[Review of] Marina E. Espina. Filipinos in Louisiana

Marina E. Espina\u27s Filipinos in Louisiana is her long awaited, first collection; it is also an announcement of her book on eighteenth-century Filipino settlement in Louisiana and the United States, Manilamen in the New World. The chapters of Filipinos in Louisiana are Espina\u27s articles in chronological order covering two decades of research, all of which were published between 1976 and 1981 in Philippine News, New Orleans Ethnic Cultures and Perspectives on Ethnicity in New Orleans. Filipinos in Louisiana opens a little-known compartment in the history of the Filipino-American community. Espina, as a professional librarian, has had access to archival resources on Louisiana Filipinos from the eighteenth century to the present; consequently, Filipino inhabitation and genealogy came to be traced to 1763 and for seven (now eight) generations since 1803. (At the time of this writing, information has been disclosed that documentation of the Filipino presence in the continental United States now reaches to the seventeenth century when the Manila galleon was beached at Morro Bay in California during a storm in 1595)

[Review of] Vinson Brown. Native Americans of the Pacific Coast

In the introduction to Native Americans of the Pacific Coast, Vinson Brown presents many admirable ambitions for any scholar writing on human existence. Brown proclaims that he will attempt to make the first Americans live in the style of the 1500s to 1700s during the days of old and of glory and independence. He then proceeds to assert that, in order to accomplish this goal, antiquated concepts used to justify the conquest of tribal Peoples must be put aside. He urges us, instead, to be inquisitive and open so that we can see and hear what indigenous life was like before contact. Brown later in the introduction states his primary objectives: to provide the greater details that distinguish the representative tribes in the four culture areas spreading from Alaska to the Mexican border; and to show parts of the spirit and essence of individual people and their families by depicting them through stories, not stories encompassing lives but as beginnings intended as insights. The notes on the backcover also mention that Brown\u27s Native American friends have been sources of information which has added visceral and pragmatic knowledge to his research into the written sources. A close reading of the book, nevertheless, belies Brown\u27s lofty aims, for there are shortcomings and inconsistencies which undercut what otherwise might be a commendable classroom text

Notes

first there is the word, the word is the song, Includes poem by William Oandasan: Notes

Reflections

Includes poem by William Oandasan: Reflections

Interprofessional communication with hospitalist and consultant physicians in general internal medicine : a qualitative study

This study helps to improve our understanding of the collaborative environment in GIM, comparing the communication styles and strategies of hospitalist and consultant physicians, as well as the experiences of providers working with them. The implications of this research are globally important for understanding how to create opportunities for physicians and their colleagues to meaningfully and consistently participate in interprofessional communication which has been shown to improve patient, provider, and organizational outcomes

Examining Prenatal Care Compliance and Its Determinants Among Pregnant Mothers: A Descriptive Correlational Study

Background: Prenatal care is crucial for the health of mothers and their unborn children. This study explores the compliance of pregnant mothers in Santa Catalina, Ilocos Sur, with prenatal care services from 2022 to 2023.Objectives: The study aims to assess the level of compliance of pregnant mothers with prenatal care and examine its relationship with personal and obstetrical factors.Methods: A descriptive correlational research design was used, with data collected from a total enumeration of 156 respondents through a questionnaire adapted from Derige (2019) and the Department of Health\u27s Mother and Child Book (2013).Results: High adherence to prenatal care was observed, particularly in prenatal visits, laboratory procedures, immunization, micronutrient supplementation, and dental checkups. However, no significant relationship was found between compliance and personal-related factors such as age, education, and number of pregnancies.Conclusions: Demographic factors did not significantly influence compliance, suggesting other factors may play a role. Recommendations include improving prenatal education and healthcare services

Le Plan d’action pour la médecine rurale : examen de l’éducation médicale pré-doctorale au Canada

Background: There is currently a maldistribution of physicians across Canada, with rural areas facing a greater physician shortage. The taskforce between the College of Family Physicians and the Society of Rural Physicians created a report, “The Rural Road Map for Action” (RRMA) to improve rural Canadians' health by training and retaining an increased number of rural family physicians. Using the RRMA as a framework, this paper aims to examine the extent to which medical schools in Canada are following the RRMA. Methods: Researchers used cross-sectional survey and collected data from 12 of 17 medical school undergraduate Deans from across Canada using both closed and open ended survey questions. Results were analyzed using quantitative (frequencies) and qualitative methods (content analysis). Results: Medical schools use different policies and procedures to recruit rural and Indigenous students. Although longitudinal integrated clerkships offer many benefits, few students have access to them. Leadership representation on decision-making education committees differed across medical schools pointing to a variation in the value of rural physicians’ perspectives. Conclusion: This study illustrated that medical schools are making efforts that align with the RRMA. It is critical they continue to make strategic decisions embedded in educational policy and leadership to reinforce the importance of and influence of rural medical education to support workforce planning.Contexte : À l’heure actuelle, la répartition des médecins sur le territoire canadien est inégale, les régions rurales étant confrontées à une plus forte pénurie de médecins. Le groupe de travail constitué par le Collège des médecins de famille du Canada (CMFC) et la Société de la médecine rurale du Canada (SMRC) a produit un rapport intitulé « Plan d’action pour la médecine rurale » (PAMR) qui vise à améliorer la santé des Canadiens vivant en milieu rural par la formation et la rétention d’un nombre accru de médecins de famille en milieu rural. Partant du cadre du PAMR, cet article évalue dans quelle mesure les facultés de médecine du Canada suivent le Plan d’action. Méthodes : Les chercheurs ont eu recours à une enquête transversale, comportant des questions fermées et ouvertes, pour recueillir des données auprès de 12 des 17 doyens aux études de premier cycle des facultés de médecine canadiennes. Les résultats ont été analysés à l’aide de méthodes quantitatives (calcul des fréquences) et qualitatives (analyse de contenu). Résultats : Les facultés de médecine appliquent des politiques et des procédures différentes pour recruter des étudiants ruraux et autochtones. Les stages intégrés longitudinaux offrent de nombreux avantages, mais peu d’étudiants y ont accès. La représentation des dirigeants au sein des comités décisionnels sur l’éducation diffère selon les facultés de médecine, ce qui indique une variation de la valeur des perspectives des médecins ruraux. Conclusion : Cette étude montre que les facultés de médecine déploient des initiatives qui sont conformes au PAMR. Il est essentiel que leurs décisions stratégiques demeurent ancrées dans un leadership et une politique éducative visant à renforcer et à mettre en valeur l’exposition des étudiants à la médecine rurale pour appuyer la planification des effectifs

