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Prometric MCQS for general practitioner (GP) Doctor
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Question: 194
A 37-year-old woman presents with heavy bleeding. Investigation shows subserosal fibroid-4cm and intramu.
Which is the most appropriate treatment?
A. Abdominal Hysterectomy
B. Vaginal Hysterectomy
C. Abdominal Myomectomy
D. Hysteroscopic Myomectomy
Answer: C
Explanation:
As patient is young we should go for myomectomy. As hysteroscopic myo mainly sub mucosal fibroids we should go
for abdominal myomectomy which will deal with both subserosal a fibroids.
Question: 195
A new screening test has been devised to detect early stages of prostate cancer.
However, the test tends t of people with no cancer, although they do have cancer as diagnosed by other standard tests.
What is this flaw?
A. True Cve
B. False +ve
C. Poor specificity
D. True +ve
E. False -ve
Answer: E
Question: 196
A young girl presented to gynecologist for assessment with lower abdominal pain and per vaginal bleedin of
hysterosalpingograph as a part of her infertility treatment. Observation: BP=90/50mmHg, pulse-120bpm, and revealed
$13$10
rigid abdomen.
What is the most appropriate next investigation?
A. Coagulation profile
B. Chest X ray
C. Ultrasound abdomen
D. X-ray erect and supine
E. CT SCAN
Answer: C
Explanation:
Likely cause of bleeding and shock is ruptured fallopian tube for which appropriate ne is US abdomen.
Question: 197
A middle aged woman has some weakness of hand after an injury.
Which vertebra will be the lowest to be x-ray to diagnosis the injury?
A. C7/T1
B. C5/C6
C. c8/T1
D. C6/C7
Answer: A
Question: 198
Patient with major depression what is the first line treatment?
A. Tricyclic antidepressant
B. SSRIs
C. MAOI
Answer: B
Explanation:
A SSRIs are the initial antidepressants of choice for uncomplicated depression because of their minimal anti-
cholinergic effects
Question: 199
A 28-weeks pregnant woman presents with uterine bleeding after sexual intercourse.
What is the most appropriate diagnosis?
A. Placental abruption
B. Missed abortion
$13$10
C. Placental previa
D. Ectropion
Answer: D
Explanation:
Post coital bleeding can be either placenta previa or cervical ectropion. But as ectropion pregnancy so it is the option
here.
Question: 200
Condition not associated with increased alpha fetoprotein:
A. Myelomeningocele
B. Down syndrome
C. Spina bifida
D. Gastroschisis
Answer: B
Explanation:
Down syndrome associated with DECREASED levels of alpha fetoprotein. Not increased.
Reference: https://en.m.wikipedia.org/wiki/Triple_test
Question: 201
A 64 years man believes a female newscaster is communicating directly with him when she turns a page.
Where is he suffering from?
A. Delusion of Reference
B. Nihilistic
C. Grandeur
D. Control
E. Persecutory
Answer: A
Explanation:
A delusion of reference is a type of delusion wherein the individual perceives unrelated events or objects in his/her
surroundings to be of significance for himself/herself. For example, a person with schizophrenia might believe a
billboard or a celebrity is sending a message meant for them.
Question: 202
A 48-year-old woman always socially withdrawn has stopped going out of the house. She is afraid to socialize fears
$13$10
that people will criticize her.
What is the most probable diagnosis?
A. PTSD
B. GAD
C. Social anxiety
D. Agoraphobia
E. OCD
Answer: C
Explanation:
Social anxiety disorder is a type of complex phobia. This type of phobia has a disrupt disabling impact on a persons
life. It can severely affect a persons confidence and self-esteem, interfere with relationships and impair performance
at work or school.
Question: 203
Victim of RTA came with multiple injuries to abdomen, chest and limbs. BP is 80/ 50. upper limb has upper third near
amputation that bleeds profusely, what is your first thing to do:
A. Tourniquet the limb to stop the bleeding
B. Check the airway and breathing
C. Five IV fluid
D. Call orthopedic
Answer: B
Explanation:
As rule ABC also in description near amputation so difficult to make tourniquet enough which stops bleeding.
Question: 204
A 72years presents with polyuria and polydipsia. The fasting blood sugar is 8 and 10mmol/l.BP=130/80mm
cholesterol=5.7mmol/l. There is microalbuminuria.
What is the single most appropriate next management?
A. Statin and glitazone
B. ACEi and sulfonylurea
C. Statin and Biguanide
D. Statin and ACEi
Answer: D
$13$10

Medical practitioner teaching - BingNews https://killexams.com/pass4sure/exam-detail/GP-MCQS Search results Medical practitioner teaching - BingNews https://killexams.com/pass4sure/exam-detail/GP-MCQS https://killexams.com/exam_list/Medical Narrative Medicine Teaches Doctors How to Listen to Patients’ Stories

In a sleek, glass-walled room in Columbia University Irving Medical Center’s Roy and Diana Vagelos Education Center, 11 first-year medical students stand around a table doing a free-form choral reading of Catalog of Unabashed Gratitude, a poem by Ross Gay. “We’re essentially creating a remix, an interpretation of the poem,” said Teachers College Professor Nicole Furlonge. “This is an improvisational exercise in composing on the spot,” she added, “but mostly, it’s an exercise in listening and hearing what emerges.”

The class is called “Race Sounds: The Art of Listening in African American Literature,” and it is part of a robust seminar series for first-year medical students in the Vagelos College of Physicians and Surgeons' Division of Narrative Medicine.

“We’re investigating different forms of listening in this course,” said Furlonge. “Why would we want to focus on listening as it pertains to race?”

“To better understand people I know and relate to, in their own words,” one student responded.

“Listening is care, extending care to someone else,” offered another student.

“Yes,” said Furlonge. “As future doctors, you will walk into a patient’s room, and have to figure out what’s happening. A lot of that comes down to your listening skills.”

A Multidisciplinary Program With a Mission

In 2018, the medical school established the Department of Medical Humanities and Ethics, which encompasses the narrative medicine program, an Ethics program, and one in Social Medicine. The department chair is Rita Charon, a general internist and professor of medicine, who gave up her clinical practice in 2018 when she became chair.

Although narrative medicine is now a large field, and is taught widely both in the U.S. and abroad, Charon founded it at Columbia, and coined the term in a publication in 2000. At Columbia, narrative medicine is a multidisciplinary program designed to promulgate the uses of narrative practices in clinical care and medical education. The discipline is at the intersection of humanities, the arts, clinical practice, and health care justice, and aims to Excellerate clinician-patient relationships by training clinicians in reflective practice.

“Let me provide you an example of how narrative medicine works,” said Charon, a petite, vibrant woman who speaks slowly and thoughtfully. She was seated at a round table in her office at the uptown Columbia University campus. The room, located on the 15th floor of NewYork-Presbyterian Hospital on West 168th Street, has a sweeping, south-facing view of sky, Manhattan, the Hudson River, and New Jersey.

