There are many situations in which an older person needs the services of both an attorney and a physician and communication and collaboration between members of those two professions would be highly advantageous to the older patient/client’s well-being. Unfortunately, the record of physician/attorney interprofessional collaboration on behalf of the shared older patient/client in such circumstances too often is deficient and needs to be improved. This article reports on a project designed to maximize the synergistic value of physicians as patient advocates and attorneys as problem solvers when the two professions work together. The project consisted of several components, culminating in the availability of a continuing education toolkit for these two helping professions that identifies and aims to overcome an array of potential impediments inhibiting effective physician/attorney collaboration in the aging arena. One project component featured here focuses on the contribution of the Florida State University College of Medicine’s Regional Campuses in carrying out the described project. Financial support: This project was supported by Retirement Research Foundation Grant #2015-121 to the Florida State University Research Foundation, Inc. Human Subjects: This project was approved and reapproved by the Florida State University Human Subjects Committee, HSC No. 2017.20466.

Introduction: The objective of this study was to compare fundamental frequency (F0) during vowel phonation, reading, and monolog in Indian Hindi speakers as compared to native English speakers. Methods: Thirty normal, age-matched native English and 30 Indian Hindi speakers participated in the study. Participants' F0values were extracted from samples obtained during sustained/a/, reading, and monolog. Analyses centered on F0differences during (a) sustained/a/, comparing native English and Hindi speakers; (b) reading and monolog production, comparing native English and Hindi speakers speaking English and Hindi, respectively; (c) reading and monologs, comparing native English versus Hindi speakers speaking English; and (d) Hindi participants speaking English versus the same participants speaking Hindi. Results: Analyses did not reveal significant differences between F0during sustained/a/for native English and Hindi speakers. All other comparisons, which involved reading and monolog, revealed significantly higher F0in Hindi speakers. Relationships between language learning variables and mean F0were statistically insignificant. Conclusions: The finding of equivalent F0for sustained vowel phonation across groups, in comparison to between- and within-group differences for reading and monolog tasks, suggests that F0differences that were found were largely linguistically determined. Proposals are provided for evaluating additional anatomical and cultural factors determining F0.

Abstract This Critical Synthesis Package contains: (1) a Critical Analysis of the psychometric properties of and application to health science education of the Evidence-based Practice Teaching Questionnaire (EBPTQ), and, (2) a copy of the EBPTQ instrument developed by Rod Taylor, PhD. The EBPTQ is a self-completion instrument administered by postal survey. The instrument has four sections. The first section contains seven questions about previous experience with critical appraisal skills workshops or other professional development educational activities, access to library resources and experience searching published literature. The second section contains six questions inquiring specifically about the use of evidence and resources in decision-making. The third section contains seven attitude questions that explore opinions about using evidence in decision-making, classified on a 6-item scale ranging from “strongly agree” to “don't know.” The fourth section contains six knowledge questions with subscales each classified into three categories as “True,” “False,” or “Don't know.” Evidence-based practice (EBP) has become increasingly important in health care since the mid-1990s. Critical appraisal skills are believed to play a central role in an evidence-based approach to health care professional practice. Valid and reliable instruments are needed to plan educational programs and measure the abilities of health care professionals to demonstrate, and the effects of training related to EBP education. The choice of EBP instrument should be guided by research purpose, domains of interest, and target audience(s). In the knowledge and attitude domains, the EBPTQ demonstrates acceptable reliability. The analysis of validity findings show promise in the application of the instrument in health sciences' education. To strengthen the structure and psychometric properties of the questionnaire, future research should report additional statistical results (e.g., principal and confirmatory factor analyses for each item set), as well as additional analyses of construct, criterion, and convergent validity measures, to enhance judgments of overall validity and representativeness, as well as generalizability.

The Charleston area offers a rich mix of historical, cultural, educational, social, and natural entertainment options for visitors. This paper examines the possibility of price bundling of area attractions to offer a lower price to area visitors. Two options are advanced: Targeted Selections and Broader Selections. Finally, market-specific factor influencing implementation are discussed.

