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Background: Medical students in the United States undergo three significant transitions as they progress from pre-clinical to clinical rotations, to acting interns, and ultimately to first-year resident. However, there is limited understanding of whether the factors and strategies that impact these transitions remain consistent or are unique to each individual transition. Methods: Qualitative data was collected from three Nominal Group Technique (NGT) sessions held separately for third-year students (M3), fourth-year students (M4), and first-year residents (PGY-1). The participants were asked to share their perceptions on their most recent medical school transition. These responses were independently coded into thematic categories. Results: The NGT session with M3 students (n = 9) identified 67 transition factors and 64 coping strategies. The M4 (n = 8) session identified 33 transition factors and 72 strategies to manage their transition. The PGY-1 (n = 5) session identified 28 factors and 25 strategies. The coping strategies for each session were categorized into seven themes and the transition factors were assigned to ten thematic categories. Conclusion: Just as each transition is unique, so too are the number and variety of factors and strategies to manage each transition. Despite these differences, the themes of "Professional socialization" and "Prioritization, efficiency, and delegation" emerged as impactful in all three transitions. [ABSTRACT FROM AUTHOR]

AbstractPhenomenon: With the proliferation of pass/fail grading practices in the pre-clerkship phase of undergraduate medical education, questions arise about the transparency and variability of grading and grade reporting practices, raising issues of equity in assessment, particularly regarding residency matching. The purpose of this survey was to determine the remediation and academic performance reporting practices of United States (U.S.) allopathic medical schools in the pre-clerkship phase of their curricula. Approach: After an extensive literature search and feedback from curriculum deans and learning experts, we developed a survey that we sent in the Spring of 2022 to pre-clerkship curriculum officials at all 154 accredited U.S. allopathic medical schools. It addressed curriculum content and structure; pre-clerkship remediation (e.g., course retakes) and reporting (e.g., permanency of transcript notation) practices; documentation and reporting of nonacademic competencies; and participant opinions and recommendations regarding reporting, transparency, and equity. We generated descriptive statistics and did manifest coding of open-ended responses. Findings: We had a response rate of 40% (62/155), with over 71% indicating mainly organ systems-based curricula. Depending on the situation, there were a wide range of remediation approaches for single- and multiple-course failures, including tutoring or learning support, re-exams, and referrals to a promotion board. Professionalism concerns were a top priority to report to residency directors, with significant variability in respondent opinions and practices in reporting remedial activities. Respondents were concerned about equity, both in terms of flexible grading practices and transparency of reporting practices. Insights: The variability in reporting practices across schools, while allowing holistic and individualized approaches to academic support, also creates potential inequities. More work is needed to understand how different reporting practices across institutions may disadvantage marginalized and minoritized student groups at different points in their preparation. [ABSTRACT FROM AUTHOR]

We reflect on Geography in the US university by focusing on the paths taken by undergraduates into and beyond our classrooms. Those paths reveal aspects of Geography that appear unique to this national context, and include the structural barriers to US students' entry into Geography, from their highly uneven exposure to Geography in school to their unfamiliarity with it as a university degree. Yet many students still manage to find the field, with the troubling exception of Black and Indigenous students. We also highlight the paradox whereby graduates of this 'invisible' field are in high demand within government and industry, even as their training encourages them to simultaneously critique the tight coupling of Geography with those structures of power. We suggest that these are the distinctive and constitutive attributes of Geography in US universities that shape undergraduates and the geographies that they take out into the world. We reflect on Geography in the US university by focusing on the paths taken by undergraduates into and beyond our classrooms. We suggest that these are the distinctive and constitutive attributes of Geography in US universities that shape undergraduates and the geographies that they take out into the world. [ABSTRACT FROM AUTHOR]

Studies show undergraduate students typically view the idea of research negatively, with students reporting feelings of anxiety, difficulty, detachment, and reduced perceptions of relevancy to their own life. Course-based undergraduate experiences (CUREs), where students have an opportunity to engage in authentic research experiences, can reach large number of students in a convenient fashion, thus, are well-positioned to shift student perceptions of research. The purpose of this study is to explore changes in attitudes towards research in a large sample of undergraduate students' after completing one semester of a CURE, either in-person or online due to COVID-19. This study used a within-subjects pre-posttest design. Data collection took place over eight semesters from fall 2019 through spring 2022 at a large metropolitan public university in the southeast region of the United States. Students enrolled in the CURE were asked to complete the Attitude Towards Research scale at the beginning and end of the semester covering the following factors: usefulness of research (F1), anxiety (F2), affect indicating positive feelings about research (F3), life relevancy of research to the students' daily lives (F4), and difficulty of research (F5). Wilcoxon signed rank tests for paired data were conducted and Mann- Whitney U tests assessed whether there were any differences between students who completed the course face-to-face versus online. Across all eight semesters, 1,003 students (74% female, 91% Seniors) provided valid pre-posttest data. Statistically significant improvements were observed across all semesters (online and face-to-face) for research anxiety, positive attitude towards research, research relevance to own life, and research difficulty from the ATR scale (p<0.05). For usefulness of research for profession (F1), statistically significant differences were observed in four out of the eight semesters (p<0.05). Changes in students' attitudes towards research did not differ between course modality (face-to-face versus online) except for F1. The mean change in F1 was different between students taking a face-to-face (mean: 0.22, ±SD 1.02) versus online version (mean: 0.07, ±SD 0.72) of the course (z = 2.35, p = 0.02). Findings from this study demonstrate the potential of a CURE at reducing anxiety, lowering perceived difficulty, enhancing overall impressions, and students' overall attitudes toward research and research-based education. Continued consideration and evaluation of how and what is delivered in CUREs to students is required to advance the pedagogy of research methods. [ABSTRACT FROM AUTHOR]

