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Article ; Online: Right-sizing interprofessional team training for serious-illness communication: A strength-based approach.

Eskola, Liana / Silverman, Ethan / Rogers, Sarah / Zelenski, Amy

PEC innovation

2024 Volume 4, Page(s) 100267

Abstract: Objective: Palliative care communication skills help tailor care to patients' goals. With a palliative care physician shortage, non-physicians must gain these serious illness communication skills. Historically, trainings have targeted physician-only ... ...

Abstract	Objective: Palliative care communication skills help tailor care to patients' goals. With a palliative care physician shortage, non-physicians must gain these serious illness communication skills. Historically, trainings have targeted physician-only groups; our goal was to train interprofessional teams. Methods: Workshops were conducted to teach palliative care communication skills and interprofessional communication. Participants completed surveys which included questions from the Interpersonal Reactivity Index, the Ekman Faces tool, the Consultation and Relational Empathy measure, open-ended questions about empathy, and measures of effective interprofessional practice. Results: Participants felt the workshop improved their ability to listen ( Conclusions: The course effectively trained 71 clinicians, the majority non-physicians, in serious illness communication and interprofessional team communication skills, and could be reproduced in similar settings. Innovation: We adapted an approach common to physician-only trainings to diverse interprofessional groups, added a team-based component using Applied Improvisation, and demonstrated its effectiveness.
Language	English
Publishing date	2024-02-16
Publishing country	Netherlands
Document type	Journal Article
ISSN	2772-6282
ISSN (online)	2772-6282
DOI	10.1016/j.pecinn.2024.100267
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Review of polarized ion sources (invited).

Zelenski, A

The Review of scientific instruments

2010 Volume 81, Issue 2, Page(s) 02B308

Abstract: Recent progress in polarized ion sources development is reviewed. New techniques for production of polarized H(-) ion (proton), D(-) (D(+)), and (3)He(++) ion beams are discussed. Feasibility studies of these techniques are in progress at BNL and other ... ...

Abstract	Recent progress in polarized ion sources development is reviewed. New techniques for production of polarized H(-) ion (proton), D(-) (D(+)), and (3)He(++) ion beams are discussed. Feasibility studies of these techniques are in progress at BNL and other laboratories. Polarized deuteron beams will be required for the polarization program at the Dubna Nuclotron and at the deuteron electric dipole moment experiment at BNL. Experiments with polarized (3)He(++) ion beams are a part of the experimental program at the future electron ion collider.
Language	English
Publishing date	2010-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	209865-9
ISSN	1089-7623 ; 0034-6748
ISSN (online)	1089-7623
ISSN	0034-6748
DOI	10.1063/1.3266140
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Article ; Online: How to Use Improv to Help Interprofessional Students Respond to Status and Hierarchy in Clinical Practice.

Chou, Erica / LaDisa, Anne Graff / Zelenski, Amy / Lauck, Sara

AMA journal of ethics

2023 Volume 25, Issue 5, Page(s) E311–316

Abstract: Hierarchy and status and power differentials in current health care practice persist, despite recognition of their ethical issues and movement toward collaborative practice. As interprofessional education continues to emphasize shifting from individual ... ...

Abstract	Hierarchy and status and power differentials in current health care practice persist, despite recognition of their ethical issues and movement toward collaborative practice. As interprofessional education continues to emphasize shifting from individual siloed practice to team-based approaches to improving patient safety and outcomes, addressing status and power is key to mutual respect and trust cultivation. What has become known as medical improv applies techniques of theater improvisation to health professions education and practice. This article shares how an improv exercise called Status Cards prompts participants to recognize their responses to status and how this awareness can be applied to improve their interactions in real encounters with patients, colleagues, and others in health care contexts.
MeSH term(s)	Humans ; Cooperative Behavior ; Interprofessional Relations ; Students, Health Occupations
Language	English
Publishing date	2023-05-01
Publishing country	United States
Document type	Journal Article
ISSN	2376-6980
ISSN (online)	2376-6980
DOI	10.1001/amajethics.2023.311
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Article ; Online: Using nominal group technique to determine skills that applied improvisation can teach health profession education learners.

Chan, Carolyn A / Chou, Erica / LaDisa, Anne Graff / Mehta, Ankit / Zelenski, Amy / Longtin, Krista

PEC innovation

2023 Volume 3, Page(s) 100194

Abstract: Objective: Applied improvisation (AI) is an approach used in health professions (HP) education to teach skills essential for clinical practice such as communication, teamwork, and empathy. Little is known about which skills can be developed using AI, or ...

