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Strengthening Public Health Preceptorship Through Project ECHO 通过 ECHO 项目加强公共卫生指导
IF 1.1 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2024-08-08 DOI: 10.1177/23733799241269944
Leah M. Brandis, Tonya M. Johnson, Maryan Carbuccia Abbott, Betty T. Izumi, Robin L. Baker, Brad M. Wipfli, Melinda M. Davis
Project ECHO® (Extension for Community Healthcare Outcomes) is a telementoring workforce development model. This manuscript describes the development, delivery, and evaluation of a Public Health Preceptor ECHO program as a strategy to boost knowledge and confidence of public health preceptors, who guide public health students through an applied practice experience (internship). The Public Health Preceptor ECHO is a collaborative effort between two Oregon schools of public health. The six-session ECHO was developed between summer and fall 2022 and first delivered in winter 2023. Participants completed fixed and open response surveys after each ECHO session and at the program’s end. Quantitative responses were analyzed using Stata and illustrative qualitative responses were selected to highlight program impacts. Forty-three individuals registered to participate in the ECHO and 27 participants attended each session on average. Participants reported increased knowledge and skills, especially in communication with interns. The ECHO also provided resources for further training and mentorship, and examples of administrative policies and protocols for managing an intern project. In addition to boosting preceptors’ confidence to support public health students, two impacts included a grant submission to establish a hub for student internship stipends and extending university-sponsored housing to public health students in rural communities. Project ECHO is a promising methodology for training future public health preceptors.
ECHO® 项目(社区医疗保健成果推广)是一种指导式劳动力发展模式。本手稿介绍了公共卫生实习生 ECHO 项目的开发、实施和评估情况,该项目是一项增强公共卫生实习生知识和信心的战略,公共卫生实习生通过应用实践经验(实习)来指导公共卫生专业的学生。公共卫生前导 ECHO 是俄勒冈州两所公共卫生学院的合作项目。为期六节的 ECHO 于 2022 年夏季至秋季期间开发,并于 2023 年冬季首次交付。参与者在每次 ECHO 课程结束后和课程结束时填写固定和开放式问卷。我们使用 Stata 对定量回答进行了分析,并选择了说明性的定性回答来突出项目的影响。有 43 人注册参加了 ECHO,平均每期有 27 人参加。参与者报告说,他们增长了知识和技能,尤其是在与实习生沟通方面。ECHO 还提供了进一步培训和指导的资源,以及管理实习生项目的行政政策和协议范例。除了增强实习医生支持公共卫生专业学生的信心外,项目还产生了两个影响,一是为建立学生实习津贴中心提交了拨款申请,二是为农村社区的公共卫生专业学生提供了大学赞助的住房。ECHO 项目是培训未来公共卫生实习生的一种很有前途的方法。
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引用次数: 0
Lowering the Stakes: Quasi-Experimental, Mixed-Methods Evaluation of a Restructured Grading Approach in a Graduate Public Health Research Methods Course 降低风险:对公共卫生研究方法研究生课程中重新调整的评分方法进行准实验、混合方法评估
IF 1.1 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2024-07-27 DOI: 10.1177/23733799241263025
Delia L. Lang, Caroline M. Barry, U. Ibragimov, Juan L. Rodriguez, Elizabeth Reisinger Walker
In schools and programs of public health, active learning and restructured feedback strategies may improve student learning and course performance compared to traditional lecture-based formats and grading systems. To promote student engagement and active learning, we implemented the team-based learning (TBL) model and a restructured grading approach based on principles of “ungrading” in the required behavioral research methods course of a master’s level public health curriculum. We conducted a quasi-experimental, mixed-methods evaluation of the implementation of restructured grading approach (two sections, n = 46) compared to the traditional grading approach (two sections, n = 34). For the restructured grading sections, numeric grades were removed for weekly team quizzes and team assignments. We administered and analyzed pre- and post-course surveys to compare perceived mastery of course learning objectives, intrinsic motivation, and perceptions of grading and instructor feedback by grading approach. Additionally, we compared course grades and final paper grades by grading approach and conducted two focus groups (one for each approach). The results indicate that students’ learning, satisfaction, and perceptions of the course were mainly equivalent across grading approaches. Students in the restructured grading sections demonstrated a few modestly improved outcomes compared to their peers in the traditional grading courses. Students in the restructured grading sections had slightly higher mean course grades, reported greater increase in confidence to critically evaluate research designs, and found team quizzes to be more helpful. Removing grades for team quizzes and assignments supported student learning and reduced student stress.