“An elderly woman comes in with a complaint of lower back pain,” said Charon. “A physician asks, ‘Have you had an X-ray or are you taking any medication? Have you seen a neurologist?’ The woman says, ‘Well, I can tell you what makes my back hurt. It’s when I pick up my grandson, and I get this feeling at the base of my spine.’ The doctor might then say, ‘What happens if you try aspirin or Motrin? Does that help?’”

“But another doctor, if he was trained by us,” continued Charon, “would say, ‘Tell me about your grandson.’ And the grandmother would say, ‘He’s 18 years old and has autism, and I’m the one who’s been raising him since birth, but he’s bigger than I am now, so it’s very hard to pick him up.’”

“That is an instance of the difference that some narrative skill can make in understanding even the most elementary parts of what is bothering this patient,” said Charon. “Some physicians aren’t interested in the social stuff, and will send that patient to see a social worker. A doctor with a grounding in narrative medicine, however, will have a desire to hear what patients really have to say.”

An Activist at Heart

Charon, of course, realizes the challenges of such an approach to patient care in today’s health-care world of 15-minute medical appointments and increasing corporatization. Yet she maintains that listening to a patient’s entire story as opposed to just listing various symptoms is possible—and vastly preferable.

“My practice isn’t going to make huge changes,” said Charon, “but a movement is growing because the current state of medicine is alarming. We train our students in activism and advocacy."

Charon is an activist at heart. She grew up in Providence, Rhode Island, with a father and paternal grandfather who were both general practitioners. “My father had six daughters, and he always assumed one of us would be a doctor—turned out to be me,” she said, adding that two of her sisters are nurses.

She arrived in New York to study premed at Fordham University in the 1960s. “I was very involved in the antiwar movement,” she said. “I became radicalized, got arrested, and remember lots of tear gas.” Next stop was Harvard Medical School, followed by a return to New York, where she trained as a primary care resident at Montefiore Medical Center, and then came to Columbia as a fellow in general medicine.

“I’ve now been here for about 40 years,” she said. “I stayed not only because I became a professor of medicine and had my clinical practice here, but because I also got a PhD in English here.”

Making Connections Between Medicine and Literature

Charon started work on her doctorate in 1989 and received it in 1999. She was intrigued by professors in the Department of English and Comparative Literature who were making connections between things like psychoanalysis and literature. They, in turn, were interested in what Charon was doing—taking the critical analysis skills she was learning in her English classes and transforming her medical practice with them. “It was radical back then,” she said. “By learning how stories work, I changed my patient interactions. When I met a patient, I said that I needed to know a lot, and then, without interrupting, I listened closely and carefully.”

In 2000, Charon and some colleagues who were also involved in developing links between literature and medicine applied for and received funding from the National Endowment for the Humanities. Other doctors and scholars both nationally and internationally were also focused on the growing field, but Charon and her team were the only ones who got money from the NEH to study why teaching such literary practices as close reading and narrative theory to medical students might be beneficial. With the money, she assembled a group of Columbia academics and clinicians—professors of English, art, and cinema studies, along with pediatricians, psychoanalysts, and internists—and set to work.

Over time, they developed a theoretical framework, which is still in use, and Charon wrote Narrative Medicine: Honoring the Stories of Illness in 2008, which describes the ideas and genesis of narrative medicine. This book was followed in 2016 with what amounts to a textbook, The Principles and Practice of Narrative Medicine, written by Charon and contributors.

In the meantime, she and her collaborators also received funding from the National Institutes of Health to research and help put into practice at Columbia what is now a required series of courses for medical students: Foundations of Clinical Medicine. Narrative medicine is an integral part of this curriculum. In these courses, medical students learn “everything except the biotech: The teaching of patient-physician relationships, how to talk to patients, how to do physical exams, how to be trained in the ethics of medicine—all the doctoring,” Charon said.

She describes the way narrative medicine is taught at Columbia as a “sophisticated, rigorous discipline.” In addition to the required courses that medical students must take, the master’s program in narrative medicine enrolls everyone from graduate students and some undergraduates across Columbia to latest college graduates considering a career in medicine and mid-career health professionals—doctors, nurses, social workers—yearning to increase the strength of their own practices.

“There is a long-standing faculty community, many in leadership positions, at this medical school who have come through the narrative medicine program and continue to meet weekly,” said Charon. “We taught them how to teach narrative medicine to their medical students, and, in that process, they became more compassionate clinicians themselves.”

The Parallel Chart

One of Charon’s inventions is the parallel chart, a writing exercise now used widely in narrative medicine. As medical students start to take care of patients in their clinical training, they are encouraged to write down their personal feelings—not in the hospital chart in a patient’s room, but in a parallel chart, which is shared only with their professors and fellow students in small groups.

“If an elderly patient is dying of prostate cancer, and all a student can think about is her grandfather also dying of prostate cancer, then she should write about that. It will provide her a sense of her own capacity to care for the patient, and also of what she is going through as a beginning doctor,” said Charon.

“Our narrative medicine courses provide us the space to step back from the intense curriculum and reflect,” said Jessica Cho, a first-year medical student at Columbia. “Narrative medicine reminds us that there is a story behind everything, and that what we see as doctors in a moment in time is a snapshot.”

The ability to see that snapshot, as both Charon and Furlonge emphasized repeatedly, lies at the heart of narrative medicine training. Learning the art of active, empathetic, or radical listening—a complex, full-bodied skill—puts front and center why many students like Cho chose a career in medicine: to help their patients navigate the health-illness-death continuum.

Mon, 05 Jun 2023 01:49:00 -0500 en text/html https://news.columbia.edu/news/narrative-medicine-teaches-doctors-how-listen-patients-stories
Nurse Practitioner Vs. Physician Assistant: What’s The Difference?

Editorial Note: We earn a commission from partner links on Forbes Advisor. Commissions do not affect our editors' opinions or evaluations.

Nurses are widely considered the bedrock of the medical community, but they don’t have to play second fiddle to doctors. In fact, professionals like nurse practitioners and physician assistants can perform many of the same duties as a doctor and with less wait time for their patients.

But what’s the difference between a nurse practitioner (NP) vs. a physician assistant? Read on to find out which career path is right for you.

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What Does a Nurse Practitioner Do?

What is a nurse practitioner? NPs provide services like managing patients’ overall care, diagnosing and treating health conditions, ordering diagnostic tests and labs, and prescribing medication. Nurse practitioners can serve as their patients’ primary care providers, and they can work alone or in collaboration with other healthcare professionals.

Specialty Areas

Like doctors, NPs typically have expertise in specialty areas such as adult or family health, cancer, newborns, elder care, women’s health or mental health. They can also have subspecialties in niche fields like dermatology, cardiology, sports medicine or emergency care.

Salary and Job Outlook

How much does a nurse practitioner make? NPs make a median salary of $120,680 per year, according to the U.S. Bureau of Labor Statistics (BLS). The BLS projects employment for nurse practitioners to grow by 46% from 2021 to 2031. This figure indicates booming demand since the average projected growth rate for all jobs is just 5%.

