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Using grounded theory methodology, authors utilized four online focus groups to explore counselor trainees’ understanding of diversity in a mental health diagnosis course. Four overarching themes, each embodied by two subthemes, emerged from the data. Implications for counselor educators teaching diversity in diagnosis to counselor trainees are provided.

Despite rising suicide rates and disparities in minoritized communities as well as calls from experts and community leaders to address cultural factors, most suicide risk assessment (SRA) approaches remain acultural. Counselors who use acultural SRA can cause harm by neglecting to address crucial factors that may heighten or protect clients from suicide risk. This article provides guidance for proactive and responsive broaching in SRA using the four dimensions of the Multidimensional Model of Broaching Behavior (Day-Vines et al., 2020). The model provides an overview of key concepts, explicit recommendations for counselors in diverse settings, and an illustrative case example. Concerns, limitations, and implications for counselors, supervisors, educators, and researchers are addressed.

Charge transport in two-dimensional crystals is critical for a large variety of future applications, and it is therefore highly desirable to get a better understanding of the underlying mechanisms. Here, we focus on the MXene Ti 3 C 2 T x , which has recently garnered significant attention for its potential in printable electronics, energy storage and electromagnetic interference shielding, for which electrical properties play a leading role. To answer the need for experimental data on charge transport in Ti 3 C 2 T x , we combine local-probe measurements (Conductive AFM), conventional four-contact measurements, finite element and ab initio simulations on individual few-layer flakes of Ti 3 C 2 T x . This effort establishes new methods to study charge transport both in in-plane and out-of-plane directions and yields a consistent quantitative value of resistivity anisotropy in individual Ti 3 C 2 T x flakes, an essential ingredient in the understanding and modeling of charge transport in MXenes, in particular considering the role of interlayer interactions and surface functionalization in these materials. Accessing charge transport along the out-of-plane direction in 2D crystals is challenging, yet essential to understanding their anisotropic properties. Here, both in-plane and out-of-plane transport are measured in Ti 3 C 2 T x with experimental and computational tools, enabling quantitative analysis.

Background Morning report is a core educational activity in internal medicine resident education. Attending physicians regularly participate in morning report and influence the learning environment, though no previous study has described the contribution of attending physicians to this conference. This study aims to describe attending comments at internal medicine morning reports. Methods We conducted a prospective, observational study of morning reports conducted at 13 internal medicine residency programs between September 1, 2020, and March 30, 2021. Each attending comment was described including its duration, whether the comment was teaching or non-teaching, teaching topic, and field of practice of the commenter. We also recorded morning report-related variables including number of learners, report format, program director participation, and whether report was scripted (facilitator has advance knowledge of the case). A regression model was developed to describe variables associated with the number of attending comments per report. Results There were 2,344 attending comments during 250 conferences. The median number of attendings present was 3 (IQR, 2–5). The number of comments per report ranged across different sites from 3.9 to 16.8 with a mean of 9.4 comments/report (SD, 7.4). 66% of comments were shorter than one minute in duration and 73% were categorized as teaching by observers. The most common subjects of teaching comments were differential diagnosis, management, and testing. Report duration, number of general internists, unscripted reports, and in-person format were associated with significantly increased number of attending comments. Conclusions Attending comments in morning report were generally brief, focused on clinical teaching, and covered a wide range of topics. There were substantial differences between programs in terms of the number of comments and their duration which likely affects the local learning environment. Morning report stakeholders that are interested in increasing attending involvement in morning report should consider employing in-person and unscripted reports. Additional studies are needed to explore best practice models of attending participation in morning report.

We report a theoretical study of dielectric properties of models of amorphous Boron Nitride, using interatomic potentials generated by machine learning. We first perform first-principles simulations on small (about 100 atoms in the periodic cell) sample sizes to explore the emergence of mid-gap states and its correlation with structural features. Next, by using a simplified tight-binding electronic model, we analyse the dielectric functions for complex three dimensional models (containing about 10.000 atoms) embedding varying concentrations of sp 1 , sp 2 and sp 3 bonds between B and N atoms. Within the limits of these methodologies, the resulting value of the zero-frequency dielectric constant is shown to be influenced by the population density of such mid-gap states and their localization characteristics. We observe nontrivial correlations between the structure-induced electronic fluctuations and the resulting dielectric constant values. Our findings are however just a first step in the quest of accessing fully accurate dielectric properties of as-grown amorphous BN of relevance for interconnect technologies and beyond.

