A psychology postdoctoral fellowship program in integrated HIV and hepatitis C clinical care: Rationale, progress, and future directions.

2015 ◽  
Vol 9 (2) ◽  
pp. 77-84
Author(s):  
Maggie Chartier ◽  
Rebecca K. Blais ◽  
Tara Steinberg ◽  
Stephanie Catella ◽  
Erin Dehon ◽  
...  
Keyword(s):  
Hepatitis C ◽  
Clinical Care ◽  
Fellowship Program ◽  
Future Directions ◽  
Postdoctoral Fellowship

scholarly journals Examining resource availability and usefulness in a National Health Service Research Interprofessional Postdoctoral Fellowship Program

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Jennifer L. Bryan ◽  
Megan E. Gregory ◽  
Charnetta R. Brown ◽  
Annette Walder ◽  
Joshua D. Hamer ◽  
...  
Keyword(s):  
Resource Availability ◽  
Fellowship Training ◽  
Perceived Usefulness ◽  
Service Research ◽  
Fellowship Program ◽  
Services Research ◽  
Research Fellowship ◽  
The Right ◽  
Postdoctoral Fellowship ◽  
Available Resources

AbstractPostdoctoral fellowships are costly: institutions incur substantial monetary costs, and fellows suffer the opportunity cost of delaying entry into their professional careers. Nevertheless, fellowship training is a beneficial academic investment; the right resources can attract high-quality candidates and maximize return on investment for all parties. This study examined the availability and perceived utility of training resources in a national, multisite interprofessional health services research fellowship program and examined differences in resource perception between alumni and directors as well as M.D. and Ph.D. alumni. One-hundred thirty-one alumni and 15 directors from a multisite interprofessional postdoctoral fellowship completed surveys regarding fellowship resources. Results from the fellowship sample as a whole revealed that mentoring and seminars were the most commonly available resources in fellowships and alumni from the same site often disagreed about resource availability. When we compared alumni and directors’ responses from the same site, we found they often disagreed about resource availability, with directors often being more likely to respond that the resource is available than the alumni. Finally, M.D. alumni reported availability of more resources and found resources to be more useful overall than Ph.D. alumni. Mentoring and seminars are important and commonly provided resources for trainees in fellowship programs; however, M.D.s and Ph.D.s vary in perceived usefulness of other resources, suggesting that one resource does not fit all. Given the gap, postdoctoral fellows may benefit from direct communication of available resources. Moreover, as Ph.D. fellows reported less resource availability and usefulness, attention should be given to meeting their unmet needs. Taken together, this will optimize their fellowship experience, thus better preparing them for their career and, ultimately, their impact on health care.

scholarly journals A Dozen Years of American Academy of Sleep Medicine (AASM) International Mini-Fellowship: Program Evaluation and Future Directions

2014 ◽  
Vol 10 (03) ◽  
pp. 331-334
Author(s):  
Octavian C. Ioachimescu ◽  
Emerson M. Wickwire ◽  
John Harrington ◽  
David Kristo ◽  
J. Todd Arnedt ◽  
...  
Keyword(s):  
Program Evaluation ◽  
American Academy ◽  
Sleep Medicine ◽  
Fellowship Program ◽  
Future Directions

scholarly journals Clinical Care Pathways for Patients With Hepatitis C: Reducing Critical Barriers to Effective Treatment

2016 ◽  
Vol 3 (1) ◽  
Author(s):  
Nik Howes ◽  
Sam Lattimore ◽  
William Lucien Irving ◽  
Brian James Thomson
Keyword(s):  
Hepatitis C ◽  
Primary Care Physicians ◽  
Substance Misuse ◽  
Clinical Care ◽  
Hcv Infection ◽  
Hcv Rna ◽  
Care Pathways ◽  
Major Barrier ◽  
Baseline Study ◽  
New Diagnosis

Abstract Background.  Engagement of individuals infected with hepatitis C virus (HCV) with care pathways remains a major barrier to realizing the benefits of new and more effective antiviral therapies. After an exploratory study, we have undertaken an evidence-based redesign of care pathways for HCV, including the following: (1) reflex testing of anti-HCV-positive samples for HCV RNA; (2) annotation of laboratory results to recommend referral of actively infected patients to specialist clinics; (3) educational programs for primary care physicians and nurses; and (4) the establishment of needs-driven community clinics in substance misuse services. Methods.  In this study, we conducted a retrospective cohort study of progression through care pathways of individuals with a new diagnosis of HCV infection made between January 2010 and January 2012. We also analyzed patient flow through new care pathways and compared this with our baseline study of identical design. Results.  A total of 28 980 samples were tested for anti-HCV antibody during the study period and yielded 273 unique patients with a new diagnosis of HCV infection. Of these, 38% were tested in general practice, 21% were tested in substance misuse services, 23% were tested in secondary care, and 18% were tested in local prisons. Overall, 80% of patients were referred to specialist clinics, 70% attended for assessment, and 38% commenced treatment, in comparison to 49%, 27%, and 10%, respectively, in the baseline study. Referral rates from all testing sources improved. Conclusions.  This study provides timely evidence that progression through care pathways can be enhanced, and it demonstrates reduction of key barriers to eradication of HCV.

Future Directions in Clinical Care, Research, and Nosology

2018 ◽  
Author(s):  
Frederick J. Stoddard Jr ◽  
David M. Benedek ◽  
Mohammed R. Milad ◽  
Robert J. Ursano
Keyword(s):  
Scientific Discovery ◽  
Clinical Care ◽  
Age Groups ◽  
Global Burden ◽  
Categorical Approach ◽  
Future Directions ◽  
Care Research ◽  
Novel Therapeutics ◽  
Underlying Mechanisms

The science of the study of trauma and stress has accelerated as never before, due to increased recognition of the need, greater capabilities for the research, and expanding knowledge. The increased understanding of underlying mechanisms of psychopathology may lead to better diagnostics that are biologically based and to improving the development of novel therapeutics, especially in device-based neurotherapeutics. Similarly, a greater understanding of the neurobiology of trauma- and stressor-related disorders is shifting its nosology towards a dimensional rather than categorical approach. While the acceleration of scientific discovery is exciting, much more is still needed to address the global burden of trauma and stress across all age groups. While history suggests that trauma and stressors surely lie ahead for our society, it also reminds us that our knowledge, understanding, and hope will continue to foster advances for those who need care.

The Neurobiology of Encephalopathy of Prematurity

2017 ◽  
Author(s):  
Gwendolyn J. Gerner ◽  
Vera Joanna Burton
Keyword(s):  
Brain Injury ◽  
Premature Birth ◽  
Clinical Care ◽  
Neurodevelopmental Outcomes ◽  
Future Directions ◽  
Clinical Considerations ◽  
Underlying Mechanisms

The risk of brain injury following premature birth increases with birth at earlier gestational ages and lower birthweights. The presentation of brain injury and subsequent neurodevelopmental sequelae in this population are extremely heterogeneous, as the injury is due to multifactorial causes; however, increasing amounts of research are elucidating the underlying mechanisms and pathways. This chapter broadly reviews the neurobiology of encephalopathy of prematurity, as well as clinical considerations, associated neurodevelopmental outcomes, and future directions in clinical care and research.

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