A Qualitative Analysis of Career Advice Given to Women Leaders in an Academic Medical Center.

Importance: Women in academic medicine continue to face systemic obstacles on their paths to leadership. In addition to improving recruitment and advancement opportunities, academic medical centers must facilitate a cultural shift that ensures sustained leadership pathways for women. Objective: To better understand, from the perspective of women leaders, the workplace and cultural changes that need to take place in academic medicine to increase inclusivity and gender equity. Design, Setting, and Participants: This qualitative study of 40 women physicians and administrators with senior leadership roles at Mayo Clinic, a nonprofit academic medical center and research institution with campuses in Arizona, Florida, and Minnesota, examined participants' responses to a question regarding their paths to leadership. Replies were submitted between November and December 2018. Main Outcomes and Measures: Women were asked to describe career advice (positive or negative) they had received that was the hardest to accept but, in retrospect, turned out to be valuable. Results: Of 40 participants, 25 (63%) were physicians and 15 (37%) were administrators at Mayo Clinic; 27 (68%) had achieved the role of chair or the administrative equivalent. Career experience ranged from 6 to 40 years. Of the 40 women leaders queried, 38 (95%) provided written responses, which were separated into the 4 following categories: leadership styles are perceived as having gendered qualities, attaining leadership skills involves a strategic learning process, collisions between personal life and the workplace should not deter individuals from pursuing leadership roles, and leadership pathways for women involved hurdles. These categories represented a roadmap illuminating perceptions about the academic medical workplace. Conclusions and Relevance: These findings link generalizable principles to help to drive new strategies for gender parity. Shifting the culture of academic medicine begins with fully understanding impediments to women's advancement. The advice women leaders recounted offered a roadmap as well as a glimpse of the extra effort required for women to succeed amid some of the system's limitations and obstacles. A more complete understanding of gender biases may help to shape future programs to expand inclusivity and establish sustained leadership paths for women.

Implementation and evaluation of an advisement program focused on academic and career development.

INTRODUCTION: This research evaluated a formal academic and career advisement program implemented in a doctor of pharmacy program, which included a "Meet Your Advisor" luncheon and required faculty advisement sessions with an assigned faculty member. METHODS: The advising experience of students from two cohorts of first-year pharmacy students who received the formal advisement program (referred to as advisement cohort 1 and advisement cohort 2) were compared to the experience of a cohort of second-year students who entered prior to the formal advisement program (referred to as the pre-advisement cohort). All students completed a survey with both quantitative and qualitative questions regarding the advisement program. RESULTS: Our research demonstrates that the formal advisement program was successful at ensuring that nearly all students receive personalized advisement. In the pre-advisement cohort 65% of students reported receiving individual advisement, while 94% of students in advisement cohort 1 reported individual advisement and 95% in advisement cohort 2. Advisement cohort 2 responded similarly to the pre-advisement cohort on many of the advisement scales, especially the developing understanding scales, which provided evidence that two years after making the advisement program mandatory, students were having similar experiences to the smaller group of students who self-selected to receive advisement. CONCLUSIONS: A formal advisement program can be developed to include all students. Our research provides evidence that it may take time for the changes to be impactful and suggests the importance of faculty development.

Doctoral students' perceived working environment, obstacles and opportunities at a Swedish medical faculty: a qualitative study.

