Embodied Engagements: Body Mapping in a Sociology of Sexuality Classroom

Using a collaborative autoethnographic approach, we discuss body mapping as an embodied pedagogical practice for teaching sexuality. Body mapping centers stigmatized bodies through guided visual, oral, and textual self-representation. We begin by discussing embodied pedagogies and the bind of representation (ideas grounded in the work of feminists of color) in teaching and learning about sexuality. We then consider three body mapping experiences: in a sexuality education graduate seminar ( seminar mapping), as a remote synchronous practice ( remote mapping), and as a solo practice ( solo mapping). We explore challenges in representation, embodied difference, and the im/possibility of mapping the sexual. Finally, we consider the implications and applications of body-mapping exercises for sexualities classrooms.

It’s not my fault although it might be: chiropractic practice and vicarious liability

Background While chiropractic care is most commonly provided within a private practice context, the ‘traditional’ solo practice is now uncommon. Chiropractors, manual therapists and related health professionals commonly work within the same practice bringing obvious advantages to both the practitioners and their patients. However, multi-practitioner, multi-disciplinary clinics also carry often unrecognized liabilities. We refer here to vicarious liability and non-delegable duties. Vicarious liability refers to the strict liability imposed on one person for the negligent acts of another person. The typical example is an employer being held vicariously liable to the negligent acts of an employee. However, vicarious liability can arise outside of the employer-employee relationship. For example, under non-delegable duty provisions, an entity owing a non-delegable duty can be liable for an independent contractor’s wrongdoing. After a plain English explanation of this complex area of law, we provide seven scenarios to demonstrate how vicarious liability can envelop practice principals when things go wrong. We also make suggestions for risk mitigation. Conclusion Practice owners may unexpectedly find themselves legally liable for another’s actions with dire consequences. A knowledge of vicarious liability along with implementing risk mitigation strategies has the potential to minimize the likelihood of this unwanted event. Recommendations are made to this end.

Bodies on the line: how telepsychology brought about new relationalities between therapists and their clients during the COVID-19 pandemic

This article explores a series of psychosocial and embodied relationalities that emerged between registered solo-practice psychologists and their clients during the COVID-19 social lockdowns that took place in Australia between June and August 2020. Drawing on findings from a larger qualitative research project into Australian psychologists’ experiences of maintaining therapeutic relationships via teleconferencing technologies during the pandemic, I explore the ways in which the relational and embodied experiences of taking therapy online resulted in new ways of working with clients over digital media interfaces such as Zoom, Skype and Facetime. Central to this discussion is an exploration of the ways in which embodied attunement, fears of risk and contagion, and concerns around trust and privacy were negotiated to create new, ‘more-than-human’ relationships between therapists, clients and the spaces and technologies that brought them together.

Primary Care and Access to Mental Health Consultations among Immigrants and Nonimmigrants with Mood or Anxiety Disorders: Soins de première ligne et accès aux consultations en santé mentale chez les immigrants et les non-immigrants souffrant de troubles de l’humeur ou anxieux

Objective: To examine the association between usual place of primary care and mental health consultation among those with self-reported mood or anxiety disorders. We also describe access to mental health services among people who are recent immigrants, longer-term immigrants, and nonimmigrants and determine whether the association with place of primary care differs by immigration group. Methods: We used data from the Canadian Community Health Survey (2015 to 2016) to identify a representative sample of individuals with self-reported mood or anxiety disorders. We used logistic regression, with models stratified by immigration group (recent, longer-term, nonimmigrant), to examine the association between usual place of primary care and receiving a mental health consultation in the previous 12 months. Results: Higher percentages of recent and longer-term immigrants see a doctor in solo practice, and a higher percentage of recent immigrants use walk-in clinics as a usual place of care. Compared with people whose usual place of care was a community health center or interdisciplinary team, adjusted odds of a mental health consultation were significantly lower for people whose usual place of care was a solo practice doctor’s office (AOR = 0.71; 95% CI, 0.62 to 0.82), a walk-in clinic (AOR = 0.75; 95% CI, 0.66 to 0.85), outpatient clinic/other place (AOR = 0.72 95% CI, 0.59 to 0.88), and lowest among people reporting no usual place other than the emergency room (AOR = 0.59; 95% CI, 0.51 to 0.67). Differences in access to mental health consultations by usual place of primary care were greatest among immigrants, especially recent immigrants. Conclusions: People with mood or anxiety disorders who have access to team-based primary care are more likely to report mental health consultations, and this is especially true for immigrants. Expanded access to team-based primary health care may help reduce barriers to mental health services, especially among immigrants.

