Student feedback is a valuable asset in curriculum evaluation and improvement, but many institutions have faced challenges implementing it in a meaningful way. In this article, we report the rationale, process and impact of the Student Curriculum Review Team (SCRT), a student-led and faculty-supported organization at the Johns Hopkins University School of Medicine. SCRT's evaluation of each pre-clinical course is composed of a comprehensive three-step process: a review of course evaluation data, a Town Hall Meeting and online survey to generate and assess potential solutions, and a thoughtful discussion with course directors. Over the past two years, SCRT has demonstrated the strength of its approach by playing a substantial role in improving medical education, as reported by students and faculty. Furthermore, SCRT's uniquely student-centered, collaborative model has strengthened relationships between students and faculty and is one that could be readily adapted to other medical schools or academic institutions.
Obesity among the Mexican-origin adult population in the US has been associated with longer stays in the US and with being US- vs. Mexican-born, two proxies for acculturation. This pattern is less clear for Mexican-origin children and young adults: recent evidence suggests that it may be reversed, with foreign-born Mexican youth in the US at higher risk of obesity than their US-born Mexican–American counterparts. The objective of this study is to evaluate the hypothesis that the immigrant advantage in obesity prevalence for Mexican-origin populations in the US does not hold for children and young adults. We use data from the Los Angeles Family and Neighborhood Survey (N = 1143) and the California Health Interview Survey (N = 25,487) for respondents ages 4–24 to calculate the odds of overweight/obesity by ethnicity and nativity. We find support for the hypothesis that overweight/obesity prevalence is not significantly lower for first-generation compared to second- and third-generation Mexican-origin youth. Significantly higher obesity prevalence among the first generation was observed for young adult males (ages 18–24) and adolescent females (ages 12–17). The previously-observed protective effect against obesity risk among recent adult immigrants does not hold for Mexican-origin youth.
Purpose The aim of this research is to adapt and validate a perinatal depression and anxiety screening tool in Mali, West Africa for use in community‐based maternal mental health prevention interventions. Research Questions How do standardized screening tools for depression and anxiety align with maternal depression and anxiety symptomatology in Mali? Is the adapted depression and anxiety screening tool valid and reliable? Significance Midwives in low‐resource settings such as Mali provide the majority of maternal health services with few resources. As with other threats to maternal and newborn well‐being, perinatal depression is a significant cause of morbidity and mortality including poor perinatal outcomes and infant development. However, mental health issues are rarely included in maternal health programming, and local midwives have few tools to address the issue. An important component of maternal care is screening for depression and anxiety with a tool based on local ethnomedical understandings of mental health. Western screening tools have been adapted and validated in other low‐income contexts but not in the Malian context. Such a tool has the potential to provide midwives with a way to identify women who need mental health support. Methods We are using a mixed‐methods study to adapt and validate a postpartum depression and anxiety screening tool using the DIME Program Research Model: Design, Implementation, Monitoring, and Evaluation. Focus groups and interviews conducted in Sélingué, Mali in 2016 provided local terms and symptomatology upon which to base the adaptation of screening tools. A pretest was conducted among local midwives in Sélingué in June 2016, and additional pretests with community women are ongoing; additional interviews to establish reliability and validity with childbearing women took place in September of 2016. Results To date, multiple elements of the Edinburgh Postnatal Depression Scale and Hopkins Symptom Checklist were expressed locally. Some elements from established screeners were not locally relevant, and new elements were added to the adapted tool. Discussion Perinatal depression in low‐resource settings requires locally relevant screening tools. Such tools are necessary for community‐based efforts to integrate perinatal depression screening, prevention, and intervention into routine care in Mali.
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