What Is a Physician Assistant?

Physician assistants (PAs) are licensed medical professionals who practice across all clinical specialties and settings. These professionals work under a physician’s supervision to assess, diagnose and treat patients.

There are over 168,000 PAs in the U.S., and they have more than 500 million patient interactions per year, according to the American Academy of Physician Associates. PAs can be a patients’ primary care provider.

Specialty Areas

Physician assistants can focus on primary care, pediatric care, emergency medicine, surgery or internal medicine, among other specialties. They work in settings like hospitals, urgent care centers and clinics.

Salary and Job Outlook

PAs make a median annual salary of $121,530, with the top 10% earning more than $164,620, according to the BLS. Employment of physician assistants is projected to grow by 28% from 2021 to 2031, which is much faster than average.

Nurse Practitioner vs. Physician Assistant

Below, we compare nurse practitioners vs. physician assistants in regard to education requirements, daily responsibilities and typical work environments.

Education and Training

Nurse practitioners must earn a master’s in nursing or a doctorate in nursing, plus advanced clinical training beyond what is required for other registered nurses. State requirements vary, but NPs must have registered nursing licensure and, in most cases, earn national certification. For detailed information, see our guide on how to become a nurse practitioner.

On the other hand, physician assistants must complete a physician assistant education program, which awards a master’s degree. PA programs typically require an undergraduate degree and previous healthcare work experience, which candidates may earn by working as medical assistants, emergency medical technicians or other similar roles.

Most PA programs take three years to complete and involve over 2,000 hours of clinical rotations in a variety of settings. PAs must then pass a national exam to earn their Physician Assistant-Certified credential. They can also pursue specialized certifications.

Roles and Responsibilities

A nurse practitioner is a licensed, independent healthcare provider who manages patients’ health and provides preventative healthcare. NPs educate their patients about their health, perform checkups, diagnose patients, order lab tests and prescribe medications. Many states provide NPs the full authority to practice independently.

PAs also provide direct patient care. In some states they must do so under a physician’s supervision, but other states have started passing legislation that allows PAs to deliver care without supervision. States that allow PAs to work without supervision currently include North Dakota, Utah and Wyoming. 

Most states still require PAs to contract with a particular physician, and though PAs can work independently in some cases, they must collaborate with their supervising physician. PAs perform patient exams, diagnose illnesses, assist in surgeries, order tests and X-rays, prescribe medications, and create and manage health treatment plans.

Work Environment

Nurse practitioners can be found in clinics, hospitals, emergency rooms, urgent care centers, private practices, nursing homes and schools. Physician assistants work in a similar variety of environments, including hospitals, medical offices, community health centers, nursing homes, educational facilities, correctional institutions and government agencies.

Physicians’ offices are the largest employer of both NPs and PAs.

Which Career Path Is Right for You?

The decision of whether to pursue a career as a nurse practitioner vs. a physician assistant depends on many factors such as how long you want to spend pursuing a degree and license, desired medical specialty and preferred workplace setting and salary.

For instance, NPs come from nursing backgrounds and must first train and work as registered nurses, making their work more patient-focused. NPs can work independently in many parts of the country. Nurse practitioners are also more likely to have a particular specialty area such as women’s health or gerontology.

On the other hand, physician assistants train in more generalized programs that focus on diagnosis and treatment. They sometimes specialize in surgery. PAs need to work in collaboration with a doctor in most cases.

The two medical professions make similar salaries, so your decision might boil down to whether you enjoy nursing care, whether you want to work independently and whether you would enjoy a specialized career.

Frequently Asked Questions (FAQs) About Nurse Practitioners vs. Physician Assistants

Is a PA higher than a nurse practitioner?

A physician assistant doesn’t have a higher ranking than a nurse practitioner. Both medical professionals work in healthcare settings, but they have different qualifications, educational backgrounds and specialties.

What can an NP do that a PA cannot?

Mon, 29 May 2023 14:08:00 -0500 Ryah Cooley Cole en-US text/html https://www.forbes.com/advisor/education/nurse-practitioner-vs-physician-assistant/
SIG Spotlight: Family Medicine

Hospital medicine is often synonymous with internal medicine, but as Bob Dylan famously said, the times they are a-changin’.

Family-medicine-trained hospital medicine practitioners may only represent 10 to 15% of practicing hospitalists, but they are a growing subgroup in the specialty, and the leaders of SHM’s Family Medicine Special Interest Group (SIG) aim to make that known as often and as loudly as they can.

Dr. Odeti

Dr. Odeti

“Family medicine historically has been looked at as traditional outpatient practice,” said the SIG’s immediate past president Shyam Odeti, MD, MS, FAAFP, MBA, SFHM, section chief of Carilion Clinic in Roanoke, Va.

In the early days of hospital medicine, “there were not many organizations that were too familiar with family medicine physicians taking care of hospitalists’ roles,” he said. This perception has improved but isn’t completely gone. “So, one of the biggest advocacy initiatives is, ‘How do we make sure all the organizations across the nation know that family-medicine-trained physicians’ training during their residency programs adequately prepares them for the inpatient medicine practice?’”

Advocacy began with statements of support from SHM and the American Academy of Family Physicians. But to keep the progress rolling, the SIG acts as a real-time advocacy platform for its 1,129 members.

Dr. Chaudhry

Dr. Chaudhry

For SIG chair Usman Chaudhry, MD, FHM, advocacy often starts with recruiters and medical directors hiring physicians in the first place. “They should be comfortable hiring them in their programs,” said Dr. Chaudhry, a family-medicine hospitalist medical director with Texas Health Physicians Group in Flower Mound, Texas.

Dr. Syamala

Dr. Syamala

SIG vice-chair Krishna Syamala, MD, FAAFP, says a basic step for health care is for many institutions to change hospital bylaws, some created 25 or 50 years ago, long before hospital medicine became a specialty. Protocols that don’t account for family-medicine-trained hospitalists may not seem important, but some of the SIG leaders’ experiences suggest otherwise. They’ve secured positions in hospital leadership roles that were advertised for internal-medicine-trained hospitalists exclusively. 

“They ended up in their roles because of their exemplary track records, experience, and their ability to make a case for their roles,” said Dr. Syamala, who practices with SSM Health in suburban St. Louis. “So, likewise, I think educating more hospital medicine department chiefs, and engaging with them and advocating for taking family-medicine-trained hospitalists into their programs, I think that’s where SHM is really important for us.”

Another area of education is, well, education.

“When people are training in family medicine, they may not be aware of all the opportunities they would have in hospital medicine,” Dr. Odeti said. “So, we want to educate the group on what opportunities we have after the training.”

The SIG “reaches out to the residency programs and is also looking into reaching out to the medical students and having them be a part of the special interest group,” Dr. Chaudhry said. “That will help future residents, and it will help their careers improve.”

