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CHANGES IN MEDICAL EDUCATION
Introduction
Throughout the ages there have been many landmark studies, reports and events that have changed the course of history in medicine and medical education. You will read this week that it was the Flexner Report (1910) that reformed medical education and brought it to where it is today (Young & Kroth, 2018). This report was the catalyst that pushed for legislation requiring physicians to be licensed. The report called for formalizing medical education and increasing the length of time in structured, formal medical programs. This report has influenced medical education and licensing for all of the many different types of clinical, technical, and administrative health care disciplines of today.
Reference
Young, K. M., & Kroth, P. J. (2018). Sultz & Young’s health care USA: Understanding its organization and delivery (9th ed.). Jones & Bartlett Learning.
Scenario
Imagine you are a medical apprentice in the 1800s. Envision your medical training during this era under the apprenticeship model. Jump to 1960s and envision your training under the academic model. Finally, think of what your medical school training might look like today.
Of particular interest for today’s training are the many technology innovations for learning in medical schools, including augmented reality (AR), virtual reality (VR), robotic-assisted surgery, and minimally or noninvasive procedure technologies. Today’s training features remote patient monitoring (RPM) and telemedicine through a virtual model of care (VMC), as well as learning to use the human genome for more accurate diagnosing and patient-specific treatments.
Instructions
Using the Changes in Medical Education Template [DOC], write a 3–4 page paper to analyze the scope of change in medical education from the 1800s to today, the apprenticeship and academic models, and the importance of understanding the history in order to help improve medical education in the future. Be sure to complete all parts of the template.
Do the following:
Research the history of medical education from the 1800s, 1960s, early 2000s, and today. Use the History of Health Care Research tab in the Health Care Administration Undergraduate Library Research Guide to guide your research process.
You will need to include four references in your paper, one of which can be your textbook.
Use the course resources provided for the remaining references, or locate your own resources.
Write an introduction to your paper.
Include a brief explanation of the purpose of the paper and its main ideas.In The Changing Scope of Medical Education section of the assignment template, analyze the scope of the changes in medical education from the 1800s to today.
How widespread are the newer technologies impacting medical training?
Have there been mandated changes or have there been cultural changes that have impacted medical education?
In the Apprenticeship Model vs. Academic Model section of the assignment template, compare and contrast the apprenticeship and academic models of medical education in the 1800s, 1960s, 2000s, and today.
Describe the apprenticeship model and the academic model.
Compare and contrast the similarities and differences in their features.
Analyze how the models have evolved over time and the impact the evolution of these models has had on the quality of patient care.
In the Importance of Understanding History of Medicine section of the assignment template, explain the importance of understanding the history of medical education in order to help improve medical education in the future.
Write a conclusion to your paper in which you summarize the main themes you addressed.
Cite all the resources you used in your paper in APA format. Refer to Evidence and APA in the Capella Writing Center for help with using APA style.
Additional Requirements
Your paper should be 3–4pages, in addition to the title page and references page.
Double space and use Times New Roman, 12-point font, as is provided in the template.
Use a minimum of four resources, including the textbook and other course resources.
Respond to all parts of the template, using the headings provided.
Support all points with credible evidence, in the form of APA citations.Include a references page in APA format with appropriate citations.
SCORING GUIDE
Your work will be evaluated using this criteria.
VIEW SCORING GUIDE
Competencies Measured
By successfully completing this assignment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 3: Analyze the development of medical education in the United States.
Analyze the scope of change in medical education from the 1800s to today.
Compare and contrast the apprenticeship model and the academic model of medical education.
Analyze the impact of the evolution of the models on patient care.
Analyze why it is important to understand the history of medicine in order to improve medical education.
Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others.
Articulates meaning relevant to the main topic, scope, and purpose of the prompt.
Applies APA formatting to in-text citations and references.

