As good as it gets? Therapy outcomes of trainees over time.

There is a paucity of empirical studies that demonstrate psychotherapy trainees improve at assisting their clients' therapy outcomes over time. We examined whether trainees (i.e., practicum, predoctoral interns, and postdoctoral fellows) improved in their clients' therapy outcomes over time. We examined 114 trainees (i.e., who were trainees for the first client in the database) and had over 12 months of client outcome data (M = 45.31 months). At the start of their time in our database, about half of the participants (48.2%) were predoctoral interns, 42.1% were practicum students, and 9.6% were postdoctoral fellows. Collectively, they treated 2,991 clients (M = 26 clients per trainee). Clients completed the Behavioral Health Measure, which assesses general psychological functioning (i.e., well-being, symptom distress, and life functioning), as a measure of therapy outcomes. Trainees demonstrated small-sized growth in their clients' outcomes over time (d = 0.04 per year); however, this growth was moderated by client severity. That is, trainees demonstrated growth over time in working with clients who were less distressed (d = -0.13 to 0.10 over time), but there was no change over time for trainees when working with more distressed clients (d = 0.67 to .65 over time). The results were consistent across trainee level (i.e., practicum, predoctoral intern, postdoctoral fellow), yet trainees varied in their patterns of growth. Psychotherapy training has a small, but positive, effect on trainees' ability to foster positive outcomes with their clients over time. (PsycINFO Database Record

The future of nursing: monitoring the progress of recommended change in hospitals, nurse-led clinics, and home health and hospice agencies.

OBJECTIVE: The objective of this study was to assess the implementation of recommendations of the Institute of Medicine (IOM) report, The Future of Nursing: Leading Change, Advancing Health. BACKGROUND: In 2010, the IOM made a series of recommendations aimed at transforming the role of nurses in healthcare delivery. METHODS: We conducted a multiyear survey, in 2011 and 2013, with nurse leaders who were members of the American Organization of Nurse Executives, the National Nursing Centers Consortium, or the Visiting Nurses Association of America. RESULTS: When comparing 2013 to 2011, we find progress in instituting the IOM's recommendations in 3 areas: (1) raising the proportion of employed RNs with at least a bachelor's degree; (2) expanding the proportion of healthcare institutions with nurse residency programs; and (3) offering opportunities for continuing nurse education CONCLUSIONS: Our findings suggest that healthcare organizations are transforming to support the recommendations of the IOM.

Who will lead your hospital?

As baby boom executives retire at an ever-increasing pace, leading-edge hospitals are using a variety of tactics to find Gen Xers and Gen Yers with leadership potential and help them acquire the skills they'll need.

2020 COVID-19 American Academy of Clinical Neuropsychology (AACN) Student Affairs Committee survey of neuropsychology trainees.

Objective: To conduct an online survey in order to understand neuropsychology trainees' perspectives during the COVID-19 pandemic and identify pertinent concerns, training gaps, and recommendations.Method: A total of 874 neuropsychology trainees (81% female) completed the 69-item survey. Of the included trainees, 48% were doctoral students, 17% were interns, and 35% were postdoctoral residents (50% of resident respondents were in their first year).Results: The majority of neuropsychology trainees reported some impact of the pandemic on their professional and/or personal life. Overall, the impact did not differ by training level, geographic location, or demographic factors. Trainees' primary professional concerns included uncertainty about the impact of the pandemic on their professional future, loss of clinical hours, and desire for increased and ongoing communication from their leadership. A notable percentage of trainees reported increased personal mental health symptoms (i.e. anxiety/depression; 74%/54%), as well as a number of other personal stressors. Despite the transition to telehealth (mostly interviews/feedback sessions), few trainees have prior training or experience in providing neuropsychological services via phone or video platform. A limited proportion of trainees (approximately 10%) were still seeing patients face-to-face for neuropsychological evaluations during the COVID-19 pandemic as of 14 April 2020.Conclusions: The COVID-19 pandemic is impacting neuropsychological training and the well-being of trainees. This survey highlights the importance of communication with trainees during uncertain times. Based on the survey results, recommendations were developed to assist neuropsychology organizations in developing initiatives to support trainees during the current pandemic and in the future.

