Playing Well With Others: Evaluating An Intervention To Prepare Students For Interprofessional Collaborative Learning

National trends in health care delivery focus on quality team-based care, patient safety, reducing costs and improving practitioner satisfaction (Interprofessional Education Collaborative, 2016). Health profession students, including social workers, are expected to be workforce ready for a complex interprofessional work environment. Educators are charged with developing effective ways to teach collaborative team skills as part of the curriculum (Rubin et al., 2018; Thistlethwaite et al., 2014). Educators across health professions recognize the importance of providing opportunities to immerse students in experiential, person-centered interprofessional teamwork to adequately prepare them for the workforce. (Cohen Konrad et al., 2017; Mokler, 2020). Planned interprofessional collaborative learning (ICPL) creates opportunities for students to develop mutual awareness and respect of each other’s profession and enhance students’ comfort working across disciplines (Dow et al., 2013; Congdon et al., 2020; Jones et al., 2020; Kanji et al., 2019; Peterson & Brommelsiek, 2017). The Council on Social Work Education (CSWE) acknowledged the importance of collaborative practice by becoming a supporting organization of the national Interprofessional Education Collaborative and the explicit addition of interprofessional collaborative competencies to the education standards expected of graduates from accredited social work programs. Thus, Social work educators are charged with providing opportunities for students to develop these competencies. Social workers bring a unique lens to the interprofessional healthcare team that is often misunderstood by other professions (de Saxe Zerden et al., 2018; Kobayashi & Fitzgerald, 2017). A barrier social work students encounter in ICPL is the lack of knowledge and biases and assumptions other health profession students and faculty have about the profession (Pecukonis et al., 2008; Pecukonis, 2014, 2020). Encountering negative stereotypes and bias as well as hierarchical attitudes can make it difficult for social work students to find their place and voice within the interprofessional team during ICPL and students are often unprepared to respond to this (Gergerich et al., 2019; Pecukonis, 2020). This dissertation research evaluated the effectiveness and efficacy of an intervention through a mixed methods study. The purpose of the intervention was to contextualize ICPL in social work education, explore benefits, challenges, and barriers to interprofessional teamwork, increase understanding of the role of social work on the healthcare team, and improve student self-efficacy for managing conflicts that may arise from professional centrism, stereotyping, hierarchical attitudes, and bias

The James Webb Space Telescope Mission

Twenty-six years ago a small committee report, building on earlier studies, expounded a compelling and poetic vision for the future of astronomy, calling for an infrared-optimized space telescope with an aperture of at least $4m$. With the support of their governments in the US, Europe, and Canada, 20,000 people realized that vision as the $6.5m$ James Webb Space Telescope. A generation of astronomers will celebrate their accomplishments for the life of the mission, potentially as long as 20 years, and beyond. This report and the scientific discoveries that follow are extended thank-you notes to the 20,000 team members. The telescope is working perfectly, with much better image quality than expected. In this and accompanying papers, we give a brief history, describe the observatory, outline its objectives and current observing program, and discuss the inventions and people who made it possible. We cite detailed reports on the design and the measured performance on orbit.Comment: Accepted by PASP for the special issue on The James Webb Space Telescope Overview, 29 pages, 4 figure

Proceedings of the 3rd Biennial Conference of the Society for Implementation Research Collaboration (SIRC) 2015: advancing efficient methodologies through community partnerships and team science

It is well documented that the majority of adults, children and families in need of evidence-based behavioral health interventionsi do not receive them [1, 2] and that few robust empirically supported methods for implementing evidence-based practices (EBPs) exist. The Society for Implementation Research Collaboration (SIRC) represents a burgeoning effort to advance the innovation and rigor of implementation research and is uniquely focused on bringing together researchers and stakeholders committed to evaluating the implementation of complex evidence-based behavioral health interventions. Through its diverse activities and membership, SIRC aims to foster the promise of implementation research to better serve the behavioral health needs of the population by identifying rigorous, relevant, and efficient strategies that successfully transfer scientific evidence to clinical knowledge for use in real world settings [3]. SIRC began as a National Institute of Mental Health (NIMH)-funded conference series in 2010 (previously titled the “Seattle Implementation Research Conference”; $150,000 USD for 3 conferences in 2011, 2013, and 2015) with the recognition that there were multiple researchers and stakeholdersi working in parallel on innovative implementation science projects in behavioral health, but that formal channels for communicating and collaborating with one another were relatively unavailable. There was a significant need for a forum within which implementation researchers and stakeholders could learn from one another, refine approaches to science and practice, and develop an implementation research agenda using common measures, methods, and research principles to improve both the frequency and quality with which behavioral health treatment implementation is evaluated. SIRC’s membership growth is a testament to this identified need with more than 1000 members from 2011 to the present.ii SIRC’s primary objectives are to: (1) foster communication and collaboration across diverse groups, including implementation researchers, intermediariesi, as well as community stakeholders (SIRC uses the term “EBP champions” for these groups) – and to do so across multiple career levels (e.g., students, early career faculty, established investigators); and (2) enhance and disseminate rigorous measures and methodologies for implementing EBPs and evaluating EBP implementation efforts. These objectives are well aligned with Glasgow and colleagues’ [4] five core tenets deemed critical for advancing implementation science: collaboration, efficiency and speed, rigor and relevance, improved capacity, and cumulative knowledge. SIRC advances these objectives and tenets through in-person conferences, which bring together multidisciplinary implementation researchers and those implementing evidence-based behavioral health interventions in the community to share their work and create professional connections and collaborations