BACKGROUND: Investment in research is high on the agenda of many countries in recognition of the fact that research is important for the development of society. Doctoral students have a vital role and represent a substantial part of this investment. It is therefore imperative to reduce the risk of students dropping out from doctoral studies. The aim of this qualitative study was to gain deeper insight into the working conditions of, and obstacles and opportunities for, doctoral students at an institute of medicine in Sweden. METHODS: Semi-structured interviews were conducted in 2013 with 17 doctoral students-of varying genders, professions and fields of research-from the Institute of Medicine, Sahlgrenska Academy, at the University of Gothenburg, Sweden. The recorded interviews were transcribed and analysed using systematic text condensation. RESULTS: Four categories emerged from the data. They were: Safety, Frustrating Structures, Others - not me, and the future. They included positive as well as negative perceptions. Among the positive perceptions were recognition of the importance of the supervisor, as well as secure conditions, and personal development. Frustrating structures in the academic culture, stress and differences in career building constituted the negative points. CONCLUSIONS: Our findings suggest that there is a need for structures within the university that support doctoral students who feel they are not receiving the assistance they need, who believe they have unreasonable working conditions, or who may need to change supervisors in order to complete their graduate research studies. Our study also highlights the fact that supervisors have a major influence on the work environment of doctoral students, and that the general and academic perception of the research area likewise has an effect on the successful completion of the research project and dissertation. Providing leadership training for supervisors could be an important measure that may help improve conditions for the doctoral students they supervise.

Postapplication Advisement for U.S. Medical School Reapplicants: One School's Program.

PROBLEM: Reapplicants make up over one-quarter of U.S. medical school applicants. Postapplication advisement (PAA) can provide potential reapplicants with concrete strategies for improvement, a contextualized basis for their scores, and a realistic idea of their chances for success. However, more data showing the effectiveness of PAA and an analysis of best practices are needed for PAA programs to be more widely adopted. APPROACH: In 2010, the University of New Mexico School of Medicine (UNM SOM) created a PAA program that involves a postapplication seminar (PAS), mandatory self-assessment and action plan development, and an individual consult with an admissions dean to prepare participants for reapplication. OUTCOMES: From 2010 to 2016, 892 applicants who interviewed and were rejected at UNM SOM were eligible to participate in PAA. Of these, 478 (53.6%) chose to participate in PAA over the seven-year period. Males had a higher participation rate (246/430; 57.2%) compared with females (232/461; 50.3%; P = .04). African Americans had a higher participation rate (12/17; 70.6%) and American Indian/Alaska Natives had a lower participation rate (17/64; 26.6%) than any other race/ethnicity. Of reapplicants who were subsequently accepted, 140/178 (78.7%) attended PAS and a consult, and 7/178 (3.9%) attended PAS only, compared with 31/178 (17.4%) of subsequently accepted reapplicants who did not participate in any PAA (P < .001). NEXT STEPS: Additional research should focus on the best approach for assisting reapplicants with prioritizing areas for improvement in their application. Demographic data may be used to target outreach to specific populations.

Vocational evaluation and vocational guidance for young people with a history of drug abuse.

BACKGROUND: Young people recovering from drug addiction often face challenges in returning to the job market and in maintaining their jobs. Many of them feel they have no choice but to do entry-level work, and they are often unsure about their work ability and vocational choice. OBJECTIVE: In collaboration with a youth outreach service, this study aims to provide a package of vocational assessment, guidance, and support for these clients. METHODS: Using a strength-based case management framework, we conducted a comprehensive vocational evaluation for each participant (N = 17), which covered self-perception of abilities, work and occupational interests, work readiness, work-related self-efficacy, and work aptitudes. We presented assessment results to each client and provided guidance on their education, training, or vocational choice. RESULTS: The results of aptitude tests indicate that most participants can cope with an entry-level job. Many participants are strong in jobs that require quick decision-making, sorting, assembly, and clerical tasks, but many are weak in fine manual dexterity and eye-hand-foot coordination. Many participants preferred jobs that are creative, indefinite, and autonomous in nature. CONCLUSION: Longer-term vocational counseling and coaching is needed to help clients make vocational choices and extend their job tenure. Many clients will also need training in job seeking and job maintenance skills.

Reducing dysfunctional career decision-making beliefs: Gender differences in the effectiveness of a group intervention.