Professional practice experience. Internships open the door to real-world lessons.

For senior HIM students, a professional practice internship offers real-life experience and a firsthand look at future careers. But PPEs require sites that volunteer as hosts and HIM professionals to serve as mentors.

North American veterinary pathology residency training programs: an overview of where they are today and where they were five years ago, with an analysis of trends.

An e-mail/telephone survey of all active North American residency training programs in veterinary pathology was conducted in September 2005. The purpose of this survey was to determine current numbers of trainees, their program length and type, and salaries; to compare current numbers to five years earlier; and, finally, to gauge interest in expanding current programs. All 41 training institutions contacted responded to the survey. Briefly, the survey found that there are currently 235 veterinary pathology residents, for a mean of 5.7 residents per training program. The number of residents currently in training programs and the number of applicants for these programs has increased compared to five years earlier. There is widespread interest in further expanding capacity in these programs, and the coalition of the American College of Veterinary Pathologists and the Society of Toxicologic Pathology is a well-known source of possible funding for additional residents. This survey report further documents the numbers of combined residency/PhD programs, average starting salaries for new residents, outside sponsorship effects on pathology training programs, and some of the common concerns regarding veterinary pathology training programs voiced by the respondents. While residency training capacity has expanded in the last five years, and there is widespread desire to further expand these training programs, a shortage of veterinary pathologists for future market needs will need to be addressed by increased funding from as yet unspecified sources.

Shock absorbers. Hospital residency programs smooth the bumps for new nurses.

Residency programs aim to help RNs transition from nursing school to the hectic reality of the hospital, and to keep them from fleeing for the exits.

Impact of resident research publication on early-career publication success.

PURPOSE: The impact of resident research publication on early-career publication success is evaluated. METHODS: This study included a retrospective cohort of pharmacy residents' abstracts presented at the Great Lakes Pharmacy Resident Conference (GLPRC). Published residency research projects at GLPRC (n = 76) were matched 1:1 to unpublished projects. Residents were followed forward for five years to identify early-career publications (postresidency publication positive) versus no publications (postresidency publication negative). The following characteristics of postresidency publication-positive and publication-negative residents were compared: publication of residency project, university-affiliated residencies, median number and interquartile range of coinvestigators, presence of a physician coinvestigator, highest nonphysician H-index of coinvestigators, and nonphysician H-index of ≥1 for any coinvestigator (indicating that a coinvestigator has previously published and been cited). RESULTS: A total of 152 abstracts were reviewed (76 published and 76 unpublished projects). Using a predefined systematic search strategy, 55 former residents had a postresidency publication within five years after presenting their project at the GLPRC. Of the former residents who published their residency project, 38 (50%) were postresidency publication positive, while 17 former residents (22.4%) who did not publish resident research projects were postresidency publication positive. Univariate and multivariate analyses revealed that publication of the pharmacy resident research project and a university-affiliated residency program was positively associated with postresidency publication success. CONCLUSION: Pharmacy residents who published their residency research project after its presentation at the GLPRC were twice as likely to have publication success within five years compared with residents who did not publish their residency research project. A university-affiliated residency was associated with postresidency publication success within five years after project presentation.

Postdoctoral training in clinical neuropsychology in America: how did we get here and where do recent applicants suggest we go next?

OBJECTIVE: The United States appears to be the only country which typically requires completion of a two-year postdoctoral fellowship for one to be considered competent to practice clinical neuropsychology. We review the history of how this came to be in the United States. Further, we describe obstacles that postdoctoral trainees face during this stage of training. METHOD: We first describe the most significant events leading to the requirement of a two-year fellowship in clinical neuropsychology. Next, we describe factors that trainees face when selecting and completing postdoctoral training. Finally, we review the results of the most recent annual survey of applicants for postdoctoral training to measure their experiences. RESULTS: Postdoctoral training in the United States is a relatively recent requirement in neuropsychology. Trainees face many obstacles when obtaining a postdoctoral position some of which can be addressed by the field. CONCLUSIONS: Training in Clinical Neuropsychology in the United States has evolved considerably over at least the last 45 or so years to the point that a two-year postdoctoral fellowship is now required for one to be a candidate for board certification through the American Board of Clinical Neuropsychology. We review many of the challenges that postdoctoral trainees face and provide survey data to describe their experiences and preferences.

