scholarly journals Peer Mentorship: Implementation of a Resident Registered Nurse Anesthetist Mentorship Program

2021 ◽  
pp. 1-5
Author(s):  
Thomas Pallaria ◽  
Chase Parrish ◽  
Alexandra Stillwell
Keyword(s):  
New England ◽  
Clinical Performance ◽  
The United States ◽  
Nurse Anesthesia ◽  
Improvement Project ◽  
Mentorship Program ◽  
Peer Mentorship ◽  
Action Point ◽  
Critical Action ◽  
Anesthesia Residents

Abstract Nurse anesthesia residents experience high levels of stress while being enrolled in a post-baccalaureate nurse anesthesia program. Elevated levels of stress have been proven to limit one’s ability to learn and commit new material to memory, all while inhibiting their academic and clinical performance. This study represents a quality improvement project that implements a Peer Mentorship Program (PMP) into a major University in the New England area of the United States. The study utilizes descriptive statistics to determine if implementation of a peer mentorship program can help to decrease nurse anesthesia resident’s stress, while simultaneously increasing academic and clinical performance. Data gathered by the investigators of this study was composed of a Critical Action Point Checklist (CAPC); a set of objectives that were meant to be completed by the participants in order to help run a successful mentorship program. Additional data was collected using a Peer Mentorship Reflection Questionnaire at the end of the study to receive feedback about the Peer Mentorship Program. 56% of participants agreed that the Peer Mentorship Program helped to decrease stress during the study and 83.4% of participants agreed that they would like to see the Peer Mentorship Program continue for future cohorts at their nurse anesthesia program. The findings of this study suggest that more Nurse Anesthesia Programs should work to incorporate a Peer Mentorship Program for their nurse anesthesia residents to help develop safe, high-quality anesthesia providers for the future.

A Feedback and Evaluation System That Provokes Minimal Retaliation by Trainees

2017 ◽  
Vol 126 (2) ◽  
pp. 327-337 ◽  
Author(s):  
Keith Baker ◽  
Bishr Haydar ◽  
Shawn Mankad
Keyword(s):  
Evaluation System ◽  
Clinical Teaching ◽  
Clinical Performance ◽  
Grade Inflation ◽  
The United States ◽  
Model Analysis ◽  
Mixed Effects ◽  
Faculty Members ◽  
Mixed Effects Model ◽  
Anesthesia Residents

Abstract Background Grade inflation is pervasive in educational settings in the United States. One driver of grade inflation may be faculty concern that assigning lower clinical performance scores to trainees will cause them to retaliate and assign lower teaching scores to the faculty member. The finding of near-zero retaliation would be important to faculty members who evaluate trainees. Methods The authors used a bidirectional confidential evaluation and feedback system to test the hypothesis that faculty members who assign lower clinical performance scores to residents subsequently receive lower clinical teaching scores. From September 1, 2008, to February 15, 2013, 177 faculty members evaluated 188 anesthesia residents (n = 27,561 evaluations), and 188 anesthesia residents evaluated 204 faculty members (n = 25,058 evaluations). The authors analyzed the relationship between clinical performance scores assigned by faculty members and the clinical teaching scores received using linear regression. The authors used complete dyads between faculty members and resident pairs to conduct a mixed effects model analysis. All analyses were repeated for three different epochs, each with different administrative attributes that might influence retaliation. Results There was no relationship between mean clinical performance scores assigned by faculty members and mean clinical teaching scores received in any epoch (P ≥ 0.45). Using only complete dyads, the authors’ mixed effects model analysis demonstrated a very small retaliation effect in each epoch (effect sizes of 0.10, 0.06, and 0.12; P ≤ 0.01). Conclusions These results imply that faculty members can provide confidential evaluations and written feedback to trainees with near-zero impact on their mean teaching scores.

scholarly journals Experiences of Burnout Among Nurse Anesthetists

2021 ◽  
Vol 26 (2) ◽  
Author(s):  
Brian Vells ◽  
Vishal Midya ◽  
Amit Prasad
Keyword(s):  
Coping Skills ◽  
Clinical Performance ◽  
Healthcare Providers ◽  
Signs And Symptoms ◽  
The United States ◽  
Nurse Anesthetists ◽  
Improvement Project ◽  
Provider Quality ◽  
And Coping