Dysfunctional career decision-making beliefs can impede individuals' ability to make career decisions. The present research focused on evaluating the effectiveness of a group intervention aimed at facilitating the transition to civilian life of 1,194 young adults before discharge from military service using multivariate multilevel analysis. The results showed gender differences in the strength of dysfunctional career decision-making beliefs, as well as in the workshop's effectiveness in reducing them. Before the workshop men reported stronger dysfunctional beliefs than women that involved chance or fate (ß = .22) and perceived gender constraints (ß = .47). The workshop had a greater effect on women than on men (ß = 0.16) in reducing all five types of belief, especially those involving the criticality of the decision (ß = 0.20) and perceived gender constraints (ß = 0.22). The effectiveness of the workshop in reducing gender-related dysfunctional beliefs varied-it was greater for participants whose gender differed from that of their group facilitator. Implications for theory, future research, and counseling are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Leadership Competency Expectations of Employers and the Expanding Mission of Career Centers.

This chapter describes the expectations of employers for recent college graduates within the current state of higher education, the resulting career readiness competencies developed by the National Association of Colleges and Employers, and the increasing shift for colleges and universities to recognize career readiness as an institutional priority.

Validation of a Career Guidance Brochure for Student Nurses Using the Nominal Group Technique.

BACKGROUND: Nursing is a career which, especially for male students, requires one making an informed choice prior to pursuing it. A mixed-method, qualitative study, investigating the professional socialization process of male student nurses in Malawi found that most students did not make an informed choice regarding their selected career. This resulted in some of them facing many challenges which compromised their academic performance, and in some cases, contributed to high attrition rates. An "unmet need" for career guidance was identified by the study participants. Further, the study participants made recommendations on the need to address the unmet need for career guidance. A brochure entitled "A career in nursing and midwifery in Malawi" was designed. This article reports on the validation of the brochure. OBJECTIVE: The goal of the study was to validate the brochure utilising the Nominal Group Technique. METHODS: The validation exercise was part of the mixed method study. Five steps of the Nominal Group Technique (NGT) were utilised, as expounded by Vigra-Atkins, aimed at evaluating the content contained in the brochure. Study participants in four nursing colleges (n = 37) participated by studying the draft brochure and identifying strong and weak areas for improvements. Responses were ranked based on group consensus. FINDINGS: A total of five groups were involved in NGT discussions. Four of the five groups found the brochure relevant and motivating to prospective students. However, two groups suggested that pictures needed to be more gender sensitive. CONCLUSION: Through the NGT, the brochure was commended by the majority of the participants as being clear and relevant in terms of giving information necessary for a nursing career choice. Finally, the authors recommend the use of the NGT compared to other group-based research techniques, considering the benefits the NGT offers.

Vocational Counselors in France: Comparison to Competencies of Employment Specialists Working in Canadian IPS Programs.

Supported employment programs are evidence-based practices to help people with severe mental illness to obtain competitive employment. The competencies of employment specialists working in these programs are key elements related to work integration. In France, the Messidor Association, a prevocational organisation, has developed a practice with similarities to supported employment and is beginning to develop supported employment programs in their context. The objective of this quantitative study was to evaluate the Messidor vocational counselors' competencies using the Behaviors, Attitudes and Knowledge in Employment Specialists' scale by comparing their results to those of employment specialists working in IPS programs in Canada. Descriptive analyses and a MANOVA highlighted similarities between French and Canadian counselors such as the same importance given to the working alliance with clients and the development of relationships with different stakeholders (e.g., employers). Skills that should be developed in vocational counselors in France include those related to rapid job search and dealing with stigma. In addition, clinical implications are suggested to ensure the development of vocational counselors' competencies in France.