The rural road map for action: an examination of undergraduate medical education in Canada

Background: There is currently a maldistribution of physicians across Canada, with rural areas facing a greater physician shortage. The taskforce between the College of Family Physicians and the Society of Rural Physicians created a report, “The Rural Road Map for Action” (RRMA) to improve rural Canadians' health by training and retaining an increased number of rural family physicians. Using the RRMA as a framework, this paper aims to examine the extent to which medical schools in Canada are following the RRMA. Methods: Researchers used cross-sectional survey and collected data from 12 of 17 medical school undergraduate Deans from across Canada using both closed and open ended survey questions. Results were analyzed using quantitative (frequencies) and qualitative methods (content analysis). Results: Medical schools use different policies and procedures to recruit rural and Indigenous students. Although longitudinal integrated clerkships offer many benefits, few students have access to them. Leadership representation on decision-making education committees differed across medical schools pointing to a variation in the value of rural physicians’ perspectives. Conclusion: This study illustrated that medical schools are making efforts that align with the RRMA. It is critical they continue to make strategic decisions embedded in educational policy and leadership to reinforce the importance of and influence of rural medical education to support workforce planning

A conceptual framework for interprofessional shared decision making in home care: Protocol for a feasibility study

<p>Abstract</p> <p>Background</p> <p>Shared decision making (SDM) is fundamental to informed consent and client-centered care. So far, SDM frameworks have been limited to the client-physician dyad, even though care is increasingly delivered by interprofessional (IP) teams. IP collaboration is especially essential in home care, one of health care's most rapidly growing areas. This study will assess whether it is possible to practice SDM in IP home care.</p> <p>Methods/Design</p> <p>We will use a qualitative case study and a quantitative survey to capture the macro, meso and micro levels of stakeholders in home care. The case study will follow the knowledge-to-action process framework to evaluate the work of an IP home care team at a Quebec City health center. Sources of data will include one-on-one interviews with patients, family caregivers or surrogates and significant others, and administrators; a focus group of home care health professionals; organizational documents; and government policies and standards. The interview guide for the interviews and the focus group will explore current practices and clinical problems addressed in home care; factors that could influence the implementation of the proposed IP approach to SDM; the face and content validity of the approach; and interventions to facilitate the implementation and evaluation of the approach. The survey will ask 300 health professionals working in home care at the health center to complete a questionnaire based on the Theory of Planned Behaviour that measures their intentions to engage in an IP approach to SDM. We will use our analysis of the individual interviews, the focus group and the survey to elaborate a toolkit for implementing an IP approach to SDM in home care. Finally, we will conduct a pilot study in Alberta to assess the transferability of our findings.</p> <p>Discussion</p> <p>We believe that developing tools to implement IP SDM in home care is essential to strengthening Canada's healthcare system and furthering patient-centered care. This study will contribute to the evaluation of IP SDM delivery models in home care. It will also generate practical, policy-oriented knowledge regarding the barriers and facilitators likely to influence the practice of IP SDM in home care.</p

A systematic review of reviews: Recruitment and retention of rural family physicians

The recruitment and retention of family physicians in rural and remote communities has been the topic of many reviews; however, a lack of consensus among them with regard to which factors are most influential makes it difficult for setting priorities. We performed a systematic review of reviews which helped to establish an overall conclusion and provided a set of fundamental influential factors, regardless of the consistency or generalisability of the findings across reviews. This review also identified the knowledge gaps and areas of priority for future research. Methods: A literature search was conducted to find the review articles discussing the factors of recruitment or retention of rural family physicians. Results were screened by two independent reviewers. The number of times that each factor was mentioned in the literature was counted and ordered in terms of frequency. Results: The literature search identified 84 systematic reviews. Fourteen met the inclusion criteria, from which 158 specific factors were identified and summarised into 11 categories: personal, health, family, training, practice, work, professional, pay, community, regional and system/legislation. The three categories referenced most often were training, personal and practice. The specific individual factors mentioned most often in the literature were 'medical school characteristics', 'longitudinal rural training' and 'raised in a small town'. Conclusion: The three most often cited categories resemble three distinct phases of a family physician's life: pre-medical school, medical school and post-medical school. To increase the number of physicians who choose to work in rural practice, strategies must encompass and promote continuity across all three of these phases. The results of this systematic review will allow for the identification of areas of priority that require further attention to develop appropriate strategies to improve the number of family physicians working in rural and remote locations