Age-Friendly Care, PA: A Geriatric Workforce Enhancement Program

Age-Friendly Care, PA is co-led by Primary Health Network, the largest Federally Qualified Health Center in Pennsylvania, and Penn State College of Nursing that aims to bring reliable, high-quality, age-friendly care to all older adults living in rural PA. Sponsored by HRSA through its Geriatric Workforce Enhancement Program, Age-Friendly Care, PA utilizes the ECHO, all-teach-all-learn, platform to engage isolated rural providers in incorporating the 4Ms (IHI) into their practice. Age-Friendly Care, PA reaches out directly to rural older adults and their care partners to co-design education and support. We have hosted 28+ events and reached 450+ individuals. Results include tracking and improvement in quality indicators assessed including support for individuals living with dementia and their care partners (NA-66.7%), risk for opioid misuse (NA-78%), high-risk medication management (NA-47.8%), fall-risk management (NA-9.4%), and advanced care planning (NA-8.9%). We will discuss the creation, co-development, implementation, lessons learned, and future of Age-Friendly Care, PA.

Development of a Wellness Curriculum at a New Regional Campus: A Pilot Study

Background: Burnout is a critical issue that is increasingly prevalent among healthcare professionals. Several studies suggest that the decline in mental health and wellness begins in medical school. As such, medical schools across the United States have started to develop proactive approaches to medical student wellness, often in the form of an organized curriculum focused on resilience, mindfulness, and stress-reduction. There is little research describing the implementation and refinement of a wellness curriculum at a small regional campus of an academic medical center. A regional campus represents a unique opportunity to develop a comprehensive wellness program, because of the flexibility of the curriculum and the small number of students. The Penn State College of Medicine University Park Campus sought to develop a wellness program specific to first year medical students (MS1s) and to create a companion program of inter-professional wellness exercises open to all teaching faculty and learners at our regional campus. Methods: The study was reviewed by the Penn State College of Medicine Institutional Review Board (STUDY00011390) and was granted “Exempt” status. Three components of the wellness curriculum were developed: a mandatory, semester-long curriculum for MS1s focused on professional development, a 10-session Tai Chi class accessible to faculty, staff and students, and a series of watercolor painting workshops accessible to faculty and students. Participants completed pre- and post-surveys to assess these interventions. Results: The participation rate for the optional Tai Chi and watercolor workshops was relatively low, with 20% of students attending. Most participants felt that medical schools should be responsible for offering wellness programs for students. The majority of students wanted optional wellness activities to be available, rather than mandatory sessions. Discussion: The information gathered from this pilot study will be used to develop a formal curriculum that is accessible, helpful, and convenient for all members of the regional campus community. In the future, it will be helpful to conduct a needs assessment to ascertain what kind of wellness offerings will be most successful among students, faculty, and staff of a regional medical campus. Conflicts of Interest: None.

CORRELATION OF MEDICAL PROFESSIONALISM WITH ACADEMIC PERFORMANCE IN FINAL YEAR MEDICAL STUDENTS

Objective: To assess the correlation of medical professionalism score of final year medical students with theiracademic results of the final professional examination. Study Design: Correlational study. Place and Duration of Study: Army Medical College, Rawalpindi, from Mar to Nov 2019. Methodology: Final year medical students were enrolled by non-probability consecutive sampling. Their medical professionalism score was calculated using the Penn State College of Medicine-Professionalism Questionnaire (PSCOM-PQ). All the aspects of accountability, altruism, excellence, duty, honour/integrity and respect were noted using the questionnaire. Thirty points from the questionnaire were used, calculating the maximum value of 150. After the final professional examination, their academic results were procured. The strength of the relationship between medical professionalism score and academic results of final year professional examination was assessed using the Pearson correlation coefficient. Results: A total of 75 final year medical students were studied. The age ranged from 22-27 years (23.96 ± 1.16years). The male to female ratio was 2.12:1. The medical professionalism score ranged from 71-150 points (127.28 ± 15.43). The academic results percentages of final year professional examination (MBBS) were not found to be significantly correlated with their professionalism score (r=-0.10, p=0.394). Conclusion: The medical professionalism score of the final year medical students has no statistically significantcorrelation with their academic performance.

Tobacco Use Changes and Perceived Health Risks among Current Tobacco Users during the COVID-19 Pandemic

COVID-19 has become a global pandemic, with over 81 million cases worldwide. To assess changes in tobacco use as a result of the pandemic, we surveyed a convenience sample of current tobacco users between April and June 2020. The sample was taken from a tobacco user research registry (n = 3396) from the Penn State College of Medicine in Hershey, Pennsylvania, USA. Participants who responded to the survey and were eligible for this study (n = 291) were 25.6% male, 93% white, and had a mean age of 47.3 (SD = 11.6) years. There were no reports of participants testing positive for COVID-19, but 21.7% reported experiencing symptoms associated with the virus. Most participants (67%) believed that their risk of contracting COVID-19 was the same as non-tobacco users, but 57.7% believed that their risk of serious complications, if infected, was greater compared to non-tobacco users. A total of 28% reported increasing their cigarette use during the pandemic. The most common reasons for increased use were increased stress, more time at home, and boredom while quarantined. Nearly 15% reported decreasing their tobacco use. The most common reasons for reduced use were health concerns and more time around non-smokers (including children). A total of 71 (24.5%) users reported making a quit attempt. Characterizing these pandemic-related changes in tobacco use may be important to understanding the full scope of subsequent health outcomes resulting from the pandemic. Tobacco cessation resources should be tailored to allow for safe, appropriate access for those interested in quitting.

Age-Friendly Care, PA: A Collaborative for Age- and Dementia-Friendly Care

The Penn State College of Nursing (including the Center for Geriatric Nursing Excellence [CGNE] and Center for Nursing Research [CNR]) has partnered with the Primary Health Network (PHN) to work collaboratively toward implementing the 4Ms framework of an Age-Friendly Health System at PHN’s primary care sites in Pennsylvania. PHN is the largest FQHC in the state and spans 16 counties in PA and 2 in Ohio. Twenty of PHN’s PA primary care sites are in rural counties, and both rural and urban sites serve older adult populations with major health disparities. Connecting primary care practices with local community resources and programs is an important step in serving rural populations, and we have used the ECHO model to help facilitate connections. This session will focus on how we are using the ECHO model to engage our partners in a collaborative learning environment.

Making of da apropriação

O remix tem ocupado um papel de interlocução cultural importante quando o assunto é originalidade, autoria, assinatura, apropriação, inapropriação e desapropriação, pois entre samplings e deslocamentos contextuais de vozes e sonoridades, o resultado estético e/ou a mensagem comunicacional de um remix normalmente entra em processo de crise identitária. A quem pertence a criação original de um Remix? Quais os espaços de circulação do Remix? Quem é o receptor do Remix? O presente artigo é uma reflexão analítica em formato de entrevista com um dos mais importantes pensadores do Remix, Eduardo Navas, professor da Penn State College of Arts and Architecture, responsável pelas disciplinas de cultural analytics e humanidades digitais. Navas foi orientando de doutorado de Lev Manovich na Universidade da Califórnia e é autor de inúmeros livros e centenas de artigos sobre remix.