Implementation of Competency Based Educational Strategies into a First-Year Seminar for InterProfessional Healthcare Science Majors

ABSTRACT Introduction: The Health Educators Academy at Western Carolina University was developed by the Dean of the College of Health and Human Sciences. Interdisciplinary fellows in the 2015 HEA focused on competency based education (CBE), which naturally incentivizes collaborative, interdisciplinary and interprofessional work. The 2015 Health Educator Academy Fellows researched healthcare competencies and designed curriculum changes that aligned within these parameters. This article discusses the creation of a first-year, interprofessional healthcare course that emphasizes CBE as well as interprofessional practice. Interprofessional Goals: The 2015 Academy Fellows believed that a collaborative course in the first-year curriculum that builds upon integral competencies would help introduce a structure that would support further IPE in later courses. Background of CBE: The recent expansion of CBE in higher education is a result of a number of factors, including changing demographics, the increase in student debt, declining state funding, and the need for accountability markers and improved learning outcomes. First- Year Experience: First-year seminars were first designed to ease the transition to college for students and to increase both retention and persistence to graduation. Proposed CBE Course: Three foundational interprofessional global health competencies domains were implemented into the first-year experience course: collaboration, partnering and communication; ethics; and sociocultural and political awareness. Reflection and Lessons Learned: In reflecting upon the process of designing a first-year interprofessional, competency-based course, the members of the Health Educator Academy organically implemented many educator and curricular best practices that facilitate collaboration in health care delivery. Future Plans: Rather than deal with complex health issues from a single, specialized approach, healthcare providers will need to work as a team to meet the needs of patients as well as the broader community. Courses such as a first-year seminar based on interprofessional competency-based curriculum can begin the process of teaching students to think collaboratively and critically. This type of course will provide some of the tools that students will need once they leave the university and enter the professional realm

Towards an Assessment of Pause Periods on User Habituation in Mitigation of Phishing Attacks

Social engineering is the technique in which the attacker sends messages to build a relationship with the victim and convinces the victim to take some actions that lead to significant damages and losses. Industry and law enforcement reports indicate that social engineering incidents costs organizations billions of dollars. Phishing is the most pervasive social engineering attack. While email filtering and warning messages have been implemented for over three decades, organizations are constantly falling for phishing attacks. Prior research indicated that attackers use phishing emails to create an urgency and fear response in their victims causing them to use quick heuristics, which leads to human errors. Humans use two types of decision-making processes: a heuristic decision, which is a quick, instinctual decision-making process known as ‘System One’, and a second, known as ‘System Two,’ that is a slow, logical process requiring attention. ‘System Two’ is often triggered by a pause in the decision-making process. Additionally, timers were found in other research fields (medicine, transportation, etc.) to affect users’ judgement and reduce human errors. Therefore, the main goal of this work-in-progress research study is to determine through experimental field study whether requiring email users to pause by displaying a phishing email warning with a timer, has any effect on users falling to simulated phishing attacks. This paper will outline the rationale and the process proposed for the validation of the field experiments with Subject Matter Experts (SMEs). Limitations of the proposed study and recommendation for further research are provided

Characterizing complication risk from multisite, intermittent transfusions for the treatment of sickle cell disease

Blood transfusions are indicated for some acute complications of sickle cell disease (SCD). To characterize the SCD population at increased risk of transfusion-associated complications, Geor-gia hospital discharge data were used to estimate the frequency of intermittent transfusions and the proportion of patients receiving them at multiple institutions. Ten years of data (2007-2016) showed almost 19% of patients with SCD (1585/8529) received transfusions at more than one hospital. The likelihood of multisite transfusions increased from ages 18 through 40 and with the number of transfusions received. The results support the need to track and share transfusion his-tories in order to reduce complication risks

Using Critical Race Theory to Analyze How Disney Constructs Diversity: A Construct for the Baccalaureate Human Behavior in the Social Environment Curriculum

Utilizing the basic tenets of critical race theory, the authors draw upon the expertise of multicultural scholars to raise consciousness and facilitate BSW classroom dialogue about microagressions perpetrated in Disney animations. Microaggressions pervade our media partly because they typically operate outside the thresh-old of the dominant culture’s conscious awareness. Our main consciousness-raising method is to expose social work students to microagressions depicted in Disney animations and then use the classroom as a counterspace to process the experience. We note that utilizing critical race theory to become conscious of microaggressions within Disney animations is the first step toward eradicating them

