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No detailed description available for \"Becoming Gods\".

\"Aviva Grossman [is] an ambitious congressional intern in Florida who makes the life-changing mistake of having an affair with her boss, who is beloved, admired, successful, and very married--and blogging about it. When the affair comes to light, the congressman doesn't take the fall, but Aviva does, and her life is over before it hardly begins. She becomes a late night talk show punchline; she is slut-shamed, labeled as fat and ugly, and considered a blight on politics in general. How does one go on after this? In Aviva's case, she sees no way out but to change her name and move to a remote town in Maine\"-- Provided by publisher.

Domestic violence is a deeply entrenched issue in Indian society, with global implications, especially for women's physical and mental health. Healthcare providers play important role in early identification and support of the victims. Medical interns, the future generation of Health care professionals, often acting as primary caregivers are uniquely positioned and expected to recognize and assist victims. This study aims to evaluate their knowledge, attitudes, practices, and readiness to manage domestic violence and its associating factors. This cross-sectional study was conducted among 157 medical interns at a Medical college and hospital in West Bengal, India, from December 2022 to February 2023. Simple random sampling was done. Data were collected using a semi-structured questionnaire, Medical Intern Readiness to manage domestic violence scale (MIREDS), validated after adoption from Physician Readiness to manage Intimate partner violence scale (PREMIS). Ethical approval was obtained, and participants gave informed written consent for inclusion. Satisfactory threshold was determined to be more than 50 percent. Data analysis was performed using MS Excel and SPSS software, including descriptive and inferential statistics, with a significance level of p less than 0.05, along with logistic regression analysis. Only 45.2% of medical interns demonstrated satisfactory knowledge, 54.8% had a satisfactory attitude. Most interns (91.7%) exhibited poor practice in dealing with domestic violence cases, only 31.2% considered themselves ready to manage domestic violence cases. Interns who attend more patients was found to have better attitude. Positive associations were found between knowledge, attitude, and readiness to manage domestic violence cases among doctors . A substantial proportion of medical interns demonstrated inadequate knowledge, negative attitudes, and poor practice and inadequate readiness to manage domestic violence. Comprehensive training and education with cultural sensitivity training along with more practical exposures are in need to address this issue properly.

Introduction: Victoria, Australia commenced its first Rural Community Internship Training program in 2012 to support the development of rural generalist (RG) doctors. These general practitioners have additional skills to work at a broad scope to deliver the range of primary care and additional specialist services that communities need. Unlike most internships, which are wholly hospital-based and delivered mostly within larger metropolitan and regional centres, this RG internship training model involves completing general practice experience in smaller rural communities working with RGs and visiting specialists. This study aimed to explore the characteristics and satisfaction of doctors who participate in RG internship training in Victoria and their workforce outcomes. Methods: Between October and November 2021, a retrospective 10-minute anonymous survey invitation was sent to all contactable interns (n=222) who had completed/were completing the RG internship training (2012-2021). The survey was co-designed with RG internship managers and other stakeholders of a statewide evaluation advisory group, informed by the latest evidence regarding RG medicine and rural training predictors, and outcomes of interest. Participants completed the survey using Microsoft Forms, with three invitations circulated to an up-to-date email address maintained by the internship program. Collected data were analysed descriptively, by subgroup, to explore training pathway outcomes by region, training stage and specialty choice. Workforce distribution outcomes were defined in line with objectives of the program and predetermined indicators of RG scope. Results were compared with the benchmarks of rural workforce training outcomes in Australia using recent research. Results: There were 59 participants (27% response rate); 81% were in postgraduate years 3-7. Respondents included 54% male, 17% rurally bonded, 39% of rural origin, 34% having had more than 3 months rural undergraduate training and 48% doing RG training where they previously did undergraduate training. All were satisfied/very satisfied with the RG training and 61% were working in general practice (excluding the prevocational group). Overall, 40% were currently working in the same rural region as their internship (including three who were currently interns), 56% continued to complete some prevocational training in the same region as their RG internship, while 20% had gone on to be currently based in smaller rural communities (Modified Monash Model locations 4-7) and 44% to be working part-time in smaller rural communities. Overall, 42% self-identified as working as an RG and nearly all (97%) met at least one of the key indicators of extended (RG) scope. In all areas the RG internship outcomes were better than the national benchmarks from published evidence about rural training. Conclusion: This study provides evidence from doctors up to 9 years after completing their RG internship. Compared with industry benchmarks, the RG internships attract rurally intentioned and rurally experienced doctors who May be likely to remain in the same rural region as their undergraduate rural medical training and continue their postgraduate training in the same region. They were all satisfied with RG internship training, had high propensity to follow a general practice career and work at broad scope in smaller communities. Importantly, they intended to stay in the region where they trained. This suggests RG internship programs are a positive intervention for promoting an RG workforce.

