Canadian healthcare, particularly family medicine, is experiencing a capacity crisis. To address this challenge, systems-level reform is required. Specific to medical education, there is an urgency for educational institutions to prepare the next generation of physicians to meet Canadians' healthcare needs. This will require not only the expansion of the number of physicians trained, but consideration of the specialty mix and types of practice those physicians are prepared to undertake. Building on an existing collaborative partnership, the Queen's-Lakeridge Health Doctor of Medicine - Family Medicine Program (QLH MD FM) launched in 2023. This initiative is designed to address the needs of Canadians through purposeful recruitment and the development of learners interested in, and committed to, careers in family medicine. This paper shares the experiences of the QLH MD FM team, and the steps taken in conceptualizing and implementing this educational initiative. A program description is provided, focusing on the six program pillars: (a) admissions, (b) curriculum, (c) faculty and staff engagement, (d) community engagement, (e) infrastructure and supports, and (f) learner experience. The QLH MD FM Program is an innovative approach to medical education that emphasizes an authentic focus on addressing the complex healthcare needs of individuals and their communities. Le système de santé canadien, en particulier la médecine familiale, est confronté à une crise de capacité. Pour relever ce défi, une réforme à l’échelle du système s’impose. En ce qui concerne plus particulièrement la formation médicale, il est urgent que les établissements d’enseignement préparent la prochaine génération de médecins à répondre aux besoins des Canadiens en matière de soins de santé. Cela nécessitera non seulement d’augmenter le nombre de médecins formés, mais aussi de prendre en compte la répartition entre les spécialités et les types de pratique auxquels ces médecins seront préparés. S’appuyant sur un partenariat collaboratif existant, le programme de doctorat en médecine – médecine familiale de Queen’s-Lakeridge Health (QLH MD FM) a été lancé en 2023. Cette initiative vise à répondre aux besoins des Canadiens grâce à un recrutement ciblé et à la formation d’apprenants intéressés par une carrière en médecine familiale et déterminés à s’y consacrer. Cet article présente les expériences de l’équipe du programme QLH MD FM, ainsi que les étapes suivies pour conceptualiser et mettre en œuvre cette initiative éducative. Une description du programme est fournie, mettant l’accent sur ses six piliers : (a) les admissions, (b) le programme d’études, (c) l’engagement du corps enseignant et du personnel, (d) l’engagement communautaire, (e) les infrastructures et les services de soutien, et (f) l’expérience des apprenants. Le programme QLH MD FM constitue une approche innovante de la formation médicale qui met l’accent sur une approche authentique visant à répondre aux besoins complexes en matière de soins de santé des individus et de leurs communautés.
Background and aim Artificial intelligence (AI) has become an indispensable component of medical practice. Studies have shown that medical students worldwide are often ill-prepared to take full advantage of these technologies in their future practice due to inadequate training and a shortage of qualified instructors. These factors hinder the adoption of AI-focused curricula; therefore, this study aims to explore medical students' and faculty's knowledge and attitudes toward AI applications in the medical field, as well as their readiness for its integration into the medical curriculum, highlighting both the benefits and barriers. Methods A cross-sectional study was conducted on medical students (years 1-5) and faculty members from the University of Sharjah College of Medicine (UOSCOM), Sharjah, UAE. They were recruited via convenience sampling between February and March 2023. Students and faculty completed self-administered questionnaires, both online and in person. Analysis was performed using IBM SPSS Statistics for Windows, Version 26 (Released 2018; IBM Corp., Armonk, NY, USA). Results Of a total of 413 participants, 74.3% (faculty and students) agreed that the medical field has benefited from AI. Interestingly, 54.3% of students agreed on implementing AI in the curriculum, and 79.3% believe it is necessary, as they see it as a way to empower their careers in the future. However, 51.9% expressed concerns regarding the increase in workload. Of the 45 faculty participants, 66.7% believe that teaching AI would be an addition to their CVs, while 40% disagree that adding the course will increase their workload. Moreover, 77.8% are willing to participate in the course. Conclusions and recommendations The findings revealed a general positive perception, with both groups acknowledging the benefits of AI in medicine. Students show awareness of AI applications in education and healthcare, while faculty express willingness to teach AI courses for professional development. However, we recommend that future studies assess students' baseline computer knowledge and correlate faculty members' specialty fields with their willingness to teach.