As is often the case in health care, continuing education is just as important. So family-medicine-minded hospital medicine leaders worked with the American Board of Family Medicine (ABFM) and the American Board of Internal Medicine (ABIM) to create a pathway for practitioners with different training backgrounds to work better together.

“We had to work with ABFM and ABIM to come up with the specialized certification called designated focus in hospital medicine,” Dr. Odeti said. “Once the hospitalists trained in family medicine were able to get certified after taking a test, per the Accreditation Council for Graduate Medical Education, they could be faculty in the internal-medicine training programs.

“What would that do? That would help family-medicine-trained hospitalists progress farther in their careers and be able to seek opportunities where there are internal-medicine residents in a program, and that would not become an exclusion factor for them for being hired.”

The SIG’s leadership board is focusing on advocacy not just with SHM and hospitalist leaders nationwide, but with stakeholders from the American Academy of Family Physicians, ABFM, ABIM, and other physician associations that have a role in spreading the word. Steps as seemingly simple as creating training modules within each specialty that recognize the roles played by family-medicine-trained hospitalists would be a step in the right direction.

“This is a cross-organization collaboration,” Dr. Odeti said, “so that we are not doing the work in silos.”

One initiative gaining steam is a critical-care fellowship that the SIG is pursuing via the ABIM.

“If family-medicine-trained hospitalists are accepted by ABIM, and they are allowed to participate in academic programs as full faculty members, it will be a big change in practice,” Dr. Syamala said. “The critical care pathway is one option that will be open. Also, other fellowship options will be open for us, like endocrinology, rheumatology, and so on and so forth.” 

Richard Quinn is a freelance writer in New Jersey.

Thu, 01 Jun 2023 02:03:00 -0500 en-US text/html https://www.the-hospitalist.org/hospitalist/article/34924/career/sig-spotlight-family-medicine/
How Much Does A Nurse Practitioner Make? A Breakdown Of NP Salaries

Editorial Note: We earn a commission from partner links on Forbes Advisor. Commissions do not affect our editors' opinions or evaluations.

Nurse practitioners (NPs) are the fastest-growing occupation in the U.S., according to the U.S. Bureau of Labor Statistics (BLS).

NPs are a critical part of preventative healthcare. With practice authority increasing across the U.S., NPs perform services similar to physicians, lowering barriers to healthcare and helping compensate for the widening primary care shortage. But how much does a nurse practitioner make?

In this article, we break down what an NP does, how location and industry impact earnings, and the promising employment outlook for these professionals.

What Does a Nurse Practitioner Do?

What is a nurse practitioner? Nurse practitioners are advanced practice registered nurses with specialized graduate training and credentials. NPs work independently or alongside healthcare professionals to prevent disease and manage patients’ overall health.

NPs have a broader scope of practice than registered nurses, including:

  • Treating and diagnosing acute and chronic conditions
  • Ordering, performing or interpreting diagnostic tests
  • Prescribing medications or treatments
  • Providing counseling and educating patients

NPs can specialize in patient populations or areas of care such as acute medicine, family health, gerontology or pediatric care. Learn more in our guide on how to become a nurse practitioner.

Benefits of Seeing an NP

NPs’ advanced training prepares them to provide comprehensive, preventative care to patients during a country-wide primary care shortage. In addition to patient education, NPs participate in health policy and patient advocacy on the local, state, national and international levels.

NPs provide immediate or acute services, increase healthcare access among underserved communities, promote better lifestyle choices in patients and reduce the likelihood of significant health problems and costs in the future. The BLS projects extremely fast job growth (46%) for NPs from 2021 to 2031, also reporting six-figure earnings for these professionals.

How Much Does a Nurse Practitioner Make?

Nurse practitioners make some of the highest salaries in the nursing field. As of May 2022, the BLS reports NPs making a median annual wage of $121,610.

As we explore in the following sections, specialization, location and work setting all impact NP earnings. All data below comes from the BLS.

NP Salaries by Location

Top-Paying States for Nurse Practitioners

NPs working in California make the highest salaries in the U.S., earning nearly $15,000 more than other high-paying states including New Jersey, Massachusetts, Oregon and Nevada.

NPs in California earn a mean annual salary of $158,130, followed by $143,250 in New Jersey, $138,700 in Massachusetts, $136,250 in Oregon and $136,230 in Nevada.

Top-Paying Cities for Nurse Practitioners

Nine of the 10 highest-paying cities for NPs are in California. The highest-paying metropolitan area is San Jose-Sunnyvale-Santa Clara, where NPs earn an average salary of $199,630. Other high-paying areas include San Francisco, Napa and Vallejo-Fairfield.

But these high-paying areas also come with higher costs of living in most cases. Working as an NP in California likely means increased housing, grocery, transportation and utility costs.

Salaries of States With the Highest Employment

NPs can find jobs anywhere in the country. However, some states employ more NPs than others. California, Texas, Florida, New York and Tennessee were the top-employing states as of 2022, each with between 13,000 and 20,000 nurse practitioners.

Average annual NP salaries in the three highest-employing states break down as follows:

  • California, $158,130
  • Texas, $124,660
  • Florida, $110,310

Top-Paying Industries for Nurse Practitioners

The top-paying industries for nurse practitioners include:

  • Home healthcare services
  • Vocational rehabilitation services
  • Business, professional, labor, political and similar organizations
  • Grantmaking and giving services
  • Psychiatric and substance abuse hospitals

NPs working in these industries make around $135,000 to $150,000 annually on average. Specialization, experience, certifications and location all impact earnings.

Demand for Nurse Practitioners

The demand for nurse practitioners is staggering, outpacing all other occupations. The BLS projects the NP workforce to increase by 46% between 2021 and 2031, over nine times the projected growth for all occupations.

Job Outlook by Industry

NP job demand in industries across healthcare is extremely high. Industries with the highest demand for NPs from 2021 to 2031 include:

  • State medical and surgical hospitals, 79.7%
  • Physicians’ offices, 64.1%
  • Ambulatory healthcare services, 59.1%
  • Other health practitioner offices, 58.1%
  • Outpatient care centers, 55.3%

Why Are NPs in Such High Demand?

NP demand correlates to multiple factors but shines light on the dire U.S. nurse and physician shortage. NP authority is expanding, allowing NPs to hold primary care roles akin to physicians while prioritizing preventative care. As the physician shortage grows, demand increases for NPs to fill the gap.

In tandem with the nurse and physician shortage, the U.S. has a growing and disproportionately aging population, with populations aged 65 and older growing by 42.4% from 2019 to 2034, according to the Association of American Medical Colleges (AAMC). Populations aged 75 and older are expected to grow by 74% in the same timeframe.

As patient populations age, so does the healthcare workforce. In the next decade, the AAMC reports 2 out of 5 physicians will enter retirement age, just as aging NPs also exit the workforce.

