Browsing by keyword "Professional Role"

Now showing items 1-5 of 5

    • Applying the community health worker model to diabetes management: using mixed methods to assess implementation and effectiveness
      Cherrington, Andrea; Ayala, Guadalupe X.; Amick, Halle; Scarinci, Isabel; Allison, Jeroan J.; Corbie-Smith, Giselle (2008-11-26)
      INTRODUCTION: The community health worker (CHW) model is a popular method for reaching vulnerable populations with diabetes. This study assessed implementation and effectiveness of the model within diabetes programs. METHODS: Four databases were searched to identify diabetes programs implementing the CHW model. Corresponding articles were reviewed and semi-structured interviews were conducted with directors of each program. RESULTS: Eight studies met inclusion criteria for review and their program managers were interviewed. Five CHW roles were identified: educator, case manager, role model, program facilitator, and advocate. Roles, responsibilities and training varied greatly across programs. Selected outcomes also varied, ranging from physiologic measures, to health behaviors, to measures of health care utilization and cost. CONCLUSIONS: Research regarding application of the community health worker model in diabetes management is limited and consensus regarding the scope of the CHW's role is lacking. Future studies should rigorously examine how best to integrate this promising model into chronic disease management.

    • Assessing Professionalism Using the Objective Structured Clinical Exam
      Purwono, Urip; Carlin, Michele M.; Barrett, Susan V.; Alper, Eric J.; Gammon, Wendy L.; Pugnaire, Michele P. (2003-11-01)
      The Objective Structured Clinical Exam (OSCE) is widely used as an assessment tool. Traditionally, the OSCE measures history taking, physical exam, and interview skills. More recently, the OSCE has also been utilized to assess professionalism. Because episodes of unprofessional behavior are situational and therefore difficult to track, a case was designed to present a special challenge that might identify shortfalls in professionalism. A scale was also developed to measure this behavior in each OSCE encounter. The purpose of this study was to determine whether professionalism could be adequately assessed by using common OSCE cases or whether a designated case with a specific formal component is needed. Presented at the AAMC (Association of American Colleges) Annual Meeting, RIME (Research in Medical Education) Program, November 2003.

    • Measuring Unprofessional Behavior During an 8-Station OSCE
      Zanetti, Mary L.; McGee, Sarah M.; Carlin, Michele M.; Sefton, Laura A.; Gammon, Wendy L.; Alper, Eric J.; Pugnaire, Michele P. (2006-11-01)
      Standardized patients (SPs) are widely used in medical education but their use to assess professionalism is limited. This study investigated the utility of SPs assessing unprofessional behavior during an annual end of third year Objective Structured Clinical Examination (OSCE). Presented at the AAMC (Association of American Colleges) Annual Meeting, RIME (Research in Medical Education) Program, November 2006.

    • The Roles of Health Professionals in Postconflict Situations
      Sirkin, Susannah; Cali, Susanna Facci; Keough, Mary Ellen (2008-01-01)

    • Using a Targeted OSCE Station to Measure Unprofessional Behavior
      Zanetti, Mary L.; Alper, Eric J.; Gammon, Wendy L.; Mazor, Kathleen M.; Hatem, David S.; McGee, Sarah M.; Pugnaire, Michele P. (2006-01-01)
      Standardized patients are widely used in medical education but their use to assess professionalism is limited. With grant support from the Edward J. Stemmler, MD Medical Education Research Fund (“Stemmler Fund”) of the National Board of Medical Examiners (NBME), the usefulness of standardized patients (SPs) in the assessment of professional behavior was investigated. A targeted professionalism OSCE station featuring a values conflict was written. A professionalism instrument was developed and subsequently revised during the course of the study, with the final version containing various components of American Board of Internal Medicine (ABIM) core set of eight professionalism attributes and several other scales in recent medical research. Presented at the Ottawa Conference, 2006.