BACKGROUND: Trauma is common in the United States, increases risk of long-term adverse health effects, and individuals who experience it often find seeking medical care difficult. Trauma-informed care (TIC) builds trust and fosters healing relationships between clinicians and patients; however medical education has lacked consistent training in TIC. Using recently published competencies for undergraduate medical education (UME), this manuscript provides curricular examples across 8 domains to assist faculty in developing educational content. METHODS: The authors identified published curricula for each of the 8 competency domains using a published search strategy and publicly available database. Inclusion criteria were published works focused on UME in the United States; abstracts and curricula not focused on UME were excluded. The authors used a consensus-based process to review 15 eligible curricula for mapping with the competencies. RESULTS: Of 15 published UME curricula, 11 met criteria and exemplify each of the 8 UME competency domains. Most of the available curricula fall into the Knowledge for Practice and Patient Care domains. Most were offered in the first 2 years of medical school. CONCLUSION: Competency-based medical education for TIC is new, and most current educational offerings are foundational in nature. Additional innovation is needed in the competency domains of Professionalism, Systems-Based Practice, Interprofessional Collaboration, and Personal/Professional Development. This manuscript offers a set of curricular examples that can be used to aid efforts at implementing TIC competencies in UME; future work must focus on improving assessment methods and developmental sequencing as more students are exposed to TIC principles. [ABSTRACT FROM AUTHOR]

Objective: The objective of this overview of academic programs related to Human Development and Family Science (HDFS) is to describe the current status of HDFS in the academy. Background: HDFS is an interdisciplinary nexus of family science, developmental science, and early childhood education (ECE), often coexisting in academic units. Method: Universities were identified using Classification of Instructional Programs (CIP) codes in Integrated Postsecondary Education Data System (IPEDS) data. Program information was identified by review of university websites and online catalogs. Results: Six hundred thirty‐six programs granted 28,000 HDFS‐related degrees in the United States in 2019. Universities are evenly split between public and private and are geographically diverse. Approximately half of programs self‐identify as HDFS, 30% ECE, 15% developmental science, and 5% family science. The largest number of programs (53%) were in colleges of education, but they were widely dispersed across campuses, with self‐identified HDFS programs likely to be in colleges that reflect a home economics heritage. The most common department name was Human Development and Family Studies/Science, but these were only 25% of programs. Department names and degree names reflect an interdisciplinary collaboration of developmental science with family science but were less likely to reflect early education. There was little correspondence between the name of degrees offered and the CIP codes attached to them. Conclusion: HDFS has a large and interdisciplinary presence on university campuses but an unclear identity. Implications: HDFS needs to clarify its relationship with ECE and to decide whether to standardize its complex and interdisciplinary identity. [ABSTRACT FROM AUTHOR]

OBJECTIVES: Implementation barriers and lack of standardized point-of-care ultrasound (POCUS) curricula make the development of effective POCUS curricula and methods of assessment challenging. The authors aim to develop a longitudinal POCUS curriculum through staged intervention. In the first stage, the authors hypothesized that the use of high-fidelity ultrasound simulation during the Internal Medicine clerkship would improve POCUS confidence and knowledge among medical students, minimizing the need for trained faculty. METHODS: A quasi-experimental study of third-year students on the Internal Medicine clerkship at a large academic medical center in the United States was performed assessing the efficacy of ultrasound simulation use. The control group consisted of students who received baseline POCUS education during teaching rounds but did not have access to the ultrasound simulator. The experimental group consisted of students who, in addition to baseline POCUS education, had access to a high-fidelity ultrasound simulator throughout the clerkship for a minimum of 1 hour per week. Students in both the control and experimental groups completed a pre- and post-intervention confidence survey and knowledge-based examination. RESULTS: Eighty-two percent (50/61) of students completed pre- and post-tests, with the control group demonstrating no significant difference in POCUS confidence or knowledge. After exposure to the ultrasound simulator, the experimental group demonstrated statistically significant improvement in POCUS confidence and overall POCUS knowledge (p <.01). CONCLUSION: The use of high-fidelity ultrasound simulation can improve POCUS confidence and knowledge among medical students while addressing common barriers to the implementation of a POCUS curriculum. Despite showing statistically significant improvement in overall knowledge, the results did not appear to hold educational significance. Additional POCUS educational methods are necessary to overcome cognitive bias and potential overconfidence. The next stage of curriculum development will include resident-led POCUS workshops to supplement simulation. [ABSTRACT FROM AUTHOR]

Introduction: There have been increasing efforts to integrate the arts and humanities into medical education, particularly during undergraduate medical education (UME). Previous studies, however, have focused on courses and curricular programming without rigorous characterization of the associated paracurricular environment or infrastructure enabling or facilitating these offerings. Methods: To assess opportunities for students to engage the arts and humanities during their medical education as well as the institutional resources to support those opportunities, we developed the Humanities and Arts Programming Scale (HARPS): an 18-point scale involving eight sub-domains (Infrastructure, Curricular Opportunities, Extracurricular Engagement, Opportunities for Immersion, Faculty Engagement, Staff Support, Student Groups, and Scholarship). This scale was used to evaluate the top-31 ranked United States medical schools as determined by US News and World Report's (USWNR) Medical School Research Rankings using information derived from public-facing, online information. Results: Mean cumulative HARPS score was 11.26, with a median score of 12, a standard deviation of 4.32 and a score range of 3–17. Neither USWNR ranking nor private/public institution status were associated with the cumulative score (p = 0.121, p = 0.739). 52% of institutions surveyed had a humanities-focused center/division with more than 70% of the schools having significant (> 5) faculty engaged in the medical humanities. 65% of schools offered 10 or more paracurricular medical humanities events annually, while 68% of the institutions had more than 5 medical humanities student organizations. While elective, non-credit courses are available, only 3 schools required instruction in the arts and humanities, and comprehensive immersive experiences in the medical humanities were present in only 29% of the schools. Conclusions: Although there is a significant presence of the medical humanities in UME, there is a need for integration of the arts and humanities into required UME curricula and into immersive pathways for engaging the medical humanities. [ABSTRACT FROM AUTHOR]