This phenomenological study explored the nature of clinical peer mentoring experiences from the perspectives of first-time undergraduate student clinicians, graduate student peer mentors, and their clinical instructor at one Midwestern university. Participants included five mentor–first time (FT) clinician pairs and one clinical instructor. In-depth, semi-structured, face-to-face interviews were analyzed using Moustakas’ (1994) modified van Kaam method of analysis of phenomenological data. The findings revealed personal and reciprocal peer mentor–FT clinician relationships that impacted clinical instructor supervision. The results suggested a dichotomy between acceptance of peer mentor guidance and support and FT clinician self-confidence in clinical skills. The findings demonstrated the potential impact of relationship dynamics between peer mentor and clinical instructor on the overall clinical experience of FT clinicians. The results yielded implications for peer mentor model development.

PURPOSE:Doctors' anxieties about the legal environment begin during medical school. The signals faculty members send to medical students contribute to this anxiety. A pilot study was conducted to examine signals sent by faculty members to students regarding the relationship of legal risk management and ethical patient care at one medical school. It was also intended to determine the agreement between the messages faculty staff believe they are transmitting and those that students think they are hearing from faculty mentors.METHODS:A survey with six multiple-choice questions was sent electronically to clinical faculty staff of one medical school to elicit the signals faculty members send students regarding the relationship of legal risk management and ethical patient care. A complementary survey instrument was sent to all 240 third- and fourth-year students to elicit their perceptions of what they were being taught by their mentors about the legal environment. Responses were tabulated, analysed, and interpreted.RESULTS:Faculty staff and student responses to six questions regarding teaching and learning about the relationship of legal risk management and ethical patient care revealed, for four of the six questions, statistically significantly different perspectives between what faculty members thought they were teaching and what students thought they were learning.CONCLUSIONS:Medical schools should be teaching patient-centered medicine, reconciling an awareness of the legal environment with the provision of ethically and clinically sound patient care. To improve performance, we must address the messages faculty members send students and reduce the disparity between perceived faculty teaching and claimed student learning in this context.

Purpose: Doctors’ anxieties about the legal environment begin during medical school. The signals faculty members send to medical students contribute to this anxiety. A pilot study was conducted to examine signals sent by faculty members to students regarding the relationship of legal risk management and ethical patient care at one medical school. It was also intended to determine the agreement between the messages faculty staff believe they are transmitting and those that students think they are hearing from faculty mentors. Methods: A survey with six multiple-choice questions was sent electronically to clinical faculty staff of one medical school to elicit the signals faculty members send students regarding the relationship of legal risk management and ethical patient care. A complementary survey instrument was sent to all 240 thirdand fourth-year students to elicit their perceptions of what they were being taught by their mentors about the legal environment. Responses were tabulated, analysed, and interpreted. Results: Faculty staff and student responses to six questions regarding teaching and learning about the relationship of legal risk management and ethical patient care revealed, for four of the six questions, statistically significantly different perspectives between what faculty members thought they were teaching and what students thought they were learning. Conclusions: Medical schools should be teaching patient-centered medicine, reconciling an awareness of the legal environment with the provision of ethically and clinically sound patient care. To improve performance, we must address the messages faculty members send students and reduce the disparity between perceived faculty teaching and claimed student learning in this context. Doctors’ anxieties about the legal environment begin during medical school Diverse approaches

Throughout the course of their medical education, future physicians are frequently exposed to comments from their physician faculty mentors about the legal risks they are likely to encounter in their professional lives. These comments may engender legal apprehensions and anxieties among medical students and may be accompanied by advice from faculty that tends to encourage future clinical behavior that is inconsistent with the best humanistic care of patients. The frequently destructive relationship between physicians’ negative perceptions of their legal climate, on one hand, and the humanistic character of the patient care that ought to be provided by physicians, on the other, has been acknowledged for a long time. However, it appears that little - if any - attention has been devoted in the medical education arena to the tension between physicians’ perceptions about their risk management needs and the humanistic quality of the patient care they provide, let alone attention to the role that medical education may exert on the creation or exacerbation of that tension. This is a serious and unfortunate oversight; indeed, the ability to effectuate a positive, therapeutic alignment of legal risk management and humanistic patient care ought to be considered a core competency embedded throughout the medical education process. The goal of the project outlined briefly in this article is to create and disseminate experience and knowledge that will move medical education in that humanistic direction.

