Faculty Perceptions of Health Professional Students' Hybrid-Online Learning Strategies: A Multi-Center Qualitative Study

Purpose: The COVID-19 pandemic accelerated the utilization of hybrid-online and fully-online instruction in health professional education. Physical (PT) and occupational therapy (OT) programs have become increasingly reliant upon this mode of instruction. Therefore, it is important to understand advising strategies for this educational environment. Faculty advisors may endorse specific learning strategies over others. However, advising strategies of faculty are not well represented in the scientific literature. Methods: A qualitative phenomenological design used a six-item, open-ended questionnaire to purposefully survey faculty members teaching and advising students in hybrid-online PT and OT graduate programs during COVID-19. Dedoose® v.9.4 qualitative software (Los Angeles, CA;2021) was used to perform coding and thematic analysis. Three investigators performed data analysis to reach consensus on the organization of emerging codes and themes. Results: A sample of N = 36 participants was collected from three states: Florida 14 (38.9%);Texas 12 (33.3%);California 10 (27.8%). Total N (%) of PT and OT faculty enrolled were 26 (72%) and 10 (28%), respectively. Years teaching in hybridonline programs N (%) was: 1e4 years 20 (55.6%);5e9 years 8 (22.2%);10e14 years 5 (13.9%);15þ years 4 (11.1%). Thematic analysis revealed three major themes: Self-regulated Behaviors, Student Engagement, and Studying Strategies. Self-regulated Behaviors and Student Engagement were most prevalent among participant narratives. Coded responses such as " ‘time management', ‘preparedness', ‘chunking study time', ‘daily engagement with learning material', ‘work/ life balance', and ‘peer-to-peer teaching'” were positively associated with perceived student success. Conversely, "'procrastination/cramming', ‘poor work ethic', ‘lack of engagement', ‘lack of preparedness', and ‘rote memorization'” were negatively associated with perceived student success. Discussion: This study identified faculty perceptions of student strategies for success in hybrid-online health professional learning. The self-regulated behaviors of time management, preparedness, work/life balance, and the engagement behaviors of daily engagement with course materials, content application, class participation, and peer collaboration strongly emerged. These findings may help guide novice faculty advisors as hybrid-online instruction becomes more frequently leveraged across health professional education programs. © 2023 Association of Medical Education in the Eastern Mediterranean Region (AMEEMR).

Leaks in the Workforce Pipeline: Understanding Barriers to Pursuing Mental Health Careers among Undergraduate Psychology Students

Background Mental health workforce capacity has faced significant challenges which have only been exacerbated by COVID-19. Undergraduate students provide a robust entry point of a workforce pipeline, but many do not end up in mental health careers despite high levels of interest in this area. Objective The purpose of this study was to identify career barriers and related factors that might explain why few students enter the mental health workforce. Method We surveyed undergraduate psychology majors (N = 230) from a large university about their career interests, career perceptions, vocational identity, perceived barriers, and post-graduation plans. Results About half of participants were interested in a mental health career but endorsed high levels of barriers, most of which are financial. Vocational identity predicted plans to attend graduate school after controlling for covariates. Conclusion Despite strong interest in mental health careers, students perceive significant barriers, and only those with the strongest identification with this career are likely to overcome these barriers. Teaching Implications: Psychology faculty can help to address gaps in career knowledge and better support students being well-versed in regional issues and career-related information, such as loan repayment programs.