To successfully complete this learning unit, you will be expected to:
Identify ways in which counselors/therapists assess interpersonal violence and abuse in their work with couples and families.
Apply evidence-based treatment to families, including same-gender abuse dynamics.
Required Reading:
Cui, M., Durtschi, J. A., Donnellan, M. B., Lorenz, F. O., & Conger, R. D. (2010). Intergenerational transmission of relationship aggression: A prospective longitudinal study. Journal of Family Psychology, 24(6), 688-697.
Foster, K., & Sandel, M. (2010). Abuse of women with disabilities: Toward an empowerment perspective. Sex Disability, 28, 177-186.
Ray, S. L. (2001). Male survivors’ perspectives of incest/sexual abuse. Perspectives in Psychiatric Care, 37(2), 49-59.
Samuelson, S. L., & Campbell, C. D. (2005). Screening for domestic violence: Recommendations based on a practice survey. Professional Psychology: Research and Practice, 36(3), 276–282.
Assignment
Steps to prepare this assignment:
(1) Imagine you are a therapist conducting a first session with a family and then develop a case conceptualization that includes treatment options. The family consists of a same-sex couple (two males) with two adolescent children (one male and one female). The adolescent girl is the identified client who has been acting out. Based on the intake materials you have read, it was noted that in the past there has been police involvement due to domestic violence in the family.
(2) Expand on the basic details in the above scenario to create an in-depth case narrative. In other words, use your creativity to fill in the details and elaborate on what is going on in this family. Be specific about and provide some examples of, the nature of the domestic violence (it is up to you to determine in which family relationships the violence occurs). Based on your readings for this class and other outside academic resources, describe one approach to assessment, one intervention, and two therapeutic goals for this family.

ANSWER

Case Conceptualization

Client Information

Family Type: Same-sex couple (two males) with two adolescent children (one male and one female)
Identified Client: Adolescent girl (16 years old)
History of Domestic Violence: Police involvement due to domestic violence in the past
Presenting Problem

The adolescent girl, Mary, has been exhibiting acting out behaviors, including:

Poor performance in school
Frequent arguments with parents
Engaging in risky behaviors
Case Narrative

John and David, a same-sex couple, have been together for 15 years. They have two children, Mary (16 years old) and Peter (14 years old). John and David have a history of domestic violence, which has led to police involvement in the past. Their arguments are often heated and can escalate into physical violence. Mary and Peter have witnessed these incidents, and they have been negatively affected by their parents’ relationship. Mary has begun to act out as a way of coping with the stress and instability in her home environment.

Assessment

Genogram: The genogram would reveal the intergenerational transmission of violence in John and David’s families. It would also show the power dynamics within the family and the potential for further violence.
Semi-structured interview: A semi-structured interview would allow the therapist to gather more information about the domestic violence, including the frequency and severity of the abuse, the impact on the children, and any underlying risk factors.
Psychological testing: Psychological testing could be used to assess for any mental health issues that Mary may be experiencing as a result of the domestic violence.
Intervention

Family therapy: Family therapy would provide a safe and supportive space for the family to discuss their problems and learn healthy communication skills. The therapist would help the family to identify and break down negative patterns of interaction, and they would teach the family how to resolve conflict in a constructive way.
Individual therapy: Individual therapy would provide Mary with a safe space to process her experiences and develop coping mechanisms for dealing with the stress in her home environment. The therapist would also help Mary to build self-esteem and develop healthy relationships.
Therapeutic Goals

Goal 1: Eliminate domestic violence from the home.
Goal 2: Improve communication and conflict resolution skills within the family.
Goal 3: Reduce Mary’s acting out behaviors and improve her overall well-being.

Watch the film Tuesdays with Morrie. Note and reflect on at least five (5) quotes from the film that caused you to think in a new way or helped you understand something more thoroughly than before. Your assignment must be at least 450 words in length and include APA format in-text citations.

Develop a PowerPoint presentation that includes the following criteria:
Slide 1: Title Page.
Slide 2: SBIRT overview – Describe the history of SBIRT, the SBIRT process and how it is used in clinical practice settings using US research articles.
Slide 3: Case Presentation – Do not include patient identifying information but include demographics i.e. age, gender, race/ethnicity, chief complaint, social history, family psychiatric history, psychiatric history, and risk factors.
Slide 4: Screening Tool used – Describe the screening tool, validity (sensitivity and specificity), scoring information, and citation. Your patient’s score and the interpretation of the patient’s score are required.
Slide 5: Brief Intervention – How was the Motivational Interviewing process applied and shared your client’s score and need for behavioral changes. Discuss the four stages of motivational interviewing and provide details of how the techniques were used. A transcript of your encounter with the patient conducting the OARS technique is expected. Discuss the roadblocks used or those avoided to obtain full points. Discuss the patient’s stage of change before the intervention was performed
Slide 6: Referral for Treatment – Describe the 3 referrals for follow-up treatment plan. Include the name, address, and telephone number of the local large organization (MUST BE IN MIAMI area) Be specific with the department where necessary.
Slide 7: Evaluation of the process – Share the patient’s outcome and your evaluation of the SBIRT process.
Slide 8: References –5 references. 7th Edition APA format. Include Screening Tool authors.Formatted and cited in current APA style 7 ed with support from at least 5 academic sources which need to be journal articles or books from 2019 up to now. NO WEBSITES allowed for reference entry. Include doi, page numbers, etc. Plagiarism must be less than 10%.
Submission Instructions:
The PowerPoint presentation should be formatted per current APA guidelines and 10 slides in length, including the title and references slides. For presentation clarification, students need to include the presenter’s notes.
SBIRT Rubric
SBIRT Overview :
Describes the definition, history and current US evidence surround the use of the Screening, Brief Intervention and Referral to Treatment in the psychiatric mental health nurse practitioner role. Specifically addressed the disease as it relates to the following populations: an adult.

