: 38.1%; 2023: 45.1%; P=.10) with medical knowledge being second most common (2017: 30.2%; 2023: 25.2%; P=.20). We found no associations between non-U.S. medical graduate percentage, core faculty remediation training, professionalism training, or didactic hours and the number of residents undergoing remediation, the percentage of residents remediating successfully, or the most common competency remediated. Program director gender, degree, race, years of experience, underrepresented in medicine status, and remediation training were not associated with any resident remediation variables studied. Professionalism remains the top core competency requiring remediation. We found no associations between resident, program, training, or program director factors and the core competency requiring remediation, the number of residents needing remediation, or the percentage of residents who completed remediation.

The integration of queer-related curriculum in psychology training in Aotearoa/New Zealand: a survey with programme directors

ABSTRACT As a key profession within the mental health workforce, psychologists can offer affirmative services that lead to positive therapeutic outcomes for queer clients. This study examined how training programmes to become a registered psychologist in Aotearoa New Zealand currently provide content on working with queer clients. In 2022, all (N = 17) programme directors of psychology training were invited to participate in a survey that assessed the cultural responsiveness of their training programmes and 15 responded. One-fifth (19%) classified their programme as containing at least ‘a moderate amount’ of queer content. Four-fifths (79%) reported that knowledge of caring for queer clients would be ‘very’ or ‘extremely’ important in psychology practice and/or thought more time should be dedicated to such content. Over half (57%) adopted an ‘add on’ approach to deliver queer content (e.g. guest lectures). During a time when queer communities experience drastically high rates of mental health issues and high exposure to minority stressors, there is a critical gap in the meaningful threading of queer content across the psychology curriculum. We have outlined ten points for reflection on developing this aspect.

Role of Strategic Planning in Enhancing Employees’ Job Loyalty through Comprehensive Quality Management

Aims study to know the role of strategic planning in enhancing employee job loyalty with its through comprehensive quality management in the Training and Qualification Directorate. problem of the study lies in the extent of the directorate’s interest, in strategic planning, employee job loyalty, and total quality management. A sample of officers, ranks, and civilian employees working in the directorate, The researchers relied on the questionnaire as a tool for collecting data and to complete this study and achieve the goals it seeks. (148) questionnaires were distributed to members of the study sample and the study reached a set of conclusions, the most important of which is the reliance of the directorate, the study community, on dialogue with workers before making decisions concerning them, which indicates its reliance on dialogue with workers before making a decision concerning them. the study reached of which is the necessity Coordination with universities and training and development centers in order to include the Directorate’s employees in the courses on strategic planning.

Clinical Psychology Graduate Programs: Falling Short in Cultural Humility Training.

Despite requirements by the American Psychological Association and the Psychological Clinical Science Accreditation System regarding training and education in cultural humility, questions remain regarding the presence and quality of the training in clinical psychology PhD and PsyD programs. This is a critical issue as inadequate training in diversity, cultural humility, and multiculturalism has substantial downstream effects on care for clients of color and may contribute to racial disparities and inequities in access to mental health services. We seek to explicitly evaluate key features of the conceptual model thought to improve the provision of mental health services for clients facing oppression and marginalization which includes perceptions of clinical psychology graduate programs' training in and assessment of cultural humility. We also assess self-efficacy related to the application of cultural humility as well as actual practice of actions associated with cultural humility. Each of these domains are evaluated among a sample of 300 graduate students and faculty, clinical supervisors, and/or directors of clinical training (DCTs) and differences across position and race of participants were tested. Study findings highlight significant gaps between what trainees need to develop cultural humility and what they may actually be receiving from their respective programs. While findings suggest that there is still a lot of work to be done, understanding the state of the field with regards to clinical training in cultural humility is an important first step towards change.

Current Landscape of Child and Adolescent Psychology Internship Programs and Implications for Workforce Development.