在公共卫生学校和课程中,与传统的讲授形式和评分系统相比,主动学习和重组反馈策略可以提高学生的学习效果和课程成绩。为了促进学生的参与和主动学习,我们在公共卫生硕士课程的行为研究方法必修课程中实施了基于团队的学习(TBL)模式和基于 "取消评分 "原则的重组评分方法。与传统的评分方法(两节,人数=46)相比,我们对重组评分方法(两节,人数=34)的实施情况进行了准实验性的混合方法评估。在重构评分法中,每周的团队测验和团队作业取消了数字评分。我们对课前和课后调查进行了管理和分析,以比较不同评分方法对课程学习目标的掌握程度、内在动力以及对评分和教师反馈的看法。此外,我们还比较了不同评分方法下的课程成绩和期末试卷成绩,并开展了两个焦点小组讨论(每种方法各一个)。结果表明,在不同的评分方法下,学生的学习效果、满意度和对课程的看法基本相同。与传统评分法课程的学生相比,重组评分法课程的学生成绩略有提高。调整后评分部分的学生的平均课程成绩略高,他们表示批判性评估研究设计的信心有了更大的提高,并认为团队测验更有帮助。取消团队测验和作业的成绩有助于学生的学习,并减轻了学生的压力。
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引用次数: 0
Design and Implementation of a Course to Meet the Demand for a Skilled Public Health Workforce to Address the Needs of People With Disabilities 设计并实施一门课程,以满足对熟练公共卫生人才的需求,满足残疾人的需要
IF 1.1 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2024-07-25 DOI: 10.1177/23733799241263021
Albina N. Minlikeeva, S. Przybyla
People with disabilities experience a higher burden of chronic diseases compared to people with no disabilities. To emphasize the importance of addressing health-related disparities affecting this population, multiple objectives of Healthy People 2030 focus on people with disabilities. Accomplishing these objectives requires a culturally competent public health workforce knowledgeable about the health issues and health-related factors affecting people with disabilities and evidence-based public health strategies for effective interventions. To prepare future public health professionals to be a part of efforts of diversity, equity, and inclusion, we developed and implemented a course on disability which was offered as an upper-level elective to students pursuing undergraduate training in public health. We structured the course around selected objectives of Healthy People 2030 and evidence-based strategies mapped to these objectives. The course framework allows for the development of proficiency and competency in these areas through learning about the basic disability-related terms, health issues, health-related behaviors, and social determinants of health affecting people with disabilities. We also aligned the course with the specific accreditation criteria outlined by the Council on Education for Public Health and disability competencies. There is an urgent need for future public health professionals to understand the challenges experienced by people with disabilities and be able to address them. Designing and implementing courses meeting the accreditation criteria and aligned with the national public health objectives could help strengthen the appropriate knowledge and skills of the future public health workforce.
