Building a System to Engage and Sustain Research Careers for Physicians.

There are increasing needs for physician-investigators to translate the rapid expansion of knowledge, technology/interventions, and big data into the clinical realm at a time of increasing age-related disabilities and communicable diseases. Yet, the number of physician-investigators has continued to decline, and only a small number of medical school graduates in the United States are actively engaged in research. This problem may be particularly pronounced in small- and medium-sized academic institutions due to more limited educational and mentoring infrastructure. Neither efforts by the federal government nor isolated institutional programs alone have been effective yet in solving this problem. This article describes an integrated institutional strategy undertaken at Penn State College of Medicine that is focused on developing and sustaining a physician-investigator workforce. Key elements of this strategy are new programs to close gaps in the professional life cycle of physician-investigators, dedicated senior leaders collaborating with an experienced and diverse advisory committee, and a data-driven approach to programmatic evaluation. In this article, the implementation of integrated institutional programs including Institutional Mock Review for evaluation of grant proposals before submission, physician-scientist faculty mentoring, and effort matching programs are described. Detailed tactics are offered for tailoring these programs to a particular institution's background to maximize both efficiency and sustainability. The overarching strategy includes engaging multidisciplinary faculty as mentors and mentees, partnering with both clinical and basic science departments, integrating new programs with established approaches, and cultivating an emerging generation of physician-investigators as near-peer mentors and future leaders. This approach may serve as a useful paradigm for building an environment to nurture junior physician-investigators at other mid-sized academic institutions and may also have value for larger institutions in which there is fragmentation of the efforts to sustain the research careers of physicians.

Digital Health meets Hamburg integrated medical degree program iMED: concept and introduction of the new interdisciplinary 2nd track Digital Health.

Digitalization in medicine is transforming the everyday work and the environment of current and future physicians - and thereby brings new competencies required by the medical profession. The necessity for a curricular integration of related digital medicine and, in more general, digital health topics is mostly undisputed; however, few specific concepts and experience reports are available. Therefore, the present article reports on the aims, the implementation, and the initial experiences of the integration of the topic Digital Health as a longitudinal elective course (2nd track) into the integrated medical degree program iMED in Hamburg.

The role of mainstreamness and interdisciplinarity for the relevance of scientific papers.

Is it possible to tell how interdisciplinary and out-of-the-box scientific papers are, or which papers are mainstream? Here we use the bibliographic coupling network, derived from all physics papers that were published in the Physical Review journals in the past century, to try to identify them as mainstream, out-of-the-box, or interdisciplinary. We show that the network clusters into scientific fields. The position of individual papers with respect to these clusters allows us to estimate their degree of mainstreamness or interdisciplinarity. We show that over the past decades the fraction of mainstream papers increases, the fraction of out-of-the-box decreases, and the fraction of interdisciplinary papers remains constant. Studying the rewards of papers, we find that in terms of absolute citations, both, mainstream and interdisciplinary papers are rewarded. In the long run, mainstream papers perform less than interdisciplinary ones in terms of citation rates. We conclude that to avoid a unilateral trend towards mainstreamness a new incentive scheme is necessary.

Philosophy of Science Series: Harnessing the Multidisciplinary Edge Effect by Exploring Paradigms, Ontologies, Epistemologies, Axiologies, and Methodologies.

Health professions education (HPE) researchers come from many different academic traditions, from psychology to engineering to rhetoric. Trained in these traditions, HPE researchers engage in science and the building of new knowledge from different paradigmatic orientations. Collaborating across these traditions is particularly generative, a phenomenon the authors call the multidisciplinary edge effect. However, to harness this productivity, scholars need to understand their own paradigms and those of others so that collaboration can flourish. This Invited Commentary introduces the Philosophy of Science series-a collection of articles that introduce readers to 7 different paradigms that are frequently used in HPE research or that the authors suggest will be increasingly common in future studies. Each article in the collection presents a concise and accessible description of the main principles of a paradigm so that researchers can quickly grasp how these traditions differ from each other. In this introductory article, the authors define and illustrate key terms that are essential to understanding these traditions (i.e., paradigm, ontology, epistemology, methodology, and axiology) and explain the structure that each article in this series follows.

