This annual review of the 2012 career development/vocational psychology literature includes 191 empirical (69%) and conceptual (31%) articles from career, counseling, development, and international journals. The review is divided into 4 major areas: professional issues, work and well‐being, life‐span perspectives, and career theory and concepts. Subsumed within these clusters are foci on the status of career/vocational guidance around the globe, the career development experiences of immigrants, and the effects of economic stress. The authors offer three summarizing impressions. First, the 2012 collection is definitively global; this is a credit to the individual and institutional dimensions of the counseling profession. Second, the research articles represent a wide array of methodological approaches, and researchers have made wise research design choices for their areas of inquiry. Third, there is a true professional responsiveness to the needs of the world. It is suggested that the 2012 literature reflects Parsons's early vision of social justice and multiculturalism.

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The COVID-19 pandemic presented unique biological, psychological, and social threats to health care providers. The failure of local macrosystems placed providers at elevated risk of psychological and physical harm. To reduce the immediate risk of trauma to our local physician workforce, our team initiated a program of proactive psychological first aid in which physicians were regularly contacted by behavioral health colleagues to assess safety conditions and physician's well-being. When threats to the physician's safety were identified, these concerns were escalated to leadership and addressed when possible. When threats to well-being were identified, behavioral health team members provided supportive listening, and, if indicated, provided referral information for appropriate treatment resources. This paper reviews the rationale for this program, addresses ethical concerns, and proposes future directions for responding to threats to safety during events such as the COVID-19 pandemic.

Background: Healthcare professionals have negative implicit biases toward minority and poor patients. Few communication skills interventions target implicit bias as a factor contributing to disparities in health outcomes. We report the protocol from the COmmuNity-engaged SimULation Training for Blood Pressure Control (CONSULT-BP), a trial evaluating a novel educational and training intervention targeting graduate medical and nursing trainees that is designed to mitigate the effects of implicit bias in clinical encounters. The CONSULT-BP intervention combines knowledge acquisition, bias awareness, and practice of bias mitigating skills in simulation-based communication encounters with racially/ethnically diverse standardized patients. The trial evaluates the effect of this 3-part program on patient BP outcomes, self-reported patient medication adherence, patient-reported quality of provider communication, and trainee bias awareness. Methods: We are conducting a cluster randomized trial of the intervention among cohorts of internal medicine (IM), family medicine (FM), and nurse practitioner (NP) trainees at a single academic medical center. We are enrolling entire specialty cohorts of IM, FM, and NP trainees over a 3-year period, with each academic year constituting an intervention cycle. There are 3 cycles of implementation corresponding to 3 sequential academic years. Within each academic year, we randomize training times to 1 of 5 start dates using a stepped wedge design. The stepped wedge design compares outcomes within training clusters before and after the intervention, as well as across exposed and unexposed clusters. Primary outcome of blood pressure control is measured at the patient-level for patients clustered within trainees. Eligible patients for outcomes analysis are: English-speaking; non-White racial/ethnic minority; Medicaid recipient (regardless of race/ethnicity); hypertension; not have pregnancy, dementia, schizophrenia, bipolar illness, or other serious comorbidities that would interfere with hypertension self-control; not enrolled in hospice. Secondary outcomes include trainee bias awareness. A unique feature of this trial is the engagement of academic and community stakeholders to design, pilot test and implement a training program addressing healthcare. Discussion: Equipping clinicians with skills to mitigate implicit bias in clinical encounters is crucial to addressing persistent disparities in healthcare outcomes. Our novel, integrated approach may improve patient outcomes. Trial registration: NCT03375918 Protocol version: 1.0 (November 10, 2020)

Stakeholders-including student affairs professionals, university administrators, faculty, parents, and students-have high expectations for student gains along global learning, academic, and psychosocial dimensions as a result of participation in study abroad learning experiences. As our introductory literature review shows, reentry outcomes are mixed, and there are consistent calls for comprehensive programmatic improvements that begin with selection, screening, and recruitment; continue through predeparture preparation; include in-country supports; and emphasize reentry debriefing, application, and integration. As study abroad educators seek ways to enhance and stabilize outcomes, the classroom seems a natural and logical place to begin. After reviewing related research, our chapter offers a sampling of assignments, activities, and cocurricular activities designed to foster development of one or more of the learning goals associated with internationalizing the