Doctoral psychology internships play a key role in the development of the competencies of the clinical child and adolescent psychologist workforce needed to serve the increasing behavioral and mental health needs of children. This study surveyed 50 internship training directors regarding workforce needs, the structure of experiential internship components, and the organizational infrastructure and funding of internship programs that provide focused care to children and adolescents within medical settings. Findings suggest that internships most commonly occur within academic medical settings and include clinical child psychology, integrated care, pediatric psychology, neuropsychology, and developmental disabilities tracks. On average, sites had 6 interns, 3 tracks, and 4 major rotations per track. Training directors identified program funding to be the greatest barrier to sustaining internship programs. Currently, internships are funded through clinical revenue, grants, and organizational funds covering an average intern salary of $31,020 plus benefits as well as 0.3 FTE of a training director's time to administrate the program. The number of internship tracks within a single program was associated with greater administrative time for the training director. Implications for advocacy at the federal, state, profession, and institutional level to increase funding and decrease barriers to training are discussed.

Investigating the effect of participatory management with a macro-ergonomics approach on organizational productivity through the mediating variable employee empowerment and participation )case study: General Directorate of Technical and Vocational Trainin

Introduction: By directly affecting the environment and creating employee satisfaction, ergonomics creates quality products or services, organizational productivity, and customer satisfaction. Participation is a kind of participation and involvement in decision-making, planning, and implementation. The present research was conducted to evaluate and measure the impact of collaborative management with macro ergonomics on organizational productivity through the mediating variable of employee empowerment and participation in the General Directorate of Technical and Vocational Training of Fars province. Materials and Methods: This research is a descriptive survey type. To carry out this research, 208 employees of the General Directorate of Technical and Vocational Training of Fars province were selected in 1402 by a simple sampling method based on the Karjesi and Morgan formula. Four standard questionnaires of participatory management, employee empowerment, organizational productivity, and employee participation were used to collect data. The reliability of the questionnaires was investigated using Cronbach's alpha, and the content validity ratio (CVR) was used for the validity of the questionnaires. The effect of participatory management with macro ergonomics on organizational productivity was evaluated using the paired t-test. Also, SPSS and AMOS statistical software were used for data analysis. Results: Cronbach's alpha coefficient of the standard questionnaire of participatory management, employee empowerment, organizational productivity, and employee participation was 0.803, 0.755, 0.790, and 0.946, respectively, and the CVR value of the questionnaires was calculated 1, 0.99, 1 and 1 respectively. And therefore the validity and reliability of the questionnaires were confirmed. This research showed that participatory management has a positive and significant effect on the empowerment of employees from the perspective of macro ergonomics and productivity (p=0.034). The positive impact of empowering employees on the organization's productivity was confirmed with the perspective of macro ergonomics and employee participation (p=0.041) Finally, the mediating role of employee empowerment and employee participation on organizational productivity was confirmed (p=0.031). Conclusion: According to the obtained results, the application of macro ergonomics leads to an increase in the acceptance power of employees and commitment to changes, and provides the most suitable help to improve their safety, satisfaction, and productivity.

The Relationship between Strategic Awareness and Organizational Culture: An Analytical Study in the General Directorate of Training and Qualification / Ministry of Interior

The main purpose of this research is to test the relationship between strategic awareness and organizational culture in the General Directorate of Training and Qualification/ the Ministry of Interior. In view of the importance of the research topic and sample for the researched directorate, the researcher adopted the descriptive analytical approach using the questionnaire as a primary tool for data collection. The research sample is represented by the heads of departments division directors, and training officers in the directorate. The sample was limited to 119 officers out of a total of 181 officers. The questionnaire consists of 57 items, and answers were analyzed using the statistical program (SPSS). As for the practical effects of the research, it was found that the main hypothesis was rejected, and the alternative hypothesis was accepted, which indicates the existence of a correlation between strategic awareness and organizational culture. One of the important recommendations is to develop a spirit of cooperation among the employees of the directorate and provide them with opportunities to participate in expressing their opinions in solving the problems facing the directorate and enhancing the performance of the employees. Continuous guidance and follow-up by the directorate is also recommended to bridge the gap between planning and implementation, by monitoring the implementation of annual plans and ensuring their quality.

The hidden curriculum of gatekeeping: Dismissal experiences of health service psychology trainees.