La formación y la orientación profesional en enfermería / Nursing professional training and guidance

Introducción: la formación y orientación profesional de los estudiantes de enfermería es hoy una preocupación a investigar, por lo que se hace necesario un análisis valorativo de conceptos y enfoques para su formación desde referentes en el contexto internacional y cubano y sus implicaciones dirigido hacia una práctica de excelencia. Objetivo: sistematizar las bases teóricas para la formación y desarrollo de intereses y habilidades profesionales en estudiantes de enfermería. Métodos: se realizó análisis de contenido de documentos, que incluyó artículos originales y de revisión publicados del 2000 al 2015 con las palabras clave: formación, formación profesional, orientación profesional y formación vocacional de enfermería, en SciELO, Dialnet y Pubmed. Se identificaron y revisaron 50 artículos, de los que fueron útiles 13, así como libros de textos, monografías de varias revistas y tesis doctorales que permitieron el análisis histórico lógico de la evolución de la definición. Conclusiones: la sistematización de los términos relacionados con la formación y el desarrollo de intereses y habilidades profesionales en enfermería, permitió identificar las tendencias históricas de esta categoría. En todo este proceso continuo y complejo intervienen factores que deben dirigirse por la escuela, y el profesor es el máximo responsable(AU)

Introduction: training and guidance for nursing students today is a concern to do research about, so it is necessary an evaluative analysis of concepts and approaches for training, from referents in the international context and Cuba, and its implications directed towards an excellence practice. Objective: to systematize the theoretical fundamentals for training and interest and skills development in nursing students. Methods: documental content analysis was carried out, including original and review articles published from 2000 to 2015, with the keywords training, vocational training, guidance and vocational nursing training, in SciELO, and PubMed Dialnet. 50 items were identified and reviewed, 13 of which were useful, as well as textbooks, monographs from several journals and doctoral dissertations, which permitted logical and historical analysis of the definition's evolution. Conclusions: systematization of terms related to the training and development of interests and professional skills in nursing permitted identifying historical trends in this category. This continuous and complex process involves factors are that should be addressed by the school, and the teacher is ultimately responsible(AU)

Comprehensive Opportunities for Research and Teaching Experience (CORTEX): A mentorship program.

OBJECTIVE: We developed a program to promote medical student interest in pursuing a career in neurology. This program focuses on medical student mentorship. It also offers opportunities in teaching and clinical research in order to provide students with marketable skills for an academic career in neurology. METHODS: Through this program, students are provided with guidance in developing a fourth-year clerkship schedule and an application package for residency programs. Students are involved and mentored in clinical research. Opportunities are also provided for students to teach their peers, with sessions focusing on examination preparation. RESULTS: Since the implementation of this program in 2010, the number of students entering into the field of neurology from our institution significantly increased from 14 students between 2006 and 2010, to 30 students between 2011 and 2014 (p < 0.05). Medical student research productivity increased from 7 publications during 2006-2010, to 22 publications, 14 poster presentations, and a book chapter after implementation of this program in 2010 (p < 0.05). CONCLUSIONS: In this mentoring program, students are prepared for residency application and provided with research and teaching opportunities. Students develop a highly desirable academic skill set for residency and have matched at top-ranked institutions. This program has been successful in improving student productivity in clinical research and garnering student interest in neurology.

[THE PROFESSIONAL MEDICAL SELF-APPRAISAL OF GRADUATES OF COMPREHENSIVE SCHOOLS OF THE REPUBLIC OF KAZAKHSTAN].

The human resources play a decisive role in support of effective functioning of any health care system. The study was carried out to analyze characteristics offormation ofprofessional self-appraisal of graduates of comprehensive schools of the Republic of Kazakhstan choosing medical specialties. The study was organized in city of Pavlodar and the Pavlodarskaia oblast of the Republic of Kazakhstan. The sample included 447 schoolchildren of 9-10 classes, 25 workers of 3 urban and 1 rural schools, 12 lecturers of medical university. The questionnaire survey was applied. The statistical processing of data was implemented using SPSS v.20 software. It is established that medicine became a popular profession because it was chosen by 22% of schoolchildren. Out of them, only 37.4% belonged among personality type "human-human" corresponding to medical specialties. The childhood dream became main cause of choosing medicine among 55.6% of schoolchildren. The second place took perspective of employment and third place--insistent advice of parents (13.1% and 7.1% correspondingly). Only 31.3% of schoolchildren were aware of specificity of medical specialties and 52.5% had independent experience of initial medical care provision. The additional training is considered by 72.7% of schoolchildren as necessary for entering medical university. The workers of schools and medical university 65.5% and 66.7% limit themselves by once-only activities. The vocational guidance activities implemented in comprehensive schools of the Republic of Kazakhstan can be significantly ameliorated. The possibility of implementing personality type test is to be considered. The application of innovative methods of vocational guidance is to be considered too.

