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Cope Health Scholar Resume – The International Health Scholar program, a partnership between COPE Health Solutions and the UCLA Fielding School of Public Health, allows international students to gain clinical experience in the US (Courtesy of Tisa Thomas).
International pre-health students can now gain experience working in a US hospital through a program launched this summer.
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The International Health Scholar program allows international students to take health care courses and gain clinical experience in the US over a seven-week period, said Susie Yu, associate director of international relations at COPE Health Solutions.
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The program is managed by COPE Health Solutions, Yu said. The company is a health care consulting firm that provides health education to underserved communities in Los Angeles.
The IHS program is a partnership between COPE Health Solutions and the UCLA Fielding School of Public Health, and will continue into the winter, Yu said.
Each week, students in the summer program attended a three-and-a-half-hour class where they learned about the different sectors and issues in the health field, said Leah Vriesman, assistant associate professor in the Fielding School of Public Health. The classes were taught by Fielding School of Public Health professors who specialize in health care delivery systems, financing and reform, health technology and innovations, among other topics.
Because the program had just started, there were only four students from China, Taiwan and Vietnam, Yu said.
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Vriesman, the students asked big questions and discussed how their home countries would tackle various medical problems.
“Too often in the US, we think we know so much about health care,” said Allen Miller, chief executive officer of COPE Health Solutions. “What if we could collaborate with students from other countries and share what we know? While there are great doctors in the US and the answers to many medical questions, there are many things we can learn from that are being done in other countries.”
The students in the IHS program also shadowed the COPE Health Scholars, Yu said. The COPE Health Scholar Program allows pre-health students in Los Angeles to work alongside clinical and administrative professionals. Some of the experiences IHS students had included witnessing the birth of a baby and assisting doctors with a colonoscopy.
IHS Scholar Jingyi Shen shadowed a COPE Health Scholar at one program site and got to see end-of-life patient care. Shen and a COPE Health Scholar observed cleaning the patient rooms and communicating with the patients.
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Shen said it was difficult to see patients near the end of their lives, but she understood how important it is for hospice patients to communicate with their loved ones.
“Students often choose to go into clinical school because they often choose it as an undergraduate,” Vriesman said. “However, when these international health scholars are exposed to a variety of topics, they also have the opportunity to expand their options for health policy and management.”
The program is open to all international and domestic students and is accepting applications for the winter session. Students may apply before 1 October for the Christmas session and 1 November for the January session.
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A challenge to academic psychiatry from a conceptual and professional point of view is the cause of the phenomenon of “burnout”, thought to be caused by work-related stress. Since the ritual was first described in 1974 until today, more than 140 definitions have been proposed. The main characteristic of Burnout–symptomatology, the experience of exhaustion, is non-specific. Various developments have been proposed – burnt out models, assumed to represent a semi-natural process. These could not be confirmed empirically. It was not possible to agree on the diagnostic criteria and the conceptual position, whether as an independent disorder or as a risk. However, the phenomenon of burnout in the ICD-11 is considered to be categorized as a work-related disorder. Psychiatric research on the burnout phenomenon ignores definitional problems arising from different perspectives: It may meet society’s expectations, but it does not meet scientific criteria, and is therefore not suitable for establishing an objective diagnosis and treatment. It is considered appropriate to perceive ICD/DSM diagnoses from the perspective of experts and subjective subjective models.
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Since the publication of the first publication on the topic of burnout in 1974, in which the psychotherapist Herbert Freudenberger literally described the phenomenon in relation to his own body and mental state, an infinite amount has been published on the topic of burnout (1). Burnout was identified in social professions for the first time, later in all subjects related to occupations where people were stressed and when it was considered to be overworked. In these contexts “fire” was discussed and expected to be treated, through methods aimed at relief, rest and relaxation (2, 3). There are more than 140 proposed definitions of burn in the literature (2, 4). However, the hope that “burned out research” in psychiatry, psychology, psychotherapy, neurophysiology and social sciences will find a concrete concept viable for various scientific and therapeutic issues and ultimately also for political implications has not been fulfilled. There are no concrete diagnostic criteria to date to classify burnout as a disorder according to DSM or ICD standards. References are often made to burnout questionnaires, especially the Maslach Burnout Inventory (MBI) (5). Although many authors struggle with the definition of burnout, many believe they know what burnout means and publish articles about it (“I can’t define it, but I know what is there!”). This leads to the questions on which this article is based: How realistic is it to get closer to an unambiguous or even standard medical-psychotherapeutic definition? Is it even possible to give a clear definition of burnout – based on established scientific criteria? To what extent can the perspective of the researcher or observer be considered, i.e., the perspective from which an injury is perceived or processed, to clarify the question?
A systematic review of the entire history of research since 1974 and more than 15,000 references on the subject (in PubMed 17, 836 available citations, October 28th, 2020) cannot be rationalized in this paper.
In order to at least indicate the heterogeneity and distribution of topic-specific burn-related questions, here is a list of the contents and questions of the last publications on the subject listed in medline. On medline, February 10.02.20, the 100 most recent publications on burnout (in the sense of a psychological phenomenon) were as follows: 57 studies based on surveys of circumscribed groups of doctors, students, teachers, administrative staff, etc., partly with the question of how burnout values relate to other recorded parameters; 31 discussion inputs on the subject without authentic data; 7 prevention or therapy studies (mainly based on mindfulness-based stress reduction); 3 reviews of burn exposure and changes in special groups, and 3 methodological works (evaluation of burn questionnaires). Most of the empirical studies are using the Maslach burnout inventory or related instruments. The data is used to show and discuss the particular relevance of the burdens of special groups and to consider possible solutions.
This paper mentions an exemplary selection of publications showing the spectrum of publications on the subject with the aim of demonstrating the urgency of standardizing the definition of fire for scientific and therapeutic procedure.
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Freudenberger introduced the phenomenon of “burnout” in 1974 (1). Since then, many scientifically designed and professionally focused studies on the subject have been conducted and published. Here already the problem starts with the fact that the authors of the scientific papers on fire usually do not define the burn out or at least they do not explain in which category the definition of the fire is allocated.
The definition and description depend on the author’s business perspective, profession and personal perspective as detailed elsewhere (6). Accordingly they are extremely diverse (Figure 1).
Diagnoses should be objective, reliable and valid. Ideally, different examiners will identify the same core symptoms (objectivity) in a patient. The results must be reproducible and reliable, i.e., confirmed by repeated tests. A diagnosis is valid if it indicates a disease that can be treated with a certain method
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