Improving the clinical learning environment: A collaborative workshop for students, residents, and faculty

The AAMC Graduation Questionnaire (AAMC GQ) surveys the students at the completion of their training. Results from this survey show that students report mistreatment and unprofessional behavior during their training. The results of this survey, both locally and nationally, motivated faculty in the school of medicine to develop a workshop that would introduce the learning climate to students, and allow the students to interact with faculty to understand mistreatment and professionalism in the learning environment. In this presentation, we will highlight the need for educating students about the learning climate, professionalism and mistreatment; provide attendees with the definition of mistreatment; and illustrate the ambiguity involved in defining incidents of mistreatment. A need has been identified, both due to the results of the AAMC GQ survey and by the hundreds of peer-reviewed articles on the topic of professionalism in medical education, and this workshop was an attempt to fill that need at VCU

Desarrollo de la literatura de entrenamiento individual y de equipo

Este artículo proporciona una breve revisión de la literatura sobre entrenamiento, rubro que representa uno de los mayores gastos de una organización empresarial. El resultado de nuestra revisión sugiere que se ha realizado un gran avance que nos ayuda a entender el diseño, el desarrollo y el impacto del entrenamiento. En este documento presentamos algunos de los más recientes descubrimientos encontrados en la bibliografía sobre entrenamiento, incluyendo una discusión sobre las condiciones bajo las cuales este permite el máximo rendimiento

Temas emergentes y conclusiones en la investigación acerca de los equipos y el trabajo de equipo

Teams are a critical part of organizations today. In this paper we provide a review of the critical topics found in the team literature. This paper reviews the necessary teamwork components and coordinating mechanisms that promote effectiveness. Included is a discussion of the team training strategies that have been developed in order to target success in teams. The paper concludes with several avenues that can be taken by team researchers to address the questions that remain unanswered.Los equipos constituyen una parte crítica de las organizaciones actuales. En este artículo proporcionamos una revisión de los temas importantes que se encuentran en la literatura acerca de los equipos. Se examinan los componentes necesarios del trabajo de equipo y los mecanismos de coordinación que promueve la efectividad. Se incluye una discusión de las estrategias de entrenamiento de equipo que se han desarrollado para apuntar hacia el éxito en los equipos. Concluye con una propuesta de diversas rutas que pueden ser consideradas por los investigadores de equipos para contestar aquellas preguntas que permanecen sin respuesta. &nbsp

Error Reporting Behaviors

Although patient safety is a focus with medical care, it has been influenced by the lack of safety culture in the environment (Vincent et al., 2000). Preventable medical errors continue to plague healthcare and cost close to $1 trillion annually (Andel et al., 2012). Despite the prevalence of medical errors, only one of seven errors are reported (Levinson, 2010). Understanding the behaviors that influence reporting is imperative to developing patient safety reporting initiatives. Ajzen’s theory of planned behavior identifies behaviors as based on a combination of beliefs, intentions, and social control (1988). Applying this model to error reporting, we hypothesize that error reporting behaviors are shaped by different variables. Personality and expertise as well as age and sex impact error reporting attitudes and behaviors, and individual differences pertaining to culture, such as the extent that an individual submits to authority or status and hierarchy affect error reporting. Likewise, organizational factors can influence the extent to which errors are reported (Uribe, et al., 2002; Wakefield et al., 2001). Surveys were collected longitudinally from senior medical students’ with little to no previous experience as a professional. The survey tool includes items that were pulled from the validated Attitudes toward Patient Safety Questionnaire, a validated measure of power distance, previously reported items measuring reporting behaviors and demographic items. Understanding error reporting behaviors guides healthcare providers to develop protocols or initiatives. Knowing what particular constructs predict the intent to report, healthcare providers can successfully implement structure, change workplace culture, and education

Team 4 VCU: Ram Resources: Helping Faculty Help Students

The Ram Resources Project seeks to provide students with an environment that encourages their well-being by connecting them with resources needed to succeed in their academic career at VCU. Ram Resources will help reduce the detrimental impact of the number-one problem affecting students’ academic performance: stress. Faculty are uniquely situated both to recognize changes in students’ behavior and to assist students with improving their well-being. Beginning with New Faculty Orientation, Ram Resources will educate faculty about resources for well-being available to students. By creating a brochure, a website, and establishing a program of faculty ambassadors to familiarize faculty with the resources available to identify the warning signs of stress, the team proposes to help faculty help students

Highlighting Trust in the Provision of Cancer Care

Slides: Patient Case Definition & Explanation of Trust Application of Trust to Cancer Case Implications for Clinical Care Implications for Researc

“Selling” I-O psychology to non-I-O psychologists: A perspective on small, medium, and large changes

