Background: Finding the ideal candidate for a residency/fellowship program has always been difficult. Finding the “perfect” match has always been the ultimate goal. However, many factors affect obtaining that “perfect” match. In the past, we would have each attending physician review around 20 to 50 Electronic Residency Application Service (ERAS) applications and rank them into three categories: high, middle, or low. Depending on their ranking, the applicant would be invited for an interview. After the interview, the applicants’ files (ERAS and interview) would be reviewed and ranked by the faculty as a group. This was time-consuming and fraught with too much subjectivity and minimal objectivity. We, therefore, sought to find a way to assess and rank applicants in a more objective and less time-consuming manner. By creating a customizable scoring tool, we were able to screen applicants to our pulmonary/critical care fellowship program in an efficient and a more objective manner. Objectives: A customizable scoring tool was developed weighting components in the ERAS and interview process, allowing residency/fellowship programs to create a final rank list consistent with the programs’ desired applicants. Methods: Two hundred and sixty pulmonary/critical care fellowship applications were reviewed from 2013 to 2018. In 2018, we used our new scoring rubric to create a rank list and rescore previous applicants. The traditional and new lists were compared to the final rank list submitted to the National Residency Matching Program (NRMP) for 2018. We wanted to ascertain which scoring method correlated best with the final rank list submitted to the NRMP. We obtained feedback from eight faculty members who had reviewed applicants with both scoring tools. Results: The novel customizable scoring tool positively correlated with the final rank list submitted to the NRMP (r= 0.86). The novel tool showed a better correlation to the final rank list than the traditional method. Faculties (6/6, 100%) responded positively to the new tool. Conclusions: Our new customizable tool has allowed us to create a final rank list that is efficient and more focused on our faculty’s desired applicants. We hope to assess and compare the quality of applicants matched through this scoring system and the traditional method by using faculty evaluations, milestones, and test scores.

Background: Prior studies suggest interprofessional teamwork training improves trauma resuscitation team performance and outcomes. This study explores whether additional improvements are observed with advanced trauma nurse training in comparison with prior interprofessional teamwork studies conducted in the same setting. Methods: This is a prospective, guasiexperimental preintervention and postintervention study incorporating TeamSTEPPS (R) with interprofessional simulations. Results: Trauma nurses' self-confidence in skills increased significantly in all areas after training (p < .05). Trauma resuscitation team performance improved significantly after training but degraded between 6 and 12 months after training. The greatest decline in performance over time was seen in the readership domain (p < .05). Conclusions: Study findings support prior studies, suggesting teamwork training improves team attitudes and performance. Interprofessional trauma resuscitation team training provided every 6 months may support sustained improvement gains over time. (C) 2019 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights reserved.

The Functional Independence Measure (FIM) is used by rehabilitation professionals to access disability. The FIM score combines both motor and cognitive parameters to assess a patient's level of required assistance in performing activities of daily living (ADL). The geriatric trauma patient is becoming an increasingly important cohort for trauma services. FIM has been shown to predict discharge outcomes and those at high risk for falls. We hypothesized pretrauma FIM scores may predict survival in the geriatric trauma population. This was a retrospective study of patients 65 years and older that were admitted to our Level I trauma center from July 1, 2006 to July 1, 2012. A total 941 patients underwent stepwise regression to identify those factors predicting survival. Age, Injury Severity Score, revised trauma score, body mass index, and pretrauma FIM scores (12-point scale) were studied. The primary outcome was survival. Statistical significance reached at P value <0.05. Multiple logistic regression analysis was then performed. A total of 1315 patients were identified and complete data were available on 941 patients. Mean age was 78 (SD ± 8.2), mean Injury Severity Score was 13(SD ± 8.7), and mean body mass index was 26. Overall mortality was 11 per cent. The odds ratio of survival was 3.532 (95% confidence interval = 2.191–5.718) times greater for every 1-point increase in the preadmission FIM expression score. Glasgow Coma Scale, revised trauma score, gender, and pretrauma FIM expression scores were predictive of survival in the geriatric trauma patient. Pretrauma FIM expression can be used to predict survival in the elderly trauma victim. Further study is needed to establish the role of FIM as part of trauma scoring systems.

This study examined: (1) relations between parents' prior stereotypes about adolescence and their later beliefs about their own child during early and middle adolescence, (2) relations between parents' stereotypes and their own child's behaviors during middle and late adolescence, and (3) the role of congruency between mother's and father's beliefs about adolescence in predicting their child's behavior. The results revealed significant relations between parents' prior stereotyped beliefs and their specific beliefs about their own children during the 7th and 10th grades. In addition, the relations between parents' prior stereotypes and their adolescent children's behaviors measured at 3 and 5 years later (10th and 12th grades) were estimated. Parents' stereotypes about adolescence significantly predicted their children's behaviors in both 10th and 12th grades. Finally, the congruency between mothers' and fathers' stereotyped beliefs was significantly related to their children's behaviors in the 10th and 12th grades. Parents who had consistent and strong stereotypes about adolescence had adolescent children with more deviant peers than parents with consistent, but less-stereotyped views.

Just as customer satisfaction is the key to retaining customers, satisfaction with job and career choices are important for keeping staff nurses on the job. The roles of employment setting, job commitment, tenure, years until retirement, short staffing, and patient load in predicting satisfaction were assessed for RN and LPN staff nurses. Results show that when RNs and LPNs feel short staffing interferes with their ability to meet patient care needs, they are also less satisfied with both their job and their career. In order not to exacerbate the current nursing shortage, employers must find ways to ensure adequate staffing to keep staff nurses satisfied and on the job.