Get High Scores in CEN test with these brain dumps is honored to help competitors to pass the CEN test in their first attempts. Our group of specialists and confirmed people are consistently endeavoring to refresh CEN brain dumps by adding all the most recent CEN actual test questions and answers that will assist the applicants with getting tips and deceives to address CEN questions and practice with Certified Emergency Nurse pdf download.

Exam Code: CEN Practice exam 2022 by team
CEN Certified Emergency Nurse

The CEN exam is for nurses in the emergency department setting who want to demonstrate their expertise, knowledge and versatility in emergency nursing.

Killexams is the only source for emergency nursing professionals and their employers to obtain recognized certification with proven results for greater knowledge and performance. Enhance your knowledge, your career, and patient care with specialty certification in emergency nursing.

One of the more common questions we get from our customers is about the difference between a certification and a certificate. Here is the difference in a nutshell:

A certificate comes from an educational program where a certificate is awarded after the individual successfully completes the offering. Examples of certificates are Advanced Cardiac Life Support (ACLS) or Trauma Nursing Core Course (TNCC).

A certification, like the Certified Emergency Nurse (CEN) is an earned credential that demonstrates the individuals specialized knowledge and skills. Certification is awarded by a third-party organization, such as Board of Certification for Emergency Nursing. Individuals receive their certification after meeting strict eligibility requirements and successfully completing the required examination. In addition, certifications have ongoing requirements that must be meant to maintain the credential, ensuring the holder has maintained their level of expertise in the specialty area. Certifications are nationally recognized and are often utilized as part of the earners signature.