In this paper we use historic score-reporting records and test-taker metadata to inform data-driven recommendations that support international students in their choice of undergraduate institutions for study in the United States. We investigate the use of Structural Topic Modeling (STM) as a context-aware, probabilistic recommendation method that uses test-takers' selections and metadata to model the latent space of college preferences. We present the model results from two perspectives: 1) to understand the impact of TOEFL score and test year on test-takers' preferences and choices and 2) to recommend to the test-taker additional undergraduate institutions for application consideration. We find that TOEFL scores can explain variance in the probability that test-takers belong to certain preference-groups and, by accounting for this, our system adjusts recommendations based on student score. We also find that the inclusion of year, while not significantly altering recommendations, does enable us to capture minor changes in the relative popularity of similar institutions. The performance of this model demonstrates the utility of this approach for providing students with personalized college recommendations and offers a useful baseline approach that can be extended with additional data sources. [ABSTRACT FROM AUTHOR]

Physicians serve as crucial advocates for their patients. Undergraduate medical education (UME) must move beyond the biomedical model, built upon the perception that health is defined purely in the absence of illness, to also incorporate population health through health policy, advocacy, and community engagement to account for structural and social determinants of health. Currently, the US guidelines for UME lack structured training in health policy or advocacy, leaving trainees ill-equipped to assume their role as physician–advocates or to engage with communities. There is an undeniable need to educate future physicians on legislative advocacy toward improving the social determinants of health through the creation of evidence-based health policy, in addition to training in effective techniques to engage in partnership with the communities in which physicians serve. The authors of this article also present curricular case studies around two programs at their institution that could be used to implement similar programs at other US medical schools. [ABSTRACT FROM AUTHOR]

Introduction: Individuals in various career fields will interact with people who have experienced trauma while engaging in their work responsibilities, and many have limited, if any, trauma training. Therefore, there is a need to provide trauma training within undergraduate degree programs. Statement of Problem: Online learning is a viable method of meeting the need for psychological trauma education for undergraduate students. Literature Review: Education in the United States has steadily moved toward more online formats, with many students preferring the flexibility of an online course. We discuss the literature on teaching about trauma and considerations for teaching the course online. Teaching Implications: We outline components of an online undergraduate trauma education course focused on teaching students about psychological trauma. This includes presenting the course objectives, describing course assignments, and discussing considerations for the course which instructors can use in teaching about trauma. Conclusion: Instructors of higher education can use the activities and considerations discussed in this article as a guide in the development of an online trauma education course. [ABSTRACT FROM AUTHOR]

Introduction Developing physicians as leaders has gained attention across the United States. Undergraduate medical education (UME) and graduate medical education (GME) leader development programs have increased. During postgraduate years (PGY), graduates bring their leadership education to the bedside; however, associations between leader performance in medical school and GME is largely unknown. It is important to find experiences that can assess leader performance that may be useful to predict future performance. The purpose of this study was to determine if (1) there is a correlation between leader performance during the fourth year of medical school versus leader performance in PGY1 and 3, and (2) leader performance during the fourth year of medical school is associated with military leadership performance in PGY1 and 3s while taking previous academic performance markers into account. Methods This study examined overall leader performance of learners (classes of 2016-2018) during the fourth year of medical school and their graduate leader performance post-medical school. Leader performance was assessed by faculty during a medical field practicum (UME leader performance) and graduate leader performance was assessed by program directors at the end of PGY1 (N  = 297; 58.3%) and 3 (N  = 142; 28.1%). Pearson correlation analysis examined relationships among UME leader performance and between the PGY leader performance items. In addition, stepwise multiple linear regression analyses were conducted to examine the relationship between leader performance at the end of medical school with military leadership performance in PGY1 and 3, while taking into account the academic performance markers. Results Pearson correlation analyses revealed that the UME leader performance was correlated with 3 of 10 variables at PGY1, and was correlated at PGY3 with 10 out of 10 variables. Results of the stepwise multiple linear regression analysis indicated that leader performance during the fourth year of medical school explained an additional 3.5% of the variance of PGY1 leader performance after controlling for the previous academic performance markers (MCAT total score, USMLE Step 1 score and Step 2 CK score). In contrast, leader performance during the fourth year of medical school alone accounted for an additional 10.9% of the variance of PGY3 leader performance above and beyond the set of academic performance markers. Overall, UME leader performance has more predictive power in PGY leader performance than the MCAT or USMLE Step exams. Conclusions The findings of this study indicate that a positive relationship exists between leader performance at the end of medical school and leader performance in PGY1 and 3 years of residency. These correlations were stronger in PGY3 compared to PGY1. During PGY1, learners may be more focused on being a physician and an effective team member compared to PGY3 where they have a deeper understanding of their roles and responsibilities and can take on more leadership roles. Additionally, this study also found that MCAT and USMLE Step exams performance was not predictive of PGY1 or PGY3 leader performance. These findings provide evidence of the power of continued leader development in UME and beyond. [ABSTRACT FROM AUTHOR]

Conducting ecological research in a way that addresses complex, real‐world problems requires a diverse, interdisciplinary and quantitatively trained ecology and environmental science workforce. This begins with equitably training students in ecology, interdisciplinary science, and quantitative skills at the undergraduate level. Understanding the current undergraduate curriculum landscape in ecology and environmental sciences allows for targeted interventions to improve equitable educational opportunities. Ecological forecasting is a sub‐discipline of ecology with roots in interdisciplinary and quantitative science. We use ecological forecasting to show how ecology and environmental science undergraduate curriculum could be evaluated and ultimately restructured to address the needs of the 21st century workforce. To characterize the current state of ecological forecasting education, we compiled existing resources for teaching and learning ecological forecasting at three curriculum levels: online resources; US university courses on ecological forecasting; and US university courses on topics related to ecological forecasting. We found persistent patterns (1) in what topics are taught to US undergraduate students at each of the curriculum levels; and (2) in the accessibility of resources, in terms of course availability at higher education institutions in the United States. We developed and implemented programs to increase the accessibility and comprehensiveness of ecological forecasting undergraduate education, including initiatives to engage specifically with Native American undergraduates and online resources for learning quantitative concepts at the undergraduate level. Such steps enhance the capacity of ecological forecasting to be more inclusive to undergraduate students from diverse backgrounds and expose more students to quantitative training. [ABSTRACT FROM AUTHOR]