Research fellowship programs as a pathway for training independent clinical pharmacy scientists.

The American College of Clinical Pharmacy (ACCP) Research Affairs Committee published a commentary in 2013 on training clinical pharmacy scientists in the context of changes in economic, professional, political, and research environments. The commentary centered on the opportunities for pharmacists in clinical/translational research including strategies for ACCP, colleges of pharmacy, and the profession to increase the number and impact of clinical pharmacy scientists. A postdoctoral fellowship is cited as a current training pathway, capable of producing independent and productive pharmacy researchers. However, a decline in the number of programs, decreased funding availability, and variability in fellowship program activities and research focus have brought into question the relevance of this research training pathway to meet demand and opportunities. In response to these points, this commentary examines the state of research fellowship training including the current ACCP research fellowship review process, the need for standardization of research fellowship programs, and strategies to strengthen and promote research fellowships as relevant researcher training pathways.

Minority interns' experiences during their dietetics education and their recommendations for increasing diversity in dietetics: findings from structured interviews.

Diversity among racial minorities and males has remained limited in the dietetics field. Structured interviews with eleven minority interns were conducted to assess their experiences throughout their dietetics education and to examine their perceptions of the dietetics profession. General themes were reported. Dietetics was not the first career choice for six interns. Work and volunteer experience were perceived as the most influential factors in their selection for a dietetic internship. Some perceived being the only minority in an internship program and the lack of minorities on internship selection committees as problems. Increasing minority dietitians' visibility at career days and early recruitment of students were suggested as ways to increase diversity within the profession. Resources such as the Building Our Future Mentor Program Tool Kit should be utilized to establish mentoring programs for students and to enhance diversity efforts in dietetics.

Teaching multiskilling in dietetics education.

OBJECTIVE: To investigate multiskilling in dietetics education programs, perceived benefits and barriers to multiskilling, and current and anticipated areas of cross training in the dietetics curriculum. SUBJECTS AND DESIGN: A descriptive survey was conducted using a researcher-developed questionnaire. The questionnaire was pilot tested and mailed in April 1996 to the directors of all 565 accredited and approved dietetics education programs in the United States. Reminder postcards were mailed in May 1996. Responses were received from 276 program directors (48.8%). STATISTICAL ANALYSIS PERFORMED: Chi(2) analysis and analysis of variance were performed to compare responses by program type. t Tests and correlations compared responses by program size. RESULTS: Faculty and students from programs with supervised experiences were more likely to be involved with cross training and multidisciplinary teams than were faculty and students from didactic programs. Dietetic technician programs identified the smallest number of benefits and coordinated programs reported the most barriers to cross training. Programs with fewer graduates were more involved with multiskilling. Programs currently included a mean (+/-standard deviation) of 9.1+/-6.3 out of 47 possible cross-training areas in their curricula. APPLICATIONS: A number of dietetics education programs provide opportunities for students to become multiskilled or cross trained, usually during supervised practice. The challenge for educators is to continue to find innovative ways to train and prepare students for future roles and responsibilities. Dietetics practitioners, especially those who are preceptors or mentors for students, also need to consider how they will meet the demands of future practice.

Psychotherapy supervision in the 1990s: some observations and reflections.

This paper identifies and discusses 10 broad-based themes or conclusions that could be drawn about the field of psychotherapy supervision now. These conclusions focus on various facets of clinical supervision theory, research, and practice; in so doing, they bring to light current supervision issues, problems, advances, and needs that seemingly merit our attention and consideration.

The vanishing art of mentoring.

Behind every successful healthcare executive, there is likely to be a good mentor, or maybe two or three. Without structured programs, however, some fear the art of mentoring may be squeezed out of existence. Time, or the lack thereof, is taking its toll, and mentoring is in danger of becoming a casualty of the hectic world of healthcare.

[Nursing residency: a 20-year experience]. / Residência de enfermagem: uma trajetória de 20 anos.