Feasibility of Interprofessional Education in a Community Pharmacy

Objective: To evaluate student learning, preceptor opinions, and feasibility of conducting interprofessional education in a community pharmacy. Methods: Six pharmacy and 6 physician assistant students from 2 universities were paired to practice together in a community pharmacy for 1 day and clinic or emergency department for 1 day. Investigator-developed surveys were completed anonymously by students and preceptors. Students self-assessed learning and team attitudes. Preceptors evaluated team functioning and provided feedback. Students and preceptors attended separate focus groups to discuss their experiences. Results: Students reported improved understanding of discipline-specific roles. Students stated shared learning would improve future ability to work on a team (n = 9), helped with understanding patients’ clinical problems (n = 8), and improved professional communications (n = 8). Students thought teams avoided healthcare delivery errors (n = 12), improved patient care (n = 11), increased efficiency (n = 8), and increased interventions (n = 7) compared to solo practice. Some students (n = 6) felt preceptors did not provide enough feedback. Students and preceptors stated the project should be continued. Students suggested improving orientation by including team functioning expectations and insuring patient availability for medication therapy management reviews. Preceptors wanted more training on providing team feedback and thought the experience should be longer to accommodate physician assistant student orientation to pharmacy operations. Conclusions: Interprofessional education in a community pharmacy was feasible and resulted in students learning about discipline roles, team functioning, and team care. Additional training and orientation for both students and preceptors are needed. More than 1 day at each practice site is needed to enhance interprofessional learning and skills.

A Retrospective Mixed Longitudinal Study of Tooth Formation in Children With Clefts

Objective: To test for systematic age changes in cleft children based on dental age. Design: Retrospective case–control longitudinal study. Setting: One orthodontic solo practice. Patients: Nonsyndromic, complete cleft lip and palateCLP cases, either unilateral or bilateral (102 children; 370 radiographs), between 4 and 16 years of age. Interventions: Children were treated with a team approach, but only orthodontic radiographs were studied. Main Outcome Measure: The principal outcome measure was dental age of the cleft cases compared to a sex-specific sample of phenotypically normal children (1107 children), from the same geographical region. Multiple panoramic radiographs taken during the course of orthodontic treatment were examined to track patterns of dental age as children matured. Analysis used linear mixed models primarily testing for sex, cleft type (unilateral, bilateral), and hypodontia differences. Initial expectation was that cleft children would exhibit delayed dental ages from postnatal stressors and would become more deviant with maturity. Results: In childhood (4-6 years), both sexes were significantly delayed ( P < .001), but dental age normalized around 8 to 10 years. Boys experienced faster maturation thereafter than girls ( P < .001). Only trivial differences occurred between unilateral CLP and bilateral CLP samples.Hypodontia further depressed maturation rates ( P < .001). Dental age improved in a decidedly curvilinear fashion ( P < .001), with greater change at earlier ages. Conclusions: This report agrees with other contemporary studies, showing childhood catch-up. Older studies observed that clefting caused significant delays that worsened with growth. This potential “seachange” suggests better recovery and quicker normalization of children with clefts, perhaps due to improved management.

General Practitioners' Adoption and Use of ICT

The influence of ICT in General Practice varied from a solo practice to a GP specialist of a primary healthcare team. Different factors influence the GP to use ICT. After 2nd World War the national legislative requirement influenced more to adopt ICT, of which most important is the Medicare or Medicaid payment and also the richness of the environment (measured by network readiness index). Shift to group practice or corporate level practice requires ICT support to handle automated actions (i.e. completing repetitive jobs, answering frequently asked questions by webpage). Role of telecommunication and IT service providers, and that of entrepreneurs for information management are also discussed. While discussing the challenges in implementing ICT in future model of GP service it focuses on the slow usage of computer and other IT products by doctors, as noted in the past decades.

Factors Important in Facial Plastic and Reconstructive Surgery Fellowship Program Selection

Facial plastic and reconstructive surgery (FPRS) training programs offer exceptional exposure to the most current techniques in the field. However, applicants have many factors to weigh when ranking programs. Therefore, it is important to examine the factors that applicants believe to be the most critical when choosing an FPRS fellowship. This is an anonymous online survey of FPRS fellows between the years 2018 and 2020 (total 147). Respondents were asked to rate importance of program factors on a Likert scale (1–5). Of 147 applicants, 63 (43%) responded. Applicants found the type of practice, academic or private, equally important, with score averages of 3.02 and 3.25, respectively. The two most important program factors to applicants were exposure to the business of medicine/practice management (3.94) and location (3.4). The two most important areas of surgical exposure include rhinoplasty (4.54) and aging face (4.44). Of 63 applicants, 41 (65%) were interested in private practice, with 51% seeking a facial plastics/plastic reconstructive surgery group setting versus solo practice, general otolaryngology group, or dermatology group practice. Of 61 applicants, 48 (76%) wanted a mix of cosmetic/reconstructive surgery in their first 5 years of practice. Finally, applicants were not interested (average: 1.94) in keeping general otolaryngology as part of their practice. Applicants want strong exposure to the business of medicine, rhinoplasty, aging face, all while in their preferred location. Additionally, the majority of applicants seek employment in a plastic surgery focused group practice, with the sole focus being the breadth of FPRS.