Health service psychology (HSP) programs, encompassing clinical, counseling, and school psychology, play a pivotal role in shaping the U.S. health care workforce. Practicum and internship sites are critical gatekeepers within this training. However, there is limited empirical evidence available regarding the prevalence of clinical dismissal and its consequences for affected trainees. To bridge these gaps in our understanding of clinical dismissal during HSP training, Study 1 conducted an analysis of a quantitative survey involving training directors (N = 123) from HSP academic programs. The results revealed that 28% of programs reported at least one trainee having been dismissed from a practicum or internship site within the past seven years, with an overrepresentation of racial minority and international trainees. In addition, PsyD programs (56%) exhibited a significantly higher likelihood of having dismissed trainees compared to PhD programs (23%) over the same period. In Study 2, qualitative interview data were collected from ten trainees who had experienced dismissal during their HSP training. Using the Consensual Qualitative Research method, we identified six distinct domains, each comprising unique categories and subcategories: Antecedents to dismissal, reasons for dismissal, process of dismissal, chain reactions, trainee impact, and recommendations. Taken together, this mixed-method study highlights that clinical dismissal is not an uncommon occurrence in HSP training and raises significant concerns about the current implementation process. We illuminate structural issues and offer recommendations to improve the process of clinical dismissal within the HSP field. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Prospective of Management and Supervision in Latin American Education

Purpose: Reflect on the approach to topics such as educational supervision, educational management, the importance of these aspects and the guidelines that currently govern this type of processes, likewise the importance lies in demonstrating the importance of this process in current education ensuring that children and young people in all countries have quality education. Methodology: The methodology of the article is based on the reflective qualitative method. Sánchez Silva (2005) defines it as follows: “The reflective tradition privileges values, norms and creates patterns of behavior that favor an analytical and critical attitude aimed at reviewing and evaluating ideas, assumptions, theories and conventional methods” (p.116). Furthermore, according to Edmund Husserl (cited by Menéndez, 2012), reflection is fundamental in phenomenology, being one of its main tasks to analyze experiences in an organized way. Results and Conclusions: Raise awareness about the importance of assigning suitable people to these positions, ensuring that they fulfill the responsibilities they acquire and also training teachers and directors in everything that educational supervision brings with it so that they can take decisive and participatory roles. since all types of opinions must provide significant elements. Furthermore, within the general guidelines in current education, it must be taken into account that this is an instrument of public policy that is based on the general law of the system, generating in turn a motivation and a direct relationship of the topics discussed since the The main element is the teacher, thus generating the necessary changes to provide students with quality education. Implications: This research provides implications for educational and government policies to continue strengthening Educational Supervision and Management policies in Latin America. Originality/value: This research offers novelty by reflecting on how public policies impact educational supervision and management in Latin American institutions.

Psychologists and Integrated Behavioral Health Simulation Training: A Survey of Medical Educators and Perspectives of Directors of Clinical Training.

It is well established that the integration of behavioral healthcare into the medical home model improves patient outcomes, reduces costs, and increases resident learning. As academic health centers increasingly integrate behavioral healthcare, targeted training for interprofessional collaboration around behavioral healthcare is needed. Simulation educational approaches potentially can provide this training. Health service psychologists are well-poised to support this because of their specialized training in integrated healthcare. The present exploratory study aimed to evaluate existing simulation programs and develop recommendations for integrated behavioral health training and evaluation. Directors of ACGME accredited residency programs that are high utilizers of the medical home model (Pediatrics, Internal Medicine, Medicine/Pediatrics, Family Medicine) as well as Psychiatry residencies and medical schools with membership in the Society for Simulation in Healthcare were recruited to complete a 26-item survey to assess program usage of psychologists as part of simulation training for integrated behavioral healthcare services. Of 79 participants who completed initial items describing their training program, only 32 programs completed the entire survey. While many academic health centers offered integrated team and behavioral health simulations, few utilized psychology faculty in design, implementation, and evaluation. Other behavioral health providers (psychiatrists, social workers) were often involved in medical school and pediatric residency simulations. Few institutions use standardized evaluation. Qualitative feedback and faculty-written questionnaires were often used to evaluate efficacy. Survey responses suggest that psychologists play limited roles in integrated behavioral healthcare simulation despite their expertise in interdisciplinary training, integrated behavioral healthcare, and program evaluation.