Screening Tool :
The screening tool used was discussed in detail. The tool used was highly specific and sensitive, based on current US evidence, to the population, ethnicity, age, and gender of the client. The raw score and its interpretation were discussed in detail.
Brief Intervention :
Provides a summary of the four stages of the motivational interview: Engaging, Focusing, Evoking, and Planning with detailed descriptions for each area. Includes how the OARS technique was used during the session, roadblocks and the client’s stage of change.
Referral :
Provides a detailed list of three or more referrals to local (MIAMI AREA), large organizations for allied health, psychologist, medical, and other interdisciplinary support. Includes a timeline for follow-up appointments.
Conclusion :
The presentation is concluded by tying the content back to the opening with a dynamic 25 words or less close. Transitioned into so the audience was ready for it.
ANSWER
Creating a PowerPoint presentation requires a visual medium that I can’t directly generate or format here. However, I can provide you with a structured outline for each slide in your presentation. You can then use this outline to create your PowerPoint presentation manually in a program like Microsoft PowerPoint or Google Slides. Here’s the outline for each slide:
**Slide 1: Title Page**
– Title: Screening, Brief Intervention, and Referral to Treatment (SBIRT) in PMHNP Practice
– Your Name
– Date
**Slide 2: SBIRT Overview**
– Brief history of SBIRT
– The SBIRT process overview
– How SBIRT is used in clinical practice settings
– US research articles supporting SBIRT
– Visual aids or graphics if needed
**Slide 3: Case Presentation**
– Case title: “Patient Profile: [Patient’s Initials or Alias]”
– Demographics: Age, gender, race/ethnicity
– Chief complaint
– Social history
– Family psychiatric history
– Psychiatric history
– Risk factors
– No identifying patient information
**Slide 4: Screening Tool Used**
– Name of the screening tool
– Validity (sensitivity and specificity)
– Scoring information
– Your patient’s score and interpretation
– Citation for the screening tool (APA format)
**Slide 5: Brief Intervention**
– Overview of the Motivational Interviewing process
– Describe the four stages of Motivational Interviewing (Engaging, Focusing, Evoking, Planning)
– Include a transcript or description of your encounter using OARS technique
– Discuss roadblocks used or avoided
– Describe the patient’s stage of change before the intervention
**Slide 6: Referral for Treatment**
– Provide three or more referrals for follow-up treatment
– Include the name, address, and telephone number of a local (in Miami) large organization for each referral
– Specify the department or service within the organization if needed
– Include a timeline for follow-up appointments
**Slide 7: Evaluation of the Process**
– Share the patient’s outcome after SBIRT
– Evaluate the effectiveness of the SBIRT process in this case
– Discuss any improvements or recommendations for future use
**Slide 8: References**
– List 5 academic sources in APA format (7th edition)
– Include DOI, page numbers, publication dates, etc.
Make sure to incorporate presenter’s notes for each slide to provide additional context, explanations, and talking points during your presentation. Once you have created your PowerPoint presentation based on this outline, you can rehearse and present it to your audience.

How does the habit win-win along with the concepts of exclusivity and diversity help to grow an organization and help you to increase your growth mindset

In 250-300 words, post a brief synopsis of the chosen peer-reviewed article selected. Include the type of drug abused and the treatment modality used (recidivism, relapse, or harm-reduction) . Then explain which treatment outcome model you would use to measure the success of the treatment approach and why. Be specific.

