The strength of health science students' identification with their chosen profession is associated with their attitudes towards interprofessional education (IPE). However, little is known about the factors that might mediate this relationship. In this article, we examine the relationships between professional identification, communication and teamwork skills, perceived relevance of IPE, and positive and negative attitudes towards IPE. A sample of 444 first-year university students from 25 health science professions enrolled in a first-year interprofessional program participated in this research by completing a questionnaire. Data were analysed using path analysis. Positive IPE attitudes were more strongly endorsed than negative IPE attitudes. Perceived relevance of IPE to future careers was the strongest predictor of both positive and negative attitudes to IPE, and fully mediated the effect of professional identity. Self-reported communication and teamwork skills were a significant negative predictor of negative attitudes to IPE only, and the effect was not mediated by perceived relevance. These findings indicate that IPE may be particularly challenging for students who do not have confidence in their abilities to communicate and work effectively in teams. Building these skills through alternative communication technologies may decrease negative attitudes. In order to maintain or increase positive attitudes towards IPE in introductory programs that span professions, the curriculum needs to be designed to demonstrate relevance to the future careers of participating students.
Regional differences in the integument of the body are explained,
at least in part, by differences in fascial arrangements. In the face,
where the skin is more mobile due to the action of the underlying facial muscles,
fascial organisation is important for support and separation of muscle groups.
This study used bequeathed cadaver material to investigate a current model of
the SMAS proposed by Macchi et al., the original boundaries of which were explored
and extended using both histology and gross dissection. As a clearly identifiable
structure spanning the lateral and midface, the SMAS in the specimen supported
the model proposed by Macchi et al. The three main findings that support the model
were the layered morphological appearance of the SMAS, its
progression from fibrous to aponeurotic in a lateral to medial direction,
and the enveloping of the zygomaticus musculature. Extension beyond the
proposed model into the temporal region was observed, but nasal and forehead
regions showed no evidence of SMAS, while its presence in the cervical
platysma region remained inconclusive. Fascial and soft tissue variability was
considerable within facial regions of the examined specimen, helping to explain the debate around the SMAS in the literature.
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