Derivaciones al Equipo de psicopedagogía en el marco del Dispositivo de Admisión Interdisciplinaria del Área de 6 a 9 años de la Unidad de Salud Mental / Referrals to the Psychopedagogy Team in the framework of the Interdisciplinary Admission Device of the Area from 6 to 9 years of the Mental Health Unit

Proyecto de investigación de integrantes del tercer año de la Residencia de Psicopedagogía con sede en el Hospital de Niños Dr. R. Gutierrez, centrado en los interrogantes sobre la Admisión a la Unidad de Salud Mental del área de 6 a 9 años, de carácter multifamiliar e interdisciplinario. Se describen las características del Hospital, su población, la Unidad de Salud Mental y particularmente las actividades y prácticas cotidianas de las psicopedagogas; para luego analizar los criterios de los profesionales de este dispositivo para la evaluación psicopedagógica.

Leveraging Interdisciplinary Education Toward Securing the Future of Connected Health Research in Europe: Qualitative Study.

BACKGROUND: Connected health (CH) technologies have resulted in a paradigm shift, moving health care steadily toward a more patient-centered delivery approach. CH requires a broad range of disciplinary expertise from across the spectrum to work in a cohesive and productive way. Building this interdisciplinary relationship at an earlier stage of career development may nurture and accelerate the CH developments and innovations required for future health care. OBJECTIVE: This study aimed to explore the perceptions of interdisciplinary CH researchers regarding the design and delivery of an interdisciplinary education (IDE) module for disciplines currently engaged in CH research (engineers, computer scientists, health care practitioners, and policy makers). This study also investigated whether this module should be delivered as a taught component of an undergraduate, master's, or doctoral program to facilitate the development of interdisciplinary learning. METHODS: A qualitative, cross-institutional, multistage research approach was adopted, which involved a background study of fundamental concepts, individual interviews with CH researchers in Greece (n=9), and two structured group feedback sessions with CH researchers in Ireland (n=10/16). Thematic analysis was used to identify the themes emerging from the interviews and structured group feedback sessions. RESULTS: A total of two sets of findings emerged from the data. In the first instance, challenges to interdisciplinary work were identified, including communication challenges, divergent awareness of state-of-the-art CH technologies across disciplines, and cultural resistance to interdisciplinarity. The second set of findings were related to the design for interdisciplinarity. In this regard, the need to link research and education with real-world practice emerged as a key design concern. Positioning within the program context was also considered to be important with a need to balance early intervention to embed integration with later repeat interventions that maximize opportunities to share skills and experiences. CONCLUSIONS: The authors raise and address challenges to interdisciplinary program design for CH based on an abductive approach combining interdisciplinary and interprofessional education literature and the collection of qualitative data. This recipe approach for interdisciplinary design offers guidelines for policy makers, educators, and innovators in the CH space. Gaining insight from CH researchers regarding the development of an IDE module has offered the designers a novel insight regarding the curriculum, timing, delivery, and potential challenges that may be encountered.

Integrating interprofessional education with needs-based health workforce planning to strengthen health systems.

Providing quality health care is the core purpose for health systems, and it is only possible with adequate capacity among the workforce to provide the required services. Addressing the requirements for, and supply of, the health workforce (workforce planning) is essential for strengthening health systems. There is a global recognition that interprofessional education (IPE) is critical to achieving universal health care. In this introductory paper we discuss how IPE is a key factor within needs-based health systems strengthening and Human Resources for Health (HRH) planning. This perspective is illustrated through six case studies from countries around the globe which provide discourse on how the integration of IPE/IPC with needs-based workforce planning can contribute to strengthening the health systems. Three key learnings arise from the case studies - 1) IPE is important to meet health care needs of populations efficiently and effectively; 2) integrated needs-based planning provides a framework within which IPE has an integral role, and 3) stakeholders from both health and education are critical to the process of seamless integration of IPE across the continuum of health systems.

[Interdisciplinarity in research on health issues]. / De l'interdisciplinarité dans la recherche sur des dossiers sanitaires.

