Perceptions of Cheating Among Students of Health Professions.

For many decades, academic cheating has been prevalent across many institutions and majors. This problem has been exacerbated by new technology that has increased opportunities for students to access and use information dishonestly. There is fear amongst faculty that dishonesty in the academic world could negatively impact professionals in their future careers. The greater prevalence of cheating may be related to students misunderstanding what constitutes cheating. To better understand students' perceptions of cheating, a group of faculty surveyed students across 11 academic programs at a college of health professions using a slightly modified version of a validated tool via an online platform. Data about cheating perceptions were collected from more than 400 students. Although most respondents agreed that cheating is wrong, some were open to explanations of innocence related to possible cheating scenarios. Also, most respondents did not agree that a person who cheats is an unethical person. These findings suggest that students believe cheating can occur unintentionally. Although the findings support that more education about academic dishonesty would be valuable, this study can inform efforts to develop more targeted education and interventions to reduce cheating behaviors.

Holistic Admissions: Strategies for Increasing Student Diversity in Occupational Therapy, Physical Therapy, and Physician Assistant Studies Programs.

To meet the healthcare needs of diverse populations, universities must implement strategies to recruit health professions students who are racially, ethnically, and culturally similar to the communities they serve. One strategy to increase diversity in the health professions is to implement a holistic admissions process. Inspired by the successful use of holistic admission practices in the College of Medicine at the Medical University of South Carolina, occupational therapy, physical therapy, and physician assistant studies programs implemented holistic reviews in their admissions processes. Although each program developed a different strategy, all were successful in increasing the percentage of diverse students in their respective programs. This paper describes the holistic admissions practices and outcomes and other lessons learned in the effort to achieve our goal of greater student diversity. These lessons included the need to increase the total number of applicants using centralized application services, develop mentoring programs to assist applicants with navigating the requirements for our programs and the admissions process, and provide more scholarship opportunities.

Telemedicine in an international context: definition, use, and future.

PURPOSE: Use of telemedicine is increasingly prevalent in order to provide better access to expert care, and we examine telemedicine use internationally. DESIGN/METHODOLOGY: Using Donabedian's structure, process outcome framework, we conduct an analysis of published studies in the United States, Europe, and Asia to examine the uses, conditions treated, barriers, and future of telemedicine. FINDINGS: We identify several similarities and challenges to telemedicine use in each region. We find use of videoconferencing between providers or providers and patients for the treatment of acute and chronic conditions. Studies in the United States are more likely to identify applications for the use of chronic conditions, whereas studies in Europe or Asia are more likely to use them for acute access to expertise. Each region reported comparable challenges in reimbursement, liability, technology, and provider licensing. RESEARCH LIMITATIONS: We compare available research articles from three diverse regions, and many of the articles were merely descriptive in nature. Furthermore, the number of articles per region varied. PRACTICAL IMPLICATIONS: Barriers to telemedicine use include a lack of reimbursement, language commonality, technological availability, physician licensure or credentialing, trained support staff and patient privacy, and security assurances. Practitioners and policy makers should work to address these barriers. ORIGINALITY/VALUE: Through this work, a summary of the research to date describes telemedicine use in the United States, Asia, and Europe. Identification of use and barriers may provide impetus for improving access to care by finding ways to increase telemedicine use through standardization.

Comparison of the quality and timeliness of vital signs data using three different data-entry devices.

It is important to evaluate the impact of clinical information systems on the quality and timeliness of documentation in the patient's record to ensure the systems are improving clinical care processes and providing value to the organization. An observational study was conducted to measure the accuracy and timeliness of vital signs data during three different stages of clinical documentation system implementation at a large academic medical center: (1) a paper medical record system, (2) a clinical documentation system with "computers on wheels" workstation outside the patient's room, and (3) a clinical documentation system with a Tablet PC affixed to the vital signs monitor. Patient observations (n = 270) were completed as patient care technicians made routine vital sign rounds. Equipping patient care technicians with a Tablet PC affixed to the vital signs monitor significantly improved (P < .05) the accuracy and timeliness of vital signs. In addition, a number of unintended consequences were discovered that proved helpful to the nurse managers and nursing informatics leadership team in providing support of the new system. Findings from this study emphasize the importance of ensuring that staff has the appropriate devices needed to effectively document patient care at the bedside.

The Presidential Scholars Program at the Medical University of South Carolina: an extracurricular approach to interprofessional education.

The Medical University of South Carolina (MUSC) developed a Presidential Scholars Program (PSP) in order to foster interprofessional collaboration among students from the different health professions on campus. Now in its seventh year, the program provides approximately 40 selected students each year from six different colleges with a two-semester interprofessional educational experience. Students work in small interprofessional teams on a project designed to address a broad-based health care issue; they also participate in other structured educational sessions throughout the year. As one means for assessing student impressions of the interprofessional collaborative experience, a survey was administered prior to and immediately after the experience. Additionally, a sample of non-scholar MUSC students was randomly selected for completion of the survey as a control group. Results indicate that PSP students have a significantly greater understanding of each other and deeper appreciation of the value of interprofessional collaboration at the end of the year. The Presidential Scholars Program at MUSC provides a unique and innovative opportunity for students to work with individuals within other health care disciplines, reduces stereotypes of the various professions and teaches important team skills. Future research would involve alumni follow-up in order to further evaluate the long-term impact of the program.

Qualitative evaluation of South Carolina's Postpartum/Infant Home Visit program.

Many states have introduced home visitation programs to improve the health of mothers and newborn infants. In South Carolina, the Postpartum/Infant Home Visit (P/IHV) program seeks to provide all Medicaid-eligible mothers and infants with at least one home visit by a nurse or other qualified health professional. In the summer 2002, the authors conducted a cost-benefit analysis of the P/IHV program using both qualitative and quantitative methods. This article describes the qualitative methods and findings from the larger study. Focus groups were held with nurses who provide P/IHV visits to gain insight into the structure and functioning of the P/IHV program, to hear firsthand the nurses' experiences with the program, and to provide guidance in developing the empiric model for measuring cost-benefit. Analysis of the focus-group data suggests that what actually occurs during a home visit is fairly standardized. Nurses indicated that they were knowledgeable about community resources and services available to the families they serve. Referral processes were identified as an important factor in determining whether a mother receives a home visit. Overall, the nurses felt that the home visit program has had a positive impact on the health and well-being of the mothers and infants served.