ChatGPT is a well-known large language model-based chatbot. It could be used in the medical field in many aspects. However, some physicians are still unfamiliar with ChatGPT and are concerned about its benefits and risks. We aim to evaluate the perception of physicians and medical students toward using ChatGPT in the medical field. A web-based questionnaire was sent to medical students, interns, residents, and attending staff with questions regarding their perception toward using ChatGPT in clinical practice and medical education. Participants were also asked to rate their perception of ChatGPT's generated response about knee osteoarthritis. Participants included 124 medical students, 46 interns, 37 residents, and 32 attending staff. After reading ChatGPT's response, 132 of the 239 (55.2%) participants had a positive rating about using ChatGPT for clinical practice. The proportion of positive answers was significantly lower in graduated physicians (48/115, 42%) compared with medical students (84/124, 68%; P<.001). Participants listed a lack of a patient-specific treatment plan, updated evidence, and a language barrier as ChatGPT's pitfalls. Regarding using ChatGPT for medical education, the proportion of positive responses was also significantly lower in graduate physicians (71/115, 62%) compared to medical students (103/124, 83.1%; P<.001). Participants were concerned that ChatGPT's response was too superficial, might lack scientific evidence, and might need expert verification. Medical students generally had a positive perception of using ChatGPT for guiding treatment and medical education, whereas graduated doctors were more cautious in this regard. Nonetheless, both medical students and graduated doctors positively perceived using ChatGPT for creating patient educational materials.

Nursing interns are future frontline providers of hospice care, and their attitudes toward end-of-life care directly affect the quality of hospice services. However, current nursing education often lacks targeted hospice care training, leading to gaps in nursing interns' preparedness to meet the needs of terminally ill patients. Nursing education plays a crucial role in equipping nursing interns with the necessary skills and knowledge to provide compassionate care for dying patients. Nursing programs need to prioritize end-of-life care training, as it prepares these future nurses to address the unique physical, emotional, and spiritual needs of individuals nearing the end of their lives. The sample for this study consisted of 374 nursing college interns who were assessed using the general data questionnaire and the Chinese version of the FATCOD-B-C (Frommelt Attitude Toward Care of the Dying Scale-Form B, Chinese Version). The measurement data were characterized using the mean and standard deviation, while the counting data were described by the number of individuals. The mean score of the FATCOD-B-C items was 114.79 (SD = 10.68). The regression equation ultimately included a total of seven variables (p < 0.05), including attitudes towards death, gender, internship duration (mth), encouraging your loved ones to consider hospice care, the experience of witnessing the death of any relative, hoping to offer specialized hospice courses and provide knowledge about hospice care to others. Regarding the hospice care content included in the geriatric nursing course (a core course in the nursing program), 72.5% of participants were satisfied with its delivery. According to the survey, 56.7% of participants expressed their willingness to contribute towards hospice care development. The level of enthusiasm towards hospice care among nursing interns in China requires enhancement. It is suggested to establish the correct view of death for nursing interns, constantly improve the nursing curriculum system, and increase the study of hospice care courses to improve the enthusiasm of these nursing interns for hospice care.