The growing demand for NPs also reflects their role in increasing healthcare access. As healthcare becomes more accessible to historically underserved populations, patients living in rural areas, and those without medical insurance, an uptick in demand climbs further.

Finally, there are many unknowns about the immediate and long-term impacts of the Covid-19 pandemic on healthcare workers and the U.S. population. Pandemic-related burnout is expected to accelerate healthcare workers exiting the workforce, furthering demand.

The Bottom Line

If you are interested in healthcare, pursuing a career as a nurse practitioner can lead to six-figure incomes and career-long job security. NPs are the fastest-growing occupation in the U.S. and can expect consistently high demand.

NP practice authority expands across states, allowing NPs to work independently, prescribe medicine, open clinics and fill essential primary care roles. NPs work closely with patients to provide comprehensive preventative care, healthcare education, patient advocacy and can influence healthcare policy.

Frequently Asked Questions (FAQs) About Nurse Practitioner Salaries

What is the highest-paid nurse practitioner?

While physician’s offices and hospitals employ most nurse practitioners, the highest-paid NPs earn $148,960 per year on average working in home healthcare services, as reported by the BLS. NPs in California earn the highest wages by location, taking home an average annual salary of $158,130.

What is the lowest-paid nurse practitioner?

The lowest-paid nurse practitioners work in dentists’ offices, where they make an average annual salary of $53,240, the BLS reports. By location, the lowest-paying state for NPs is Tennessee, where these professionals earn $99,330 per year on average.

Fri, 26 May 2023 08:26:00 -0500 Brandon Galarita en-US text/html https://www.forbes.com/advisor/education/nurse-practitioner-salary/
What is a nurse practitioner?

Annual wellness visits have long been considered a vital component of preventive health care. That hasn’t changed, though the dynamic between patient and health care professional during those visits has changed considerably for many people.

Once a realm exclusive to patients and their physicians, annual wellness exams now often involve patients and nurse practitioners. In fact, the American Association of Nurse Practitioners notes that NPs have become the preferred health partner of choice for millions of people, which makes it worthwhile to explore just what NPs do.

What is a nurse practitioner?

The AANP notes that NPs are highly educated clinicians who blend clinical experience in diagnosing and treating health conditions with an added emphasis on disease prevention and health management. All NPs must complete a master’s or doctoral degree program and have advanced clinical training beyond their initial professional registered nurse preparation. The education and training required of NPs prepares them to practice in various health care settings, including primary care, acute care and long-term care.

Which services can NPs provide?

Some people may not even realize that the NP they speak with during an annual wellness exam isn’t a physician. That’s because NPs can perform a host of services people often associate with physicians. The U.S. National Library of Medicine notes that NPs are allowed to provide a broad range of services, including:

• Perform a physical exam

• Order laboratory tests and procedures

• Diagnose, treat and manage diseases

• Prescribe medications and write prescriptions

• Coordinate referrals

• Provide information regarding preventive care and healthy lifestyles

• Perform certain medical procedures

What are the qualifications to be an NP?

The AANP notes that NPs undergo rigorous certification, periodic peer review and clinical outcome evaluations. NPs also must adhere to ethical codes. In addition, due to the fluid nature of health care, NPs must self-direct their continued learning and development to ensure they maintain their clinical competency.

Why do I see an NP and not a physician?

The AANP notes that NPs help to address a shortage of primary care physicians. With their expertise and accepted range of responsibilities, NPs are helping to ensure patients receive timely and accurate medical advice. Without NPs, patients may have to wait especially long periods of time to see their physicians, which could have dramatic and adverse long-term effects on their overall health.

Nurse practitioners play a vital role in modern health care settings. These versatile, talented professionals routinely apply their rigorous training and extensive education in ways that benefit their patients every day.

Sat, 27 May 2023 10:07:00 -0500 en text/html https://www.postandcourier.com/aikenstandard/lifestyle/health/what-is-a-nurse-practitioner/article_86d3186a-f011-11ed-9c97-ff97a9fbf139.html
What Training Do Chiropractors Have and What Do They Treat?

Chiropractors treat bodily aches, pains, and conditions by using their hands and small instruments. Although not medical doctors, they are specialized licensed practitioners with extensive training.

If you have an aching back or a stiff neck, you might benefit from chiropractic adjustment. Chiropractors are trained medical professionals who use their hands to relieve pain in the spine and other areas of the body.

Are chiropractors doctors, though? Here’s more information about what these providers do, the training they receive, and what you can expect at your first appointment.

Chiropractors don’t hold an M.D, so they aren’t medical doctors, but they graduate with a doctor of chiropractic degree. They do have extensive training in chiropractic care and are licensed practitioners.

Chiropractors begin their education by getting an undergraduate degree with a focus on the sciences. After graduation, they move on to a 4-year chiropractic program with classes and hands-on experience.

All states in the United States require that chiropractors obtain a doctor of chiropractic degree from a Council on Chiropractic Education (CCE) accredited college.

Some chiropractors choose to specialize in a certain area. They do an additional residency that lasts between 2 and 3 years. There are over 100 different chiropractic methods. No one method is necessarily better than another.

Some chiropractors choose to specialize in several different areas, which they may describe as using “diversified” or “integrated” techniques.

Regardless of specialty, all chiropractors must obtain a license to practice by taking an exam. They must also keep current in the field by taking regular continuing education classes.

There are over 70,000 licensed chiropractors working in the United States today. These practitioners treat various issues and conditions involving the:

  • muscles
  • tendons
  • ligaments
  • bones
  • cartilage
  • nervous system

During treatment, your provider performs what are called manipulations using their hands or small instruments. The manipulations to the different parts of the body help with a range of discomforts, including:

  • neck pain
  • back pain
  • pelvic pain
  • arm and shoulder pain
  • leg and hip pain

You may be surprised to learn that chiropractors can treat conditions ranging from constipation to infant colic to acid reflux.

Pregnant women may even seek chiropractic care near delivery time. Chiropractors specializing in the Webster technique work to realign the pelvis, which may help baby get into a good position (head down) for vaginal delivery.

Overall, chiropractors may work to provide holistic treatment, meaning they are treating the whole body and not just the specific ache or pain. Treatment is typically ongoing. You will likely see your chiropractor more than once or twice to manage your condition.

Your first visit to the chiropractor will likely consist of giving your medical history and having a physical exam. Your provider may even call for additional tests, like an X-ray, to rule out fractures and other conditions.

From there, your chiropractor may start with the adjustment. You’ll likely sit or lie down on a specially designed, padded table for the treatment.

You may be directed to move into different positions throughout the appointment, so the chiropractor can treat specific areas of your body. Don’t be surprised if you hear popping or cracking sounds as your chiropractor applies controlled pressure to your joints.

Wear loose fitting, comfortable clothing to your appointment, and remove jewelry before the practitioner begins. In most cases, a chiropractor can perform all of the necessary adjustments without you needing to change out of your clothing into a hospital gown.

After your appointment, you may experience headaches or feel tired. The areas your chiropractor manipulated may also feel sore for a while after treatment. These side effects are mild and temporary.