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Mechanisms supporting global learning and global citizenship continue to be incorporated as curricular and co-curricular components of undergraduate education in the United States. Global learning promotes critical thinking and problem-solving and intercultural competency -- skills that studies find are highly prized among employers. However, few studies have investigated faculty and student perceptions of global learning where it has been implemented in core educational curricula. In this article, the authors present findings from a qualitative study of a general education global learning curricular requirement at a liberal arts university in the southeastern US. Utilizing student focus groups and faculty interviews, the authors conclude that, while attitudes of global learning are high and it is deemed an important part of education by both students and faculty, the institutional barriers and challenges to teaching and learning in this area are difficult to overcome. [ABSTRACT FROM AUTHOR]

Whether attempting to meet accreditation curricular standards or not, undergraduate rehabilitation programs retain great flexibility within their curriculum. This malleability allows for courses and content specifically tailored to the local labor market and student characteristics and interests. This study sought to explore the similarities and differences within required coursework between undergraduate rehabilitation education programs across the United States, establishing what is universal to rehabilitation programs and those content areas or programmatic characteristics that distinguish one from another. A total of 40 programs were identified and 34 programs were included in the study. Although there was consistency within the coursework in some expected areas (most notably employment, case management, and interviewing skills), the versatility in other areas and program characteristics demonstrate the flexibility and uniqueness possible within this discipline and educational level. Results and recommendations for stakeholders and researchers are outlined. [ABSTRACT FROM AUTHOR]

In an increasingly information rich environment, it is important to teach students decision-making alongside information gathering and management methods. This paper examines the implementation of evidence-based decision-making in a first year introduction to management course at a large university in the Midwestern United States. Students learned decision awareness, decision-making process creation and decision practice alongside areas of management and basic business principles. Students perceived increased skill in decision-making, both individually and in groups. This venture has implications for others looking to help students not only learn experientially, but also improve critical thinking in practice. [ABSTRACT FROM AUTHOR]

Journalism stakeholders increasingly believe that they need to better understand the news audience to accomplish their goals. Our study explores the extent to which this "audience turn" has unfolded in the education of future journalists. Drawing on data collected from course syllabi from leading journalism schools throughout the United States, we find that few journalism courses include aspects focused on news audiences. Those that include readings and/or assignments relating to news audiences maintain a narrow focus on audience metrics. We conclude by discussing what these trends mean for the future of journalism and the audience gap in journalism education. [ABSTRACT FROM AUTHOR]

Active learning in STEM education is essential for engaging the diverse pool of scholars needed to address pressing environmental and social challenges. However, active learning formats are difficult to scale and their incorporation into STEM teaching at U.S. universities varies widely. Here, we argue that urban agriculture as a theme can significantly increase active learning in undergraduate biology education by facilitating outdoor fieldwork and community‐engaged education. We begin by reviewing benefits of field courses and community engagement activities for undergraduate biology and discuss constraints to their broader implementation. We then describe how urban agriculture can connect biology concepts to pressing global changes, provide field research opportunities, and connect students to communities. Next, we assess the extent to which urban agriculture and related themes have already been incorporated into biology‐related programs in the United States using a review of major programs, reports on how campus gardens are used, and case studies from five higher education institutions (HEIs) engaging with this issue. We found that while field experiences are fairly common in major biology programs, community engagement opportunities are rare, and urban agriculture is almost nonexistent in course descriptions. We also found that many U.S. HEIs have campus gardens, but evidence suggests that they are rarely used in biology courses. Finally, case studies of five HEIs highlight innovative programming but also significant opportunities for further implementation. Together, our results suggest that urban agriculture is rarely incorporated into undergraduate biology in the United States, but there are significant prospects for doing so. We end with recommendations for integrating urban agriculture into undergraduate biology, including the development of campus gardens, research programs, community engagement partnerships, and collaborative networks. If done with care, this integration could help students make community contributions within required coursework, and help instructors feel a greater sense of accomplishment in an era of uncertainty. [ABSTRACT FROM AUTHOR]

Background: Active learning used in science, technology, engineering, and mathematics (STEM) courses has been shown to improve student outcomes. Nevertheless, traditional lecture-orientated approaches endure in these courses. The implementation of teaching practices is a result of many interrelated factors including disciplinary norms, classroom context, and beliefs about learning. Although factors influencing uptake of active learning are known, no study to date has had the statistical power to empirically test the relative association of these factors with active learning when considered collectively. Prior studies have been limited to a single or small number of evaluated factors; in addition, such studies did not capture the nested nature of institutional contexts. We present the results of a multi-institution, large-scale (N = 2382 instructors; N = 1405 departments; N = 749 institutions) survey-based study in the United States to evaluate 17 malleable factors (i.e., influenceable and changeable) that are associated with the amount of time an instructor spends lecturing, a proxy for implementation of active learning strategies, in introductory postsecondary chemistry, mathematics, and physics courses. Results: Regression analyses, using multilevel modeling to account for the nested nature of the data, indicate several evaluated contextual factors, personal factors, and teacher thinking factors were significantly associated with percent of class time lecturing when controlling for other factors used in this study. Quantitative results corroborate prior research in indicating that large class sizes are associated with increased percent time lecturing. Other contextual factors (e.g., classroom setup for small group work) and personal contexts (e.g., participation in scholarship of teaching and learning activities) are associated with a decrease in percent time lecturing. Conclusions: Given the malleable nature of the factors, we offer tangible implications for instructors and administrators to influence the adoption of more active learning strategies in introductory STEM courses. [ABSTRACT FROM AUTHOR]

This paper explores the effect of collaborative learning on academic motivation among students from 17 institutions throughout the United States. Even in the presence of a wide array of potential confounders, collaborative learning exerted a statistically significant and positive influence on students' academic motivation levels across four years of undergraduate education. Tests for the presence of interaction effects suggest that the relationship between collaborative learning and academic motivation is similar for all students, regardless of racial or ethnic background. [ABSTRACT FROM AUTHOR]

