Longitudinal Professional Identity Development Amongst Medical Students

Abstract Title: Longitudinal Professional Identity Development Amongst Medical Students Background: Professional development is a core competency for medical student education. A standardized model for assessment of student longitudinal professional identity development will allow medical schools to better implement interventions. Methods: To assess professional development at a large, Midwest, allopathic medical school, a survey with seven statements regarding professional development was created. The statements encompassed domains of mentorship, communication skills, professionalism, and innovation and asked students to rank each statement from 1-5 (1 - highly deficient, 5 - highly proficient). The online, anonymous survey was emailed to all students (n = 1154) over a 2 month time period. Results: 319 (27.6%) surveys were completed. Responses between year 1-2 and year 3-4 showed a unanimous increase in average proficiency across all 7 statements. Year 3-4 had a significant increase in overall proficiency (p Conclusion: Although professional identity development follows an overall upward trend, year 3 is a vulnerable period for professional identity development. While increased accessibility to advising is needed in all four years, it is even more necessary in year 3. The power of the study is limited by the number of responses

The Effects of Different Antihypertensives, Steroids, and Beta Blockers on COVID-19 Outcomes in a CKD and Non-CKD Cohort in Detroit, Michigan

Initial studies during the COVID-19 pandemic reported angiotensin converting enzyme 2 inhibitors (ACE2i) could be associated with worse disease course due to potential increase in ACE2 receptors which SARS-CoV2 virus uses for cellular entry. Subsequent studies refuted such concerns, reporting that continued use of ACEis and angiotensin receptor blockers (ARBs) in hypertensive individuals is protective. However, there remains a paucity of data evaluating effects of various antihypertensive medications, steroids, and beta blockers in chronic kidney disease (CKD) populations and in individuals with normal kidney function. This study was designed to evaluate the potential risks associated with antihypertensive medications and COVID-19 outcomes in a cohort of mostly Black and Caucasian patients admitted to the Detroit Medical Center for COVID-19. We collected data from 330 patients using inclusion criteria of age \u3e 18 years and a positive SARS-CoV2 PCR test. We used the mean, standard deviation/standard error of mean, and percentages when appropriate for the description of patient characteristics. Group differences (CKD vs. non-CKD) were compared using the Pearson χ2 test. P-values of \u3c0.05 were regarded as significant. On regression analyses, the odds of death during hospitalization for COVID-19 infection was not significantly associated with either biological sex, race, or CKD status in our sample population. The odds of dying in the hospital were higher in patients who were on calcium channel blockers (OR 2.99, 95% CI 1.29-6.93) and steroids (OR 4.23, 95% CI 1.17-15.31). The only significance for ICU admission was obtained for steroid use (OR 1.872, 95% CI 1.059-3.311)

Activity Participation and Mental Wellness of Adolescent During the Pandemic

La presente investigación tiene como objetivo describir la percepción del sentido de pertenencia y compromiso en los familiares accionistas de empresas familiares del sector de la construcción con especialidad en vías terrestres. El diseño de la investigación es no experimental descriptivo transeccional. Se realizó una entrevista con los propietarios para identificar las empresas familiares y posteriormente se aplicó un cuestionario a 64 gerentes integrantes de los respectivos consejos de administración. Los resultados evidencian un mayor sentido de pertenencia que de compromiso con la organización. Se concluye que estos factores influyen en la transición generacional debido a que los accionistas que forman parte de la familia participan en el consejo de administración de la empresa.The purpose of this research work was to provide a description of the sense of belonging and commitment on the part of shareholding family members in family-owned businesses specialized in the road construction industry. The design of this research work is descriptive, non-experimental and cross-sectional in nature. First, company owners were interviewed in order to identify family-owned businesses. A questionnaire was then administered to 64 managers who were also board of director members at these companies. The findings demonstrate a stronger sense of belonging than commitment to their organizations. It can be concluded that these factors impact generational transition because shareholders who are also family members are part of the board of directors at these kinds of companies.A presente investigação tem como objetivo descrever a percepção de propriedade e comprometimento com os acionistas da família das empresas familiares do setor da construção especializado em vias terrestres. O projeto da pesquisa é não experimental descritivo trans-seccional. Foi realizada uma entrevista aos proprietários para identificar as empresas familiares e em seguida foi entregue um questionário a 64 gerentes, membros dos respectivos conselhos de Administração. Os resultados demonstram um maior sentido de propriedade do que comprometimento com a organização. Concluímos que esses fatores influenciam a transição entre gerações pois os acionistas que fazem parte da família participam do conselho de administração da empresa