Employment specialist competencies for supported employment programs.

PURPOSE: Supported employment (SE) programs are evidence-based programs offered to people with severe mental illness to facilitate obtaining and keeping competitive work. However, significant variations in individuals' vocational success may be partly explained by differences in their employment specialists' competencies. Aim The main objectives of this study were to develop a questionnaire measuring the behaviors, attitudes and knowledge of employment specialists working in SE programs and to link specific competencies to vocational outcomes. METHODS: A total of 153 employment specialists working in Canadian and Dutch supported employment programs completed the Behaviors, Attitudes, and Knowledge in Employment Specialists (BAKES) questionnaire and provided information about their clients' vocational outcomes. RESULTS: Exploratory Factor Analyses results found 90 items over 12 subscales (e.g., Relationships with employers and supervisors). Regression analyses indicated that the two most useful subscales for predicting vocational success were: (1) Relationships with employers and supervisors, and (2) support and client-centered approach. CONCLUSION: Employment specialists require specific competencies to help people with severe mental illness obtain and maintain competitive employment. Validating the BAKES will better define the broad range of competencies expected for this position, and this tool may facilitate training of employment specialists.

Orientación y formación vocacional hacia la carrera de Medicina / Vocational counseling and training for medical degrees

Decidir por cuál carrera universitaria optar es, sin dudas, una elección difícil. Esta situación genera miedo al fracaso, a la decepción propia y ajena, sentimiento muchas veces habitual en el joven preuniversitario, que se convierte en fuente de ansiedad y estrés. Esto demuestra la necesidad de una adecuada orientación vocacional y profesional. En Cuba esta temática va tomando gran importancia, ya que un mayor número de jóvenes tienen la posibilidad de optar por mayor cantidad de profesiones, por lo que la decisión sobre una u otra constituye un problema de gran repercusión práctica y social. La orientación y formación vocacional en el contexto educativo cubano tiene como fin reafirmar la inclinación de los jóvenes interesados hacia la carrera de Medicina, donde se desarrollen íntegramente sus potencialidades, sobre la consolidación de los valores y sentimientos y con un elevado compromiso social, moral e incondicional hacia el ejercicio de la profesión. En este trabajo se abordan los diferentes aspectos que influyen actualmente en la orientación vocacional y el papel de cada uno de los protagonistas del proceso en sí(AU)

Deciding on a university degree is undoubtedly a difficult choice. This situation brings about fear of failing and disappointing yourself and others, which is a common feeling among high school students, becoming a source of anxiety and stress. This demonstrates the need for an appropriate vocational and professional guidance. In Cuba, this subject is gaining importance, since a greater number of youngsters have the opportunity to choose from more professions; thus, deciding on one or the other is a problem of great practical and social impact. Vocational guidance and training in the Cuban educational context aims to reaffirm the inclination of youth towards medical studies, where they fully develop their potential, on the basis of consolidating values and feelings, and a high social, moral and unconditional commitment to the practice of the profession. This paper presents various issues that currently affect vocational guidance and the role of each of the major participants in the process itself(AU)

No more "fumbling alone": effect of a nurse-led academic advising service in a Magnet(®) hospital.