Abstract	Objective: Applied improvisation (AI) is an approach used in health professions (HP) education to teach skills essential for clinical practice such as communication, teamwork, and empathy. Little is known about which skills can be developed using AI, or those which an AI should prioritize. Our research aims to identify skills essential to include in an AI curriculum for HP learners. Methods: A modified nominal group technique (NGT) was conducted to identify and prioritize specific skills which can be taught using AI. This involved silent generation of ideas, round robin, discussions, 2-rounds of preliminary voting, and a final ranking survey to determine a prioritized list of skills to include in an AI curriculum for HP learners. Results: Six content experts participated in the NGT meeting. Initially, 83 skills were identified, and through NGT, a final list of 11 skills essential to an AI curriculum were determined including: adaptability, affirmation of others, acceptance, active listening, being present, cooperation, collaboration with other, advancement, compassionate communication, sharpened non-verbal communication, resilience. Conclusion: Essential skills for an AI curriculum relate to adaptability, attunement, collaboration, affirmation, and advancement. Innovation: This study is a novel application of NGT as a strategy to organize an approach to curriculum innovations.
Language	English
Publishing date	2023-07-25
Publishing country	Netherlands
Document type	Journal Article
ISSN	2772-6282
ISSN (online)	2772-6282
DOI	10.1016/j.pecinn.2023.100194
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Emphasis of Diversity, Equity, and Inclusion on US Adult Infectious Disease Fellowship Program Websites in the Era of Virtual Recruitment.

Tischendorf, Jessica S / Filipiak, Rachel / Zelenski, Amy / Osman, Fauzia / Siraj, Dawd

The Journal of infectious diseases

2023 Volume 229, Issue 4, Page(s) 931–935

Abstract: Women and underrepresented-in-medicine applicants value a climate for diversity when selecting graduate medical education training programs. Climate may not be accurately represented during virtual recruitment. Optimizing program websites may help ... ...

Abstract	Women and underrepresented-in-medicine applicants value a climate for diversity when selecting graduate medical education training programs. Climate may not be accurately represented during virtual recruitment. Optimizing program websites may help overcome this barrier. We reviewed websites for adult infectious disease fellowships that participated in the 2022 National Resident Matching Program for emphasis on diversity, equity, and inclusion (DEI). Fewer than half expressed DEI language in their mission statement or had a dedicated DEI statement or webpage. Programs should consider emphasizing their commitment to DEI prominently on their websites, which may help recruit candidates from diverse backgrounds.
MeSH term(s)	Female ; Humans ; Diversity, Equity, Inclusion ; Education, Medical, Graduate ; Fellowships and Scholarships ; Adult
Language	English
Publishing date	2023-03-01
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	3019-3
ISSN	1537-6613 ; 0022-1899
ISSN (online)	1537-6613
ISSN	0022-1899
DOI	10.1093/infdis/jiad081
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Uh II Zs.50: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Exploring empathy in genetic counseling students and new genetic counselors.

Richards, Jonica L / Petty, Elizabeth M / Zelenski, Amy

Journal of genetic counseling

2020 Volume 30, Issue 1, Page(s) 293–304

Abstract: Although empathy is widely recognized as an important trait for healthcare professionals, little research has examined empathy attributes in genetic counselors. Decreases in empathy levels have been recognized in other healthcare professionals over the ... ...

Abstract	Although empathy is widely recognized as an important trait for healthcare professionals, little research has examined empathy attributes in genetic counselors. Decreases in empathy levels have been recognized in other healthcare professionals over the span of their professional education program. This research sought to characterize empathy levels in first- and second-year genetic counseling students and recent (2017) graduates, and to determine whether there are differences in empathy levels displayed by genetic counseling students at different points in their training. Additionally, this research examined whether experiences prior to graduate school, including specific aspects of advocacy experience, correlated with differences in self-reported empathy levels among genetic counseling students and new genetic counselors. An online survey was administered to first- and second-year genetic counseling students and practicing genetic counselors to determine whether there were differences in empathy levels between these groups, and to analyze for associations between pre-graduate school advocacy work and levels of empathy as measured by the Interpersonal Reactivity Index (IRI). We identified significant differences in self-reported empathy levels in several of the subscales of the IRI between first-year students and second-year students, and between first-year students and recent graduates. Furthermore, we identified significantly lower scores on the personal distress subscale of the IRI in participants who engaged in advocacy work for longer than 12 months when compared to participants who engaged in advocacy work for between 6 and 12 months. Other advocacy and educational characteristics were also examined for correlations with IRI scores, and no significant associations were identified between these additional factors and self-reported empathy scores. Practice implications and recommendations for future research are discussed.
MeSH term(s)	Counselors ; Education, Professional ; Empathy ; Genetic Counseling ; Humans ; Students ; Students, Medical
Language	English
Publishing date	2020-09-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	1117799-8
ISSN	1573-3599 ; 1059-7700
ISSN (online)	1573-3599
ISSN	1059-7700
DOI	10.1002/jgc4.1321
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Article ; Online: Charge neutralized low energy beam transport at Brookhaven 200 MeV linac.

Raparia, D / Alessi, J / Atoian, G / Zelenski, A

The Review of scientific instruments

2016 Volume 87, Issue 2, Page(s) 02B935

Abstract: The H(-) magnetron source provides about 100 mA H(-) beam to be match into the radio-frequency quadrupole accelerator. As H(-) beam traverses through low energy transport, it ionizes the residual gas and electrons are repelled and positive ions are ... ...