Recent and mounting evidence indicates burnout among healthcare providers in the United States has been steadily rising over the last decade. Review of the literature has indicated that burnout affects provider clinical performance, professionalism, quality, incidence of medical errors, and intention to stay in the profession. Burnout has been shown to impact provider quality of life. However, education focused on coping skills can reduce burnout amongst providers. This article describes a quality improvement project conducted to determine the effect of a burnout awareness and coping skills program to decrease burnout among nurse anesthetists at a level one trauma center. The educational program provided information that helped staff to identify signs and symptoms of burnout and offered strategies to reduce burnout. We describe the project methods, and results, which suggested a significant decrease in participants’ levels of the emotional exhaustion component of burnout following participation in the program. We offer discussion about the clinical significance of our findings, note project limitations, and conclude with implications for research and practice.

scholarly journals Effect of student-directed solicitation of evaluation forms on the timeliness of completion by preceptors in the United States

2019 ◽  
Vol 16 ◽  
pp. 32
Author(s):  
Conrad Krawiec ◽  
Vonn Walter ◽  
Abigail Kate Myers
Keyword(s):  
Medical Students ◽  
Clinical Training ◽  
Clinical Performance ◽  
The United States ◽  
Summative Evaluation ◽  
Training Experience ◽  
Post Intervention ◽  
Improvement Project ◽  
Intervention Phase ◽  
Evaluation Form

Purpose: Summative evaluation forms assessing a student’s clinical performance are often completed by a faculty preceptor at the end of a clinical training experience. At our institution, despite the use of an electronic system, timeliness of completion has been suboptimal, potentially limiting our ability to monitor students’ progress. The aim of the present study was to determine whether a student-directed approach to summative evaluation form collection at the end of a pediatrics clerkship would enhance timeliness of completion for third-year medical students. Methods: This was a pre- and post-intervention educational quality improvement project focused on 156 (82 pre-intervention, 74 post-intervention) third-year medical students at Penn State College of Medicine completing their 4-week pediatric clerkship. Utilizing REDCap (Research Electronic Data Capture) informatics support, student-directed evaluation form solicitation was encouraged. The Wilcoxon rank-sum test was applied to compare the pre-intervention (May 1, 2017 to March 2, 2018) and post-intervention (April 2, 2018 to December 21, 2018) percentages of forms completed before the rotation midpoint.Results: In total, 740 evaluation forms were submitted during the pre-intervention phase and 517 during the post-intervention phase. The percentage of forms completed before the rotation midpoint increased after implementing student-directed solicitation (9.6% vs. 39.7%, P<0.05).Conclusion: Our clerkship relies on subjective summative evaluations to track students’ progress, deploy improvement strategies, and determine criteria for advancement; however, our preceptors struggled with timely submission. Allowing students to direct the solicitation of evaluation forms enhanced the timeliness of completion and should be considered in clerkships facing similar challenges.

scholarly journals “There’s Somebody Like Me:” Perspectives of a Peer-to-peer Gynecologic Cancer Mentorship Program 

2021 ◽  
Author(s):  
Hannah Kang Moran ◽  
Joanna Veazey Brooks ◽  
Lori Spoozak
Keyword(s):  
Peer Support ◽  
Gynecological Cancer ◽  
Gynecologic Cancer ◽  
The United States ◽  
Structured Interviews ◽  
Mentorship Program ◽  
Peer Mentorship ◽  
Qualitative Descriptive ◽  
Initial Program ◽  
Communication Frequency

Abstract Purpose: The Ovarian Cancer Research Alliance’s Woman to Woman (W2W) program is a peer mentorship program for women with gynecological cancer that was founded in 2004 and has expanded to 43 sites nationwide. An initial program survey was conducted in 2013, but no qualitative studies have investigated patient experiences with peer support programs for gynecologic cancer in the United States. The aim of this qualitative study was to capture mentor and mentee experiences giving and receiving peer support, including how relationships were initiated and developed.Methods: Hour-long, semi-structured interviews were conducted with both mentors and mentees. Interviews focused on the dynamics of the mentor-mentee relationship. Interviews were recorded, transcribed verbatim, and open-coded. A qualitative descriptive approach was used to organize findings into themes. Results: Sixteen participants (N=16) were interviewed (seven mentors and nine mentees.) Three broad themes emerged: (i) pathways to the program; (ii) how connection occurred; (iii) themes of compatibility. While program participants universally valued their match experience, frequency and mode of communication, as well as expectations of the match relationship were widely divergent among the program participants. Conclusion: The W2W peer mentorship program is a valuable resource for patients with gynecologic cancer. Refining the wants and needs of mentees including mode of communication, frequency of communication, type of support desired, identifying topics of mutual interest, and introducing the concept of recurrence may improve the connectivity experienced by mentor-mentee dyads.

