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\"This book demonstrates how to develop and engage in successful academic collaborations that are both practical and sustainable across campuses and within local communities. Authored by experienced writing program administrators, this edited collection includes a wide range of information addressing collaborative partnerships and projects, theoretical explorations of collaborative praxis, and strategies for sustaining collaborative initiatives. Contributors offer case studies of writing program collaborations and honestly address both the challenges of academic collaboration and the hallmarks of successful partnerships.\"--Publisher description.

This essay examines Katrina's impact on service-learning pedagogy, in particular how the instability of the storm's aftermath has generated alternate approaches to service project planning and implementation. Tulane's mandatory service-learning requirement following Katrina led the authors to develop a joint project at New Orleans City Park, which combined five sections of writing students who worked clearing storm debris. The weekly movement from an idealized campus space through devastated areas of the city and park served as the basis for two complementary pedagogical approaches, one treating Katrina's disruption of space; the other treating the storm's disruption of time.

In this qualitative interview study, I explored how eight women pediatricians, ages 61-72, considered and experienced career transitions, including but not limited to retirement transition, and the influence of career transitions on their development. These women are in the third age which has been defined as a period when people are looking for what comes next as they anticipate living longer and consider some form of retirement. I chose to focus on women pediatricians, in part, because of concerns of an aging pediatric workforce which has a high percentage of women. A better understanding of their career transitions can help inform policies on workforce issues, as well as aid third age women pediatricians and other professional women in making transitions where they can continue to use their talents and foster development. The interview data were analyzed using Nancy Schlossberg’s 4 S model of transition (Anderson, et al., 2012) and gendered life course theory (Moen, et al., 2009), with the epistemologies of interpretivism, social constructionism, and existential feminism underpinning my study. Findings indicated that study participants’ career transitions emanated from a gendered life course where strategic selections were made in the context of medical culture. They enacted the dominant medical culture, submitting to its terms as required while making significant personal and professional sacrifices in order to participate in their profession. Study participants also subverted the dominant medical culture. They imbued an ethic of care and compassion into their medical practice, with an understanding and appreciation for the relational and bringing feminine consciousness to their work. In their career transitions, they mourned the loss of relationship and human touch in their medical practice through the drudgery of electronic medical records technology and other system changes they perceived as altering a vocation to merely a career. Study participants were in strong positions moving in, through, and out of their anticipated transitions, with ample resources in all four components of the 4 S model. Career transitions were based on commitment to spouse and family and a desire to continue meaningful work found in their calling as caregivers. Control of schedule and self-determination about work were key factors in study participants’ career transitions. Continuity of identity and role loss influenced transitions where all had pre-bridging strategies that helped mitigate transition effects. All found ways to retain a connection to medicine, even after retiring from clinical practice, although in one case not lasting. Study participants bridging to retirement and those retired were most affected by anxiety about and actual role loss. Some experienced being marginalized due to role loss, which led to sadness. Those still working were focused on transitions to work indefinitely; a means to avert role loss. Their transitions were also aimed at continuing work at a slower pace and demonstrated that, even in high intensity work, there are transition pathway options for full-time employment. The desire for authenticity, introspection, and the inner work of individuation were associated with higher age rather than retirement status. My study findings support calls for structured, institutionalized policies and processes that facilitate third age pediatricians’ career transitions where they can continue doing meaningful work, compensated or uncompensated, connected to their profession (Hall, 2005, 2013; Silver, et al., 2016). Temporal flexibility and self-determination that support work and family life balance are important elements for these considerations, as is the role of social convoy. There should also be a better road map for the transition to retirement journey including formal acknowledgment and closure in making career transitions to retirement. My findings also support the imperative to do more to integrate feminine consciousness into medical education and medical practice.

In the initial phase of a romantic relationship, excitement often reflects the reawakening of early narcissistic fantasy. For most couples, when the passionate intensity that is derived from primitive narcissism fades, the expansiveness of a developing sense of self that is a by-product of the creative process can, in turn, revitalize the partnership. Arieti's work on creativity is applied to understanding how some passionate intensity can be retained over the lifetime of a marriage.

