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Amid soaring rates of teacher burnout and attrition, those at City Year are finding a trend that may seem surprising: Participants in their Network for School Improvement, when asked how likely they would be to recommend the network to other colleagues, have given an average rating of 9 out of 10. The authors have found that six key principles can foster voice and belonging for educators so that educators, in turn, replicate those practices in classrooms with students. Here the authors describe those principles and give examples of how they model them for educators and how educators have implemented them with students. Those principles are: (1) Co-authored content and programming; (2) Space for powerful reflection; (3) Timely and relevant information; (4) Quick feedback loops; (5) Foster belonging through surprise and delight; and (6) Direct lines of communication. Educators can leverage the six principles presented here and implement them in ways that are appropriate to their contexts to make change. The results demonstrate the power of a network and collective knowledge and action. When teachers and principals feel appreciated, empowered, and valued, they are more likely to cultivate those same experiences and feelings in their students.

Background Persons with opioid use disorder (OUD) may present with infectious complications from injection drug use; thus, infectious diseases (ID) physicians are uniquely positioned to treat OUD. Buprenorphine is safe and effective for OUD but remains underutilized. The prevalence and geographic distribution of ID physicians who are waivered to prescribe buprenorphine are unknown. Methods This cross-sectional study merged data from several publicly available datasets from 1 November 2021 to 15 January 2022. Our primary outcome was the proportion of ID physicians possessing buprenorphine waivers in the United States. We identified individual- and county-level characteristics associated with buprenorphine waiver possession. We then used geospatial analysis to determine the geographic distribution of waivered ID physicians. Results We identified 6372 ID physicians in the United States, among whom 170 (2.7%) possessed waivers. Most ID physicians (97.3%) practiced in metropolitan counties. In our multivariable analysis, ID physicians had lower odds of having a waiver for every 10-year increase since graduating medical school (OR:.79; 95% CI:.68–.91). ID physicians practicing in counties with a higher proportion of uninsured residents had lower odds of having a waiver (OR:.75; 95% CI:.62–.90). Among counties with ≥1 ID physician (n = 729), only 11.2% had ≥1 waivered ID physician. Conclusions We found an extremely low prevalence and skewed geographic distribution of ID physicians with buprenorphine waivers. Our findings suggest an urgent need to increase the workforce of ID physicians waivered to prescribe buprenorphine and a call for increased integration of OUD education into ID training and continuing medical education. [ABSTRACT FROM AUTHOR]

Background: Joint pain adversely impacts the physical, mental, socioeconomic and emotional wellbeing of many millions of people. Enabling Self‐management and Coping with Arthritic Pain using Exercise, ESCAPE‐pain, is a rehabilitation programme that reduces joint pain and its impact. The programme is usually delivered in clinical settings by physiotherapists but delivering it in community venues would improve access greatly. Aim: To explore the feasibility of delivering ESCAPE‐pain in community venues, and the experiences of organisations and facilitators delivering it. Methods: Semi‐structured interviews were conducted with managers of 17 community organisations and 10 facilitators. Results: People were happy to attend ESCAPE‐pain delivered by exercise professionals at community venues, which they found convenient and valuable. It expanded community organisation's offer to older people, utilised their facilities off‐peak and advanced facilitator's personal and professional development. Recruitment onto the programme was easiest where there were good links with local clinical providers. Although collecting outcome data was burdensome it demonstrated the programme's effectiveness to commissioners. Some clinical commissioners contracted community organisations to deliver ESCAPE‐pain reducing their costs and freeing up clinical facilities. Organisations also financed ESCAPE‐pain by charging participants a nominal fee for the programme, post‐programme classes to support participants remain active and/or a membership fee. Conclusions: ESCAPE‐pain delivered in community venues facilitated access to better care and on‐going support. Partnerships between healthcare commissioners and community providers maximised efficient use of their facilities and resources and fulfilled national policy of encouraging self‐management of long‐term conditions in the community. [ABSTRACT FROM AUTHOR]

Background: Musculoskeletal (MSK) health is central to health, well‐being, physical functioning and healthy ageing. It is a public health priority to help maintain and improve the MSK health of the population across the life‐course. An important environment for supporting MSK health is the workplace. Method: A workplace Joint Pain Advice (JPA) service was piloted in 20 organisations of various sizes in Cornwall and London with 481 people accessing the service. A qualitative evaluation of the project was carried out in Cornwall with 24 JPA participants from 11 organisations taking part in interviews and focus groups. Results: Participants valued the service, the impact it had had on their physical and mental health and well‐being and its effects on the management of their MSK health in the workplace. The service served the unmet need for support to self‐manage MSK pain and participants found its delivery in the workplace convenient and efficient. Participants reported changing the ways in which they performed their role in the workplace and taking actions to protect their MSK health and relieve their pain. JPA participants felt more willing and better able to talk about their MSK problems with their colleagues and managers and felt more 'empowered' to ask their manager about how to accommodate their MSK problems in the workplace. Conclusion: JPA in the workplace presents a model for delivering MSK services to businesses of all sizes which warrants further evaluation to measure its effect on absenteeism and presenteeism in small, medium‐sized and larger organisations. [ABSTRACT FROM AUTHOR]

Introduction: In this mixed-methods pilot study, we examined the intersections of the current Canadian immigration policy, mandatory HIV screening during the Immigration Medical Exam (IME) and enacted and internalized stigma for HIV-positive immigrants from sub-Saharan Africa (SSA) in a western Canadian province. We focus on qualitative findings from this study. Methods: Using the Internalized HIV Stigma Scale (IHSS), we collected data from eight immigrants from SSA living with HIV in a western Canadian province. We then conducted semistructured interviews with seven of the eight participants. Due to the small sample size, survey data were summarized using descriptive analysis. Qualitative data were analyzed through constant comparative analysis. Results: The following key themes emerged from analysis of qualitative data: experiences of HIV-related emotional distress during the IME; varied experiences of HIV testing during the IME; and inconsistent patterns of linkage to medical care, psychosocial supports and engagement in the HIV care cascade. Conclusion: Findings from this pilot study cannot be generalized to the broader population of immigrants living with HIV in Canada. However, we found that the experiences of internalized HIV stigma and enacted stigma during the IME potentially influence the long-term engagement in the HIV care cascade during the process of migration and settlement in Canada. Further study in this population is recommended to examine the intersections of current mandatory HIV screening process during the Canadian immigration process, migration, settlement, culture, stigma and engagement in the HIV care cascade. [ABSTRACT FROM AUTHOR]