Overview of an emergent, arts-based resiliency curriculum to mitigate medical trainee burnout.

Background: Physician and trainee burnout are becoming an epidemic within the medical community.  Objective: This paper describes an innovative emergent curriculum that uses narrative medicine, creative activities, and group discussions to alleviate burnout.  Methods: Between August 2016 and August 2019, 394 medical trainees participated in sessions that focused on themes relevant to promoting wellbeing, such as maintaining sensitivity to patients and finding balance. After the activities, trainees answered survey questions that related to the session theme and aided in reflection.  Discussion: The student responses showed the program supported introspection that left students feeling less tired, more relaxed, and connected with one another.

Using art for public engagement: reflections on the Dementia and Imagination project.

Creative outputs engage the public and can be used to share research. This paper reports on public engagement activities that were part of the research project Dementia and Imagination (D&I). We found that artwork and creative activities effectively engaged a range of audiences and challenged negative ideas about dementia. For the project team, public engagement developed relationships with collaborators and connected the research to different community settings, influencing future programmes of work. Further work could explore public engagement in diverse settings to assess which approaches are effective in maximising research value and wider community benefit.

A case of an endobronchial metastasis from an endometrial carcinoma.

A 73-year-old woman was referred to the pulmonology department for abnormal findings on chest computed tomography. She had undergone a laparoscopic staging operation including a hysterectomy, bilateral salpingo-oophorectomy, bilateral pelvic node and para-aortic node dissection, and concurrent chemo-radiation therapy for endometrial serous carcinoma stage IIIc cancer 15 months earlier. A follow-up chest computed tomography after the chemotherapy showed that the right lower lobe bronchus was obstructed, and it was necessary to differentiate a primary lung malignancy from a metastasis and secretion. A positron emission tomography revealed an intense hypermetabolic nodule in the right lower lobe bronchus and diffuse hypometabolism of the right lower lobe lung. Bronchoscopy revealed a tumor mass obstructing the right lower lobe bronchus, and an endobronchial biopsy confirmed a metastatic serous carcinoma from the endometrium. We described an endobronchial metastasis from an endometrial carcinoma with various diagnostic images and histology. To the best of our knowledge, this is the first report of an endobronchial metastasis from an endometrial carcinoma in Korea.

A produção do conhecimento em saúde mental e o processo de trabalho no centro de atenção psicossocial / Production of knowledge in mental health and the work process at the psychosocial care center / La producción del conocimiento en salud mental y el proceso de trabajo en el centro de atención psicosocial

Resumo A premência das mudanças no campo da saúde mental provenientes do redirecionamento do modelo assistencial trouxe à cena o tema da formação como elemento decisivo para a sustentação do processo de reforma psiquiátrica brasileira. Este artigo apresenta resultados da pesquisa "Política de saúde mental no município do Rio de Janeiro: um estudo sobre as metodologias de formação e qualificação das equipes de saúde mental", que teve como objetivo estudar o modo como as equipes dos centros de atenção psicossocial do município do Rio de Janeiro produzem sua agenda de formação permanente em saúde mental e como os profissionais reconhecem as formas de produzir conhecimento, pensar e agir no encontro com o trabalho e a produção do cuidado. Empregamos a observação simples e o grupo focal para coleta de dados. A análise do material procurou identificar a associação das práticas discursivas, que desenham territórios existenciais, com a prática pedagógica no processo de trabalho, articulada ao conceito de analisador. Nesse processo de investigação, foi possível identificar a produção de novas referências de saber, produzidas no ato do trabalho, capazes de transformar o mundo do trabalho e de ativar um cuidado ético, responsável e centrado nos interesses dos usuários.

Abstract The urgency of changes in the field of mental health derived from the redirection of the assistance model introduced the issue of training as a decisive element to support of the Brazilian psychiatric reformation process. This article presents the results of the "Mental health policy in the city of Rio de Janeiro: A study on the methods of training and qualification of mental health teams" research project, which aimed to study how the psychosocial care teams at the psychosocial care centers in the municipality of Rio de Janeiro, Brazil, produce their continuing education agenda in mental health and how the professionals recognize the ways of producing knowledge, thinking, and acting at the place where work and the production of care come together. We use simple observation and focus groups to collect data. The analysis of the material sought to identify the association of the discursive practices, which draw existential territories, with the pedagogical practice in the work process, joined with the analyzer concept. In the investigation process it was possible to identify the production of new knowledge references, produced during work, capable of transforming the labor world and enabling ethical, responsible care, one that is focused on the users' interests.

Resumen La premura de los cambios en el campo de la salud mental provenientes del redireccionamiento del modelo asistencial puso sobre el tapete el tema de la formación como elemento decisivo para la sustentación del proceso de reforma psiquiátrica brasileña. Este artículo presenta resultados de la investigación "Política de salud mental en el municipio de Río de Janeiro: un estudio sobre las metodologías de formación y calificación de los equipos de salud mental", que tuvo por objetivo estudiar el modo como los equipos de los centros de atención psicosocial del municipio de Río de Janeiro, Brasil, producen su agenda de formación permanente en salud mental y cómo los profesionales reconocen las formas de producir conocimiento, pensar y actuar en el encuentro con el trabajo y la producción del cuidado. Empleamos la observación simple y el grupo focal para recolectar los datos. El análisis del material buscó identificar la asociación de las prácticas discursivas, que diseñan territorios existenciales, con la práctica pedagógica en el proceso de trabajo, articulada con el concepto de analizador. En este proceso de investigación, fue posible identificar la producción de nuevas referencias de saber, producidas en el acto del trabajo, capaces de transformar el mundo del trabajo y activar un cuidado ético, responsable y centrado en los intereses de los usuarios.

Factoring health equations comment on "do you recommend an interdisciplinary field to your graduate student?".

The International Journal of Health Policy and Management (IJHPM) is a new journal that aims to stimulate not only inter-disciplinary research relating to health, but even an entire new generation of such journals. The challenges of improving human health worldwide clearly suggest 'why' such a journal is needed, but 'how' bridges and junctions across fields of study towards this end might be found poses other questions. From the agnosticism of many sciences with respect to human health, to the great faith others place in more esoteric movements for human well-being, both suggest finding common factors in the many equations that affect human health. Particularly, as it is typically defined professionally, it might pose more fundamental challenges than those which appear first. However, the first editorial and edition quietly assure that the journal is in good hands, and that the search for a new generation of journals has begun.