Medical student advising during virtual residency recruitment: results of a national survey of internal medicine clerkship and sub-internship directors

INTRODUCTION: The residency application process is a critical time for medical students. The COVID-19 pandemic prompted changes to the residency recruitment procedures with the conversion of interviews to a virtual format. For medical school advisors guiding students on an all-virtual residency application process brought uncertainty to their advising practices. Thus, this study aimed to identify advising practices during the 2021 virtual application cycle. METHODS: We administered an IRB-exempt national survey through the Clerkship Directors in Internal Medicine to 186 internal medicine core/co-/associate/assistant clerkship directors and sub-internship directors representing 140 Liaison Committee on Medical Education-accredited U.S./U.S.-territory-based medical schools in spring 2021. The 23-question survey was designed and pilot-tested by faculty-educators and leaders with expertise in undergraduate medical education. Data analysis included paired t- and z-tests and thematic analysis of open-ended questions. RESULTS: The institutional response rate was 67% (93/140) and individual rate 55% (103/186). Half of the respondents felt prepared/very prepared (40% and 13% respectively) for their advising roles. Compared to pre-pandemic cycles, respondents advised a typical student in the middle-third of their class at their institution to apply to more residency programs (mean 24 programs vs 20, p < 0.001) and accept more interviews (mean 14 interviews vs 12, p < 0.001). Sixty-three percent (64/101) of respondents spent more time on student advising;51% (51/101) reported more students asked them for informal advice. Fifty-nine percent (60/101) of respondents reported their advisees were able to assess a residency program 'somewhat well;' 31% (31/101) expressed that residency recruitment should remain entirely virtual in the future. CONCLUSION: The transition to virtual residency recruitment due to COVID-19 prompted advising practices that may have contributed to application inflation and increased advising workload. Future studies should explore longitudinal outcomes of virtual interviews on student success to guide best practices in how to advise students during residency recruitment.

Medical student experiences of applying into emergency medicine during the COVID-19 pandemic: A multi-institutional survey of emergency medicine-bound medical students.

Background: The COVID-19 pandemic added new and great uncertainty to the typical approach to applying into emergency medicine (EM) for medical students. There are little data on students' lived experience of applying during this time period. We performed a multi-institutional survey of EM-bound students' experiences with preparing to apply into EM during the pandemic. Methods: This was a cross-sectional survey design study of fourth-year students preparing to apply into EM during the 2020-2021 academic year. All self-identified EM-bound students at four participating institutions were recruited by email in June 2020 to participate in a 13-item, 5-point Likert-scale survey. Univariate descriptive statistics, response rate, and nonresponse bias were calculated. Results: Sixty-seven of 125 eligible students responded for an overall response rate of 53.6%. Nonresponse bias for specific survey items ranged from 0.01 to 0.12. Students rated the importance of securing an EM rotation at their home institution the highest of any item (mean ± SD = 4.81 ± 0.68). Students indicated higher satisfaction with advice from their department of EM (mean ± SD = 4.28 ± 0.75) than from their school of medicine (mean ± SD = 3.52 ± 0.89). Students indicated higher confidence in their home EM rotations' ability to assure adequate personal protective equipment (PPE; mean ± SD = 3.91 ± 0.83) than an away rotation (mean ± SD = 2.82, 1.09). Students reported feeling between moderately and quite stressed about applying into EM this year (mean ± SD = 3.49 ± 1.01), but reported the financial stress the lowest of any item (mean ± SD = 1.46 ± 0.84). Students rated it highly important that away rotations prioritize students from institutions without an EM residency (mean ± SD = 4.51 ± 0.93). Conclusion: Medical students applying into EM during the COVID-19 pandemic felt confident in their EM advisors' recommendations and their home institution's PPE provision. Students with EM residency programs at their schools recognized the importance of away rotations being prioritized for students from schools without EM residency programs. Strong EM advising is important to students.

AAIM Recommendations for the 2020-2021 Internal Medicine Residency Application Cycle in Response to the COVID-19 Pandemic.

This statement was released in June 2020 by the Alliance for Academic Internal Medicine to provide guidance for the 2020-2021 residency application cycle in light of the COVID-19 pandemic. While many of the recommendations are specific to this cycle, others, such as the Department Summary Letter of Evaluation, are meant to be an enduring change to the internal medicine residency application process. AAIM realizes that some schools may not yet have the tools or resources to implement the template fully this cycle and look toward collaboration within the internal medicine education community to facilitate adoption in the cycles to come.