STEM and Branches: Update on the Columbus State University STEM-II Initiative

Two USG STEM Initiative awards to Columbus State University have spawned the growth of several STEM and STEM education programs and nearly $2.6 million in grants. We provide an update on STEM-II Initiative projects including a peer leader program for core math and science courses, a faculty mini-grants program to promote scholarship on teaching and learning and awareness of best practices models, and a service learning course. The infrastructure that emerged through the first STEM Initiative and continued to develop with the STEM-II Initiative paved the way for a$1.4 million UTeach replication grant and a $1.2 million Robert Noyce Teacher Scholarship Program grant. We describe key developments in these two programs designed to recruit and prepare more STEM teachers

Outgrowths of USG STEM Initiatives: Service Learning Courses and a STEM Honors Camp

We examine two programs that have developed out of USG STEM Initiative projects. With the first STEM Initiative, Columbus State University initiated an Academy of Future Teachers that has led to an expanded STEM Honors Camp for recruiting university students into high school teaching and heightening high school students’ interests in STEM careers. With STEM Initiative II, Columbus State launched a Project FOCUS replication that contributed to the establishment of the UTeach Columbus program for preparing high school STEM teachers

Assessing the Impact of Tutorial Services

This is a preliminary report assessing the impact of tutorial services on student performance. We discuss a statistical approach, and why regression models do not appear suitable for the analysis

Developing a STEM Teacher Recruitment Pipeline

The Columbus Region Academy of Future Teachers of STEM (CRAFT-STEM), a Phase I Robert Noyce Teacher Scholarship Program, combines internships and scholarships, an exciting summer STEM Honors Camp, a new Teaching Connections Seminar, and an impressive array of existing resources to recruit, prepare, and graduate an increasing number of STEM teachers committed to serving high need high schools

The Effect of Peer Leader Instruction on Introductory University Science and Mathematics Course Performance: Preliminary Results

The Peer Instruction Leader (PIL) program at Columbus State University pairs courses having historically low success rates with dedicated peer helpers in an attempt to boost student learning and success. PILs are selected from undergraduate students who have demonstrated success in the targeted subject. They attend classes, meet with the assigned instructor periodically, participate in PIL training, and manage course focused discussion groups. The authors analyze data collected in the early stages of the program, which shows that students who attended the discussion groups fared better than those who did not

Lessons Learned in an Internship Program to Recruit Pre-service Teachers

The Columbus Region Academy of Future Teachers of STEM (CRAFT-STEM) utilizes an internship program for university freshmen and sophomores and a STEM camp for pre-college students to encourage the interns to consider careers in teaching. Interns assist with camp activities and other projects, supported by funding from the National Science Foundation’s Robert Noyce Teacher Scholarship Program (award #1136356). As part of an ongoing research project, we examine four years’ worth of data to identify strengths and weaknesses of the experience, and propose adaptations based on these findings

A computer template to enhance patient-centredness in multimorbidity reviews:a qualitative evaluation in primary care

BackgroundComputer templates for review of single long-term conditions are commonly used to record care processes, but they may inhibit communication and prevent patients from discussing their wider concerns.AimTo evaluate the effect on patient-centredness of a novel computer template used in multimorbidity reviews.Design and settingA qualitative process evaluation of a randomised controlled trial in 33 GP practices in England and Scotland examining the implementation of a patient-centred complex intervention intended to improve management of multimorbidity. A purpose-designed computer template combining long-term condition reviews was used to support the patient-centred intervention.MethodTwenty-eight reviews using the intervention computer template and nine usual-care reviews were observed and recorded. Sixteen patient interviews, four patient focus groups, and 23 clinician interviews were also conducted in eight of the 12 intervention practices. Transcripts were thematically analysed based on predefined core components of patient-centredness and template use.ResultsDisrupted communication was more evident in intervention reviews because the template was unfamiliar, but the first template question about patients’ important health issues successfully elicited wide-ranging health concerns. Patients welcomed the more holistic, comprehensive reviews, and some unmet healthcare needs were identified. Most clinicians valued identifying patients’ agendas, but some felt it diverted attention from care of long-term conditions. Goal-setting was GP-led rather than collaborative.ConclusionIncluding patient-centred questions in long-term condition review templates appears to improve patients’ perceptions about the patient-centredness of reviews, despite template demands on a clinician’s attention. Adding an initial question in standardised reviews about the patient’s main concerns should be considered.</jats:sec