Background Nurse interns’ capacity for innovative behavior is a key component of healthcare settings because of increasing demands and complexities. Thus, it is important to find strategies that promote their innovative behavior. The development of psychological capital (PsyCap) improves positive behaviors and attitudes, such as engagement, motivation, and satisfaction, in the work environment. Therefore, this study aimed to assess the effect of a PsyCap educational program on nurse interns’ innovative behavior. Methods A quasi-experimental design was used in this study. This study was executed at Fayoum University hospitals. The study participants comprised all the available nurse interns ( n  = 223) registered in the internship year (2022–2023) in the aforementioned settings. The data were gathered using three instruments, namely, the PsyCap Knowledge Questionnaire, the PsyCap Questionnaire, and the Innovative Behavior Inventory. Results The nurse interns’ mean scores regarding total knowledge about PsyCap, total perception of PsyCap, and total perception of innovative behavior significantly improved through the posttest phase (41.27 ± 9.31, 92.22 ± 6.26, 91.31 ± 9.06, respectively) and the follow-up phase (37.83 ± 8.83, 89.96 ± 6.31, 88.89 ± 8.33) in comparison with the pretest phase (14.39 ± 5.83, 69.04 ± 8.13, 60.55 ± 7.15). Conclusion The PsyCap educational program was effective and beneficial for improving the nurse interns’ perceptions of innovative behavior. Therefore, PsyCap interventions should be implemented in hospitals through professional development programs and orientation programs.

Background It has been reported that co-rumination and transition shocks significantly influence effective communication in clinical practice. However, previous research has not sufficiently explored the specific relationships between these two characteristics and their gender differences among nursing interns. Objective The objective of this study was to evaluate the states of co-rumination and transition shock among current nursing interns during clinical placements, as well as to determine whether gender differences affect these two traits and how exploiting such differences can improve nurses’ co-rumination. Methods A cross-sectional study design was adopted. We gathered data from a convenient sample of 505 nursing interns from a grade A tertiary hospital in Anhui, China. This study included Data collected using the Co-Rumination Questionnaire (CRQ-9) and Transition Shock Scale for Undergraduate Nursing Students (UNSTS). The data were analyzed using an independent samples t-test, Pearson correlation, and hierarchical multiple linear regression. Results There was no significant difference in UNSTS scores between male and female nursing interns, but male nursing interns had lower CRQ-9 scores ( P  < 0.05). This study found that Transition Shock was the most critical factor influencing Co-Rumination variation for male and female nursing interns during clinical practice through hierarchical multiple regression analysis. Conclusions Gender differences are reflected not only in the level of co-rumination but also in the relationships between co-rumination and transition shock. Nursing educators should be aware of how gender differences can affect these two traits; this is particularly important for improving the mental health problems of nursing interns based on students’ aptitudes.

Background Near-miss incidents represent critical learning opportunities in healthcare, yet they are frequently underreported due to fear of blame and lack of organizational support. A Just Culture framework promotes fairness, trust, and learning from errors, which may encourage voluntary reporting, especially among nurse interns in high-stakes clinical environments. Aim To assess the perception of Just Culture among nurse interns and examine its influence on their willingness to report near-miss events in governmental university hospitals in Egypt. Methods A cross-sectional analytical study was conducted among 163 nurse interns (sampling frame N  = 264) using systematic random sampling across five university hospitals in Cairo, Egypt. Data were collected between March and April 2025 using a self-administered questionnaire comprising the Just Culture Assessment Tool (JCAT) and a researcher-developed Willingness to Report Near-Miss Scale. Data analysis included descriptive statistics, correlation analysis, and multiple linear regression. Results The mean Just Culture score was 3.6 (SD = 0.5), while the mean willingness to report near-miss events was 3.6 (SD = 0.5). Significant positive correlations were observed between Just Culture dimensions (trust, feedback, openness, balance, and continuous improvement) and willingness subdomains (awareness, skills, attitude, behavior) ( p  < 0.001). Regression analysis indicated that Just Culture score (B = 0.70, β = 0.67, p  < 0.001) was the strongest predictor of willingness to report, explaining 55% of the variance. Conclusion A supportive Just Culture significantly enhances nurse interns’ willingness to report near-miss events. Strengthening institutional safety culture through leadership, training, and non-punitive policies is essential to fostering early-career nurses’ engagement in safety reporting.