Earning professional certifications such as the CEN, CPEN, CFRN, CTRN and TCRN offered by BCEN, and completing certificate programs such as ACLS, PALS, ENCP and TNCC, are critical to the work emergency nurses do, but there are significant differences.
1. Cardiovascular Emergencies 20
A. Acute coronary syndrome
B. Aneurysm/dissection
C. Cardiopulmonary arrest
D. Dysrhythmias
E. Endocarditis
F. Heart failure
G. Hypertension
H. Pericardial tamponade
I. Pericarditis
J. Peripheral vascular disease (e.g., arterial, venous)
K. Thromboembolic disease (e.g., deep vein thrombosis [DVT])
L. Trauma
M. Shock (cardiogenic and obstructive)
2. Respiratory Emergencies 16
A. Aspiration
B. Asthma
C. Chronic obstructive pulmonary disease (COPD)
D. Infections
E. Inhalation injuries
F. Obstruction
G. Pleural effusion
H. Pneumothorax
I. Pulmonary edema, noncardiac
J. Pulmonary embolus
K. Respiratory distress syndrome
L. Trauma
3. Neurological Emergencies 16
A. Alzheimer's disease/dementia
B. Chronic neurological disorders (e.g., multiple sclerosis, myasthenia gravis)
C. Guillain-Barré syndrome
D. Headache (e.g., temporal arteritis,migraine)
E. Increased intracranial pressure (ICP)
F. Meningitis
G. Seizure disorders
H. Shunt dysfunctions
I. Spinal cord injuries, including neurogenic shock
J. Stroke (ischemic or hemorrhagic)
K. Transient ischemic attack (TIA)
L. Trauma
4. Gastrointestinal, Genitourinary, Gynecology, and Obstetrical Emergencies 21
A. Gastrointestinal
1. Acute abdomen (e.g., peritonitis, appendicitis)
2. Bleeding
3. Cholecystitis
4. Cirrhosis
5. Diverticulitis
6. Esophageal varices
7. Esophagitis
8. Foreign bodies
9. Gastritis
10. Gastroenteritis
11. Hepatitis
12. Hernia
13. Inflammatory bowel disease
14. Intussusception
15. Obstructions
16. Pancreatitis
17. Trauma
18. Ulcers
B. Genitourinary
1. Foreign bodies
2. Infection (e.g., urinary tract infection, pyelonephritis, epididymitis, orchiitis, STDs)
3. Priapism
4. Renal calculi
5. Testicular torsion
6. Trauma
7. Urinary retention
C. Gynecology
1. Bleeding/dysfunction (vaginal)
2. Foreign bodies
3. Hemorrhage
4. Infection (e.g., discharge, pelvic inflammatory disease, STDs)
5. Ovarian cyst
6. Sexual assault/battery
7. Trauma
D. Obstetrical
1. Abruptio placenta
2. Ectopic pregnancy
3. Emergent delivery
4. Hemorrhage (e.g., postpartum bleeding)
5. Hyperemesis gravidarum
6. Neonatal resuscitation
7. Placenta previa
8. Postpartum infection
9. Preeclampsia, eclampsia, HELLP syndrome
10. Preterm labor
11. Threatened/spontaneous abortion
12. Trauma
5. Psychosocial and Medical Emergencies 25
A. Psychosocial
1. Abuse and neglect
2. Aggressive/violent behavior
3. Anxiety/panic
4. Bipolar disorder
5. Depression
6. Homicidal ideation
7. Psychosis
8. Situational crisis (e.g., job loss, relationship issues, unexpected death)
9. Suicidal ideation
B. Medical
1. Allergic reactions and anaphylaxis
2. Blood dyscrasias
a. Hemophilia
b. Other coagulopathies (e.g., anticoagulant medications, thrombocytopenia)
c. Leukemia
d. Sickle cell crisis
3. Disseminated intravascular coagulation (DIC)
4. Electrolyte/fluid imbalance
5. Endocrine conditions:
a. Adrenal
b. Glucose related conditions
c. Thyroid
6. Fever
7. Immunocompromise (e.g., HIV/AIDS, patients receiving chemotherapy)
8. Renal failure
9. Sepsis and septic shock
6. Maxillofacial, Ocular, Orthopedic and Wound Emergencies 21
A. Maxillofacial
1. Abscess (i.e., peritonsillar)
2. Dental conditions
3. Epistaxis
4. Facial nerve disorders (e.g., Bells palsy, trigeminal neuralgia)
5. Foreign bodies
6. Infections (e.g., Ludwig'sangina, otitis, sinusitis, mastoiditis)
7. Acute vestibular dysfunction (e.g., labrinthitis, Ménière's disease)
8. Ruptured tympanic membrane
9. Temporomandibular joint (TMJ) dislocation
10. Trauma
B. Ocular
1. Abrasions
2. Burns
3. Foreign bodies
4. Glaucoma
5. Infections (e.g., conjunctivitis, iritis)
6. Retinal artery occlusion
7. Retinal detachment
8. Trauma (e.g., hyphema, laceration, globe rupture)
9. Ulcerations/keratitis
C. Orthopedic
1. Amputation
2. Compartment syndrome
3. Contusions
4. Costochondritis
5. Foreign bodies
6. Fractures/dislocations
7. Inflammatory conditions
8. Joint effusion
9. Low back pain
10. Osteomyelitis
11. Strains/sprains
12. Trauma (e.g., Achilles tendon rupture, blast injuries)
D. Wound
1. Abrasions
2. Avulsions
3. Foreign bodies
4. Infections
5. Injection injuries (e.g., grease gun, paintgun)
6. Lacerations
7. Missile injuries (e.g., guns, nail guns)

8. Pressure ulcers
9. Puncture wounds
10. Trauma (i.e., including degloving injuries)
7. Environment and Toxicology Emergencies, and Communicable Diseases 15
A. Environment
1. Burns
2. Chemical exposure (e.g., organophosphates, cleaning agents)
3. Electrical injuries
4. Envenomation emergencies (e.g., spiders, snakes, aquatic organisms)
5. Food poisoning
6. Parasite and fungal infestations (e.g., giardia, ringworm, scabies)
7. Radiation exposure
8. Submersion injury
9. Temperature-related emergencies (e.g., heat, cold, and systemic)
10. Vector borne illnesses:
a. Rabies
b. Tick-borne illness (e.g., Lyme disease, Rocky Mountain spotted fever)
B. Toxicology
1. Acids and alkalis
2. Carbon monoxide
3. Cyanide
4. Drug interactions (includingalternative therapies)
5. Overdose and ingestions
6. Substance abuse
7. Withdrawal syndrome
C. Communicable Diseases
1. C. Difficile
2. Childhood diseases (e.g., measles, mumps, pertussis, chicken pox,
3. Herpes zoster
4. Mononucleosis
5. Multi-drug resistant organisms (e.g., MRSA, VRE)
6. Tuberculosis