The text sets out to examine so-called "interdisciplinary" research practices when researchers work on health issues. The article specifies the author's approach, which departs from both a normative posture and a purely epistemological approach, instead opting to study an interdisciplinary act in progress. Based on an ANR report led by Trabal, Collinet and Terral (2014), the research presented mobilizes the latest developments in socio-informatics to examine forms of interdisciplinarity in two areas - doping and obesity. It appears that the research on doping is marked by strong asymmetries between disciplines, and that "true" interdisciplinarity is often postponed when it does not seem to lend itself to a simple mode of coordination. In the case of obesity, we observe that practices are marked by staging and display work; the demand for interdisciplinarity is combined with a desire to structure a professional identity. In all cases, we were able to identify some trails that have been blazed to enable researchers to respond jointly to disciplinary and interdisciplinary injunctions. The promise is an interesting figure that relies on a postponement of proof, made possible by weak codification of interdisciplinarity.

What if there were no universities?

To a large extent, the pursuit of science takes place in universities. In this essay, I ask the following questions. Supposing there were no universities, and that all the knowledge mankind has ever collected and generated is somehow accessible, would we invent universities to make this knowledge available to address the problems humanity faces? What should those universities perform, and what role would science play in such universities? To look for answers to those questions, I consider the nature of the problems dealt with by science, the knowledge needed to address those problems, the gap between the two, the need for interdisciplinarity and the need to educate the leaders of the future, and finally, the boundaries of scientific knowledge.

Children's Privacy in the Big Data Era: Research Opportunities.

This article focuses on the privacy implications of advertising on social media, mobile apps, and games directed at children. Academic research on children's privacy has primarily focused on the safety risks involved in sharing personal information on the Internet, leaving market forces (such as commercial data collection) as a less discussed aspect of children's privacy. Yet, children's privacy in the digital era cannot be fully understood without examining marketing practices, especially in the context of "big data." As children increasingly consume content on an ever-expanding variety of digital devices, media and advertising industries are creating new ways to track their behaviors and target them with personalized content and marketing messages based on individual profiles. The advent of the so-called Internet of Things, with its ubiquitous sensors, is expanding these data collection and profiling practices. These trends raise serious concerns about digital dossiers that could follow young people into adulthood, affecting their access to education, employment, health care, and financial services. Although US privacy law provides some safeguards for children younger than 13 years old online, adolescents are afforded no such protections. Moreover, scholarship on children and privacy continues to lag behind the changes taking place in global media, advertising, and technology. This article proposes collaboration among researchers from a range of fields that will enable cross-disciplinary studies addressing not only the developmental issues related to different age groups but also the design of digital media platforms and the strategies used to influence young people.

Introduction: Interprofessional Education (IPE) and Pharmaceutical Education: Saitama Interprofessional Education Project.

In 2002, the Centre for the Advancement of Interprofessional Education (CAIPE) defined interprofessional education (IPE) as: Interprofessional Education occurs when two or more professions learn with, from, and about each other to improve collaboration and the quality of care. Since 2005, also in Japan, IPE has been introduced within educational institutions to train professionals in healthcare and welfare. Within pharmaceutical education, to acquire the "10 qualities required for pharmacists" indicated by revised model core curricula for pharmaceutical education in 2015, IPE is thought quite important. Meanwhile, highly advanced medical treatment is rapidly developing, and as a consequence home healthcare and long-term care must also be enlarged. As a countermeasure, an integrated community care system must be established, and pharmacists will be responsible for urgent tasks within the system. Four universities-Prefectural University, Saitama Medical University, Josai University, and the Nippon Institute of Technology-decided to implement a collaborative project with the philosophy of "realizing high-quality lifestyles for local residents". This project was adopted by the Ministry of Education, Culture, Sports, Science and Technology as a Program for Promoting Inter-University Collaborative Education for fiscal year 2012. In this symposium, I report on the relationship between this initiative and pharmacy education, as well as discuss expectations of IPE for pharmacist education in the future.

Systematic and Stepwise Interprofessional Education in Showa University.

At Showa University, which consists of the schools of medicine, dentistry, pharmacy, nursing and rehabilitation sciences, systematic interprofessional education was introduced with the cooperation of all 4 schools and through all undergraduate grades with the purpose of training medical staff who can contribute positively to the medical team. In the lower grades, students study the basics of medical team care based on a 4-school joint curriculum of experience learning (such as early exposure) and problem-based learning (PBL) tutorial inside and outside of the university. In the upper grades, students study the practice of medical team care by joint curriculum of participatory learning in the hospitals and community so as to acquire practical skills. Since 2014, we introduced systematic interprofessional education for home care and narrative-based medicine. Through these curriculums, I expect that the number of medical staff who actively promote patient-centered team medical care in a variety of medical fields, including hospitals and community, will continue to grow in the future.

