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Few general dentists feel comfortable treating very young children 0-5-years old due to inadequate training and exposure. Over the past few years, there is an increasing demand on providers to be culturally competent and meet the health needs of the culturally diverse population. OBJECTIVE: Assess the gained knowledge, perception and confidence in providing clinical dental care to vulnerable populations, pregnant adolescents and to very young children 0-5-years old following the enhancement of the predoctoral pediatric dental curriculum and training which was aimed to prepare future practitioners to be culturally competent in providing pediatric dental care to the current culturally diverse population. METHODS: This is a retrospective cross-sectional analysis conducted among the predoctoral students including the Doctor of Dental Medicine-(DMD) and Advanced Standing-(AS) who underwent pediatric dental training between 2017-2022 at Boston University Henry M. Goldman School of Dental Medicine, Boston, Massachusetts. Predoctoral students participated in the pre/post training surveys of the implemented didactic training program in cultural competency and oral health literacy lectures. The students completed questionnaires on their knowledge and confidence level on treating children 0-5-years old following the novel simulation scenario discussion after the Haptic simulator training and following clinical training in the pediatric dental clinic. Descriptive statistics were calculated, univariate and multivariate analysis were used to analyze the differences in the level of knowledge gained by program type, year of training and demographic characteristics such as age and gender. Statistical significance was set at p-value<0.05. RESULTS: The cultural competency training improved the students’ knowledge and perception. DMD-students performed better to have a higher level of knowledge in the post training survey compared to AS-students (OR=4.724;p<0.001). Based on the post training questionnaires, the haptic simulator session and novel simulation scenarios increased the students’ knowledge and confidence to treat pediatric patients. Student’s confidence to treat children 0-5-years and pregnant adolescents improved after completing the trainings. CONCLUSION: The new enhanced training program increased the predoctoral students’ knowledge and confidence to treat children 0-5-years. This can be beneficial when used in dental departments to support predoctoral graduates to be culturally competent who can be better prepared to manage the diverse population.

Death is an inevitable part of life, yet many Americans fail to plan for this final part of life. Only about 1/3 of our country has an advance directive (Off White Papers, 2014). This underutilization of advance directives is reflected in our health care spending. It is estimated that 30% of all Medicare spending occurs during the last six months of a patient’s life. The numbers are even lower when broken down into sub-categories. Only 24% of older Black Americans possess an advance directive versus 44% of their older White counterparts (Huang, Neuhaus, & Chiong, 2016). Some studies found that African Americans were more likely to “express discomfort discussing death, want aggressive care at the end of life, have spiritual beliefs which conflict with the goals of palliative care, and distrust the healthcare system” (Johnson, Kuchibhatla, & Tulsky, 2008). Other studies have even concluded that Black race is an independent predictor of lack of advance directive possession (Huang et al., 2016). This paper further explores the possibility that race and ethnicity may simply be proxies for cultural values that impact advance directive possession. We’ll discuss the barriers, for both Black patients and health care providers, to advance directive possession as well as investigate culturally mindful interventions to combat the barriers. / Urban Bioethics

The purpose of this study was to identify the strategies that middle school teachers utilize when incorporating culturally responsive pedagogy and practices to build positive relationships with students and families while building and maintaining positive student-peer relationships in the classroom. This qualitative study design, conducted in an urban public-school division in central Virginia, employed a teacher interview protocol questionnaire featuring open-ended questions. The primary objective was to investigate how middle school teachers utilize and incorporate culturally responsive pedagogical practices to build and maintain positive relationships with students, families, and peers. The resulting findings indicated teachers established cultural awareness and diversity to build and maintain relationships, communicated effectively through conferencing and discussions with their students, and communicated effectively through emails and in-person with their students' families. Teachers used multiple communication strategies for parent involvement, such as phone calls, text messages, emails, conferences, and social media. Students sharing life experiences during discussion helped them understand the material and establish classroom culture and diversity. Thus, implications indicated school divisions and building administrators should continually participate in cultural competence training, provide teachers with professional development to establish regular and consistent communication channels with students' families to build positive relationships, provide teachers with professional development to implement culturally responsive pedagogy, provide time for teachers to incorporate open-ended questions and alternative perspectives into lessons to stimulate critical thinking, and building-level administrators should foster a school culture that embraces diverse values by establishing and consistently reinforcing clear expectations of respect for all students and adults. / Doctor of Education / The purpose of this study was to identify the strategies that middle school teachers utilize when incorporating culturally responsive pedagogy and practices to build positive relationships with students and families while building and maintaining positive student-peer relationships in the classroom. The synthesis of the literature review and the results of this study may perhaps provide information that would support middle school teachers not only with the ability to build relationships with their students and their families and positive peer relationships but also improve cultural knowledge to increase and enhance academic achievement and decrease discipline concerns. A qualitative study design was used in one urban public-school division in the central region of Virginia, which incorporated a teacher interview protocol questionnaire with open-ended questions. The researcher sought to examine: How do middle school teachers utilize and incorporate culturally responsive pedagogical practices to build and maintain positive relationships with students, families, and peers? An analysis of the responses to the interview questionnaire from the middle school teachers revealed strategies used consistently and inconsistently throughout the sample. From the findings, implications for practices and recommendations for future studies were supplied.

Each year, over 6,000 students complete Master of Public Administration (MPA) degrees in over 200 university accredited programs. Many of these graduates commit to a career in the public service in one of thousands of public sector organizations at all levels of government or in the non-profit sector. Are students qualified to work successfully with multiple <i>"publics"</i> and to work towards achieving the goals of social equity? The core curricula of 123 National Association of School's of Public Affairs and Administration (NASPAA) accredited MPA programs were examined and the analysis focused on the following question: To what extent do NASPAA accredited programs provide cultural competency training to MPA students through their curricula? This dissertation assesses the current state of the field and recommends cultural competency standards to be adopted by public administration programs. / Ph. D.