The i‐NATURE (Indigenous iNtegration of Aquatic sciences and Traditional Ecological Knowledge for Undergraduate culturally Responsive Education) is a culturally relevant, project‐, and place‐based curriculum that included extensive applied research experience contextualized for specific Indigenous communities. The program developed a model for incorporating Traditional Ecological Knowledge into STEM undergraduate education which included direct participation of several Indigenous communities in the Pacific Northwest region of the United States. After implementation of the i‐NATURE model, we tested whether the inclusive pedagogical strategies used in our intervention improved retention and learning outcomes for the students who participated in the i‐NATURE program. We report a highly significant difference in annual retention and mean course grade point average in the Environmental Science and Studies Programs pre‐ and post‐implementation of the i‐NATURE curriculum. We also report an increase in student interest in pursuing STEM careers and the impacts of the i‐NATURE curricula on two undergraduate participants. This study indicates that academic and research experiences in STEM higher education programming, that incorporates cultural relevant ways of knowing and is reflective of Indigenous community values, can improve student success outcomes and garner interest in pursuing STEM careers. [ABSTRACT FROM AUTHOR]

Preventable healthcare-associated harm results in significant morbidity and mortality in the United States, costing nearly 400 000 patient lives annually. The Institute for Healthcare Improvement provides high-quality educational resources tailored for working healthcare professionals. One such resource is the Certified Professional in Patient Safety (CPPS™) review course, which equips professionals with advanced proficiency in 5 core patient safety domains. The CPPS™ certification is the only interprofessional, patient safety science credential recognized worldwide. In 2010, the Lucian Leape Institute at the National Patient Safety Foundation described the critical need for medical students to participate in patient safety solutions as well. However, equivalent patient safety credentialing remains challenging for students in the preclinical and clinical stages of training to obtain. To address this growing dilemma, the Texas College of Osteopathic Medicine (TCOM) piloted the first-of-its-kind CPPS™ course with 10 medical students to test a novel, academic-level approach to patient safety curriculum. Medical students showed large gains in performance on the post-test (83.18% ± 26.12%) compared to the pre-test (46.46% ± 27.18%) (P <.001, η2 p =.368), representing increased knowledge across all learning domains. On the national certification examination, students had a 90% first-time pass rate, exceeding the current national average of 70% for first-time examinees. In satisfaction surveys, students expressed the value of pilot curriculum for their medical training, the importance of similar Patient Safety Education and CPPS certification for all medical students, their confidence as future healthcare change agents. Content analysis of open response questions revealed 3 key areas of strength and opportunity for guiding future iterations of the course. This pilot generates a future vision of patient safety, equipping students with critical knowledge to systematically improve healthcare quality. [ABSTRACT FROM AUTHOR]

Purpose: The COVID-19 pandemic has uncovered public health vulnerabilities worldwide, particularly in the hard-hit USA. US public health professionals, regardless of role, may need to exercise leadership in both planned and unexpected situations. This model of practice outside of traditional roles, known as Public Health 3.0, requires adaptive leadership – a systems approach to making progress on complex challenges. Educational programs should improve students' adaptive leadership competency to prepare them for the public health workforce. This paper aims to provide an educational framework for implementing adaptive leadership instruction for undergraduate students. Design/methodology/approach: This paper used experiential and traditional instructional strategies and adaptive leadership competencies to develop a semester-length leadership course for undergraduate students in health, nursing, social science, business and education. Adaptive leadership principles were learned and practiced, preparing students for systemic challenges through the lens of Public Health 3.0. Competencies were assessed pre- and post-semester. Findings: Of 248 students, 72% were health professions majors. Students reported pre-post scores on 29 measures of competency, interest, learning and behavioral change. Quantitative evaluations identified statistically significant improvement in all domains. Additional quantitative feedback indicated improvement on the three Kirkpatrick levels of evaluation assessed (reaction, learning and behavior). Originality/value: Tiered evaluation methods indicated that this leadership course enhanced participants' self-reported adaptive leadership learning and competency, as well as intention and ability to translate learning into practice. A broad spectrum of competency development is needed for students entering practice in the Public Health 3.0 era, particularly related to pandemic response. [ABSTRACT FROM AUTHOR]

To counteract the notion that teachers are not researchers, three clinical faculty members working in a public university in the United States joined with two undergraduate teacher education candidates to participate in a phenomenological collaborative self-study to examine how our different lived experiences within collaborative undergraduate research informed our researcher identities as teacher educators and as developing teachers. Data sources included: researcher journals, written responses to mirrored prompts, meeting notes and transcriptions of critical friend conversations. Data was analysed using cyclical coding across all data sources. The article highlights collective inquiry spaces sites as safe spaces for both teacher educators and undergraduate candidates to co-construct researcher identities; f. Furthermore, developing efficacy as researchers brought undergraduate communities out of the shadows to create a sustainable socially cohesive community of practice around research. [ABSTRACT FROM AUTHOR]

Substance Use Disorder (SUD) is a debilitating chronic illness with significant morbidity and mortality across the United States. The AAMC and LCME have supported the efforts for more effective medical education of SUD to address the existing stigma, knowledge, and treatment gaps. The Coronavirus 2019 (COVID-19) pandemic and associated social, economic, and behavioral impacts have added to this urgency. The University of South Carolina School of Medicine Greenville (USCSOMG), in collaboration with community organizations, has successfully implemented an integrated SUD education curriculum for medical students. Students learn about SUD in basic sciences, receive case-based education during clinical exercises, and are provided the opportunity to become a recovery coach and participate in the patient and family recovery meetings through this curriculum during preclinical years. During the clinical years, SUD education is enhanced with exposure to Medication for Addition Treatment (MAT). Students also partake in the care coordination of patients with SUD between the hospital and community recovery organizations. All students receive MAT waiver training in their final year and are prepared to prescribe treatment for SUD upon graduation. The experiences in this integrated curriculum integration can perhaps assist other organizations to implement similar components and empower the next generation of physicians to be competent and effective in treating patients with SUD. [ABSTRACT FROM AUTHOR]