As Kath etal.\u27s (Reference Kath, Salter, Bachiochi, Brown and Hebl2021) focal article suggests, industrial and organizational (I-O) psychology remains an unknown area of study to many. Even within the field of psychology, many are unaware of I-O psychology and what I-O psychologists contribute to theory and practice (Salter etal., Reference Salter, Allen, Chao, DiazGranados, Gibson, Reiter-Palmon and Shuffler2018). Informal discussions among directors of I-O psychology graduate programs indicate that many of our students do not hear about I-O psychology until later in their college career, and some discover the field only after they graduate. This lack of clarity has implications for recruitment and education related to I-O psychology, as well as how I-O psychology contributes to education across domains in general

Understanding Teamwork in the Provision of Cancer Care: Highlighting the Role of Trust

Team science research has indicated that trust is a critical variable of teamwork, contributing greatly to a team’s performance. Trust has long been examined in health care with research focusing on the development of trust by patients with their health care practitioners. Studies have indicated that trust is linked to patient satisfaction, adherence to treatment, continuity of care, and improved outcomes. We explore the construct of trust using a case example of a patient who received a surgical procedure for a precancerous polyp. We apply the principle of trust to the case as well as present the literature on trust and key definitions for understanding trust. Additionally, we apply the definitions presented to the specific case example by highlighting moments where trust is developed or violated. Lastly, we offer insights to health care practitioners on the development of trust in their own patient interactions to improve care

Classifying publications from the clinical and translational science award program along the translational research spectrum: a machine learning approach

BACKGROUND: Translational research is a key area of focus of the National Institutes of Health (NIH), as demonstrated by the substantial investment in the Clinical and Translational Science Award (CTSA) program. The goal of the CTSA program is to accelerate the translation of discoveries from the bench to the bedside and into communities. Different classification systems have been used to capture the spectrum of basic to clinical to population health research, with substantial differences in the number of categories and their definitions. Evaluation of the effectiveness of the CTSA program and of translational research in general is hampered by the lack of rigor in these definitions and their application. This study adds rigor to the classification process by creating a checklist to evaluate publications across the translational spectrum and operationalizes these classifications by building machine learning-based text classifiers to categorize these publications. METHODS: Based on collaboratively developed definitions, we created a detailed checklist for categories along the translational spectrum from T0 to T4. We applied the checklist to CTSA-linked publications to construct a set of coded publications for use in training machine learning-based text classifiers to classify publications within these categories. The training sets combined T1/T2 and T3/T4 categories due to low frequency of these publication types compared to the frequency of T0 publications. We then compared classifier performance across different algorithms and feature sets and applied the classifiers to all publications in PubMed indexed to CTSA grants. To validate the algorithm, we manually classified the articles with the top 100 scores from each classifier. RESULTS: The definitions and checklist facilitated classification and resulted in good inter-rater reliability for coding publications for the training set. Very good performance was achieved for the classifiers as represented by the area under the receiver operating curves (AUC), with an AUC of 0.94 for the T0 classifier, 0.84 for T1/T2, and 0.92 for T3/T4. CONCLUSIONS: The combination of definitions agreed upon by five CTSA hubs, a checklist that facilitates more uniform definition interpretation, and algorithms that perform well in classifying publications along the translational spectrum provide a basis for establishing and applying uniform definitions of translational research categories. The classification algorithms allow publication analyses that would not be feasible with manual classification, such as assessing the distribution and trends of publications across the CTSA network and comparing the categories of publications and their citations to assess knowledge transfer across the translational research spectrum

Telerounding: A Scoping Review and Implications for Future Healthcare Practice

Telerounding is slated to become an important avenue for future healthcare practice. As utilization of telerounding is increasing, a review of the literature is necessary to distill themes and identify critical considerations for the implementation of telerounding. We provide evidence of the utility of telerounding and considerations to support its implementation in future healthcare practice based on a scoping review. Method: We collected articles from nine scientific databases from the earliest dated available articles to August 2020. We identified whether each article centered on telerounding policies, regulations, or practice. We also organized information from each article and sorted themes into four categories: sample characteristics, technology utilized, study constructs, and research outcomes. Results: We identified 21 articles related to telerounding that fit our criteria. All articles emphasized telerounding practice. Most articles reported data collected from surgical wards, had adult samples, and utilized robotic telerounding systems. Most articles reported null effects or positive effects on their measured variables. Discussion: Providers and patients can benefit from the effective implementation of telerounding. Telerounding can support patient care by reducing travel expenses and opportunities for infection. Evidence suggests that telerounding can reduce patient length of stay. Patients and providers are willing to utilize telerounding, but patient willingness is influenced by age and education. Telerounding does not appear to negatively impact satisfaction or patient care. Organizations seeking to implement telerounding systems must consider education for their providers, logistics associated with hardware and software, scheduling, and characteristics of the organizational context that can support telerounding. Considerations provided in this article can mitigate difficulties associated with the implementation of telerounding