A clinical residency program for acute care nurse practitioners (ACNPs) was developed to facilitate the strengthening of practice competencies and role performance. Strengthening collaboration between physicians and ACNPs and supporting the growth of ACNPs through supportive and individualized learning opportunities were key components to a highly successful initiative.
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Introduction: Health Professions Scholarship Program (HPSP) medical students typically enter the military with minimal military experience, commissioning specifically for the scholarship. During medical school, the only required training is a 5- to 6-week officer training course, which is neither specific to medicine nor guaranteed to be at the beginning of school, since it can be taken at any time. This lack of prior experience can lead to decreased confidence and understanding of the HPSP, specifically the medical school timeline leading up to the military match process and overall military.
View Article and Find Full Text PDFPurpose: Both clinical knowledge and patient care ownership (PCO) are crucial to the provision of quality patient care and should be acquired during training. However, the association between these two concepts is under-examined. Here, we conducted a nationwide cross-sectional study to investigate the association between clinical knowledge and PCO among resident physicians in Japan.
View Article and Find Full Text PDFHigh-Value Care Education in the USA: Lessons from a National Value Curriculum for Resident and Fellow Physicians.
J Gen Intern Med
January 2025
General Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA.
Purpose: Physicians are estimated to be responsible for more than 50% of national healthcare costs and hold the greatest potential to improve value by orchestrating quality-driven programs to reduce unnecessary practices and variability. A physician's ability to practice cost-conscious care has been linked to their training, underscoring the importance of integrating cost-conscious practice into training.
Methods: The High Value Practice Academic Alliance was formed to help advance the value-improvement work of individual institutions through a national organization.
Increasing Risk of Gestational Diabetes in an Ethnocultural Minority of Canada.
J Immigr Minor Health
January 2025
Institut national de santé publique du Québec, 190 Cremazie Blvd E, Montreal, QC, H2P 1E2, Canada.
We investigated whether ethnocultural inequality in rates of gestational diabetes was prevalent in Canada. We compared the Anglophone minority with the Francophone majority in Quebec. We conducted a retrospective cohort study of 853,595 pregnancies between 2008 and 2020 in Quebec, Canada.
View Article and Find Full Text PDFDevelopment of Public Health Center-Based Culturally Tailored Hypertension Self-Care Intervention Among Adults in Rural Ghana.
Public Health Nurs
January 2025
Department of Medical Humanities and Social Sciences, College of Medicine, Yonsei University, Seoul, South Korea.
Objectives: Develop a primary health care-based nurse-led culturally tailored hypertension self-care intervention for rural residents.
Design: The culturally tailored hypertension self-care intervention was developed using a six-step intervention mapping approach that involved: needs assessment using literature review and interviews; setting program goals using integrated thematic synthesis method; selecting intervention modules through the process dimension of the self-care theory of chronic illness; producing program components and materials by developing intervention modules using the motivational interviewing and behavior change techniques; planning program adoption by encouraging sustainable behavior; and evaluation using the education content validity index in health and the intervention acceptability, appropriateness, and feasibility scale.
Measurements: Education content validity index in health and the intervention acceptability, appropriateness, and feasibility scale.
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