Sometimes, your chiropractor will prescribe corrective exercises for you to do outside of your appointments.

Your practitioner may also provide you lifestyle advice, like nutrition and exercise suggestions. They may incorporate complementary medicine, like acupuncture or homeopathy, into your treatment plan as well.

The scope of what a chiropractor’s license allows them to do varies by state. In some states, chiropractors may order diagnostic tests, including imaging and laboratory tests.

There are very few risks of chiropractic adjustment when it’s performed by a licensed professional. In rare cases, you might experience compression of nerves or disk herniation in the spine. Stroke is another rare but serious complication that can happen after neck manipulation.

There are also conditions for which you shouldn’t necessarily seek chiropractic care.

For example, you may want to talk to a primary care doctor before seeing a chiropractor if you’ve experienced numbness or loss of strength in your arm or leg. These symptoms may require a procedure beyond a chiropractor’s scope.

Other conditions that may require different treatment include:

  • spinal instability
  • severe osteoporosis
  • spinal cancer
  • elevated risk of stroke

If you don’t know if chiropractic treatment is appropriate for your condition, ask your doctor.

Finding a good chiropractor may be as easy as asking around. Your current primary care physician or even a friend may be able to point you in the right direction.

You can also use the Find a Doctor tool on the American Chiropractic Association’s website to find licensed chiropractors across the United States.

Insurance

Years ago, chiropractic care was included in many health insurance plans. These days, not all medical insurance carriers cover these appointments.

Before making your first appointment, call your health insurance provider directly to find out your plan’s coverage, as well as copays or deductibles. Your insurance provider may also require a referral from your primary care provider.

Many health insurers cover chiropractic care for short-term conditions. However, they may not cover this care for long-term conditions or maintenance treatments.

Over two dozen states also cover chiropractic appointments through Medicare.

Without coverage, your first appointment may cost around $160, depending on the tests you need. Follow-up appointments may range between $50 and $90 each. The cost will depend on your area and the treatments you receive.

A licensed chiropractor may be able to help you if you’re experiencing pain in your:

If your symptoms don’t get better after several weeks, you may want to reevaluate your treatment plan.

Before you start chiropractic treatment, you may want to ask your practitioner the following questions:

  • What is your education and licensure? How long have you been practicing?
  • What are your areas of specialty? Do you have specific training dealing with my medical condition(s)?
  • Are you willing to work with my primary care doctor or refer me to a specialist, if necessary?
  • Are there any risks in performing chiropractic adjustments with my medical condition(s)?
  • What health insurance providers do you work with? If my insurance doesn’t cover treatment, what are my out-of-pocket costs?

Be sure to tell your chiropractor about any prescription and over-the-counter medications or supplements you are taking.

It’s also a good idea to mention any other complementary health treatments you’re using. Giving your chiropractor all this information upfront will make your care safer and more effective.

Thu, 25 May 2023 12:00:00 -0500 en text/html https://www.healthline.com/health/are-chiropractors-doctors
Tinubu: Health, education require radical reforms

AMONG the myriad problems that President Bola Tinubu inherits are the terribly dysfunctional health and education sectors. To describe them as a mess is an understatement. Although his inaugural speech was silent on these two critical sectors, his manifesto sets out an ambitious desire to transform the education sector, reform the health care delivery system and ensure access to health services to all citizens. He will need to bring considerable skills, doggedness and effective policies to bear to fulfil these promises.

Tinubu advertises Nigeria’s broken health system. Like his predecessor, Muhammadu Buhari, he relies on foreign medical facilities for his own health care needs. Shamelessly, Nigeria’s leaders at every level jet abroad for theirs and their families’ health care. Buhari spent a cumulative 225 days on medical tourism in his eight years in office, according to Saturday PUNCH. Umaru Yar’Adua spent the greater part of the three years as president in German and Saudi Arabian hospitals before dying in office in 2010.

Tinubu had also been flitting in and out of the country for medical care ahead of his inauguration. Worse, also like his predecessors, he and his aides refuse to come clean with Nigerians on his health status. He should break sharply with such embarrassing behaviour by resolving to build first-rate hospitals and a national health care system that will obviate the need to seek care abroad. Findings by The PUNCH revealed that Nigerians spent $3 billion on medical tourism between 2020 and 2022.

The same applies to the education sector. Nigeria’s leaders at federal, state and local government levels have demonstrated their loss of faith in the country’s public educational system. Having ruined the public education system, they send their own children to exclusive preparatory, primary and secondary schools in the country. They thereafter send them abroad for higher education. Again, without shame, they regale Nigerians with photographs of their children matriculating or graduating in foreign institutions. Tinubu must reverse this trend. Development is accelerated by leaders determined to replicate the modernity they observed in other countries at home. But Nigeria’s public office holders simply do not care.

The disrepair in public hospitals, ill-motivated health workers and decrepit equipment have increased the appeal of overseas medical trips. Governments at all levels have refused to fix the problems.

Medical personnel are leaving in droves. The UK General Medical Council licensed at least 200 Nigerian-trained doctors between August 31 and September 30, 2022. Its data further indicated that 10,096 Nigerian-trained doctors moved to the UK 2015-2023. Nurses are not left out: 7,256 Nigerian-trained nurses relocated to the UK between March 2021 and March 2022, according to the UK Nursing and Midwifery Council.

Rather than confront the mess through adequate funding, equipping and motivation of personnel, and engagement with critical stakeholders, the government and the National Assembly chase shadows. The House of Representatives hurriedly proposed a draconian bill to amend the Medical and Dental Council of Nigeria Act to deny Nigerian-trained medical and dental medicine practitioners being fully licensed until they have worked for a minimum of five years in the country. The bill, which stakeholders say amounts to an exercise in futility, is a distraction; the sector needs radical reform to serve Nigerians and retain manpower.

Tinubu should tackle the rot headlong. His manifesto rightly acknowledges access to healthcare as a fundamental human right “and a matter of long-term national security.” It declares an intention to pursue reforms and policies “defined by the concept of Universal Health Coverage,” and through this, provide universal coverage, create jobs and reinvigorate the economy. That is the way to go.

Cuba has proved to the world that a country does not have to be rich to build an efficient healthcare delivery system. Its three-tiered structure of primary, secondary, and tertiary care is regarded as the world’s best and is recommended for developing economies by the World Health Organisation.

He should end public funding of medical tourism for public office holders. This requires building a sustainable and strong health care system through the provision of facilities and substantial funding. The administration’s mandate should focus on a patient-centred and motivated workforce. He should ensure accessible, quality and efficient health services with buy-in from state governments. Many Nigerians are dying from common diseases because they cannot afford the cost of treatment.

The state of primary health centres across states compounds the challenges with their lack of manpower, facilities, drugs, and rundown structures. They should be fully equipped in communities to reduce mortality rates and Excellerate Nigeria’s health indices. The WHO states, “Primary health care enables health systems to support a person’s health needs–from health promotion to disease prevention, treatment, rehabilitation, palliative and more.”