The Influence of the CSU Robert Noyce Teacher Scholarship Program on Undergraduates\u27 Teaching Plans

The Robert Noyce Teacher Scholarship Program offers academic and financial support for students pursuing secondary teaching certificates in STEM fields. In return, students commit to teaching in high-need K-12 school districts. The Noyce Program has had uneven results in increasing the number of teachers in high needs schools. Large scale studies of its impact indicate the program is not likely to influence decisions to teach but may persuade participants to initially teach in high needs schools. To better understand the influence of the Noyce Program, we offer case studies of two Noyce scholarship recipients at different stages: (1) a former scholarship recipient who has graduated and is currently teaching, and (2) a second-year recipient who is currently pursuing a teaching certificate. This qualitative analysis provides insights that may have implications for optimizing scholarship programs for recruiting and retaining highly qualified STEM teachers

Can implementation failure or intervention failure explain the result of the 3D multimorbidity trial in general practice:mixed-methods process evaluation

Objectives During a cluster randomised trial, (the 3D study) of an intervention enacting recommended care for people with multimorbidity, including continuity of care and comprehensive biennial reviews, we examined implementation fidelity to interpret the trial outcome and inform future implementation decisions. Design Mixed-methods process evaluation using cross-trial data and a sample of practices, clinicians, administrators and patients. Interviews, focus groups and review observations were analysed thematically and integrated with quantitative data about implementation. Analysis was blind to trial outcomes and examined context, intervention adoption, reach and maintenance, and delivery of reviews to patients. Setting Thirty-three UK general practices in three areas. Participants The trial included 1546 people with multimorbidity. 11 general practitioners, 14 nurses, 7 administrators and 38 patients from 9 of 16 intervention practices were sampled for an interview. Results Staff loss, practice size and different administrative strategies influenced implementation fidelity. Practices with whole administrative team involvement and good alignment between the intervention and usual care generally implemented better. Fewer reviews than intended were delivered (49% of patients receiving both intended reviews, 30% partially reviewed). In completed reviews >90% of intended components were delivered, but review observations and interviews with patients and clinicians found variation in style of component delivery, from ‘tick-box’ to patient-centred approaches. Implementation barriers included inadequate skills training to implement patient-centred care planning, but patients reported increased patient-centredness due to comprehensive reviews, extra time and being asked about their health concerns. Conclusions Implementation failure contributed to lack of impact of the 3D intervention on the trial primary outcome (quality of life), but so did intervention failure since modifiable elements of intervention design were partially responsible. When a decisive distinction between implementation failure and intervention failure cannot be made, identifying potentially modifiable reasons for suboptimal implementation is important to enhance potential for impact and effectiveness of a redesigned intervention. Trial registration number ISRCTN0618095

The TiM system: developing a novel telehealth service to improve access to specialist care in motor neurone disease using user-centered design

Objectives: Attendance at a specialist multidisciplinary motor neurone disease (MND) clinic is associated with improved survival and may also improve quality of life and reduce hospital admissions. However, patients struggle to travel to clinic and may experience difficulties between clinic visits that may not be addressed in a timely manner. We wanted to explore how we could improve access to specialist MND care. Methods: We adopted an iterative, user-centered co-design approach, collaborating with those with experience of providing and receiving MND care including patients, carers, clinicians, and technology developers. We explored the unmet needs of those living with MND, how they might be met through service redesign and through the use of digital technologies. We developed a new digital solution and performed initial testing with potential users including clinicians, patients, and carers. Results: We used these findings to develop a telehealth system (TiM) using an Android app into which patients and carers answer a series of questions about their condition on a weekly basis. The questions aim to capture all the physical, emotional, and social difficulties associated with MND. This information is immediately uploaded to the internet for review by the MND team. The data undergoes analysis in order to alert clinicians to any changes in a patient or carer’s condition. Conclusions: We describe the benefits of developing a novel digitally enabled service underpinned by participatory design. Future trials must evaluate the feasibility and acceptability of the TiM system within a clinical environment