The Hardy-Weinberg principle (HWP) is an application of the binomial expansion theorem that is foundational to the field of population genetics. Because of the important history of the HWP in answering how variation is preserved during evolution, and the ability of Hardy-Weinberg equilibrium (HWE) to detect natural and sexual selection acting on a trait, the HWP is a staple of the introductory biology undergraduate curriculum in the United States. Introductory courses often cover a wide range of topics in ecology and evolution, and it is important that students have enough time during the semester to grasp the foundations of population genetics. At the same time, information needs to be presented clearly to ensure that the student gains a correct understanding of the HWP. This article discusses the importance of the HWP to undergraduate education in biology and describes misconceptions from the instructor's perspective. These misconceptions are pervasive and risk undermining a proper understanding of the HWP. We provide examples adapted from university- and AP-level standardized tests. [ABSTRACT FROM AUTHOR]

This grounded study investigated the negotiation of authorship by faculty members, graduate student mentors, and their undergraduate protégés in undergraduate research experiences at a private research university in the northeastern United States. Semi-structured interviews using complementary scripts were conducted separately with 42 participants over a 3 year period to probe their knowledge and understanding of responsible authorship and publication practices and learn how faculty and students entered into authorship decision-making intended to lead to the publication of peer-reviewed technical papers. Herein the theoretical model for the negotiation of authorship developed through the analysis of these interviews is reported. The model identifies critical causal and intervening conditions responsible for the coping strategies faculty and students employ, which, in our study, appear to often produce unfortunate consequences for all involved. The undergraduate student researchers and their graduate student mentors interviewed in this study exhibited a limited understanding of authorship and the requirements for authorship in their research groups. The power differential between faculty and students, the students' limited epistemic development, the busy-ness of the faculty, and the faculty's failure to prioritize authorship have been identified as key factors inhibiting both undergraduate and graduate students from developing a deeper understanding of responsible authorship and publication practices. Implications for graduate education and undergraduate research are discussed, and strategies for helping all students to develop a deeper understanding of authorship are identified. [ABSTRACT FROM AUTHOR]

This study examined 388 elementary education teacher candidates (n = 388) across four semesters in one educator preparation program about their experiences completing the performance-based assessment edTPA. Candidates were in one of three programs at a large, public research university in the Southeast region of the United States. These programs included: a general undergraduate elementary education program, an undergraduate elementary/special education dual licensure program, and a post baccalaureate graduate certificate in elementary school teaching program. Findings indicate that candidates across all three programs reached consensus on the five biggest challenges of edTPA. The challenges included: (1) deeper thinking for students; (2) identifying the language function of the lesson sequence; (3) including discourse in the lesson plans; (4) including the syntax supports in their lesson plans; and (5) making connections to research and theory. While all three groups of candidates identified these five challenges, the order and the extent to which they were a challenge varied by group. Further, candidates expressed disproportionate periods of time dedicated to edTPA during student teaching. Candidates in the graduate certificate in teaching program reported that they felt less prepared than undergraduate students in the other programs. Implications include examining how to best support candidates in all three programs to increase their likelihood of success on edTPA. [ABSTRACT FROM AUTHOR]

This article presents findings from a survey of undergraduate social work (Bachelor of Social Work [BSW]) students about their experiences with remote learning during the 2020 COVID-19 pandemic. In response to this crisis, remote learning was rapidly implemented and many BSW educators and students experienced online classrooms for the first time. Findings from this study shed light on how remote learning shapes the interpersonal relationships and communication that are so critical to building students' sense of classroom belonging, engagement, and learning. [ABSTRACT FROM AUTHOR]

Diversity can be a difficult subject to teach in higher education, especially in settings where exposure to diverse cultures can be limited The use of analogies or metaphor can be particularly useful to provide students with opportunities to think critically about new topics while relating the material to familiar subjects. In this article, we propose the use of an analogy of college football as a way to better integrate diversity topics into college classrooms. The broad appeal of college football on college campuses lends itself as a great platform to discuss otherwise challenging topics such as privilege, racism, sexism, sexuality, and power in the United States. The use of analogies can create a non-confrontational and less defensive environment in college classrooms. We outline the potential use of this analogy with a fictional case study in a university setting. Potential benefits and limitations of the approach are discussed. [ABSTRACT FROM AUTHOR]

Introduction: Gender disparity in medicine has drawn increased attention in the form of root cause analysis and programmatic solutions with the goal of equity. Research indicates that mentoring, guidance, and support, which include the provision of social and academic guidance and support from more experienced practitioners, can mitigate challenges associated with gender disparity. The purpose of this study was to explore women medical students' self-reports of mentorship during their time at Uniformed Services University (USU), if women report similar levels of mentorship as compared to men, and if levels of characteristics associated with mentoring (eg, social support, academic guidance) changed over time.Materials and Method: Using data from the American Association of Medical College's Graduate Questionnaire, a survey sent to all medical students prior to graduation, items were coded as related to mentorship, guidance, and support and analyzed to compare responses of female and male students from graduating USU classes of 2010-2017.Results: No significant difference was found between experiences of female and male survey respondents. Equitable experiences were consistent across time for the 8 years of the study.Conclusions: Although mentorship is cited as a key factor in mediating gender disparity in medicine, other STEM fields, and the military, the findings suggest that there is equity at the USU undergraduate medical education level. Further studies are needed to understand if disparities in mentorship experiences occur at other stages of a military physician's career, such as graduate medical education, faculty and academic promotion levels. [ABSTRACT FROM AUTHOR]

International students encounter challenges while transitioning into a new environment with unfamiliar academic and social expectations. The situation is especially complicated for international dual-diploma students, who complete certain parts of their undergraduate education in their home and host countries. Challenges faced in communication in academic and social contexts doubled by meeting the course requirements in the new academic environment creating pressure for international dual-diploma students. This paper explores how Turkish international dual-diploma students' academic experiences are influenced during their first semester of study in the USA by their previous language learning experiences back in their home country. It reports on findings from a qualitative study which employed a case study methodology to explore the influence of prior language learning experiences on academic life in the USA. Data was collected through in-depth face-to-face semi-structured interviews with 15 Turkish international dual-diploma students, three American professors, seven American English instructors and four American teaching assistants. Findings indicate that Turkish international dual-diploma students' language learning experiences in primary and secondary education as well as higher education in Turkey have a significant influence on their academic experiences in the USA. This influence is manifested in students' listening, speaking, academic writing and reading skills, respectively. [ABSTRACT FROM AUTHOR]