Effect of IPE on Medical Profession Education and Expectations of Pharmacists-From the Perspective of Nurses.

On January 1, 2015, the Interprofessional Education Research Center (IPERC) was opened at the Graduate School of Nursing at Chiba University, while being positioned as one of the Inohana Campus High Functionality Initiatives by the university. As the result of the establishment of an education research center in the nursing graduate school, various changes are coming into view. In particular, the active participation of young instructors of the medical, nursing, and pharmacology departments and university hospital in interprofessional education (IPE) efforts deserve special mention. In addition, IPE training with treatment participation, which had been a pending matter for many years, is being implemented on a trial basis in the university hospital ICU and pediatric departments starting this year. During this training, treatment plan proposals will be conducted in cooperation with university hospital specialists. IPE is also having a great influence on the formation of curriculums in each department. A factor behind this is the awareness of issues by young instructors such as whether practical training fully utilizes the team building, conference management, and joint learning ability being nurtured at IPE. IPE is unable to perform fundamental education without influencing professional education, and professional education also cannot help but change into "training of specialists with the ability to make contributions considered necessary as a specialist under any circumstances", The degree to which instructors in these three departments can together support curbing of resistance to this change and promoting transformation of values is considered key.

Global Practices of Interprofessional Education (IPE) and Relevant International Activities.

Activities related to interprofessional education (IPE) vary between countries according to local and national health needs and systems. The International Pharmaceutical Federation (FIP) Education Initiative endeavors to provide a global vision in IPE by the sharing of experiences and gathering of evidence collaboratively to facilitate country-level initiatives. The purpose of this paper is to contribute to the further development of IPE activities in pharmacy in Japan through sharing global perspectives and activities related to IPE. FIP Education Initiative published the Interprofessional Education in a Pharmacy Context: Global Report in September 2015, which marked a milestone in the growing recognition of IPE in pharmacy globally. The paper shared global and regional perspectives and experiences in IPE in pharmacy, both from the report and FIP activities. This paper can be seen as a snapshot of IPE-related international activities, which enables gaps and challenges in implementing IPE activities in Japan to be identified. This paper provides an opportunity to explore global trends and initiatives regarding IPE, and to consider how to form and implement IPE specifically based on Japanese health needs and systems.

Next generation of network medicine: interdisciplinary signaling approaches.

In the last decade, network approaches have transformed our understanding of biological systems. Network analyses and visualizations have allowed us to identify essential molecules and modules in biological systems, and improved our understanding of how changes in cellular processes can lead to complex diseases, such as cancer, infectious and neurodegenerative diseases. "Network medicine" involves unbiased large-scale network-based analyses of diverse data describing interactions between genes, diseases, phenotypes, drug targets, drug transport, drug side-effects, disease trajectories and more. In terms of drug discovery, network medicine exploits our understanding of the network connectivity and signaling system dynamics to help identify optimal, often novel, drug targets. Contrary to initial expectations, however, network approaches have not yet delivered a revolution in molecular medicine. In this review, we propose that a key reason for the limited impact, so far, of network medicine is a lack of quantitative multi-disciplinary studies involving scientists from different backgrounds. To support this argument, we present existing approaches from structural biology, 'omics' technologies (e.g., genomics, proteomics, lipidomics) and computational modeling that point towards how multi-disciplinary efforts allow for important new insights. We also highlight some breakthrough studies as examples of the potential of these approaches, and suggest ways to make greater use of the power of interdisciplinarity. This review reflects discussions held at an interdisciplinary signaling workshop which facilitated knowledge exchange from experts from several different fields, including in silico modelers, computational biologists, biochemists, geneticists, molecular and cell biologists as well as cancer biologists and pharmacologists.

Enhancing Pediatric Trainees' and Students' Knowledge in Providing Care to Transgender Youth.