Clinical reporting, is an established enhanced and advanced clinical practice role, as defined in the College of Radiographers (CoR) Education and Career Framework. This study aimed to investigate the outcomes of a postgraduate diagnostic radiographer reporting training programme for musculoskeletal (MSK), chest, and abdomen X-rays, selected Computed Tomography (CT), Magnetic Resonance Imaging (MRI), and fluoroscopy examinations, by surveying alumni on post-training outcomes in clinical practice and career development. The survey included quantitative (multiple-choice) and qualitative questions on the scope of practice, imaging modality, reporting sessions, supplementary roles, barriers and enablers. Data analysis included descriptive and inferential statistical analysis and thematic analysis. There were n = 82 completed responses, n = 80 (97.6%) went on to report after qualification, although for a variety of reasons (job role changes to management and leadership roles), only n = 73 (89%) were currently reporting. Data demonstrated a young workforce with a mean age banding of 31-35 years (n = 25; 30.5%), who are recently qualified between 2016 and 2020 (n = 37; 45%), with a postgraduate certificate (PgC) award (n = 35; 43%), working in an advanced practitioner role (n = 41; 50%) at NHS banding 7 (n = 57; 70%). The results demonstrate the career outcomes and scopes of practice of the reporting radiographer workforce in England, trained at a single provider of reporting courses. The findings underscore the variables within and between post-training reporting practices, banding, roles and reporting targets. Further expansion of radiographer reporting training is needed to address role drift attrition of reporting staff into leadership and management roles. Future workforce planning should enable progression to MSc endpoint qualifications as an incentive to progress from the bottleneck of band 7 roles to consultant posts to retain reporting expertise within clinical services.
Antimicrobial resistance (AMR) poses a growing global threat, with low- and middle-income countries (LMICs) bearing a disproportionate burden of resistant infections. Detection of resistance is critical for guiding treatment, enabling stewardship, and supporting surveillance, yet diagnostic capacity in LMICs remains severely limited. We conducted a scoping review to map low-cost diagnostic approaches suitable for resource-limited settings for detecting AMR in bacterial infections, excluding tuberculosis. Following PRISMA-ScR guidelines, we screened 585 articles and included 61 studies, which we evaluated using a framework based on the WHO REASSURED criteria. Genotypic approaches predominated (39 studies) while 22 studies employed phenotypic approaches. The majority (72%) were proof-of-concept studies, only 8 were implemented in LMICs, and just 2 assessed clinical outcomes. Critical gaps included limited validation on clinical specimens, near-absent cost data, high infrastructural requirements, and inconsistent reporting of performance metrics. To address reporting heterogeneity and improve knowledge gaps, we propose the REACH checklist (Readiness and design, Execution and workflow, Access requirements, Clinical and analytical performance, and Health outcomes and economics) as a reporting framework derived directly from the gaps identified across included studies, intended to span AMR diagnostic development from proof-of-concept through clinical validation relevant to low-resource settings.
