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Related Concept Videos

Crossing Over01:34

Crossing Over

Unlike mitosis, meiosis aims for genetic diversity in its creation of haploid gametes. Dividing germ cells first begin this process in prophase I, where each chromosome—replicated in S phase—is now composed of two sister chromatids (identical copies) joined centrally.
The homologous pairs of sister chromosomes—one from the maternal and one from the paternal genome—then begin to align alongside each other lengthwise, matching corresponding DNA positions in a process called synapsis.
In order to...
Crossing Over01:30

Crossing Over

Crossing over is the exchange of genetic information between homologous chromosomes during prophase I of meiosis I. Genetic recombination gives rise to allelic diversity in the newly formed daughter cells. In humans, crossing over produces genetically distinct haploid egg and sperm cells that undergo fertilization to produce unique offspring. Before cell division starts, the germ cell’s chromosome(s) undergo duplication in the S phase of the cell cycle. As the cells enter prophase I, duplicated...
Crossing over01:34

Crossing over

Unlike mitosis, meiosis aims for genetic diversity in its creation of haploid gametes. Dividing germ cells first begin this process in prophase I, where each chromosome—replicated in S phase—is now composed of two sister chromatids (identical copies) joined centrally.
The homologous pairs of sister chromosomes—one from the maternal and one from the paternal genome—then begin to align alongside each other lengthwise, matching corresponding DNA positions in a process called synapsis.
In order to...
Interdisciplinary Care: The Health Care Team-II01:18

Interdisciplinary Care: The Health Care Team-II

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Cross-reactivity00:42

Cross-reactivity

Overview
International Nursing Organizations II01:28

International Nursing Organizations II

The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...

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Related Experiment Videos

A cross-cultural pediatric residency program merger.

Denice Cora-Bramble1, Jill Joseph, Swati Jain

  • 1Goldberg Center for Community Pediatric Health, Children's National Medical Center, Washington, DC 20010-2970, USA. dcorabra@cnmc.org

Academic Medicine : Journal of the Association of American Medical Colleges
|November 24, 2006
PubMed
Summary

This case study details a pediatric residency program merger between a historically black college and university (HBCU) and a predominantly white institution. The merger presented challenges but increased resident diversity and integrated cultural competency into the combined program.

Related Experiment Videos

Area of Science:

  • Medical Education
  • Healthcare Administration
  • Health Equity

Background:

  • Residency program mergers are uncommon, with limited data on mergers involving historically black colleges and universities (HBCUs) and predominantly white institutions.
  • Academic health centers and health systems are increasingly consolidating, impacting medical schools and residency programs.
  • This study focuses on a unique merger between two urban pediatric residency programs: Howard University Hospital (HUH) and Children's National Medical Center (CNMC).

Purpose of the Study:

  • To describe the organizational, cultural, and programmatic challenges and opportunities of a pediatric residency program merger.
  • To analyze the contrasting perceptions of residents from both institutions regarding the merger's impact.
  • To identify outcomes and lessons learned from this merger between a HBCU-affiliated program and a predominantly white institution-affiliated program.

Main Methods:

  • A case study approach was used to examine the merger of the HUH and CNMC pediatric residency programs, which occurred in 2003.
  • Qualitative analysis of resident perceptions regarding training, patient care, and institutional effects.
  • Examination of organizational changes, cultural integration, and programmatic outcomes.

Main Results:

  • The merger generated significant organizational, cultural, and programmatic challenges and opportunities.
  • Residents from HUH and CNMC held contrasting views on the merger's impact on training, patient care, and institutions.
  • Positive outcomes included increased resident diversity at CNMC and accreditation for its community health track.
  • Significant challenges involved the magnitude of institutional change and disruption to residents' routines.

Conclusions:

  • Mergers between dissimilar residency programs, including those involving HBCUs, present unique complexities.
  • Effective integration requires addressing resident concerns and managing institutional change.
  • The merger facilitated the incorporation of cultural competency principles into the combined program's structure.
  • This case provides valuable insights for future residency program mergers aiming to enhance diversity and training.