与非残疾人相比,残疾人的慢性病负担更重。为了强调解决影响这一人群的健康相关差异的重要性,《2030 年健康人群》的多个目标都以残疾人为重点。要实现这些目标,就需要一支具备文化能力的公共卫生队伍,了解影响残疾人的健康问题和健康相关因素,并采取循证公共卫生策略进行有效干预。为了培养未来的公共卫生专业人员成为多样性、公平性和包容性工作的一部分,我们开发并实施了一门关于残疾问题的课程,作为高年级选修课提供给正在接受公共卫生本科培训的学生。我们围绕 "2030 年健康人群 "的选定目标以及与这些目标相对应的循证策略设计了该课程。课程框架通过学习与残疾相关的基本术语、健康问题、健康相关行为以及影响残疾人健康的社会决定因素,培养学生在这些领域的能力。我们还根据公共卫生教育委员会列出的具体认证标准和残疾能力对课程进行了调整。未来的公共卫生专业人员迫切需要了解残疾人所经历的挑战,并能够应对这些挑战。设计和实施符合认证标准并与国家公共卫生目标相一致的课程,有助于加强未来公共卫生队伍的适当知识和技能。
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引用次数: 0
Recommendations for Integrating Anti-Racist and Inclusive Pedagogy Strategies into Doctoral Teaching Training in Public Health 将反种族主义和包容性教学法战略纳入公共卫生博士教学培训的建议
IF 1.1 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2024-07-23 DOI: 10.1177/23733799241263000
Elizabeth Reisinger Walker, Sarita Pathak, Dawn L. Comeau
Greater use of antiracist and inclusive pedagogy is necessary to address racism in public health education. To effectively prepare the next generation of public health faculty who can support diverse cohorts of students in developing the skills needed to promote health equity, such pedagogies must be integrated into doctoral teaching training. Based on our experiences as co-instructors and student of a doctoral-level course on teaching public health, we offer recommendations for integrating antiracist and inclusive pedagogies into doctoral teaching training. First, integrating student voices, such as letters to academic institutions demanding changes to address institutional racism, can prompt reflection and discussion on how doctoral students’ teaching can contribute to antiracist work. Second, pedagogy courses offer the opportunity to model inclusive teaching strategies that value the participation and perspectives of all students. Third, mentored teaching experiences provide doctoral students opportunities to meaningfully engage in course preparation and delivery, including reflexive consideration of positionality in the context of the course. Fourth, instructors and doctoral students must engage in ongoing and collaborative learning, reflection, discovery, and accountability. We encourage public health programs to assess how antiracist and inclusive pedagogies fit into doctoral teaching training and implement further steps to better prepare future faculty to become antiracist educators.
要解决公共卫生教育中的种族主义问题,就必须更多地使用反种族主义和包容性教学法。为了有效培养下一代公共卫生教师,使他们能够支持不同群体的学生发展促进健康公平所需的技能,必须将此类教学法纳入博士教学培训中。根据我们作为公共卫生教学博士课程的共同导师和学生的经验,我们提出了将反种族主义和包容性教学法融入博士教学培训的建议。首先,整合学生的声音,如致信学术机构,要求改变体制,解决体制性种族主义问题,可以促使博士生反思和讨论教学如何为反种族主义工作做出贡献。其次,教学法课程为示范重视所有学生的参与和观点的包容性教学策略提供了机会。第三,指导性教学经验为博士生提供了有意义地参与课程准备和讲授的机会,包括在课程背景下对立场的反思性考虑。第四,指导教师和博士生必须进行持续的合作学习、反思、探索和问责。我们鼓励公共卫生项目评估反种族主义和包容性教学法如何融入博士教学培训,并采取进一步措施,更好地培养未来的教师成为反种族主义教育者。
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引用次数: 0
Navigating the Online Classroom: Developing Online Teaching Skills in Graduate Public Health & Health Professions Education 驾驭在线课堂:在公共卫生和卫生专业研究生教育中发展在线教学技能
IF 1.5 Pub Date : 2024-06-08 DOI: 10.1177/23733799241258441
Analisa McMillan, Nicole Kolm-Valdivia, Kendra Schmid, Tanya Custer, Christine Arcari
The absence of targeted online teaching development opportunities in graduate education may hamper faculty readiness to ensure engagement, learning, and student success in the online learning environment. Faculty are often hired for their subject matter expertise rather than their proficiency in teaching online. Student and faculty success in the online environment requires foundational teaching knowledge and an understanding of the differences between traditional and online teaching. A 4-week asynchronous course was designed to mirror a real-world online course aimed at educating educators. The course consisted of foundational learning theories and practices, curriculum and course design, engagement and presence, and course delivery methods. The course was offered 10 times over 3 years and completed by 258 public health and health profession faculty, teaching and postdoctoral staff, and doctoral students. End-of-course evaluations indicated that participants found it valuable to be in an online course in the student role and felt more prepared to teach online. The teaching online professional development course has highlighted the importance of new or continuing faculty development in asynchronous learning.