Agricultural tourism has allowed farmers to reach new consumers, cultivate new revenue streams, educate the public regarding their work, and to preserve their way of life. Today, many farmers are going beyond the traditional hayride or pick-your-own orchards to include attractions and amusements. They have transformed the category, even prompting a new name, agri-tainment (agricultural entertainment). In the process, the family farm has become a destination itself. The rationale behind their development along with the consumer interest in experiencing such tourism venues is discussed.

ABSTRACT This manuscript reviews the challenge of increasing the participation in organized religions among members of Generation X. Given the pervasiveness of Consumerism in American society, this Generation is particularly likely to apply their consumer problem-solving skills to major life decisions, such as joining a church or faith community. And, the distribution methods and channels traditionally used to deliver religious programming are fraught with structural obstacles to drawing this group to participate. These obstacles are identified and solutions proposed.

Buyer-supplier levels of cooperation within industrial markets is examined. Degree of interdependence has long been assumed to be a predictor of cooperation in these relationships. Results from this study show mixed results.

Creating and sustaining trust in buyer‐seller relationships constitutes a critical strategic skill in the international travel trade. After conceptualizing the importance of trust between wholesale buyers and suppliers in a tourism context, this paper proposes a model composed of the factors that influence both the level and type of trust. Trust is an essential part of successful buyer‐supplier relationships and this model identifies and explains a number of factors known to influence supplier trust in the business‐to‐business relationship.

Answers recent calls for scholarly study of organizational culture in a marketing context. Presents a view of the marketing concept as culture based on the organizational symbolism paradigm. Then applies this perspective through techniques for implementing the marketing concept.

The Army's Common Picture of the Battlefield will produce immense amounts of data associated with tactical goals and options, dynamic operations, unit and troop movement, and general battlefield information. These data will come form sensors (in real-time) and from simulations and must be positioned accurately on high-fidelity 3-D terrain. This paper is associated with the Army's 2-D symbols for operations and tactics so that the information content of this symbolic structure is retained. A hierarchy is developed based on military organization to display this symbology. Using this hierarchy, even complex battlefield scenarios can be displayed and explored in real-time with minimal clutter. The user may also move units around by direct manipulation, define paths, create or delete hierarchical elements, and make other interactions. To strengthen the capacity for distributed simulations and for using sensor information from multiple sources, DIS capability has been integrated with the symbology for dynamic updates of position, direction and speed, and hierarchical structure. This paper will also discuss how the techniques used here can be applied to general (non-military) organizational structures.

Evaluates the level of purchasing participation in the corporate strategic planning process. Results indicate that the level of participation has increased over the last five years. Discusses possible explanations for this increase.

This study investigated (1) whether potential future purchasing agents were predisposed to accept gratuities or whether the practice of gratuity acceptance is a manifestation of the job itself, (2) whether the existence of a code of ethics forbidding gratuity acceptance curtails the occurrence, and (3) whether disparities in ethics policies between the sales and purchasing functions affect gratuity acceptance. Hypotheses based upon the concepts of organizational concern and institutionalized ethics are developed and empirically tested. Results suggest that future purchasing agents are predisposed to accept gratuities and that formal written ethics policies decrease the acceptance of gratuities. Disparities in ethics policies between the sales and purchasing functions concerning gratuities failed to affect gratuity acceptance significantly.

Logistics channels are usually designed to go one way—toward the customer. Moving goods in the other direction disrupts this flow, much like driving a car the wrong way on a one way street. The concept of symbiotic logistics offers insight into the solution or avoidance of problems associated with reverse logistics.