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"learning communities "

Valerie A Noel, Gary R Bond, Robert E Drake, Deborah R Becker, Gregory J McHugo, Sarah J Swanson, Alison E Luciano, Mary Ann Greene
Large-scale initiatives to expand evidence-based practices are often poorly implemented and rarely endure. The purpose of this study was to identify the perceived barriers and facilitators to sustainment of an evidence-based supported employment program, Individual Placement and Support (IPS). Within a 2-year prospective study of sustainment among 129 IPS programs in 13 states participating in a national learning community, we interviewed IPS team leaders and coded their responses to semi-structured interviews using a conceptual framework adapted from another large-scale implementation study...
November 28, 2016: Administration and Policy in Mental Health
Paul Haidet, Michael Picchioni
Jazz cats use the term 'woodshedding' to denote a period of intense practice during which they aim to take their playing up a few notches. Developing expertise, whether we are speaking musically or talking about communicating with patients, requires a lifelong commitment to such practice. For physicians, the woodshed is not a practice room or an isolated space. No: clinical environments are the woodsheds; they are the only places in which one can hone communication skills. The idea of 'shedding' in the setting of routine practice challenges prevailing notions about communication skills training and has implications for how such skills should be learned, nurtured and assessed...
December 2016: Medical Education
G R Bond, R E Drake
American researchers have led the world in developing, evaluating, and disseminating evidence-based psychiatric rehabilitation practices for people with serious mental illness. Paradoxically, however, the USA lags behind most industrialized nations in providing access to high-quality mental health and psychiatric services. This essay examines several evidence-based practices developed in the USA, the spread of these practices, the barriers to ensuring availability to people who could benefit from these services, and some promising directions for overcoming the barriers...
November 21, 2016: Epidemiology and Psychiatric Sciences
Eve Privman Champaloux, Meg G Keeley
BACKGROUND: Medical students at the University of Virginia (UVA) are mentored and learn within the framework of a four college learning community. Uniquely, these learning communities are used to organize the third-year clerkship rotations. METHODS: Students were surveyed after their first pre-clinical year and after their clerkship year to determine what the effect of the learning community was on their social and educational interpersonal relationships. RESULTS: Students knew a higher percentage of their college mates after completing their third-year clerkships within the framework of the college system...
2016: Medical Education Online
Gary R Bond, Annalee V Johnson-Kwochka, Deborah R Becker, Robert E Drake, Mary Ann Greene
State leaders often promote implementation of evidence-based practices but have difficulty sustaining and expanding them over time. This paper examines the activities of leaders in 13 states that have successfully implemented, sustained, and expanded evidence-based supported employment, known as Individual Placement and Support (IPS), for 4 to 12 years. We interviewed state leaders from 13 states participating in a learning community regarding the composition of their leadership team, participation in the learning community, interagency collaboration, state policy alignment, financing, training, and monitoring of fidelity and outcome...
November 1, 2016: Administration and Policy in Mental Health
Brent C Pottenger, Richard O Davis, Joanne Miller, Lisa Allen, Melinda Sawyer, Peter J Pronovost
OBJECTIVE: To determine whether Comprehensive Unit-based Safety Program (CUSP) teams could be used to enhance patient experience by improving care transitions and discharge processes in a 318-bed community hospital. METHODS: In 2015, CUSP teams produced feasible solutions by participating in a design-thinking initiative, coupled with performance improvement tools involving data analytics and peer-learning communities. Teams completed a 90-day sprint challenge, involving weekly meetings, monthly department leader meetings, and progress trackers...
October 2016: Quality Management in Health Care
Rusudan Kilaberia, Edward Ratner
Gerontology education programs that combine elements of experiential service-learning, community participation, and residential immersion have been emerging in the United States and internationally. Combining fieldwork, interviews, and immersion methods, this study draws on qualitative ethnographic and phenomenologic design, whereby a student lived in senior housing for 3.5 years. The study is among the longest and most intensive gerontological field experiences ever reported. It is based on more than 2,000 hours of observations and conversational interviews with 14 residents...
September 16, 2016: Gerontology & Geriatrics Education
Shien Chue
No abstract text is available yet for this article.
September 7, 2016: Medical Teacher
Bevin Croft, Kaipeng Wang, Benjamin Cichocki, Anne Weaver, Kevin Mahoney
Self-direction has emerged worldwide as a promising practice for persons with serious mental health conditions and as a means toward creating more person-centered service systems. In self-direction, service users control an individualized budget, purchasing goods or services that can help them achieve personal recovery goals. This Open Forum describes an international learning exchange meeting, held in September 2015, in which experts in self-direction and mental health from seven nations convened for sharing best practices, discussing challenges, and laying the groundwork for a learning community to support the continued development of self-direction...
August 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
Björg Pálsdóttir, Jean Barry, Andreia Bruno, Hugh Barr, Amy Clithero, Nadia Cobb, Jan De Maeseneer, Elsie Kiguli-Malwadde, André-Jacques Neusy, Scott Reeves, Roger Strasser, Paul Worley
Across the globe, a "fit for purpose" health professional workforce is needed to meet health needs and challenges while capitalizing on existing resources and strengths of communities. However, the socio-economic impact of educating and deploying a fit for purpose health workforce can be challenging to evaluate. In this paper, we provide a brief overview of six promising strategies and interventions that provide context-relevant health professional education within the health system. The strategies focused on in the paper are:1...
