The Center for Bioethics and Medical Humanities is pleased to introduce Dr. Caroline Compretta, our Quality Enhancement Plan (QEP) Post-doctoral Fellow. A graduate of Millsaps College, Dr. Compretta received her master’s and doctoral degrees in Cultural Anthropology at the University of Kentucky, Lexington, where she investigated the complex and contested relationships between service providers and recipients in faith-based social service programming.
Her doctoral research examined the contradictions and commonalities in providers’ conceptualizations and implementations of services and the lived realities of participating children and families. In view of agency struggles to meet the needs of children and families, her research showed that giving voice to service populations, especially children who are rarely considered in the creation and provision of services, helped to identify areas for service development and collaboration. Her work advocates listening to clients’ voices so service professionals can construct more responsive programs given their knowledge about the everyday issues clients face. In addition to her research interests, Dr. Compretta brings to CBMH an expertise in qualitative methodologies. As an anthropologist, she conducts structured analyses using techniques such as interviewing, focus groups, surveys, and “participant observation,” a method that allows a researcher to immerse herself in the participant community to gain first-hand knowledge about research issues. The analyzed data generated from these and other qualitative methods helps to create a holistic understanding of social dynamics in order to affect social change. Dr. Compretta’s work at CBMH will focus on issues of engagement as a means to work toward the improvement of patient outcomes. She plans to investigate engagement as it relates to the communicative dynamics within interdisciplinary healthcare teams, between patients/families and practitioners, in patients’ cultural and spiritual practices that affect health, and between practitioners and the wider community. Dr. Compretta will apply her knowledge and skills to examine how people within healthcare communities can create more effective responses to patients’ medical and sociocultural needs through communication and understanding. In so doing, her work will help to improve the quality of care at UMMC.
Topics important to national health care education and policy discussions on both physician retention and the declining interest in rural and primary care practices provided the focus for original investigations by Therese L. Sison (M3) and Khang Dang (M2), respectively, of the UMMC School of Medicine. The students, who have worked with the Center for Bioethics and Medical Humanities since their M1 year, continue to evaluate and interpret data on physician management of professional grief (Sison) and on election to practice in Mississippi (Dang).
Coping patterns for professional encounters with grief comprise an important skill set for physicians and other clinical caregivers. To examine these patterns among resident UMMC physicians, Sison modified a survey instrument jointly designed by Kenneth J. Doka, professor of gerontology at the College of New Rochelle (NY), as well as a senior consultant to the Hospice Foundation of America, and Terry L. Martin, associate professor of Psychology and Thanatology at Hood College (MD). Their metric delineates grief patterns into "instrumental'" (modulation through problem solving), "intuitive" (modulation through demonstration), and "blended" approaches.
Sison piloted her modified metric in a survey of 281 residents from a range of UMMC specialties to identify the patterns most frequently used to manage professional grief. A blended grief pattern was seen for most of the residents surveyed. However, statistically significant differences were observed in a number of areas. Among the most interesting for further investigation, one comparison showed that respondents in primary care specialties had significantly higher instrumental scores (p ≤ 0.001) than their colleagues in non-primary care specialties. Policy discussions about the election to practice in a Mississippi practice after completing UMMC medical training helped prompt Dang's interest in medical graduate specialty selection and practice locale. This pilot retrospective study was conducted as the initial segment of an effort to develop useful models for predicting both election to practice in the state and specialty selection among graduating UMMC School of Medicine Students. For this work, Dang examined demographic data for 1,056 students and for 1,599 residents at UMMC to identify patterns and policies that positively correlated with the election to practice in Mississippi between 2002 and 2012. Dang's study results showed that the election to practice in Mississippi was positively correlated with primary care residencies (more female than male physicians), a Mississippi origin and/or family in Mississippi, a dedication to primary care medicine, and a Mississippi undergraduate education. Sison and Dang hope that their work will contribute to policy and education efforts that will ultimately help improve physician satisfaction and retention, and thereby improve standard of care for patients throughout Mississippi.
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