Peaks of Identity in Colorado’s San Juan Mountains

The glaciated ranges of southwestern Colorado constituting the San Juan Mountains are culturally significant to residents and visitors. As certain mountains are imbued with meaning, they become "peaks of identity," tangible and towering symbolic landscapes representing a distinctive set of community and cultural ideals. This paper explores the symbols and themes of San Juan peaks of identity, with a focus on the mountain amenity town of Lake City and nearby Uncompahgre Peak. Uncompahgre's icon dominates mountain representations in Lake City and instantly identifies the community; its symbolism embodies aesthetics of form and elevation and the sanctity of hallowed ground. Mountain symbolism in the San Juans is mainly projected through land use and the display of icons and names on signs and government seals. Although the San Juans are sacred to the Utes and Navajos and represent a rich mining heritage, they also symbolize idealized natural scenery, landmarks of home, recreation opportunities, and spiritual renewal. Many San Juan communities identify with mountains in a generic sense, but this article focuses on the traits, variability, and depth of meaning of the mountains that are landscape signatures of community identity

International comparison of observation-specific spatial buffers: maximizing the ability to estimate physical activity

Background: Advancements in geographic information systems over the past two decades have increased the specificity by which an individual’s neighborhood environment may be spatially defined for physical activity and health research. This study investigated how different types of street network buffering methods compared in measuring a set of commonly used built environment measures (BEMs) and tested their performance on associations with physical activity outcomes. Methods: An internationally-developed set of objective BEMs using three different spatial buffering techniques were used to evaluate the relative differences in resulting explanatory power on self-reported physical activity outcomes. BEMs were developed in five countries using ‘sausage,’ ‘detailed-trimmed,’ and ‘detailed,’ network buffers at a distance of 1 km around participant household addresses (n = 5883). Results: BEM values were significantly different (p < 0.05) for 96% of sausage versus detailed-trimmed buffer comparisons and 89% of sausage versus detailed network buffer comparisons. Results showed that BEM coefficients in physical activity models did not differ significantly across buffering methods, and in most cases BEM associations with physical activity outcomes had the same level of statistical significance across buffer types. However, BEM coefficients differed in significance for 9% of the sausage versus detailed models, which may warrant further investigation. Conclusions: Results of this study inform the selection of spatial buffering methods to estimate physical activity outcomes using an internationally consistent set of BEMs. Using three different network-based buffering methods, the findings indicate significant variation among BEM values, however associations with physical activity outcomes were similar across each buffering technique. The study advances knowledge by presenting consistently assessed relationships between three different network buffer types and utilitarian travel, sedentary behavior, and leisure-oriented physical activity outcomes.Applied Science, Faculty ofMedicine, Faculty ofOther UBCNon UBCCommunity and Regional Planning (SCARP), School ofPopulation and Public Health (SPPH), School ofReviewedFacult

Integrated gene analyses of de novo variants from 46,612 trios with autism and developmental disorders

Most genetic studies consider autism spectrum disorder (ASD) and developmental disorder (DD) separately despite overwhelming comorbidity and shared genetic etiology. Here, we analyzed de novo variants (DNVs) from 15,560 ASD (6,557 from SPARK) and 31,052 DD trios independently and also combined as broader neurodevelopmental disorders (NDDs) using three models. We identify 615 NDD candidate genes (false discovery rate [FDR] &lt; 0.05) supported by ≥1 models, including 138 reaching Bonferroni exome-wide significance (P &lt; 3.64e-7) in all models. The genes group into five functional networks associating with different brain developmental lineages based on single-cell nuclei transcriptomic data. We find no evidence for ASD-specific genes in contrast to 18 genes significantly enriched for DD. There are 53 genes that show mutational bias, including enrichments for missense (n = 41) or truncating (n = 12) DNVs. We also find 10 genes with evidence of male- or female-bias enrichment, including 4 X chromosome genes with significant female burden (DDX3X, MECP2, WDR45, and HDAC8). This large-scale integrative analysis identifies candidates and functional subsets of NDD genes