2016: Human Resources for Health
Daniyar Bakir, Alex Pappachen James, Amin Zollanvari
MOTIVATION: The biomarker discovery process in high-throughput genomic profiles has presented the statistical learning community with a challenging problem, namely learning when the number of variables is comparable or exceeding the sample size. In these settings, many classical techniques including linear discriminant analysis (LDA) falter. Poor performance of LDA is attributed to the ill-conditioned nature of sample covariance matrix when the dimension and sample size are comparable...
November 15, 2016: Bioinformatics
An-An Liu, Ning Xu, Wei-Zhi Nie, Yu-Ting Su, Yongkang Wong, Mohan Kankanhalli
Human action recognition is an active research area in both computer vision and machine learning communities. In the past decades, the machine learning problem has evolved from conventional single-view learning problem, to cross-view learning, cross-domain learning and multitask learning, where a large number of algorithms have been proposed in the literature. Despite having large number of action recognition datasets, most of them are designed for a subset of the four learning problems, where the comparisons between algorithms can further limited by variances within datasets, experimental configurations, and other factors...
July 18, 2016: IEEE Transactions on Cybernetics
Mary-Jon Ludy, Amy L Morgan
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
Elizabeth G Baxley, Luan Lawson, Herbert G Garrison, Danielle Walsh, Suzanne Lazorick, Donna Lake, Jason Higginson
PROBLEM: Although efforts to integrate health systems science (HSS) topics, such as patient safety, quality improvement (QI), interprofessionalism, and population health, into health professions curricula are increasing, the rate of change has been slow. APPROACH: The Teachers of Quality Academy (TQA), Brody School of Medicine at East Carolina University, was established in January 2014 with the dual goal of preparing faculty to lead frontline clinical transformation while becoming proficient in the pedagogy and curriculum design necessary to prepare students in HSS competencies...
June 21, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Paula M Procter, Juliana J Brixey, Michelle L L Honey, Fern Todhunter
The authors have all engaged in using social media with students as a means for collaboration across national and international boundaries for various educational purposes. Following the explosion of big data in health the authors are now moving this concept forward within undergraduate and postgraduate nursing curricula for the development of population health virtual exchanges. Nursing has a global presence and yet it appears as though students have little knowledge of the health and social care needs and provision outside their local environment...
2016: Studies in Health Technology and Informatics
Anam Ali
Medical students use Facebook to interact with one another both socially and educationally. This study investigates how medical students in a UK medical school use Facebook to support their learning. In particular, it identifies the nature of their educational activities, and details their experiences of using an educational Facebook group. Twenty-four medical students who self-identified as being Facebook users were invited to focus groups to attain a general overview of Facebook use within an educational context...
June 2016: Perspectives on Medical Education
Emily R Elliott, Robert D Reason, Clark R Coffman, Eric J Gangloff, Jeffrey R Raker, Jo Anne Powell-Coffman, Craig A Ogilvie
Undergraduate introductory biology courses are changing based on our growing understanding of how students learn and rapid scientific advancement in the biological sciences. At Iowa State University, faculty instructors are transforming a second-semester large-enrollment introductory biology course to include active learning within the lecture setting. To support this change, we set up a faculty learning community (FLC) in which instructors develop new pedagogies, adapt active-learning strategies to large courses, discuss challenges and progress, critique and revise classroom interventions, and share materials...
2016: CBE Life Sciences Education
Amy D DiVasta, Emily K Trudell, Mary Francis, Glenn Focht, Farah Jooma, Louis Vernacchio, Sara F Forman
BACKGROUND AND OBJECTIVE: Chlamydia trachomatis infections are common among sexually active young women. We developed a practice-based quality improvement (QI) collaborative to increase Chlamydia screening in at-risk young women. METHODS: Structured data fields were integrated into the electronic record for practices affiliated with Boston Children's Hospital. A learning community (LC) was developed. Content included the adolescent well visit, assessment of sexual/risk behaviors, epidemiology of sexually transmitted diseases, and screening methods...
May 2016: Pediatrics
Loran Carleton Parker, Alyssa M Gleichsner, Omolola A Adedokun, James Forney
Transformation of research in all biological fields necessitates the design, analysis and, interpretation of large data sets. Preparing students with the requisite skills in experimental design, statistical analysis, and interpretation, and mathematical reasoning will require both curricular reform and faculty who are willing and able to integrate mathematical and statistical concepts into their life science courses. A new Faculty Learning Community (FLC) was constituted each year for four years to assist in the transformation of the life sciences curriculum and faculty at a large, Midwestern research university...
November 12, 2016: Biochemistry and Molecular Biology Education
Yong-Ping Zhao
Recently, extreme learning machine (ELM) has become a popular topic in machine learning community. By replacing the so-called ELM feature mappings with the nonlinear mappings induced by kernel functions, two kernel ELMs, i.e., P-KELM and D-KELM, are obtained from primal and dual perspectives, respectively. Unfortunately, both P-KELM and D-KELM possess the dense solutions in direct proportion to the number of training data. To this end, a constructive algorithm for P-KELM (CCP-KELM) is first proposed by virtue of Cholesky factorization, in which the training data incurring the largest reductions on the objective function are recruited as significant vectors...
August 2016: Neural Networks: the Official Journal of the International Neural Network Society
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