研究生教育中缺乏有针对性的在线教学发展机会,这可能会妨碍教师为确保在线学习环境中的参与、学习和学生的成功做好准备。聘用教师往往看重的是他们的学科专业知识,而不是他们在线教学的熟练程度。学生和教师要想在在线环境中取得成功,就必须具备基础教学知识,并了解传统教学与在线教学之间的差异。我们设计了一门为期 4 周的异步课程,以反映真实世界中以教育工作者为目标的在线课程。课程内容包括基础学习理论与实践、课程与课程设计、参与度与存在感以及课程讲授方法。该课程在 3 年内开设了 10 次,共有 258 名公共卫生和卫生专业教师、教学人员、博士后和博士生完成了学习。课程结束后的评估表明,学员们认为以学生的身份参与在线课程很有价值,并感觉为在线教学做好了更充分的准备。在线教学专业发展课程强调了新教师或继续教师在异步学习中发展的重要性。
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引用次数: 0
Training Health Professional Students as Social Risk Advocates 将卫生专业学生培养成社会风险倡导者
IF 1.5 Pub Date : 2024-06-04 DOI: 10.1177/23733799241258448
Jennifer D Taylor, Danielle Bruno
Recognizing the intersection of cultural competency and social determinants of health is a pivotal aspect of enhancing health outcomes. In this retrospective cohort study, we sought to assess the influence of a 2-year leadership program on participants’ knowledge and self-confidence in utilizing social risk-targeted care to advocate for individual health and well-being. From 2018 to 2022, 318 health profession students completed the comprehensive 2-year program, and completed the program evaluation, which gauged the program’s impact on their knowledge and confidence to utilize social risk advocacy for those they serve. The data analysis revealed a statistically significant positive change between the pre-test and post-test phases regarding students’ self-reported comprehension of how an individual’s culture or background can impact their overall health and healthcare choices. There was a notable improvement in self-efficacy related to catering to the unique needs of individuals in rural and underserved settings as well as an increased intent to practice in underserved communities. The findings underscore the affirmative influence of affording students the opportunity to engage in tailored didactic training and community-based learning designed to cultivate the self-confidence necessary to advocate for health equity within their communities.
认识到文化能力与健康的社会决定因素之间的交叉点是提高健康成果的一个关键方面。在这项回顾性队列研究中,我们试图评估为期两年的领导力课程对参与者利用社会风险定向护理倡导个人健康和福祉的知识和自信心的影响。从2018年到2022年,共有318名卫生专业学生完成了为期2年的综合课程,并完成了课程评估,评估了该课程对他们利用社会风险宣传为服务对象提供服务的知识和信心的影响。数据分析显示,在学生自我报告对个人文化或背景如何影响其整体健康和医疗保健选择的理解方面,前测阶段和后测阶段之间出现了统计学意义上的显著积极变化。在满足农村和服务不足地区个人的独特需求方面,学生的自我效能感明显提高,在服务不足社区执业的意愿也有所增强。这些发现强调了为学生提供机会,让他们参与有针对性的教学培训和社区学习,以培养他们在社区内倡导健康公平所需的自信心所产生的积极影响。
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引用次数: 0
The National Health and Nutrition Examination Survey as a Tool to Teach Data Analysis to Public Health Students 将全国健康与营养状况调查作为向公共卫生专业学生教授数据分析的工具
IF 1.5 Pub Date : 2024-06-01 DOI: 10.1177/23733799241234870
Virginia G. Briggs
Graduates of Master of Public Health programs may lack appropriate skills in data analysis, and would benefit from practice with research data. Datasets that contain health information relevant to student interests, and that are appropriate sizes for class use can be difficult to locate. The National Health and Nutrition Examination Survey is a study that collects both survey and health examination information from a national sample every 2 years. I present a sample of this dataset, with examples of how to use it for human health related questions. Instructions for how to access and create additional, customized datasets are also provided. Instructors may consider investigating this rich data source and providing students with subsets of these data for class assignments, projects and master’s theses.
