4 Providing the optimal resident education experience during family centered rounds

4 Figure 1Needs assesment: faculty and resident perceived barriers to education on FCR prior to QI project initiation[Figure omitted. See PDF]ResultsResidents who perceive FCR as a positive educational experience improved from 20% to 75% (N=8, 6) (figure 2). Patients receiving FCR remained above 80% (N=267, 178, 209). 100% (N=14) of families understood their care plans and remained satisfied with the amount of information presented (figures 3 and 4). Unfortunately, rounds frequently exceeded the allotted time, increasing from 37% to 50% (N=7, 6, 10) (figure 5).Abstract 4 Figure 2Outcome measure: resident perception of FCR educational experience[Figure omitted. See PDF]Abstract 4 Figure 3Balancing measure: parental comprehension of diagnosis, plan, and discharge criteria[Figure omitted. See PDF]Abstract 4 Figure 4Balancing measure: parental satisfication with FCR elements: number of people in the patient’s room (during the COVID-19 pandemic) and the amount of information shared during FCR[Figure omitted. See PDF]Abstract 4 Figure 5Balancing measure: percentage of hospitalist rounds exceeding allotted time[Figure omitted. See PDF]ConclusionsHybridization of FCR to include formal presentations resulted in 55% more residents agreeing that FCR provided the best educational experience, while preserving family satisfaction and comprehension. Results may be generalizable to similarly sized residency programs. Future interventions will target barriers and negatively impacted educational activities identified upon re-evaluation of the new FCR structure.

The effects of COVID-19 on the health and socio-economic security of sex workers in Nairobi, Kenya: Emerging intersections with HIV.

The COVID-19 pandemic, and its attendant responses, has led to massive health, social, and economic challenges on a global scale. While, so far, having a relatively low burden of COVID-19 infection, it is the response in lower- and middle- income countries that has had particularly dire consequences for impoverished populations such as sex workers, many of whom rely on regular income in the informal economic sector to survive. This commentary captures the challenges in Kenya posed by daily curfews and lost economic income, coupled with further changes to sex work that increase potential exposure to infection, stigmatisation, violence, and various health concerns. It also highlights the ways in which communities and programmes have demonstrated resourcefulness in responding to this unprecedented disruption in order to emerge healthy when COVID-19, and the measures to contain it, subside.