scholarly journals Virtual Resident Mentorship Groups for Fourth Year Medical Students Applying into Otolaryngology-Head and Neck Surgery

2021 ◽  
pp. 000348942110157
Author(s):  
Janice L. Farlow ◽  
Jenna Devare ◽  
Susan E. Ellsperman ◽  
Catherine T. Haring ◽  
Molly E. Heft Neal ◽  
...  
Keyword(s):  
United States ◽  
Medical Students ◽  
Neck Surgery ◽  
The United States ◽  
High Yield ◽  
Mentorship Program ◽  
Peer Mentorship ◽  
Program Participant ◽  
Clinical Scenarios ◽  
Fourth Year Medical Students

Objective: To create a longitudinal near-peer mentorship program for medical students applying to otolaryngology. Methods: A program for longitudinal near-peer mentorship was designed based on a needs analysis of senior medical students. Program objectives were to (1) provide didactic education on common otolaryngology consults, (2) facilitate resident-student networking, and (3) enable applicants to meet other students. Senior otolaryngology residents were matched with medical students from across the United States applying to otolaryngology for a series of online small group meetings. Sessions included resident-designed didactics covering high-yield clinical scenarios and a mentorship component focused on transition to residency topics. Program evaluation included anonymized pre- and post-tests for each didactic session and an anonymous post-program participant survey. Results: There were 40 student participants from across the United States, with an average attendance of 73% of sessions per participant. Performance on didactic testing improved for 2 of the 3 sessions. Participants stated they would be very likely to recommend each session to another student in the future (4.96/5.00, obs = 155). Participants stated the most valuable part of the program was interacting with residents (82% of responses), transition to residency advice (28%), and learning about otolaryngology consults (28%). Suggestions for improvement included expanding content, increasing the number of sessions, and involving additional faculty and residents. Conclusion: A longitudinal virtual experience can be valuable for near-peer mentorship for medical students applying to otolaryngology.

THE NATURE AND ENVIRONMENT OF COST MANAGEMENT AMONG EARLY NINETEENTH CENTURY U.S. TEXITLE MANUFACTURERS

1992 ◽  
Vol 19 (2) ◽  
pp. 1-24 ◽  
Author(s):  
Thomas Tyson
Keyword(s):  
Nineteenth Century ◽  
New England ◽  
Management Practices ◽  
Cost Management ◽  
Cost Accounting ◽  
The United States ◽  
Social Forces ◽  
Cost Information ◽  
Early Nineteenth Century ◽  
Textile Mills

Several authors have suggested that a particular managerial component was needed before cost accounting could be fully used for accountability and disciplinary purposes. They argue that the marriage of managerialism and accounting first occurred in the United States at the Springfield Armory after 1840. They generally downplay the quality and usefulness of cost accounting at the New England textile mills before that time and call for a re-examination of original mill records from a disciplinary perspective. This paper reports the results of such a re-examination. It initially describes the social and economic environment of U.S. textile manufacturing in New England in the early nineteenth century. Selected cost memos and reports are described and analyzed to indicate the nature and scope of costing undertaken at the mills in Lowell, Massachusetts, in the late 1820s and early 1830s. The paper discusses how particular cost information was used and speculates why certain more modern procedures were not adopted. Its major finding is that cost management practices fully measured up to the business complexities, economic pressures, and social forces of the day.

scholarly journals Exposure of Domestic Cats to Three Zoonotic Bartonella Species in the United States

Pathogens ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 354
Author(s):  
Lynn M. Osikowicz ◽  
Kalanthe Horiuchi ◽  
Irina Goodrich ◽  
Edward B. Breitschwerdt ◽  
Bruno Chomel ◽  
...  
Keyword(s):  
New England ◽  
The United States ◽  
Severe Illness ◽  
Domestic Cats ◽  
Bartonella Species ◽  
Serum Samples ◽  
North Central ◽  
Middle Atlantic ◽  
South Central ◽  
Central Regions