Background  Accurate interpretation of common orthopaedic radiographs is an important skill for junior clinicians working in emergency, trauma, and orthopaedic settings. Missed fractures and unrecognised malalignment remain important causes of diagnostic error, particularly in busy major trauma centres where the first review of imaging may take place before a formal radiology report is available. Structured, case-based teaching may improve both diagnostic accuracy and clinician confidence, but local educational interventions should be evaluated using objective measures. Methods  We conducted a prospective single-centre educational quality improvement study at a UK major trauma centre between January 2025 and March 2026. Foundation doctors, core trainees, physician associates, clinical fellows, and other early-career clinicians rotating through trauma and orthopaedics or the emergency department were invited to attend a 45-minute senior-led teaching session on a systematic approach to common orthopaedic radiographs. Participants completed a 25-item image-based assessment and a 0-10 confidence rating scale immediately before and after the session. Those who consented to follow-up were also invited to complete a voluntary six-week retention assessment. The primary outcome was change in total radiograph interpretation score. Secondary outcomes included domain-specific accuracy, self-rated confidence, and the frequency of predefined critical errors. Results  Forty-eight clinicians completed paired pre- and post-session assessments. The mean test score increased from 58.9% (SD 11.3) before teaching to 82.1% (SD 11.3) immediately after teaching, giving a mean paired improvement of 23.2 percentage points (95% CI: 20.8-25.6; p < 0.001; Cohen's d_z = 2.83). Mean self-rated confidence increased from 4.5 ± 1.6 before teaching to 7.7 ± 1.8 after teaching. Improvements were seen across fracture detection, recognition of alignment and dislocation, hardware assessment, assessment of view adequacy, and escalation planning. Thirty-four participants completed the six-week retention assessment, with a retained mean score of 76.8% (SD 11.7). Critical errors fell from 146 before teaching to 48 after teaching, representing a 67.1% relative reduction. Conclusions  A single structured, interactive orthopaedic X-ray teaching session was associated with significant immediate improvements in image interpretation accuracy and self-rated confidence among early-career clinicians at a major trauma centre, with partial retention at six weeks. Embedding short, recurring, case-based radiograph teaching into trauma and orthopaedic induction may be a practical way to support diagnostic safety. Further multicentre studies using validated image banks and patient-linked diagnostic outcomes are warranted.
Background: Navigating role transitions is often challenging and complex, regardless of career stage, setting, or role type, and occurs across all fields of nursing, from student to advanced practice. Purpose: This work offers a conceptual review examining how vulnerability, emotional intelligence, resilience, and psychological safety affect the development and management of impostor syndrome during nursing career transitions, drawing on Meleis' Transitions Theory. Methods: A structured search of the literature was conducted, and the evidence was conceptually synthesized using Meleis' Transitions Theory as a guiding framework. Vulnerability, emotional intelligence, resilience, and psychological safety were chosen because they represent both internal adaptive processes and environmental factors that influence how nurses interpret and respond to impostor feelings during role transitions. Findings: Vulnerability, emotional intelligence, resilience, and psychological safety interact as complementary factors influencing the development and management of impostor syndrome during nursing role transitions while supporting healthy adaptation and professional role development. Discussion: Implications for nursing practice emphasize the importance of nursing-specific education and mentorship to support successful role transitions and mitigate impostor syndrome.
To evaluate longitudinal trends in gender and regional equity in membership and governance representation within the European Society of Gynaecological Oncology and the European Network of Young Gynaecological Oncologists. We analyzed European Society of Gynaecological Oncology and European Network of Young Gynaecological Oncologists membership and governance data from 2013 to 2024. Descriptive analyses were supplemented with multi-variable logistic regression models to identify predictors of female membership and European Society of Gynaecological Oncology Council representation, including European Network of Young Gynaecological Oncologists status, calendar year or Council term, and United Nations geographic region. European Society of Gynaecological Oncology and European Network of Young Gynaecological Oncologists membership increased from 1588 members in 2013 to 3385 in 2024, and female members reached parity by 2024. Female membership was associated with European Network of Young Gynaecological Oncologists participation (odds ratio 1.82, 95% confidence interval 1.73 to 1.91, p <.001) and calendar year (odds ratio 1.04 per year, 95% confidence interval 1.03 to 1.05, p <.001). Compared with Western Europe, female membership was higher in Northern Europe (odds ratio 1.69, 95% confidence interval 1.55 to 1.84, p <.001) and lower in Eastern Europe (odds ratio 0.78, 95% confidence interval 0.71 to 0.85, p <.001) and non-European regions (odds ratio 0.80, 95% confidence interval 0.74 to 0.86, p <.001). Gender was not associated with Council membership (odds ratio 0.95, 95% confidence interval 0.63 to 1.42, p =.79), and no independent temporal trend was observed (odds ratio 0.91 per term, 95% confidence interval 0.81 to 1.03, p =.13). Geographic variation was evident, with lower odds of Council representation in Eastern Europe (odds ratio 0.54, 95% confidence interval 0.28 to 0.98, p =.05), while estimates for non-European regions were unstable because of sparse representation. European Society of Gynaecological Oncology and European Network of Young Gynaecological Oncologists have made substantial progress toward gender equity at the membership level, largely through early-career engagement. Governance representation appears to be influenced more by geographic and structural factors than by gender, highlighting the need for equity-focused strategies that sustain gender-balanced leadership development while addressing regional disparities.