Counselors must be equipped to support clients who have histories of interpersonal trauma (SAMHSA, 2014a). Interpersonal trauma often involves experiences of powerlessness (Finkelhor, 1986), and counselors can risk retraumatizing trauma survivors by misusing or neglecting power (Sweeney et al., 2019). Therefore, it is essential that counselors understand clients? experiences of power within the counseling relationship. However, there is a paucity of research exploring the client's perspective of power within the counseling relationship.The purpose of this qualitative dissertation was to explore how adult women with histories of interpersonal trauma experience power within the counseling relationship. This constructivist grounded theory study (Charmaz, 2014) included semi-structured interviews and follow-up emails with 29 participants during concurrent data collection and analysis.Data analysis led to the construction of seven categories and one core category. Categories are sorted via the Corbin and Strauss (1990) model, leading to two contextual conditions (Sociocultural Mental Health Factors and Prior Experiences of Power), one causal condition (Choosing Counseling), two action strategies (Advocating for Needs and Assessing for Safety and Fit), and two results (Reclaiming Power and Reliving Disempowerment). The core category summarized all other categories and answered the research question: participants experienced power within the counseling relationship by Practicing Personal Power in Connection with Others. Analysis also included comparing the grounded theory to Relational-Cultural Theory. Findings illuminated implications and recommendations for counselors, educators, supervisors, leaders and advocates, and researchers.

ImportanceThe COVID-19 pandemic disrupted graduate medical education, compelling training programs to abruptly transition to virtual educational formats despite minimal experience or proficiency. We surveyed residents from a national sample of internal medicine (IM) residency programs to describe their experiences with the transition to virtual morning report (MR), a highly valued core educational conference.ObjectiveAssess resident views about virtual MR content and teaching strategies during the COVID-19 pandemic.DesignAnonymous, web-based survey.ParticipantsResidents from 14 academically affiliated IM residency programs.Main MeasuresThe 25-item survey on virtual MR included questions on demographics; frequency and reason for attending; opinions on who should attend and teach; how the virtual format affects the learning environment; how virtual MR compares to in-person MR with regard to participation, engagement, and overall education; and whether virtual MR should continue after in-person conferences can safely resume. The survey included a combination of Likert-style, multiple option, and open-ended questions.ResultsSix hundred fifteen residents (35%) completed the survey, with a balanced sample of interns (39%), second-year (31%), and third-year (30%) residents. When comparing their overall assessment of in-person and virtual MR formats, 42% of residents preferred in-person, 18% preferred virtual, and 40% felt they were equivalent. Most respondents endorsed better peer-engagement, camaraderie, and group participation with in-person MR. Chat boxes, video participation, audience response systems, and smart boards/tablets enhanced respondents’ educational experience during virtual MR. Most respondents (72%) felt that the option of virtual MR should continue when it is safe to resume in-person conferences.ConclusionsVirtual MR was a valued alternative to traditional in-person MR during the COVID-19 pandemic. Residents feel that the virtual platform offers unique educational benefits independent of and in conjunction with in-person conferences. Residents support the integration of a virtual platform into the delivery of MR in the future.

Abstract We report a theoretical study of dielectric properties of models of amorphous Boron Nitride, using interatomic potentials generated by machine learning. We first perform first-principles simulations on small (about 100 atoms in the periodic cell) sample sizes to explore the emergence of mid-gap states and its correlation with structural features. Next, by using a simplified tight-binding electronic model, we analyse the dielectric functions for complex three dimensional models (containing about 10.000 atoms) embedding varying concentrations of sp1, sp2and sp3bonds between B and N atoms. Within the limits of these methodologies, the resulting value of the zero-frequency dielectric constant is shown to be influenced by the population density of such mid-gap states and their localization characteristics. We observe nontrivial correlations between the structure-induced electronic fluctuations and the resulting dielectric constant values. Our findings are however just a first step in the quest of accessing fully accurate dielectric properties of as-grown amorphous BN of relevance for interconnect technologies and beyond.

Abstract We report a theoretical study of dielectric properties of models of amorphous Boron Nitride, using interatomic potentials generated by machine learning. We first perform first-principles simulations on small (about 100 atoms in the periodic cell) sample sizes to explore the emergence of mid-gap states and its correlation with structural features. Next, by using a simplified tight-binding electronic model, we analyse the dielectric functions for complex three dimensional models (containing about 10.000 atoms) embedding varying concentrations of sp 1 , sp 2 and sp 3 bonds between B and N atoms. Within the limits of these methodologies, the resulting value of the zero-frequency dielectric constant is shown to be influenced by the population density of such mid-gap states and their localization characteristics. We observe nontrivial correlations between the structure-induced electronic fluctuations and the resulting dielectric constant values. Our findings are however just a first step in the quest of accessing fully accurate dielectric properties of as-grown amorphous BN of relevance for interconnect technologies and beyond.