A Position Paper on Paid Music Therapy Internships: An Analysis of Strengths, Weaknesses, Opportunities, and Threats to Initiate Dialogue

The music therapy internship represents the culmination of students’ clinical training. Currently, most music therapy internships are unpaid while other healthcare professions offer paid internship options or do not require an internship. The purpose of this position paper was to conduct a SWOT (strengths, weaknesses, opportunities, and threats) analysis and initiate dialogue regarding paid music therapy internships in the United States. Designed to initiate dialogue and conversation, this article is not a research paper. I conducted an initial SWOT analysis on paid music therapy internships. I then shared the analysis with music therapy students, internship directors, clinicians, business owners, and faculty and integrated their feedback. Although the SWOT analysis indicated that the current internship model can result in strong clinicians, there are weaknesses regarding workforce diversity, accessibility, and finances. There may be numerous opportunities for the profession to strengthen itself through paid internships. The profession’s mission and values regarding increased access to music therapy for service users, greater workforce diversity, and quality of care amid escalating tuition and cost of living expenses are consequential factors that may influence paid music therapy internships. Although paid internships may be beyond the control of clinical training directors and thus may not be feasible in all contexts, the large number of unpaid internships may hinder the music therapy profession from thriving and advancing toward its mission. The profession may have an opportunity to use its own agency by valuing itself through paid music therapy internships. Questions and considerations are provided to conclude the paper.

Determination of hemorrhagic transformation risk in acute ischemic cerebrovascular disease: The relationship between ADC values and GRE hemo sequence microhemorrhage.

<p>To determine the risk of hemorrhagic transformation in patients with acute ischemic cerebrovascular disease, we investigated the relationship between Apparent Diffusion Coefficient Magnetic Resonance Imaging values measured within the infarct area and microbleeds observed on Gradient Echo Sequence Magnetic Resonance Imaging.</p>. <p>A total of 172 patients who were hospitalized to the Neurology Clinic of the Istanbul Provincial Directorate of Health Erenkoy Mental and Nervous Diseases Training and Research Hospital between June 2019 and March 2020 were included in this cross-sectional study. The patients were classified according to their demographic and clinical characteristics, by age, gender, hypertension, diabetes mellitus, smoking, and alcohol use. In the Cranial Magnetic Resonance Imaging taken in the application for the diagnosis of acute ischemic cerebrovascular disease, the infarction area in Apparent Diffusion Coefficient sequences with the Region of Interest value and the relationship between microhemorrhage observed in Gradient Echo hemo-sequence was evaluated in Magnetic Resonance Imaging applied between 3-7 days. While calculating spherical Region of Interest values, 5 Region of Interest values were obtained for lesions larger than 1.5x1.5 cm, and their arithmetic mean was obtained, and single spherical Region of Interest value was taken for smaller ones. Apparent Diffusion Coefficient Magnetic Resonance Imaging Region of Interest mean values were divided into 2 groups as &lt;500x10&ndash;6 mm2 /s and &gt;500x10&ndash;6 mm2/s.&nbsp;</p>. <p>Patients in the group with Apparent Diffusion Coefficient Region of Interest mean values below 500x10-6 mm2/s, had a significantly higher probability for microhemorrhage observes in Gradient Echo Sequence Magnetic Resonance Imaging (p: 0.001) and also more likely to experience microhemorrhage in other areas, which was statistically significant (p: 0.001).The probability of another micro-bleeding observed in patients with microhemorrhage Gradient Echo Sequence Magnetic Resonance Imaging was also statistically significant (p: 0,001). The risk of microbleeding in areas other than ischemia was also found to be significantly higher in patients with microbleeding in the ischemia area in Gradient Echo Sequence Magnetic Resonance Imaging.</p>. <p>In our study, a statistically significant relationship was found between the microhemorrhage in the infarct area and the Apparent Diffusion Coefficient Region of Interest values. When the literature was reviewed, no such study was found to determine the risk of bleeding.</p>.

Prof. Nevzat Tarhan: "The pilot should stay ahead of the airplane"

President of Üsküdar University Psychiatrist Prof. Nevzat Tarhan participated as a speaker in the "Psychology, Aviation and Space" symposium organized by the Aviation Research and Applications Directorate of the Turkish Airlines (THY) Flight Training Directorate.