Chronic eczematous skin disorders that first appear in later life are poorly characterized, partly because existing terminology is inconsistent and often conflates morphologic descriptors with specific diagnoses. This review introduces chronic eczematous eruptions of aging (CEEsA) as an umbrella term, summarizes current knowledge on its epidemiology, etiologies, and clinical presentation, outlines best practices in management, and highlights gaps requiring further investigation. CEEsA frequently present as ill defined, intensely pruritic eruptions on the trunk and extensor limbs, are often refractory to standard topical therapies, and may be precipitated by calcium channel blockers or thiazide diuretics. A structured diagnostic algorithm-incorporating exclusion of mimickers (e.g., tinea pedis-linked auto-eczematization, scabies, contact dermatitis, cutaneous T-cell lymphoma), lesional biopsy, patch testing, and strategic drug withdrawal-is essential before escalating to systemic therapy. This approach helps avoid unnecessary treatment or other etiologies with different management. Although traditional broad spectrum immunosuppressants carry age related safety concerns, emerging targeted agents that dampen type 2 cytokine signaling (dupilumab, tralokinumab) or Janus kinase pathways (upadacitinib) show promising efficacy and tolerability in small case series of CEEsA, including idiopathic forms. Recognizing CEEsA as a distinct clinical construct should streamline nomenclature, sensitize clinicians to reversible drug triggers, and catalyze research into pathophysiology-specific, age appropriate treatments for this under studied geriatric dermatology domain.
Women faculty in allied health education frequently transition from clinical roles without formal training in teaching or research methodologies. This study examined motivators and barriers of women faculty in an allied health educational setting when determining to pursue an academic doctoral degree. Data was collected from faculty working in 48 allied health programs in Nebraska representing 14 professions. Women faculty were invited to complete a confidential online survey. Using a four-point Likert scale, participants responded to perceived motivators (nine) and barriers (nine) related to their decision to pursue or not pursue a doctoral degree. Responses from 142 (49.6%) surveys were examined. Participants were grouped as not having applied and those who were pursuing or holding a PhD/EdD degree. Comparing the two cohorts, statistically significant differences (p ≤ 0.05) were found for the motivators: positively impact professional relationships, expand professional network, and expand research knowledge; and the barriers: time to complete a doctoral degree program, the day-to-day commitments, personal financial cost, and impact on personal relationships. Multivariable logistic regression analysis indicated that age, academic rank, perceived barriers, and perceived motivators were all significantly associated with pursuing or attaining an academic doctoral degree. Identifying perceived motivators can inform strategies in supporting a women faculty's career with professional network development and research opportunities. Addressing barriers through work-life integration support and financial assistance may improve doctoral program accessibility.