Background: Abroad medical electives are recognized as high-impact practice and considered a necessity to provide global health training. As of recently, the COVID-19 pandemic and its related travel restrictions prohibited most international elective activities. Another important barrier to abroad electives that received comparably little attention is elective and application fees, which - combined - may be as high as $5000 per month, and may prevent students with limited financial resources from applying for an international elective. Elective fees have never been systematically analyzed and trends in teaching and application fees have rarely been subject to dedicated scientific investigations., Methods: Using data from two large elective reports databases, the authors addressed this gap in the literature. The authors analyzed trends in abroad elective fees within the last 15 years in some of the most popular Anglo-American elective destinations among students from Germany, including the United States of America, Australia, New Zealand, the Republic of South Africa, Ireland and the United Kingdom., Results: The authors identified n = 726 overseas elective reports that were uploaded between 2006 and 2020, of which n = 438 testimonies met the inclusion criteria. The United Kingdom and Australia were the most popular elective destinations (n = 123 and n = 113, respectively), followed by the Republic of South Africa (n = 104) and the United States of America (n = 44). Elective fees differed substantially-depending on the elective destinations and time point. Median elective fees were highest in the United States of America (€ 1875 for a 4-week elective between 2018-2020), followed by the Republic of South Africa (€ 400) and Australia (€ 378). The data also suggests an increasing trend for elective fees, particularly in the United States., Conclusions: Rising fees warrant consideration and a discussion about the feasibility of reciprocity and the bidirectional flow of students in bidirectional exchange programs., (© 2024. The Author(s).)

The number of science, technology, engineering, and math (STEM) jobs in the United States, particularly within agriculture, currently outpaces the number of qualified applicants. Undergraduate general education science requirements in agriculture colleges promote agricultural STEM fields and recruit students. These courses may reach large numbers and provide real-world context that increases student career interest. One factor affecting student career choice is identity, but little research examines the impacts of these general education courses on identity development. Using a Likert-scale instrument to measure science identity in students in a general education biohistory course at a large university in the southeastern U.S., we found differences among students: in face-to-face versus online versions of the course, among gender and ethnic groups, and from beginning to end of the course. This instrument can help identify groups that may benefit from particular attention, as well as ways courses may impact groups differently. [ABSTRACT FROM AUTHOR]

Scholars have suggested that civic engagement in the United States is declining and some have argued that institutions of higher education are responsible for the fostering of civic engagement through efforts such as service learning. These opportunities may be created either through a top-down approach with student assignment to specific groups and activities, or a more unrestricted approach allowing individual activities with experience reports. As an instructor of an American Government course, I sought to examine the effects of a student-directed, group approach on students' assignment evaluation. This article offers an approach to student civic engagement activities under minimal supervision. Students were offered class time, provided access to an online discussion forum, and instruction to utilize America: The Owner's Manual (Graham 2009). Finally, students were given the direction to "collectively decide on a project in the spirit of 'community service'". Evaluation of the learning objectives relies on feedback through regular progress reports, presentation of results, and a survey of students' evaluation of the project. [ABSTRACT FROM AUTHOR]

Political self-efficacy is the belief that one can influence political processes and is an indicator of society's political health. Although political self-efficacy may change over time, education is a powerful influence. Emphasizing civic and general education functions, the community college provided a unique environment to study student political self-efficacy. This study investigated the effect of a required introductory American federal government class (American Government 101) on the overall, internal, and external political self-efficacy of students at a large, Midwestern community college. It also investigated student perspectives regarding this general education requirement. Survey research was conducted with a sample of students enrolled in American Government 101 in Spring 2016. As a follow-up, six survey completers were interviewed, and four themes were identified during the qualitative analysis. The analysis of quantitative data revealed significant change in overall and internal political self-efficacy. There was no significant change in external political self-efficacy. Qualitative analysis generated four themes: positive perspectives on general education, eye-opening information, engaging instruction and atmosphere, and personal democratic outcomes. Corroboration of data between data sources resulted in three conclusions. First, American Government 101 can positively influence political self-efficacy. Second, the lack of significant change in external political self-efficacy may be a result of the type of information students are exposed to in American Government 101. Third, age appears to influence the amount of change that takes place in political self-efficacy. [ABSTRACT FROM AUTHOR]

Objective: Given the high prevalence of sexual assault on U.S. college campuses, the current study examines predictors of college students' intentions to intervene to prevent sexual assault through the lens of the theory of normative social behavior (TNSB). Participants: One hundred eighty-six undergraduate students age 18–25 were recruited from an introductory course at a large Midwestern university. Methods: Data were collected through an online survey during the 2015–2016 academic year. Results: Results indicated that descriptive norms, injunctive norms, and outcome expectations had direct positive effects on behavioral intention. However, no direct effect of group identity on intention was found. In addition to these main effects, an interaction between descriptive and injunctive norms was also observed. Conclusions: The results of the current study speak to theoretical questions surrounding the nature of TNSB variables, as well as several practical implications for coordinated efforts to promote bystander intervention on college campuses. [ABSTRACT FROM AUTHOR]