PURPOSE: To enhance pediatric trainees' and students' knowledge of the psychosocial and medical issues facing transgender youth through a comprehensive curriculum. METHODS: During the 2015-2016 academic year, we administered a transgender youth curriculum to fourth-year medical students, pediatric interns, psychiatry interns, and nurse practitioner students on their 1-month adolescent and young adult medicine rotation. The curriculum included six interactive, online modules and an observational experience in a multidisciplinary pediatric gender clinic. The online modules had a primary care focus with topics of general transgender terminology, taking a gender history, taking a psychosocial history, performing a sensitive physical examination, and formulating an assessment, psychosocial plan, and medical plan. At the completion of the curriculum, learners completed an evaluation that assessed change in perceived awareness and knowledge of transgender-related issues and learner satisfaction with the curriculum. RESULTS: Twenty learners participated in the curriculum with 100% completing the curriculum evaluations, 100% reporting completing all six online modules, and 90% attending the gender clinic. Learners demonstrated a statistically significant improvement in all pre-post knowledge/awareness measures. On a Likert scale where 5 indicated very satisfied, learners' mean rating of the quality of the curriculum was 4.5 ± .7; quality of the modules was 4.4 ± .7; and satisfaction with the observational experience was 4.5 ± .8. CONCLUSIONS: A comprehensive curriculum comprised interactive online modules and an observational experience in a pediatric gender clinic was effective at improving pediatric learners' perceived knowledge of the medical and psychosocial issues facing transgender youth. Learners also highly valued the curriculum.

Saúde e meio ambiente nos currículos dos cursos de graduação em comunicação social no Brasil / Health and environment in the curriculums of social communication undergraduate degree in Brazil / Salud y medio ambiente en los curriculos de la licenciatura en comunicación social en Brasil

Acreditamos que a insuficiência de formação em temas de saúde e meio ambiente resulta em coberturas jornalísticas superficiais e em discussões limitadas por parte das assessorias de comunicação ou dos profissionais encarregados das relações públicas no mundo corporativo e no terceiro setor. No caso da graduação em comunicação social no Brasil, uma discussão em torno dos currículos parece ser especialmente oportuna, pois integrar comunicação, saúde e meio ambiente implica em superar a lógica disciplinar na formação superior. Este artigo descreve o cenário da oferta de cursos sobre esses temas pelas instituições de ensino superior brasileiras, utilizando a análise de conteúdo para inferir temáticas recorrentes a partir de categorias presentes nas ementas disponíveis na internet. Os resultados não identificaram a abordagem do trinômio comunicação-saúde-meio ambiente de modo integrado nas graduações em comunicação, indicando, porém, associações entre dois dos temas, especialmente saúde e meio ambiente.

We think that insufficient training in health and environment issues results in superficial news coverage and limited discussions by communication consultants or by respon- sible people for public relations of the corporate world and the third sector organizations. In regard to social communication undergraduate degree, a debate about curriculums could be especially timely insofar as to integrate communication, health and the environment there is a need for overcoming the disciplinary logic in higher education. This paper describes the scenario of the courses on these subjects offered by Brazilian higher education institutions, using the content analysis to infer recurring themes from existent categories found in available registers at the internet. Although no result have revealed an approach of trinomial communication-health-environmentin an integrated manner in the social communication undergraduate degree in Brazil, the analysis presents several associations of two of those subjects, particularly health and environment.

Creemos que la insuficiente formación en temas de salud y medio ambiente resulta en una cobertura periodística sin profundidad y en discusiones limitadas entre los asesores de comunicación o los relacionistas públicos del mundo empresarial y del tercer sector. En el caso de los estudios de graduación en comunicación social, una discusión de los currículos parece especialmente oportuna puesto quela integración de la comunicación, la salud y el medio ambiente presupone la superación de la lógica disciplinar en la educación superior. Este artículo describe el escenario de la oferta de cursos acerca de aquellos temas por las instituciones brasileñas de enseñanza superior, adoptando el análisis de contenido para inferir temas recurrentes de las categorías presentes en los registros disponibles en internet. Aun que los resultados no hayan identificado el trinomio comunicación-salud-medio ambiente tratado de manera integrada en los cursos de graduación en comunicación social en Brasil, pero se ha observado asociaciones entre dos de los temas, en especial la salud y el medio ambiente.