Tinubu needs to end perennial strikes by health workers by engaging honestly with them. A Saturday PUNCH report found that the numerous strikes by the National Association of Resident Doctors cost about 128 working days lost between 2016 and 2023. The doctors are seeking better working conditions and improved funding of the health care system.

The brain drain in the sector is disconcerting and Tinubu must stem the tide. The Nigerian Medical Association said only 24,000 licensed physicians currently cater to the over 200 million population in the country. This negates the WHO minimum threshold that a country needs a mix of 23 doctors, nurses, and midwives per 10,000 population.

Nigeria depends heavily on foreign drug manufacturers for its medical needs. For instance, Foreign Trade Statistics by the National Bureau of Statistics revealed that the country imported anti-malarial drugs worth N65.98 billion in the third quarter of 2021, and N43.47 billion in Q4 of the same year. The Tinubu administration must implement measures to stimulate local drug manufacturing capacity.

The challenges in the education sector are also legion. From inadequate funding, brain drain, inadequate research, and infrastructure decay to incessant strikes by the Academic Staff Union of Universities and other unions, education wobbles.

A United Nations Children Emergency Fund report in 2022 said Nigeria accounts for approximately 20.2 million out-of-school children, the second highest number of unschooled children globally after India. The situation is blamed on insecurity, poverty, displacement, street hawking, and excessive childbearing, among others. These issues must be addressed with allied partners, including community and religious leaders in the North, where the problem is most commonplace.

The current administration should convene an education summit involving states since education is on the Concurrent List to engender quality and relevance in the country’s education space. States and local governments should be roused to entirely drive primary and secondary education as they have embarrassingly abdicated this responsibility. NEEDS assessments should be conducted to identify key needs and ways to address them.

The broad objectives set out in Tinubu’s manifesto promise reforms focused on quality access, funding management, effectiveness, and competitiveness. It highlights improvements across the board and investment in infrastructure in educational institutions, including improved access to ICT by learners and the reintroduction of student loans.

Hopefully, these should not be mere empty documents to be promptly dumped on assuming office as all political parties in the Fourth Republic have done.

The national curriculum should be reviewed to reflect global learning and real-world issues. Competent education ministers must be appointed. The era of putting square pegs in round holes as a political reward should cease. Garrulous, mediocre, and incompetent individuals have no place in education, the bedrock of serious nations desparate on growth and development stimulation.

Nigeria has higher institutions it cannot fund; yet federal lawmakers keep approving new ones. There are 49 federal, 59 state and 111 private universities in the country according to the NUC; 40 federal, 49 state and 76 private polytechnics; 17 private, 70 federal and state-owned colleges of health with 219 colleges of education. These are in addition to specialised institutions established with ridiculously low take-off grants. In 2021, four additional universities took off with a combined grant of N18 billion.

Past governments have been unable to meet the UNESCO benchmark for funding, which recommends governments spend between four per cent and six per cent of GDP on education, and an adequate percentage of national budgets. There should be a moratorium on new federal higher institutions as the government does not have the financial or personnel wherewithal to run the existing ones

Tinubu’s campaign and initial pronouncements have been uncomfortably silent on the decades-old FG/ASUU stand-off. Yet, the unresolved agreements and the ensuing endless ASUU strikes have been the main issues in Nigeria’s tertiary education system for two decades. He should resolve to end the crisis. Cumulatively, the university system has lost several semesters, the academic calendar has been disrupted, quality compromised, and many dons have left the system, some relocating abroad.

The issues of allowances, revitalisation of public universities, transparency and accountability, among many others, should be finally addressed within the government’s financial means and capacity. Agreements must be honoured.

Decay, crises and dysfunction reign in the education and health sectors. Successive administrations came, saw and all, without exception, left them in even worse shape than they met them.

Tinubu should break the mould and breathe life into these two important areas of national life.

Provided by SyndiGate Media Inc. (Syndigate.info).
Sat, 03 Jun 2023 13:01:18 -0500 en-XL text/html https://www.msn.com/en-xl/africa/other/tinubu-health-education-require-radical-reforms/ar-AA1c68yo
People Incorporated sees demand for mental health awareness training grow across all industries

For years, People Incorporated, a St. Paul-based community provider of behavioral and mental health services, has been offering classes and programs on a variety of mental health syllabus for their employees as well as workers from other social service agencies through the organization’s Training Institute

More recently, People Incorporated began hearing from employers in other industries who were curious if the nonprofit could provide specialized mental health training for their workers. These organizations offered a wide range of services but they had one thing in common: Their workers interacted with customers in public spaces. 

Russ Turner, director of People Incorporated’s Training Institute, said that one of the more latest — and largest — employers that his organization created a customized training program for is Metro Transit. The system’s bus operators were seeing increased numbers of riders struggling with mental health issues and wanted to learn safe and effective ways to respond. 

The growing number of requests for the training institute’s services is connected to a general increase in mental health issues across the community, Turner explained.  Workers who were never trained to assist people in mental health crises are now finding themselves in situations where these skills could be of use. 

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“Most of these workers don’t have a social work degree,” Turner said of the workshop participants. “They are not mental health practitioners, and they probably don’t really want to be. But in a way that’s what they’re doing now.” 

Turner and I spoke recently about this change, where it came from and how his organization is rising to the challenge. This interview has been edited for length and clarity. 

MinnPost: What made you decide to offer these specialized trainings? 

Russ Turner: Around 10, 12 years ago I started noticing that people from other companies and agencies were drifting into our trainings,  which is unusual.  When we were providing continuing education for people in our industry, we were partnering across organizations, building bridges in our own bubble with other social service agencies. We were offering continuing education units for social workers, for instance. 

Russ Turner

Russ Turner

About six years ago we started getting more calls and emails from other industries outside our bubble. You might say the bubble started to burst. People like Metro Transit began contacting us with an interest in trainings that we’ve been doing for ages with our staff, syllabus like crisis de-escalation, mental health awareness, what’s happening when people are in a crisis, how should professionals respond to that, tips about what not to do. 

People from other industries are now very interested in mental health in the workplace.

MP: Why is that? 

RT: Whatever’s happening in society, in the community, out on the streets, it will eventually come into people’s workplaces. We’ve done trainings for schools, libraries, rec centers. You have staff whose primary job has typically been to book people into the gym, check out their library books. That’s their basic job, but increasingly what they have actually been tasked with is working with people who are homeless, people who are severely and persistently mentally ill, who are coming into the center. In a way, these are people who are lost. 

MP: How does that change impact workers?

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RT: Now people have a whole new set of things that they are working with. In most workplaces, de-escalating a mental health crisis is not in your job description. A great example of this is libraires. They are public spaces, a community place that is warm during the winter. People are coming into libraries, some are borrowing books, a lot are not. The library staff have to work with all this and they also have to work with their “legacy” customers at the same time. People are coming into the library in all sorts of psychiatric states. 