During the past decade, there have been many advances in genetics, most resulting from mapping the human genome through the Human Genome Project and other research initiatives. Research in the next decade will bring an understanding of genetic/biologic risk and protective factors, and a description of the influence of the environment on genetic variation. Tests will continue to be developed to identify both individuals with genetic disorders and asymptomatic individuals with a genetic predisposition to (a) particular disorder(s).

Background Neonatal intensive care is a remarkable success story with dramatic improvements in survival rates for preterm newborns. Significant efforts and resources are invested to improve mortality and morbidity but much remains to be learned about the short and long-term effects of neonatal intensive care unit (NICU) interventions. Published guidelines recommend that infants discharged from the NICU be in an organized follow-up program that tracks medical and neurodevelopmental outcomes. Yet, there are no standardized guidelines for provision of follow-up services for high-risk infants. The National Institute of Child Health and Human Development Neonatal Research Network and the Vermont Oxford Network have made strides toward standardizing practices and conducting outcomes research, but only include a subset of developmental follow-up programs with a focus on extremely preterm infants. Several studies have been conducted to gain a better understanding of current practices in developmental follow-up. Some of the major themes in these studies are the lack of personnel and funding to provide comprehensive follow-up care; feeding difficulties as a primary issue for NICU survivors, families, and programs; wide variability in referral and follow-up care practices; and calls for standardized, systematic developmental surveillance to improve outcomes. Findings We convened a one-day summit to discuss developmental follow-up practices in Texas involving four academic and three nonacademic centers. All seven centers described variable age and weight criteria for follow-up of NICU patients and a unique set of developmental practices, including duration of follow-up, types and timing of developmental assessments administered, education and communication with families and other health care providers, and referrals for services. Needs identified by the centers focused on two main themes: resources and comprehensive care. Participants identified key challenges for developmental follow-up, generated recommendations to address these challenges, and outlined components of a quality program. Conclusions The long-term goal is to ensure that all children maximize their potential; a goal supported through quality, comprehensive developmental follow-up care and outcomes research to continuously improve evidence-based practices. We aim to contribute to this goal through a statewide working group collaborating on research to standardize practices and inform policies that truly benefit children and their families.

The authors describe their individual and collective experiences reconstructing their New Orleans-based university composition program in the aftermath of Hurricane Katrina. They emphasize how the concept of floating foundations helps account for changes in their students’ interests, and they suggest that this idea is applicable to the work of writing instructors in general.

To determine how US newborn dried bloodspot screening (NDBS) programs obtain patient-level data on clinical genetic counseling services offered to families of newborns identified through newborn NDBS and the extent to which newborns and their families receive these services. These data should serve to inform programs and lead to improved NDBS follow-up services. Collaborations were established with three state NDBS programs that reported systematically tracking genetic counseling services to newborns and their families identified through NDBS. A study protocol and data abstraction form were developed and IRB approvals obtained. Data from three state NDBS programs on a total of 151 patients indicated that genetic services are documented systematically only by metabolic clinics, most often by genetic counselors. Data from 69 endocrinology patients indicated infrequent referrals for genetic services; as expected higher for congenital adrenal hyperplasia than congenital hypothyroidism. Endocrinology patients were often counseled by physicians. While systematic tracking of genetic counseling services may be desirable for quality assurance of NDBS follow-up services, current systems do not appear conducive to this practice. Clinical records are not typically shared with NDBS programs and tracking of follow-up clinical genetic services has not been generally defined as a NDBS program responsibility. Rather, tracking of clinical services, while recognized as useful data, has been viewed by NDBS programs as a research project. The associated IRB requirements for patient-related research may pose an additional challenge. National guidance for NDBS programs that define quality genetic service indicators and monitoring responsibilities are needed. US experiences in this regard may provide information that can assist developing programs in avoiding tracking issues.