Directional ion transport in anisotropic two-dimensional (2D) materials provides a powerful yet underexplored pathway for engineering memristive functionalities. Here, we demonstrate strongly orientation-dependent memristive switching in layered NbOCl2 lateral devices, where resistive switching occurs exclusively along the in-plane c-axis, while devices aligned along the b-axis exhibit no hysteresis. The c-axis devices show forming-free volatile memristive behavior with a stable on/off ratio and cycle-to-cycle reproducibility. Combined experiments and first-principles calculations reveal that the anisotropic switching originates from direction-dependent oxygen-ion migration and vacancy propagation, which modulate the Schottky barrier at the Pd/NbOCl2 interface. The resulting ion-driven barrier modulation enables key synaptic functions, including excitatory postsynaptic current, paired-pulse facilitation, spike-rate-dependent plasticity, and spike-amplitude-dependent plasticity, demonstrating short-term synaptic plasticity. Leveraging the intrinsic nonlinear and self-relaxation dynamics, the NbOCl2 memristor is further implemented as a physical reservoir, achieving 94.3% accuracy in handwritten digit recognition using the MNIST dataset. These results reveal NbOCl2 as a promising anisotropic memristive material and highlight directional ion migration in 2D systems as a versatile strategy for neuromorphic hardware and reservoir computing applications.
This study focuses on characterizing the voices that are amplified through peer reviewed publication and how they relate to one another. This study aims to 1) identify patterns of author collaboration and representation, 2) assess how this varies among different journals, 3) examine the relationship between author collaboration and quantitative publication. This is a bibliometric analysis using descriptive statistics and network analysis, examining all publications in four influential emergency medicine journals from January 2015 through December 2024. Authors and journals were assessed on quantity of publications, patterns of co-authorship, and network characteristics of individual and aggregate journals. There is a sharp right-skew of authorship - most authors have only a single article published in ten years. The most prolific authors in emergency medicine demonstrate significantly more publications than their peers. Journals show a propensity to publish multiple articles from a small number of authors, but there is variation among journals as to how many unique authors appeared during the timeframe studied. There was a gender disparity identified among the top authors, most of whom were men. Bibliometric analysis is able to demonstrate academic influence while also casting light on the role of journals in peer-reviewed publication patterns. Publication is a vital component of academic success and tangible evidence of professional influence. How authors collaborate and journals select manuscripts is impactful, and unfortunately this study demonstrates inequity among the most visible authors in the most impactful journals.
Studying at university is a transitional and dynamic period, which provides an optimal opportunity for fostering healthy behaviors. But the high prevalence of problematic internet use (PIU) among students may hinder the development and establishment of healthy behaviors and a health-promoting lifestyle (HPL). PIU is important due to its impact on academic performance, social relationships, and policymaking on this issue. This study aimed to investigate the relationship between PIU and health literacy (HL) with HPL among students. This cross-sectional descriptive-analytical study was performed on 525 students of the University of Social Welfare and Rehabilitation Sciences in 2024, who were selected by convenience sampling. An electronic questionnaire was sent to students, which consisted of demographic, Walker's HPL, Caplan's PIU, and Tavousi's HL questionnaire. Data were analyzed using SPSS Statistics version 25 (IBM Corp., Armonk, NY, USA). The mean score of PIU was 55.55 ± 15.63. The mood regulation dimension had the highest score, and negative outcomes had the lowest score. HPL score was at a moderate level, and the severity of PIU was at a mild level. There was a significant negative correlation between HPL and PIU. Also a positive correlation was observed between HL and HPL. PIU and HL are significantly related to HPL. Managers and policymakers are encouraged to develop special programs to reduce the negative effects of PIU by enriching students' free time, teaching media literacy, as well as increasing HL and health-promoting behaviors to improve students' quality of life, which affects their academic performance and careers.
Medical students are commonly advised to "find their fit" as they strive to make a specialty decision. But the term "fit" is often interpreted to mean that every medical student has a specialty soulmate, one perfect specialty that will provide career satisfaction. The specialty soulmate myth is reinforced through the career advising process, the residency application and selection process, and the structure and funding of graduate medical education. The authors explain the vocational theory that is the foundation of fit, describe how the specialty soulmate myth is reinforced in undergraduate and graduate medical education, and offer recommendations for dispelling the specialty soulmate myth.
