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The Consensus Development Program. Detecting changes in medical practice following a consensus conference on the treatment of prostate cancer.

The treatment of prostate cancer was reviewed at a U.S. National Institutes of Health Consensus Development Conference in June 1987. Data from the U.S. National Cancer Institute's Surveillance, Epidemiology, and End Results tumor registries were analyzed and showed that the proportion of eligible prostate cancer patients receiving the recommended therapies did not increase at a faster rate after the conference than before.

Aged↗

Literature & medicine: humanities at the heart of health care: a hospital-based reading and discussion program developed by the maine humanities council.

Created by the Maine Humanities Council in 1997, Literature & Medicine: Humanities at the Heart of Health Care is a hospital-based humanities reading and discussion program for practicing health care professionals. To date, a total of 25 (65%) of Maine's hospitals have implemented the six-month program at least once, reaching over 900 participants. At the monthly meetings, participants discuss assigned readings-works of fiction, poetry, drama, and nonfiction that illuminate issues central to caring for people. Scholars selected to facilitate the discussion foster nonhierarchical, wide-ranging discussions of the texts. Participants connect the world of science with the world of lived experience and engage with humanistic perspectives and insights that help them do their work better. Literature & Medicine is unique in promoting statewide programs that involve a heterogeneous mix of veteran health care professionals. The program has been or will be implemented in seven other states, and organizers are exploring further expansion of the program through a national institute.

Allied Health Personnel↗

Evaluating "ED STAT!": a novel and effective faculty development program to improve emergency department teaching.

OBJECTIVES: Effective clinical teaching in emergency departments (EDs) presents unique challenges. No validated approaches to enhancing ED teaching have been reported. The authors evaluated the effectiveness of a novel one-day evidence-based, skills-oriented faculty development course tailored to ED teachers (ED STAT!). METHODS: The authors invited all inaugural course registrants to participate in this program evaluation study. The authors assessed participants' knowledge change and perceived change in teaching behavior using a multiple-choice and short-answer question examination, a teaching behaviors questionnaire, and a survey for satisfaction. Data were gathered before, immediately after, and one month after the course. Mean scores were compared using the Wilcoxon signed rank test, and qualitative results were analyzed via a grounded theory approach. RESULTS: Thirty-one individuals from a variety of academic and community EDs completed the May 2005 course; 28 participated in the pre-evaluation and postevaluation, and 22 participated in the one-month postevaluation. Multiple-choice scores increased from pre-evaluation to one-month postcourse by 15.1% (p < 0.001, effect size large: d = 1.53). Short-answer scores increased by 17.2% (p = 0.001, effect size large: d = 0.90). After one month, 55% of participants reported an increased amount of teaching, 86% perceived this teaching to be of a greater quality, and 82% had shared new strategies with colleagues. The course would be recommended to a colleague by 96.3% of respondents. CONCLUSIONS: ED STAT! improves participants' knowledge about ED-specific teaching strategies, and this improvement is maintained at one month. Participants reported high satisfaction and a positive effect on teaching behavior.

Consumer Behavior↗

Increasing retention rates of disadvantaged students through a faculty development program.

Efforts to recruit disadvantaged students have been increasing over the past three decades. How to retain those students once they have been recruited remains a critical issue for faculty. The authors include a Faculty Development Model presently being implemented at an inner city community college to increase faculty's expertise in enhancing the skills and abilities of students from diverse backgrounds with an emphasis on the disadvantaged student.

Black or African American↗

State government at the grass roots: a community relations approach to mental health program development.

Integrating consultation and education and community organization techniques within a community relations framework has proven effective in catalyzing a productive partnership between grass-roots, community leaders and a state mental health program. The programmatic accomplishments-enhanced mental health services for the most vulnerable populations, including the aged, the chronically mentally ill, and high-risk youth, and enhanced community and political support for mental health services, all achieved without increase in state mental health expenditures-validate a methodology which is applicable in a wide variety of mental health settings.

Community Mental Health Services↗