公共卫生硕士课程的毕业生可能缺乏适当的数据分析技能,如果能在研究数据方面进行练习,他们将受益匪浅。很难找到包含与学生兴趣相关的健康信息,且规模适合课堂使用的数据集。全国健康与营养调查是一项每两年从全国样本中收集调查和健康检查信息的研究。我将介绍该数据集的一个样本,并举例说明如何将其用于人类健康相关的问题。此外,还提供了如何访问和创建其他定制数据集的说明。教师可以考虑研究这一丰富的数据源,并为学生提供这些数据的子集,用于课堂作业、项目和硕士论文。
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引用次数: 0
Professional Identity Formation Strategies in Undergraduate Public Health Programs 公共卫生本科课程中的专业身份形成策略
IF 1.5 Pub Date : 2024-05-21 DOI: 10.1177/23733799241254065
Rolena Stephenson, Carol Cox
A strong professional identity (PI), seeing oneself as a member of a professional community of practice, is important for student academic and motivational outcomes during transition from college to the work setting. Many educational strategies have been successfully used in medical and other health professions education to support student PI formation. The purpose of this study was to determine the scope and sequence of pedagogical and extra-curricular strategies used by undergraduate public health programs to support student PI formation. An online survey was created and distributed to public health program chairs/directors from all CEPH-accredited undergraduate United States public health programs. Results generally confirmed that the PI formation strategies of curricular training, work-integrated learning, and role-modeling were being implemented in respondents’ accredited undergraduate programs. However, some areas for improvement in offerings and their sequencing were identified. It is recommended that all PI formation strategies be introduced early in the program and constantly emphasized and reinforced so students continually view themselves as part of a professional community of practice. Analysis of the types and timing of PI formation strategies can provide insight on focus areas for improvements that may impact public health student academic achievement, satisfaction, and retention in the program.
强烈的职业认同感(PI),即把自己视为专业实践社区的一员,对于学生从大学过渡到工作环境期间的学业和动力成果非常重要。许多教育策略已成功应用于医学和其他健康专业教育,以支持学生形成职业认同。本研究的目的是确定本科公共卫生课程使用的教学和课外策略的范围和顺序,以支持学生 PI 的形成。我们制作了一份在线调查问卷,并分发给美国所有经 CEPH 认证的本科公共卫生项目的公共卫生项目主席/主任。结果普遍证实,在受访者认可的本科项目中,正在实施课程培训、工作一体化学习和榜样示范等 PI 培养策略。不过,也发现了一些在课程设置及其排序方面有待改进的地方。建议在课程初期引入所有 PI 培养策略,并不断强调和强化,使学生不断将自己视为专业实践社区的一分子。通过分析 PI 培养策略的类型和时间安排,可以深入了解需要改进的重点领域,这些领域可能会影响公共卫生学生的学业成绩、满意度和在课程中的保留率。
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引用次数: 0
Celebrating 10 Years of Pedagogy in Health Promotion: An Invitation to Advance the Field of Community Engagement and Service-Learning 庆祝健康促进教学法 10 周年:推进社区参与和服务学习领域的邀请函
IF 1.5 Pub Date : 2024-05-15 DOI: 10.1177/23733799241247153
Amy S. Hedman-Robertson
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引用次数: 0
Pedagogy in Health Promotion: The Scholarship of Teaching & Learning 2023 Paper of the Year Award 健康促进中的教学法:2023 年度教学学术论文奖
IF 1.5 Pub Date : 2024-05-15 DOI: 10.1177/23733799241253331
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引用次数: 0
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Pedagogy in Health Promotion
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