To meet rising demands for climate-literate workers, undergraduate courses and curricula will require updates so that students are afforded opportunities to engage in climate science education. Previous research on undergraduate climate education has primarily focused on evaluating whether students have grounding in essential climate science principles, but these studies fail to capture the degree to which students feel they are exposed to climate education in their undergraduate programs and courses. In this study, we characterize recent trends in undergraduates' perceived exposure to climate education across the U.S. by analyzing responses to a national survey of graduate students who attended undergraduate institutions in the U.S. (n = 423). Survey respondents scored the levels of exposure that they received to a variety of climatological topics during their undergraduate studies, which ranged from applied (e.g., earth observations, numerical modeling) to interdisciplinary (e.g., agricultural climatology, hydroclimatology) and specialized (e.g., boundary-layer climatology). Our results reveal that those who received bachelor's degrees from programs related to human dimensions of natural resources management (e.g., geography, resource economics) generally felt that their undergraduate curricula provided them with exposure to climate education, whereas those who graduated from programs in engineering and the agricultural and life sciences largely reported a lack of climate coverage in their undergraduate studies. Students of all disciplinary backgrounds indicated that they received poor exposure to numerical modeling of historical and future climatic conditions. Findings from this study underline key areas in which curricular or course improvements are needed to ensure that future decision-makers are confident in their practical use of climate science. [ABSTRACT FROM AUTHOR]

Discussions of diversity in American librarianship usually focus on gender or ethnicity, but historical studies also show a lack of diversity in educational and disciplinary backgrounds. Librarians traditionally hail from the humanities, especially English and history. But as current educational attention shifts to science, technology, engineering, and math (STEM) fields, are librarians reflecting this change? Anonymized data from ALA-accredited graduate programs from the last five years were collected, coded, and classified to determine librarians' educational and disciplinary backgrounds and in what ways, if any, they differ from the past 65 years and from the contemporary US general population. Unsurprisingly, we found that contemporary librarians still hail predominantly from English and history--a stark contrast from the business and health undergraduate degrees earned by the general US population. Backgrounds in STEM fields remain lacking in librarianship, but librarians with undergraduate education in the arts are on the rise, perhaps supporting the creativity, flexibility, innovation, and risk taking necessary in twenty-first-century libraries. [ABSTRACT FROM AUTHOR]

As learning institutions, U.S. universities aim to provide abundant learning opportunities to fulfill students’ right to learn. Undergraduate education is considered an important component of lifelong learning and aims to enable students to “learn how to learn.” During the undergraduate stage, schools pay special attention to cultivating students’ critical thinking and curiosity, emphasizing five core competencies in writing, reading, research, quantitative analysis, and communication. They use summer reading, undergraduate research, seminars, learning communities, and academic advising as platforms to expand students’ learning experiences, especially those of first-year students. They encourage students to innovate and start their own businesses, and promote equal access to education, thereby strengthening student retention and successful graduation. [ABSTRACT FROM AUTHOR]

John C. VanGilder, the former professor and chairman of neurosurgery at The University of Iowa died on August 27, 2007 after making a lasting impact to the field of neurosurgery both in the United States and abroad. In this manuscript, we review VanGilder's life and achievements. VanGilder was born in 1935 in West Virginia and received his undergraduate education at West Virginia University in Morgantown. He studied medicine at the University of West Virginia, completing his final 2 years at the University of Pittsburgh, and after serving in the U.S. military, completed his neurosurgical training at Washington University in St. Louis. He was appointed to faculty positions first at Yale University and later at The University of Iowa, where he became professor and later chairman of the Division of Neurosurgery. VanGilder also served as president of the Society of Neurological Surgeons (1997–1998), president of the Neurosurgical Society of America (1998–1999), chairman of the American Board of Neurological Surgery (1997–1998), and vice president of the American Academy of Neurological Surgery. At The University of Iowa, VanGilder played a key role in the transition of the Division of Neurosurgery to a Department of Neurosurgery and mentored several neurosurgeons who would go on to become department chairmen or make other important neurosurgical contributions at other medical schools in the United States. [ABSTRACT FROM AUTHOR]

Undergraduates frequently approach research methods classes with trepidation and skepticism, owing in part to math-phobia and confusion over how methodology is relevant to their interests. These self-defeating barriers to learning undermine the efficacy of methods classes. This essay discusses a strategy for overcoming these barriers—use of a case study as a thematic framework for the class. In theory, the case study engages students and renders the material less abstract. A research methods class recently taught by the author was organized around political assassinations, with an initial framing focus the assassination of President John F. Kennedy. In an end of semester Qualtrics survey, students reported that they liked this approach and believe that it kept them interested in the material.“[S]tats are dry. The Kennedys are not dry.” ∼A student [ABSTRACT FROM AUTHOR]

Many new political science faculty at teaching universities are recent PhD recipients, and are coming to these institutions from research-oriented universities. There are considerable differences between the training for graduate students received at research universities and the expectations for faculty at teaching universities. This essay reflects on the author’s first year at a teaching university and offers six themes that may assist other new faculty in the transition from life as a graduate student at a research institution to life as an assistant professor at a teaching university. [ABSTRACT FROM AUTHOR]

The majority of universities and four-year colleges in the USA currently offer first-year seminars in at least one format. These programs often pride themselves in recruiting from among their institutions' best teachers to lead the seminars. In reality, this process of recruitment to teach in the program, as well as retention of faculty members who have received training and gained experience in the program, requires thoughtful strategies. Among other challenges, well-regarded faculty members often have many demands on their time already, including teaching and research. Department chairs may pressure them to focus on teaching courses that are seen as more crucial to their departments' missions. Many institutions have found that appealing to potential instructors' intrinsic motivations and building a strong sense of community among instructors help to recruit and keep groups of high-quality instructors. Those instructors are still prey to the challenges of extrinsic motivations, however. This article outlines and summarizes findings on both motivations and challenges shared by institutions across the USA. [ABSTRACT FROM AUTHOR]

The Chinese undergraduate student population currently represents 12.8% of all international students enrolled in the United States (Institute for International Education, 2015a). In an effort to understand the experiences of this population in their first year of college in the United States, a phenomenological study was conducted using a conceptual framework comprising Schlossberg's Transition Model (Schlossberg, Waters, & Goodman, 1995) and the Culturally Engaging Campus Environments (CECE) Model (Museus, 2014). Three transition types were identified - academic, social/personal, and linguistic - and participants' preparation, sources of institutional support, and coping strategies for moving through these transitions were examined. Recommendations for practice include: multi-faceted, mandatory orientation programs; ongoing workshops and resources beyond orientation; and improvements to housing and residential life opportunities and experiences. [ABSTRACT FROM AUTHOR]