Using the internet or your phone, listen to the following songs:
“One” by Metallica
“Smells Like Teen Spirit” by Nirvana
“Paranoid Android” by Radiohead
After listening to the above songs, answer the following questions in your discussion post:
What musical influences do you hear in each of these songs and how would you categorize each of them in a genre? (grunge, heavy metal, rock?)
Listen carefully to the lyrics and share a few sentences as to what each of these songs is about. Thematically they are similar and project a sense of aloneness and cynicism, but what topics do they address? What was happening in American culture during this time that might have contributed to these feelings as expressed in these songs? Could it be a generational (Baby Boomers v. Generation X) reaction? Or do you think this is something else entirely.
In response to at least three of your peers, do you agree with your peers’ response? Why or why not?

1.List your percentile scores for each category as they appear on the site:
Open-Mindedness:
Conscientiousness:
Extraversion:
Agreeableness:
Negative Emotionality
2.The site producing the scores provides a descriptor for each score. Discuss a sentence that particularly stood out to you and why.
3.Utilizing at least one peer-reviewed resource, write a paragraph explaining the benefit of using personality testing in order to determine whether an individual should be employed in a specific job.
4.Utilizing at least one peer-reviewed resource, write a paragraph explaining the limitations of using personality testing in order to determine whether an individual should be employed in a specific job.
5.Imagine a situation where a person suddenly had access to the test results of a boyfriend/girlfriend. Explain why this person may have a strong desire to review the results of their significant other. Discuss what social and ethical problems could arise from seeing their results.
6.Discuss if we should know the personality profiles of our community leaders. Discuss what the public might gain or lose from having those profiles.

1.Eating disorders (ED) are mental issues portrayed by unusual dietary patterns that adversely influence an individual’s physical and psychological well-being. The basic ED issues are anorexia nervosa, bulimia nervosa, and binge ED (Wang, 2022). The common symptoms among anorexia nervosa patients are uncommon fear of gaining weight, distorted self-judgement and refusal to maintain good body weight. Symptoms of bulimia nervosa incorporate repetitive episodes of overeating followed by cleansing behaviors like spewing, utilizing intestinal medicines, or fasting. Side effects of binge eating disorder include continuous episodes of intemperate overeating without cleansing. I trust cognitive behavioral therapy. It can be the best type of therapy for treating eating disorders. Cognitive behavioral therapy underscores the job of reasoning by how we feel and what we do, and assists patients with distinguishing and challenging negative and twisted speculation designs. Research has observed that cognitive behavioral therapy is compelling in lessening the side effects of eating disorders and helping patients deal with their eating behaviors. Suppose a patient with eating disorder can manage his thoughts and take more realistic approach to various eating issues. In that case, they will probably work to any form of eating disorder they suffer from, like fear of gaining weight. Also, CBT can blend with different types of therapy, for example, psychodynamic therapy and family therapy. The brief research report article by Withnell et al. (2022) compare the severity and treatment outcomes of different thresholds of eating disorder and other specified feeding issues. The study results show that Other Specified Feeding and Eating Disorders (OSFED) patients show lower eating issues compared to Bulimia Nervosa (BN) patients. Also, the research concludes that no differences between diagnostic groups in self-esteem, depression scores or symptoms change from intake to discharge.
2. COLLAPSE
The psychological disorder I chose from the DSM-V is Anxiety. Anxiety disorders involve more than temporary worry or fear. Anxiety comes in different forms of behavior. There is Generalized anxiety disorder (GAD) usually involves a persistent feeling of anxiety and can include Feeling restless, Being easily fatigued, Having difficulty concentrating, having difficulty controlling emotions of, worrying, having sleeping problems, and headaches, muscle aches, stomachaches, or unexplainable pains. There are also panic attacks, including pounding or racing heart, Trembling, Chest pains, and feeling out of control. Last but not least there is also Social anxiety is fear of being watched and judged by others. These symptons include; Feelings of self-consciousness or fear that people will think them negatively, Difficulty making eye contact or being around people they don’t know. and Rigid body posture or speaking with an overly soft voice. As you can see, axienty is more than a nervous feeling.The type of therapy I believe would be the most successful in treating anxiety is Cognitive Behavioral Therapy, also known as CBT; It introduces people to different ways of thinking to conditions to help them feel less anxious.

n addition to one initial post, respond to at least one peer.
Initial Post Length: minimum of 200 words
Secondary Post Length: minimum of 150 words per post
Using APA format, incorporate appropriate in-text citation(s) and corresponding references page for the initial post.
Discussion Question: (Answer the following question below)
What do recent findings about the interaction of psychosocial factors with brain structure and function indicate regarding future research directions in abnormal psychology?
I need to generic responses of the same question to classmates. 150 words