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CHAS e-newsletter provides policy briefs, service innovations, upcoming events and opportunities for health policy and services researchers at the University of Chicago.
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THE UNIVERSITY OF CHICAGO
School of Social Service Administration
CHAS eNews: January 2016
POLICY BRIEFS
Are Dentists’ Willing to Provide HIV Screening?
Expanding routine HIV screening in outpatient health care is a key objective of HIV/AIDS prevention.  The availability of rapid oral HIV tests makes dental settings an especially promising site for expanded screening, yet little work has been done to assess dentists’ willingness to provide such screening.  Helping to fill this gap, CHAS faculty-member Harold Pollack (SSA) and colleagues report findings from a nationally representative survey of dentists, which examines their willingness to provide HIV screening as part of oral health care.  They find that while the majority of respondents report a willingness to offer HIV testing, few actually do, and only 40 percent agree that it should be a part of the dental role.  Using multiple logistic regression, Pollack and colleagues identify a number of predictors of dentists’ willingness to conduct screening and accept it as part their professional role.  These include: agreement with the importance of annual testing, knowledge of current screening recommendations, and perceived patient acceptance and collegial esteem.  However, they also identify a number of barriers, including concerns about negative patient reactions, which they argue “must be addressed before such screening is likely to be widely implemented.”  For more, please see: Pollack, HA, Pereyra, M, Parish, CL, Abel, S,  et al.  (2014).  Dentists’ Willingness to Provide Expanded HIV Screening in Oral Health Care Settings: Results From a Nationally Representative Survey.  American Journal of Public Health, 104 (5): 872-880.  
Medical Student Mistreatment Remains Prevalent, Associated with Burnout
Medical student mistreatment by faculty and residents, which takes the form of harassment, discrimination, intimidation, public humiliation and verbal abuse, is a well-recognized problem in medical training, with known negative effects on students.  Despite numerous institutional efforts, the prevalence of mistreatment has remained fairly constant over the years.  However, the predominant form of tracking relies on surveys completed at the end of medical training. John Yoon (Department of Medicine) and colleagues note this may lead to underreporting.  To clarify current prevalence rates and determine whether mistreatment is associated with burnout, Yoon and colleagues conducted a nationally-representative survey of third-year medical students, which asked about the frequency of mistreatment during their clinical rotations, and assessed their levels of burnout.  They found that 83 percent of respondents report at least one incident of mistreatment—a rate much higher than, though not inconsistent with , other surveys—with 10  to 13 percent reporting recurrent mistreatment, which was significantly associated with burnout.  Their study sheds important new light on the ongoing problem of medical student mistreatment.  The study points to the need for more research on the association between mistreatment and burnout.  For more, please see: Cook, AF, Arora, VM, Rasinski, KA, Curlin, FA, & Yoon, JD.  (2014).  The Prevalence of Medical Student Mistreatment and its Association with Burnout.  Academic Medicine, 89 (5): 749-754.  
ANNOUNCEMENTS
CHAS Fellows Named
CHAS is pleased to announce the following University of Chicago faculty have been named CHAS Fellows, based on their contributions to health policy and services research:

Alida Bouris, PhD, MPhil, MSW
School of Social Service Administration
 
Kathleen Cagney, PhD
Department of Public Health Sciences
 
Kao-Ping Chua, PhD, MD
Department of Public Health Sciences
 
Marshall Chin, MD, MPH
Department of Medicine
 
Rena Conti, PhD
Department of Public Health Sciences
 
Matthew Epperson, PhD, MSW
School of Social Service Administration
 
Neil Guterman, PhD, MSW
School of Social Service Administration
 
Robert Gibbons, PhD
Department of Public Health Sciences
 
Donald Hedeker, PhD
Department of Public Health Sciences
 
Elbert Huang, MD, MPH
Department of Medicine
 
Leyla Ismayilova, PhD, MSW
School of Social Service Administration
 
Tamara Konetzka, PhD
Department of Public Health Sciences
 
Diane Lauderdale, PhD
Department of Public Health Sciences
 
Anup Malani, PhD, JD
The Law School
 
Doriane Miller, MD
Department of Medicine
 
Olufunmilayo Olopade, MD
Department of Medicine
 
Sola Olopade, MD, MPH
Department of Family Medicine
 
John Schneider, PhD, MD
Department of Public Health Sciences
 
Fabrice Smieliauskas, PhD
Department of Public Health Sciences

Dexter Voisin, PhD, MSW
School of Social Service Administration

Marci Ybarra, PhD, MSW
School of Social Service Administration
 
UPCOMING EVENTS

Michael M. Davis Lecture Series:

April 5, 2016:
Anup Malani, "The Indian Health Insurance Experiment"

April 12, 2016:
Rueben Miller, "TBA"

April 19, 2016:
Sarah Gollust, "Geographic Variation in ACA-Related Media Messages and Health Insurance Enrollment"

April 26, 2016: 
Ruth Thompson-Miller, "Intergenerational Trauma: Clinicians Trained to Diagnose and Treat Elderly African American Survivors of Jim Crow Suffering with Symptoms of Segregation Stress Syndrome (collective PTSD)"

May 3, 2016: 
Lawrence Palinkas, "Implementation Science as a Model for Social Work Science: The View from Child Welfare and Child Mental Health"

May 10, 2016: 
Ronald Bayer, "TBA"

May 17, 2016: 
Erika Franklin Fowler, "Media & the Politics of Implementation: Competition, Coverage & Complexity in Affordable Care Act Messaging"
IMPORTANT
DEADLINES

CHAS Seed Award Final Reports:
Due 01/31/2016 for those funded 01/01/2014. Questions? Email:
chas@ssa.uchicago.edu
 
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