BACKGROUND: A nurse-led, hospital-based academic advising service (AAS) was developed at a large Magnet(®) hospital. The AAS aided nurses and aspiring nurses as they considered advancing education. This research project was developed to evaluate the AAS. METHODS: This qualitative study used a web-based survey to gather information from those who had accessed the service; there were 80 participants. Satisfaction was determined quantitatively, and qualitative data analysis was completed with naturalistic inquiry approaches and standards of rigor. RESULTS: A total of 347 codes were isolated from the data and collapsed into nine categories. One comment, "I did not have to fumble through this alone," suggested the idea of coaching within a context of football as the overarching metaphor. Quantitative results indicated that advises were satisfied, with 61 of 80 respondents taking specific action after the session. CONCLUSION: Nurses and aspiring nurses found academic advising at work helpful, and the AAS facilitated a return to formal education for some of the participants.

The not-so-lazy days of summer: experimental interventions to increase college entry among low-income high school graduates.

Despite decades of policy intervention to increase college entry among low-income students, substantial inequalities in college going by family income remain. Policy makers have largely overlooked the summer after high school as an important time period in students' transition to college. During the post-high school summer, however, students must complete a range of financial and informational tasks prior to college enrollment, yet no longer have access to high school counselors and have not engaged yet with their college community. Moreover, many come from families with little college-going experience. Recent research documents summer attrition rates ranging from 10 to 40 percent among students who had been accepted to college and declared an intention to enroll in college as of high school graduation. Encouragingly, several experimental interventions demonstrate that students' postsecondary plans are quite responsive to additional outreach during the summer months. Questions nonetheless remain about how to maximize the impact and cost effectiveness of summer support. This chapter reports on several randomized trials to investigate the impact of summer counselor outreach and support as well as the potential roles for technology and peer mentoring in mitigating summer attrition and helping students enroll and succeed in college. The authors conclude with implications for policy and practice.

Rol del servicio de orientación en universidades de Francia, EE.UU., CANADÁ, Reino Unido Y España / No disponible

Con la implantación del nuevo modelo universitario del Espacio Europeo de Educación Superior (EEES), los Servicios de Orientación en la Etapa Terciaria son imprescindibles como apoyo a los estudiantes en aspectos académicos, personales, toma de decisiones, itinerarios y salidas profesionales. Este estudio se ha llevado a cabo a través del análisis cualitativo de la información que ofrece la página Web de estos servicios en universidades de España, Francia, Estados Unidos, Canadá y Reino Unido. Para ello, se ha diseñado una rejilla de evaluación que consta de una parte general (visibilidad, navegación, enlaces, etc.) y otra específica relativa al campo de la orientación (futuros estudiantes, familia, alumni, etc.). Los resultados obtenidos nos permiten conocer cuáles son los aspectos importantes que se deben contemplar en todo Servicio de Orientación Universitario, así como generar un modelo de Servicio de Orientación para las Universidades españolas (AU)

With the introduction of the new European Higher Education Area (EHEA) university model, Guidance Services in Tertiary Education are essential to support students in academic, personal, decision-making aspects and for professional journeys and stays. This study was based on qualitatively analysing the information offered about these services on the web sites of universities in Spain, France, the United States, Canada and the United Kingdom. For this purpose, a repertory grid was designed, which comprises a general part(overview, browser, links, etc.) and a more specific one relating to the field of guidance (future students, family, alumni, etc.). The results obtained allow us to know not only the important aspects that must be considered in all University Guidance Services, but also how to construct a Guidance Service Model for Spanish universities (AU)

[How can the mentally ill achieve sustained employment? Supported employment versus pre-vocational training]. / Was bringt psychisch Kranke nachhaltig in Arbeit? : "Supported employment" vs. "pre-vocational training"

People with severe mental disorders are often without work, although work may have a positive effect on their health. The paper presents some results in this field from the German S3 guidelines on psychosocial therapies. In terms of evidence-based medicine supported employment (SE - first place then train) has proven to be most effective. Nevertheless, SE is still rare in Germany. Pre-vocational training, however, follows the concept first train then place and is offered in rehabilitation of the mentally ill (RPK) centres in Germany. There is some evidence that the programs are beneficial for users. The UN Convention for the Rights of Persons with Disabilities outlines an obligation for work on an equal basis with others and for vocational training. So far, the German mental health system only partly meets these requirements.