متطلبات توظيف تطبيقات الحاسوب في تدريس من وجهة نظر مدرسي ومدرسات الحاسوب في المرحلة المتوسطة

The current research aimed to know the requirements for employing computer applications in teaching from a teacher’s point of view. For middle school computer teachers, the researcher used the descriptive approach in describing the research topic, as the researcher did. By constructing a questionnaire consisting of three main areas, the first area Includes (7) paragraphs, the second area includes (5) paragraphs, and the third area consists of (4) paragraphs, meaning the questionnaire included (16) paragraphs distributed over three areas: Employing computer applications in teaching, educational programs, and training courses. The validity of the questionnaire was confirmed by presenting it to specialized arbitrators. The reliability of the questionnaire was also confirmed. The researcher also applied the questionnaire to the research sample, which consisted of (35) teachers and computer teachers for the Intermediate stage of Out of (162) computer teachers and teachers. They were randomly selected from the research community. The questionnaire was applied on 12/24/2021. The results showed that the degree of employing computers in teaching was high (83), and the results also showed that the degree of educational programs was high (82), as well as the degree Training courses were weak (68%). In light of these results, the researcher recommends the following points: Providing a suitable learning environment for employing computers in teaching in educational institutions, The Directorate of Preparation and Training in the General Directorates of Education held training courses for male and female teachers of computer subjects to train them on the use of modern models and strategies in teaching, The necessity of employing educational programs that facilitate students' absorption of the academic content in a manner that is appropriate for the age stages Keyword:(Computer applications,Teaching)

Professional conduct and remediation: Training directors’ perspectives during intern selection.

Professional conduct and remediation: Training directors’ perspectives during intern selection.

Hospice and Palliative Medicine Fellowship Training in Mental Health: A Survey of Program Directors.

Psychological and psychiatric care is a core domain of palliative care. Despite a high burden of mental health comorbidity among individuals with serious illness, the Accreditation Council of Graduate Medical Education gives little guidance about training hospice and palliative medicine (HPM) fellows in this domain of care. Currently, there is a lack of empiric data on HPM physician fellowship training in mental health topics. To characterize HPM physician fellowship training practices in the psychological and psychiatric aspects of palliative care. A cross-sectional survey study querying HPM fellowship training directors nationally. A total of 95 programs participated (51% response rate). A total of 98% programs offered didactics on mental health topics. Topics universally deemed as important by program directors were commonly taught, but there was variability in both the perceived importance and the didactic coverage of several topics. Only 15% of programs offered core rotations in psychiatry. Most programs offered psychiatry electives, but such electives were only rarely utilized by fellows. Interdisciplinary team (IDT) rounds infrequently included doctoral mental health clinicians. Beyond a few commonly identified and taught key topics, there is variability in clinical and didactic exposure to mental health training among HPM fellowships. Standardizing key learning objectives and guiding educators in how to achieve these objectives could improve the preparedness of the physician workforce in HPM to meet the mental health needs of patients with serious illness.

Developing a career…versus careering through your professional life.

Vet Jeremy Johnson's career journey went from large animal 'grunt', through a world of pharmaceuticals, to embracing consultancy and then becoming director of new SQP training and registration body Vetpol.

Ninety psychotherapy training programmes across the globe: Variations and commonalities in an international context

AbstractObjectivePsychotherapist training programmes have arguably a most impactful intervention on the field of psychotherapy, shaping the kinds of therapists their graduates become. Yet, little is known about the structural and organisational similarities and differences of these key learning environments in an international context.MethodNinety psychotherapy training programmes in 16 different countries comprised data for a study initiated by members of the SPR Interest Section on Therapist Training and Development (SPRISTAD). Training directors or senior faculty completed the Training Program Description Form (TPDF), surveying, for example, organisational setting and size, educational/occupational prerequisites, trainee funding and schedules, educational methods and graduation criteria.ResultsAmong otherwise highly diverse programmes, the most consistent finding was commitment to relationship‐based experiential learning, including direct supervision of trainees' treatment cases and case discussions with experts and peers. Criteria for selecting applicants focussed mainly on their personal qualities (empathy, self‐awareness and good mental health), supplemented by evaluations of relevant intellectual qualities (psychological‐mindedness, theoretical interest and intelligence). Training consistently focussed on individual psychotherapy as the dominant treatment modality.ConclusionAcross countries, essential commonalities among psychotherapy training programmes emerged. Findings suggest there may be common ground for developing therapist training, as knowledge increases on beneficial therapist characteristics and their formation.