This descriptive study about Nursing Residence is an attempt to understand the period between 1978 and 1998. Describes the evolution occurred on Residence about programs organization, theoretical and research activities, preceptory, avaliation and future perspectives. The study has a Qualitative Approach. The data was collected with Documental Analysis. The actuals beliefs and tendencies are indicating that the residence programs must be constructed by Nursing Residents and Preceptors. The Nursing Residence is a valuable strategic of especialization of nurses at service.

Review article: Paramedic education opportunities and challenges in Australia.

Paramedic education has been undergoing major development in Australia in the past 20 years, with many different educational programmes being developed across all Australian jurisdictions. This paper aims to review the current paramedic education programmes in Australia to identify the similarities and differences between the programmes, and the strengths and challenges in these programmes. A literature search was performed using six scientific databases to identify any systematic reviews, literature reviews or relevant articles on the topic. Additional searches included journal articles and text references from 1995 to 2011. The search was conducted during December 2010 and November 2011. Included in this review are a total of 28 articles, which are focused around five major issues in paramedic education: (i) principle on paramedic programmes and the involvement of industry partners; (ii) clinical placements; (iii) contemporary methods of education; (iv) needs for specific programmes within paramedic education; and (v) articles related to the accreditation process for paramedic programmes. Paramedic programmes across Australian universities vary with many different practices, especially relating to clinical placements in the field. The further advances of the paramedic education programmes should aim to respond to population change and industry development, which would enhance the paramedic profession across Australia.

A formação multiprofissional em saúde sob a ótica do residente / La formación multifuncional the la salud desde la perspectiva de lo residente / The multiprofessional health training from the viewpoint of the resident

Objective: to describe the lived experiences as a nursing professional who integrates the 1st class of the Multiprofessional Health Residency Program from the Gaffrée and Guinle University Hospital and describe the activities performed during the practical and theoretical exercise of the course. Methods: This is a descriptive study of situational analysis, which is characterized as an experience report. Results: The program, which began in February 2011, was comprised of professionals from the following areas: Nursing, Nutrition, Speech Therapy and Physiotherapy. It has duration time of two years and a workload of 60 hours a week. It presents different hospital scenarios, as fieldworks, with the aim at promoting the experience of integrality of the health care, with a period directed to the Primary Care. Conclusion: The prolonged interaction among the multiprofessional residents has provided a great learning in relation to the collective living, by increasing the respect, appreciation and knowledge among the professions.

Objetivo: relatar as experiências vivenciadas enquanto Enfermeira integrante da 1ª turma de Residência Multiprofissional em Saúde do Hospital Universitário Gaffrée e Guinle e descrever as atividades realizadas durante o exercício prático e teórico do curso. Métodos: Trata-se de um estudo descritivo de análise situacional e caracterizado como relato de experiência. Resultados: O programa, que teve início em fevereiro de 2011, era composto por profissionais de Enfermagem, Nutrição, Fonoaudiologia e Fisioterapia. Possui tempo de duração de dois anos e uma carga horária de 60 horas semanais. Apresenta como campos de atuação diferentes cenários do hospital e ainda, com a intenção de promover a experiência da integralidade da atenção à saúde, com um período destinado à Atenção Básica. Conclusão: A interação prolongada entre os residentes multiprofissionais proporcionou um grande aprendizado em relação ao fazer coletivo, aumentando o respeito, valorização e conhecimento entre as profissões.

Objetivo: describir la experiencia como miembro de la 1 ª clase enfermera de salud Residencia multidisciplinar en hospital Gaffrée y Guinle y describir las actividades realizadas durante el curso práctico y teórico. Métodos: Se realizó un estudio descriptivo de análisis de la situación y se caracteriza como un relato de experiencia. Resultados: El programa, que comenzó en febrero de 2011, consistió en la enfermería profesional, nutrición, patología del habla y fisioterapia. Tiene una duración de dos años y una carga de trabajo de 60 horas a la semana. Muestra los campos de actividad como los diferentes escenarios del hospital y, con la intención de promover la experiencia de la atención integral de la salud, con un período de Atención Primaria. Conclusión: La interacción prolongada entre lós residentes multidisciplinarios proporcionan una gran experiencia de aprendizaje en relación con el colectivo, el aumento de respeto, aprecio y conocimiento entre los profesionales.