Cat-associated Bartonella species, which include B. henselae, B. koehlerae, and B. clarridgeiae, can cause mild to severe illness in humans. In the present study, we evaluated 1362 serum samples obtained from domestic cats across the U.S. for seroreactivity against three species and two strain types of Bartonella associated with cats (B. henselae type 1, B. henselae type 2, B. koehlerae, and B. clarridgeiae) using an indirect immunofluorescent assay (IFA). Overall, the seroprevalence at the cutoff titer level of ≥1:64 was 23.1%. Seroreactivity was 11.1% and 3.7% at the titer level cutoff of ≥1:128 and at the cutoff of ≥1:256, respectively. The highest observation of seroreactivity occurred in the East South-Central, South Atlantic, West North-Central, and West South-Central regions. The lowest seroreactivity was detected in the East North-Central, Middle Atlantic, Mountain, New England, and Pacific regions. We observed reactivity against all four Bartonella spp. antigens in samples from eight out of the nine U.S. geographic regions.

The Contributions of Oscar Halecki to American Historical Scholarship

1976 ◽  
Vol 4 (2) ◽  
pp. 89-97
Author(s):  
Thaddeus V. Gromada
Keyword(s):  
World War Ii ◽  
Civil Rights ◽  
New England ◽  
The United States ◽  
Urban Centers ◽  
Oil Refineries ◽  
Middle Atlantic ◽  
Steel Mills ◽  
Social Opportunities ◽  
The One

Most of the one and one-half million Poles who immigrated to the United States before World War II were people of rural, Catholic, Slavic stock in search of greater economic and social opportunities. They settled in urban centers primarily in the middle Atlantic, mid-Western, and New England states where they formed communities (Polonias) around the steel mills, coal and iron mines, slaughter houses and meat packing plants, oil refineries, shoe and textile factories, granaries and milling plants. Their labor was an important element in the industrialization of America. They were among the millions of unknown persons from eastern and southern Europe, as Michael Novak put it, “who have strengthened family and neighborhood life in America, and from 1930's to the present have made possible the longest strides in the nation's history in economic matters and civil rights.” Very few scholars and intellectuals, however, could be found among these Polish immigrants. When Polish scholars, intellectuals, or artists emigrated from partitioned Poland, usually after unsuccessful revolutions, they settled in France or some other European country.

Mid-Nineteenth Century New England Women in Evangelical Foreign Missions: Seraphina Haynes Everett, A Missionary Wife in The Ottoman Mission Field

2017 ◽  
Vol 8 (1) ◽  
pp. 75-102
Author(s):  
Melike Tokay-Ünal
Keyword(s):  
United States ◽  
Nineteenth Century ◽  
New England ◽  
Ottoman Empire ◽  
The United States ◽  
Foreign Missions ◽  
Women’S Perceptions ◽  
Islam And Christianity ◽  
Mission Field ◽  
Journal Entries

This article illustrates American Board of Commissioners for Foreign Missions’ support of the “missionary matrimony”, mid-nineteenth-century New England women’s perceptions of the missionary career obtained through matrimony, and their impressions of the Oriental mission fields and non-Christian or non-Protestant women, who were depicted as victims to be saved. A brief introduction to New England women’s involvement in foreign missions will continue with the driving force that led these women to leave the United States for far mission fields in the second part of the paper. This context will be exemplified with the story of a New England missionary wife. The analysis consists of the journal entries and letters of Seraphina Haynes Everett of Ottoman mission field. The writings of this woman from New England give detailed information about the spiritual voyage she was taking in the mid-nineteenth century Ottoman lands. In her letters to the United States, Everett described two Ottoman cities, Izmir (Smyrna) and Istanbul (Constantinople), and wrote about her impressions of Islam and Christianity as practiced in the Ottoman empire. Everett’s opinions of the Ottoman empire, which encouraged more American women to devote themselves to the education and to the evangelization of Armenian women of the Ottoman empire in the middle of the nineteenth century, conclude the paper.

Sign in / Sign up

Export Citation Format

Share Document