MP: How do you design trainings that speak to specific workers or workplaces?

RT: We try to go into the space that exists between the mental health community and the workplace. We come into the middle and say, “We can bring you some pretty good ideas for mental health but we don’t know a lot about your workplace so if we can come together and workshop it first it could be helpful.” There is a lot of residual anxiety, stress and trauma in the community from the pandemic, from George Floyd, from January 6. All of that anxiety and tension is seeping into workplaces. We would like to help different types of workers understand a bit more about mental health crisis de-escalation, mental health awareness and critical-incident stress debriefing after a difficult day. 

MP: One organization that has hired you to train its employees is Metro Transit. You’ve been offering mental health awareness workshops and training for bus operators. Can you tell me more about that partnership? 

RT: Metro Transit is a very forward-thinking organization. Instead of being located in a physical building, their workers are located in a bus. But the same concepts apply. And there are issues their workers have to deal with that go way beyond driving the vehicle. Not only does the operator have to operate the vehicle, they also have to be able to manage the tension with people getting on and off.  They have to keep the environment calm and safe. They also have to manage their own mental health. This work is quite taxing over time. 

While Metro Transit is just one example of many organizations that we’ve worked with, it is a particularly exciting one. We trained 1,800 bus drivers right through the pandemic. We are also part of their apprentice program, where an employee’s first couple of years of them being an operator includes a little bit of monthly education. Mental health awareness is part of that. 

MinnPost: What kinds of skills did you teach during those trainings? 

RT: We provide the drivers one or two good tools, things they can say and should not say to people who are upset, to help keep the situation as calm and safe as possible. But that’s only one component of it. Part of our work with Metro Transit has been to provide training that essentially destigmatizes mental health so people understand it better. It is easy when someone is “acting out” to just to see those behaviors and be upset with them. If you understand more about how trauma manifests in people you begin to understand it a bit better. You are more likely to produce a more empathetic response that is safer and more effective.

MP:  What are some of the other organizations you’ve worked with? 

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RT: We did a program with the St. Paul Fire Department. Their EMTs are good at their job: They can get you to Regions Hospital in 12 minutes. But what they are telling us is that a lot of what they are working with is beyond that. It looks like a mental health crisis. We worked with them on how they can address that. 

We’ve also worked with a range of retail workers. Mask mandates set a lot of that off. You have someone whose primary  job is to work on the cash register and now they are becoming some sort of bouncer or security officer. That’s not easy work. It is a whole different set of skills. We did some work with a grocery organization in Wisconsin about using de-escalation techniques  to help people to comply with mask mandates without them getting so upset.

One thing these organizations have in common is they are all about public spaces. They’re a representation in a way of what’s happening in society. 

MP: Have you been surprised by any of the organizations that have inquired about your trainings? 

RT: We did a couple of trainings with museums. The staff needed trainings so they could work with irate customers who didn’t want to follow safety protocol. When I step back and think about it, that’s a little jarring: I’m old enough to remember when going to a library or going to a museum would be one of the most boring things you could do, whereas now staff need awareness that they didn’t before. 

MP: Are there any workers out there that already have these skills and don’t need your workshops? 

RT: Hair stylists and bartenders are already experts. An experienced and skillful bartender has great people skills. If you had an opportunity to meet with a bunch of hair stylists and bartenders, and you framed it in a mental health paradigm, they’d probably sit through the class and say, “Yeah, yeah. I do that already.”  Those skills are golden but they are still somewhat rare and getting rarer, especially with less authentic face-to-face interaction generally. 

Mon, 05 Jun 2023 02:16:00 -0500 Andy Steiner en-US text/html https://www.minnpost.com/mental-health-addiction/2023/06/people-incorporated-sees-demand-for-mental-health-awareness-training-grow-across-all-industries/
Emory nursing school dean thrives in research, teaching and business No result found, try new keyword!Linda McCauley started a nursing career in the 1970s because that was what was open for women. Today, as Emory University’s Nell Hodgson Woodruff School of Nursing, she contributes in multiple ... Tue, 30 May 2023 03:52:00 -0500 text/html https://www.bizjournals.com/atlanta/news/2023/05/30/health-care-heroes-linda-mccauley-emory-nursing.html Teachers reluctant to use technology in music teaching, say experts

Music in secondary schools is at risk of extinction unless teachers embrace new technologies and incorporate contemporary genres in the classroom, a leading academic has warned.

Dr. Pete Dale, from the University of York's School of Arts and Creative Technologies and lead researcher at the Contemporary Urban Music for Inclusion Network (CUMIN), says his research has revealed that teachers are often reluctant to use new technology, despite evidence to show that integrating new genres that young adults enjoy the most could transform their educational experience.

New technologies

In his review of research papers conducted with teachers over a 15 year period, which included collating interviews, surveys and data, he identified a 'nervousness' by some teachers to use new technologies in the classroom, such as DJ controller decks, MIDI controllers and Digital Audio Workstations (DAWs).

These studies have shown that music teaching tends to be technologically 'conservative' and does not integrate the advances in modern music production within the teaching of classical or traditional music.

Music education

A study in 2021, for example, suggested that this reticence with music technology derives from fears that the technology will diminish more traditional , as well as a lack of training among many music teachers.

Dr. Dale said, "These teachers are protective of their established methods and feel threatened by the potential influence of technology. However, CUMIN has shown that there is a significant appetite for music technology, particularly beyond the school gates."

Performance

One , in a report authored by Dr. Dale, stated that they had never used technology for an assessed GCSE or A-level performance and "couldn't imagine doing that" due to being nervous of the assessment process. They said "I'd love to do it but I'm nervous... I have a genuine fear that people [who do moderation] don't understand the use of technology."

Dr. Dale, said, "My research work with teachers across the UK has shown that many teachers are hugely anxious about using music technology in general and nervous about using DJ decks in particular for GCSE assessments.

"This is unfortunate because my research has also shown that when teachers do include DJ decks and contemporary music in their classrooms, uptake at Key Stage 4 can be massively improved and greater engagement in the classroom can become possible."

Opportunity

"If music is 'under threat of extinction in schools', as some influential researchers have argued in latest years, there is a huge opportunity here to reverse this misfortune and bring music education up to date for the 21st Century in the UK."

"Although classical has always been a mainstay in music education, lessons in what students consider 'their music' will inevitably help them engage with something they already have deep interests in."

The findings will be presented at the Contemporary Urban Music for Inclusion Network conference on Friday 30th June at Trinity Laban Conservatoire of Music and Dance in London with input from a range of artists, educators (including exam boards such as AQA and Edexcel) and arts-for-health practitioners.

More information: Conference: cuminetwork.wordpress.com/

Citation: Teachers reluctant to use technology in music teaching, say experts (2023, June 1) retrieved 5 June 2023 from https://phys.org/news/2023-06-teachers-reluctant-technology-music-experts.html

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