Abstract	The H(-) magnetron source provides about 100 mA H(-) beam to be match into the radio-frequency quadrupole accelerator. As H(-) beam traverses through low energy transport, it ionizes the residual gas and electrons are repelled and positive ions are trapped in the beam, due to negative potential of the beam, providing charge neutralization for the H(-) beam. The neutralization time for the critical density depends upon the background gas and its pressure. Critical density for xenon gas at 35 keV is about 43 times smaller than that of hydrogen and stripping cross section is only 5 times than that of hydrogen gas. We are using xenon gas to reduce neutralization time and to improve transmission through the 200 MeV linac. We are also using pulse nitrogen gas to improve transmission and stability of polarized H(-) beam from optically pumped polarized ion source.
Language	English
Publishing date	2016-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	209865-9
ISSN	1089-7623 ; 0034-6748
ISSN (online)	1089-7623
ISSN	0034-6748
DOI	10.1063/1.4937766
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Impact of Care Coordination on the Content of Communication Between Surgeons and Patients With Rectal Cancer.

Lawson, Elise H / Sommovilla, Joshua / Buffington, Anne / Zelenski, Amy / Schwarze, Margaret L

Annals of surgery open : perspectives of surgical history, education, and clinical approaches

2022 Volume 3, Issue 3, Page(s) e177

Abstract: Management of patients with rectal cancer can be complex, requiring significant care coordination and decisions that balance functional and oncologic outcomes.: Objective: To characterize care coordination occurring during surgical consultation for ... ...

Abstract	Management of patients with rectal cancer can be complex, requiring significant care coordination and decisions that balance functional and oncologic outcomes. Objective: To characterize care coordination occurring during surgical consultation for rectal cancer and consequences of using face-to-face time in clinic for care coordination. Methods: Secondary analysis was performed on audio recordings of clinic visits with colorectal surgeons to discuss surgery for rectal cancer at 5 academic medical centers. Analysis included the content of communication related to types of care coordination, specific details and conditions under which care coordination was conducted, and consequences. Results: The cohort included 18 patients seen by 8 surgeons. Care coordination consumed much of the conversation; on average 23.7% (SD 14.6) of content. Communication about care coordination included gathering information from work-up already performed, logistics for completing further work-up, gathering multidisciplinary opinions, and logistics for treatment planning. Obtaining imaging results was particularly challenging and surgeons went to great lengths to gather this information. To mitigate information gaps, surgeons asked patients about critical clinical details. Patients expressed remorse when they could not provide needed information, relay technical details, or had missing reports. Surgeons voiced frustration at the system related to the need to gather information from multiple sources and coordinate logistics. Surgeons worked to inform patients about their disease and discuss important lifestyle and cancer-related tradeoffs. However, the ability to solicit patient input and engage in shared decision making was often limited by incomplete data or conditioned on approval by a multidisciplinary tumor board. Conclusion: Much of the conversation between surgeons and patients with rectal cancer is consumed by care coordination. Organizing care coordination outside of the clinic visit would likely improve the experience for both patients and surgeons, addressing both clinician burnout and variation in management and outcomes.
Language	English
Publishing date	2022-07-22
Publishing country	United States
Document type	Journal Article
ISSN	2691-3593
ISSN (online)	2691-3593
DOI	10.1097/AS9.0000000000000177
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The Emotional Domains of Empathy Matter, Too.

Quinn, Mariah / Zelenski, Amy

Academic medicine : journal of the Association of American Medical Colleges

2017 Volume 92, Issue 9, Page(s) 1218–1219

MeSH term(s)	Clinical Competence ; Emotions ; Empathy ; Humans
Language	English
Publishing date	2017-08-30
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	96192-9
ISSN	1938-808X ; 1040-2446
ISSN (online)	1938-808X
ISSN	1040-2446
DOI	10.1097/ACM.0000000000001843
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Article ; Online: The RHIC polarized H⁻ ion source.

Zelenski, A / Atoian, G / Raparia, D / Ritter, J / Steski, D

The Review of scientific instruments

2016 Volume 87, Issue 2, Page(s) 02B705

Abstract: A novel polarization technique had been successfully implemented for the Relativistic Heavy Ion Collider (RHIC) polarized H(-) ion source upgrade to higher intensity and polarization. In this technique, a proton beam inside the high magnetic field ... ...

Abstract	A novel polarization technique had been successfully implemented for the Relativistic Heavy Ion Collider (RHIC) polarized H(-) ion source upgrade to higher intensity and polarization. In this technique, a proton beam inside the high magnetic field solenoid is produced by ionization of the atomic hydrogen beam (from external source) in the He-gaseous ionizer cell. Further proton polarization is produced in the process of polarized electron capture from the optically pumped Rb vapor. The use of high-brightness primary beam and large cross sections of charge-exchange cross sections resulted in production of high intensity H(-) ion beam of 85% polarization. The source very reliably delivered polarized beam in the RHIC Run-2013 and Run-2015. High beam current, brightness, and polarization resulted in 75% polarization at 23 GeV out of Alternating Gradient Synchrotron (AGS) and 60%-65% beam polarization at 100-250 GeV colliding beams in RHIC.
Language	English
Publishing date	2016-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	209865-9
ISSN	1089-7623 ; 0034-6748
ISSN (online)	1089-7623
ISSN	0034-6748
DOI	10.1063/1.4932392
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