Identifying factors related to physicians' specialty choice is crucial to ensure a sustainable healthcare workforce. However, knowledge regarding the factors influencing the choice of pediatrics remains inadequate. This study aimed to clarify physicians' background characteristics associated with choosing pediatrics and factors associated with hospital-based practice among pediatricians in Japan. This cross-sectional study, comprising an online survey of eligible physicians (N = 6415), was conducted in June 2022 via the Nikkei Medical Online website. The primary outcome was the choice of pediatrics, whereas factors associated with hospital-based pediatricians were examined in a secondary analysis. Multivariate logistic regression analyses were used to assess the association between physician background characteristics and outcomes. Among 6415 physicians, 340 (5.3%) were pediatricians. Factors associated with choosing pediatrics included being female (adjusted odds ratio [aOR] 1.84, 95% CI 1.39-2.44), having children (aOR 1.71, 95% CI 1.27-2.29), and graduating from a public university (aOR 1.67, 95% CI 1.24-2.26). Analyses restricted to pediatricians demonstrated that willingness to work in rural areas (aOR 3.24, 95% CI 1.05-10.04) was positively associated with hospital-based practice, whereas age (per 1-year increase; aOR 0.93, 95% CI 0.90-0.95), an urban hometown (aOR 0.54, 95% CI 0.29-0.98), and having a physician father (aOR 0.40, 95% CI 0.19-0.83) were negatively associated. These findings indicate that pediatric healthcare workforces may be shaped by structural factors, such as educational environment, regional background, and family background, in addition to individual preferences.
Proliferative vitreoretinopathy (PVR) is the leading cause of failure after rhegmatogenous retinal detachment (RRD) repair, yet no baseline biomarkers exist to stratify risk. In this retrospective, nested case-control study we asked whether the vitreous proteome at the time of primary RRD repair predicts subsequent PVR. Undiluted vitreous (1.0 mL) was obtained by pars plana vitrectomy from 16 eyes of 16 patients (8 who later developed PVR and 8 matched RRD controls) and analyzed by tandem mass tag (TMT)-multiplexed liquid chromatography-tandem mass spectrometry. Of 918 proteins identified, 876 were retained after contaminant filtering. After Benjamini-Hochberg correction for multiple comparisons, no proteins were differentially expressed between cases and controls. Six proteins (decorin, arrestin-C, pre-mRNA processing factor 6, C-reactive protein, fructose-1,6-bisphosphatase 1 and an immunoglobulin kappa variable chain) reached nominal significance (p < 0.05) but did not survive correction. The most abundant vitreous constituents included albumin, retinol-binding protein 4 and serotransferrin. In this limited cohort, no large or statistically robust baseline proteomic differences were detected between eyes that subsequently developed PVR and matched controls. We hypothesize that the molecular drivers of PVR may emerge postoperatively rather than being present at the time of the index detachment, although larger studies will be required to confirm or refute this possibility. Data are available via ProteomeXchange with identifier PXD077831.
Near-peer teaching is an effective method for improving student retention and comprehension in undergraduate medical education. This approach involves students providing content instruction to peers who are one or more years junior. Both the student-teacher and the recipient have been found to benefit from increased self-confidence and understanding of the material in pre-clinical and clinical environments. At the University of South Carolina School of Medicine Greenville (USCSOMG), we implemented an elective rotation for fourth-year medical students (M4s) that included teaching anatomy to first-year students in the dissection lab and writing summative exam questions with faculty review similar to the process faculty undergo. M4s contributed to organ system-centric exams during the 2021-2022 and 2022-2023 academic years. Test items were analyzed to assess their difficulty, discrimination index, and point biserial, comparing questions written by faculty and M4s. A significant difference was found in point biserials of exams 2 C and 2D, (Exam 2 C: Faculty 0.1467, M4 0.2342, P < 0.001; Exam 2D: Faculty 0.33, M4 0.1829, P = 0.007) and discrimination index of exam 2 C (Exam 2 C: Faculty 0.8525, M4 0.8850, P = 0.031). These results highlight the unique strengths both groups bring to the question-writing process: faculty's advanced content knowledge and experience, and M4s' recent familiarity with the material. Based on these findings, we propose leveraging upper-class medical students as valuable resources in generating assessment materials. This practice can contribute to a more clinically-relevant curriculum and enhance the educational skills of early-career doctors.