EXPERIMENTAL STUDY TO ASSESS THE IMPACT OF TIMERS ON USER SUSCEPTIBILITY TO PHISHING ATTACKS

Social engineering costs organizations billions of dollars. It exploits the weakest link of information systems security, the users. It is well-documented in literature that users continue to click on phishing emails costing them and their employers significant monetary resources and data loss. Training does not appear to mitigate the effects of phishing much; other solutions are warranted. Kahneman introduced the concepts of System-One and System-Two thinking. System-One is a quick, instinctual decision-making process, while System-Two is a process by which humans use a slow, logical, and is easily disrupted. The key aim of our experimental field study was to investigate if requiring the user to pause by presenting a countdown or count-up timer when a possible phishing email is opened will influence the user to enter System-Two thinking. In this study, we designed, developed, and empirically tested a Pause-and-Think (PAT) mobile app that presented a user with a warning dialog and a countdown or count-up timer. Our goal was to determine whether requiring users to wait with a colored warning and a timer has any effect on phishing attempts. The study was completed in three phases with 42 subject matter experts and 107 participants. The results indicated that a countdown timer set at 3-seconds accompanied by red warning text was most effective on the user’s ability to avoid clicking on a malicious link or attachment. Recommendations for future research include enhancements to the PAT mobile app and investigating what effect the time of day has on susceptibility to phishing

Beyond the Volcanoes: A Community Partnership for Health in Rural Nicaragua

Background: Health inequities related to gender, ethnicity, socioeconomic status, and geography exist in rural Nicaragua. The purpose of this ongoing project is to improve health equity in rural Nicaragua through social transformation using community-based participatory action research. Bronfenbrenner\u27s ecological model of human development, school health, and primary health care theories provided the framework for this research. Methods: Community-based participatory action research involves six phases: partnership, assessment, planning, implementation, evaluation, and dissemination. In the evaluation phase, the goal was to use the data obtained during the assessment, planning, and implementation phases to evaluate the cookstove intervention in its ability to reach the community\u27s health-related goals. Pre- and post-test surveys were used to assess indoor air pollution including: kitchen layout, stove type, fuel usage, and women and children\u27s health. Results: Forty-eight community members participated in the cookstove evaluation. Pre-test surveys indicated that the community members used open fire stoves in closed kitchen spaces with wood being the primary fuel source. Women reported suffering from headaches, eye irritation, and chronic coughing. One year following the implementation phase, post-test surveys indicated a sustainable, significant improvement in women\u27s health (p=.05) but no significant change in the amount of wood used for cooking. Conclusion: Results from the cookstove evaluation were used by community members to guide the re-engineering of the cookstoves\u27 firebox to decrease wood consumption and improve deforestation. Partnership in community health research provides a mechanism to engage community members in social justice through working toward a common goal – sustainable health for all

Functional Brain Imaging of Young, Nondemented, and Demented Older Adults

Brain imaging based on functional MRI (fMRI) provides a powerful tool for characterizing age-related changes in functional anatomy. However, between-population comparisons confront potential differences in measurement properties. The present experiment explores the feasibility of conducting fMRI studies in nondemented and demented older adults by measuring hemodynamic response properties in an event-related design. A paradigm involving repeated presentation of sensory-motor response trials was administered to 41 participants (14 young adults, 14 nondemented older adults, and 13 demented older adults). For half of the trials a single sensory-motor event was presented in isolation and in the other half in pairs. Hemodynamic response characteristics to the isolated events allowed basic response properties (e.g., amplitude and variance) between subject groups to be contrasted. The paired events further allowed the summation properties of the hemodynamic response to be characterized. Robust and qualitatively similar activation maps were produced for all subject groups. Quantitative results showed that for certain regions, such as in the visual cortex, there were marked reductions in the amplitude of the hemodynamic response in older adults. In other regions, such as in the motor cortex, relatively intact response characteristics were observed. These results suggest caution should be exhibited in interpreting simple main effects in response amplitude between subject groups. However, across all regions examined, the summation of the hemodynamic response over trials was highly similar between groups. This latter finding suggests that, even if absolute measurement differences do exist between subject groups, relative activation change should be preserved. Designs that rely on group interactions between task conditions, parametric manipulations, or group interactions between regions should provide valuable data for making inferences about functional-anatomic changes between different populations.Psycholog