Cardiac arrest impacts more than 500,000 people in the United States annually. Overall, cardiac arrest, particularly when it occurs outside of a hospital, is associated with low rates of survival and poor neurologic recovery. Extracorporeal cardiopulmonary resuscitation (ECPR), or the use of extracorporeal membrane oxygenation (ECMO) during the cardiopulmonary resuscitation (CPR) process, has increased in recent years. The Extracorporeal Resuscitation Outcomes Database (EROD) aims to serve as a source of highly detailed, granular data for research on ECPR. This paper represents the inaugural report from EROD. We created EROD, which collects prospective data on adult cardiac arrest cases treated with ECPR, including demographics, medical history, cardiac arrest characteristics, the ECMO cannulation process, post-cannulation care, hospital treatments and diagnostics, neuroprognostication, complications, and outcomes. Five centers in North America contributed data (n = 113) to EROD between March 2017 and March 2022. The majority White (64%) and male (78%) sample had a significant medical history prior to their cardiac arrest (73%). Most patients arrested pre-hospital (65%) and received bystander CPR (81%). ECMO cannulation most often took place in an emergency department (67%) and was done by a Cardiothoracic Surgery provider (76%). Common complications included acute kidney injury (49%), major bleeding (29%), vascular injury (19%), and limb ischemia (14%), among others. One quarter of patients survived to hospital discharge (25%) and had an average hospital length of stay of 22 days (SD 15.5). Of the whole sample, there was an average time of 84 min from time of cardiac arrest to ECMO cannulation (SD 54) and patients spent an average of 107 h and 56 min on ECMO (SD 73:53). Of the 25% who survived (n = 28), the majority had positive neurologic outcomes with a Cerebral Performance Category (CPC) score of 1 (n = 15), indicating no or mild cerebral disability, or a CPC of 2 (n = 5), indicating moderate cerebral disability. This paper introduces EROD and presents data from the initial 113 patients entered into the registry from 2017 to 2022. Initial analysis demonstrated survival rates that align with national averages, even with longer durations of CPR prior to ECMO cannulation. Utilization of this registry, as well as others, is crucial in identifying and establishing standardized ECPR practices that deliver the best possible outcomes for patients.
Understanding the factors that shape occupational therapy (OT) career pathways is crucial for strengthening recruitment and retention. In the Philippines, limited research has examined why students choose OT and how they navigate their entry-level education. This study explored the lived experiences of Filipino OT graduates to understand their career decision-making and educational journeys. A qualitative descriptive phenomenological approach was used. In-depth interviews were conducted with nine Filipino OT graduates who completed their entry-level education in the Philippines. Data were analyzed using Colaizzi's method to identify key influences and shared experiences. Four themes captured participants' experiences: (1) deciding to enter OT, shaped by family guidance, immersion experiences, personal interests, and peer influence; (2) affirming their decision through clinical exposure, academic preparation, and personal growth; (3) navigating challenges associated with academic load, OT's broad scope, pandemic-related gaps, and limited public awareness; and (4) perspectives on raising awareness through school-based advocacy, digital platforms, and personal storytelling. Supportive learning environments and mentorship contributed to their persistence. Findings underscore the need for strengthened career guidance, improved public awareness of OT, and educational strategies supporting identity formation and resilience. These insights may inform program development and workforce policies in the Philippines and similar contexts.
Surgeon-scientists bridge the gap between clinical care and medical discovery. Despite mounting economic and institutional pressures, their contributions can enhance patient outcomes, foster innovation, drive policy, and encourage philanthropy. This perspective highlights 10 enduring reasons to prioritize surgeon-scientists, underscoring their importance in advancing surgical practice, inspiring future leaders, and sustaining academic progress.