8. Professional Issues 16
A. Nurse
1. Critical Incident Stress Management
2. Ethical dilemmas
3. Evidence-based practice
4. Lifelong learning
5. Research
B. Patient
1. Discharge planning
2. End of life issues:
a. Organ and tissue donation
b. Advance directives
c. Family presence
d. Withholding, withdrawing, and palliative care
3. Forensic evidence collection
4. Pain management and procedural sedation
5. Patient safety
6. Patient satisfaction
7. Transfer and stabilization
8. Transitions of care
a. external handoffs
b. internal handoffs
c. patient boarding
d. shift reporting
9. cultural considerations (e.g., interpretive services, privacy, decision making)
C. System
1. Delegation of tasks to assistive personnel
2. Disaster management (i.e., preparedness, mitigation, response, and recovery)
3. Federal regulations (e.g., HIPAA, EMTALA)
4. Patient consent for treatment Performance improvement
6. Risk management
7. Symptom surveillance
a. recognizing symptom clusters
b. mandatory reporting of diseases
D. Triage

Certified Emergency Nurse
Medical Certified exam success
Killexams : Medical Certified exam success - BingNews Search results Killexams : Medical Certified exam success - BingNews Killexams : U.S. Citizens Who Obtain Their Medical Degrees Abroad: An Overview, 1992-2006

Abstract and Introduction


The number of U.S. citizens attending medical schools outside the United States and Canada has increased recently. Because these people tend to return to the United States to practice medicine, it is important to know more about their characteristics and educational experiences. Based on summary data from certifying examinations, U.S. citizens trained abroad do not perform as well as either other international medical graduates (IMGs) or U.S. graduates. Moreover, they are more likely than non-U.S. citizens to be engaged in primary care activities. Changes in the composition of the IMG pool could affect the makeup and quality of the U.S. physician workforce.


International medical graduates (IMGs) constitute approximately 25 percent of practicing physicians in the United States, a level of participation that has increased from 18 percent in 1970 and only 10 percent in 1963.[1] Other studies have characterized their countries of origin, practice locations, specialty choices, and academic contributions.[2] Because some amount of residency training in the United States is a prerequisite for licensure in every state, IMGs also make up a substantial portion of the physicians in graduate medical education (GME).[3] Even though some IMGs return to their home countries following residency, the majority remain in the United States. Beginning in 1961, most IMGs seeking residencies in the United States required certification by the Educational Commission for Foreign Medical Graduates (ECFMG). Although the requirements for certification have changed over the years, they have generally included verification of a medical school diploma and successful performance on various medical knowledge and clinical examinations.[4] Today, as part of the ECFMG certification requirements, IMGs must pass all but the final step of the U.S.Medical Licensing Examination (USMLE). The required exams, which are also administered to U.S. medical students and graduates, assess basic science (Step 1), clinical knowledge (Step 2 CK, formerly Step 2), and clinical skills (Step 2 CS). The final examination in the sequence, USMLE Step 3, which is required for unrestricted licensure in all states, is often taken during or after residency. Although certification signifies that a person is ready to enter residency training, it does not guarantee a residency position. The ECFMG typically awards more certificates in a given year than the number of residency positions that are available to physicians educated outside the United States.

The characteristics of the pool of IMGs seeking ECFMG certification have changed over time.[5] For example, increasing numbers of foreign students applying for certification have attended medical school outside their native countries.[6] More noteworthy, more U.S. citizens have attended medical school outside the United States or Canada.[7] This latter group, referred to as USIMGs, consists of second-generation Americans who sought education in the home country of their parents, people who were not successful with applications to U.S. allopathic and osteopathic programs, and others who simply preferred an international training experience.[8] Although the flow of U.S. citizens to international medical schools is not new, questions concerning the quality of these programs persist.[9] Given potential physician workforce shortages and calls for the expansion of the number of medical school positions, these concerns need to be addressed.[10] Since the combined enrollment of allopathic and osteopathic schools in the United States is rising only a few percentage points per year, the market for U.S. citizens seeking medical education abroad is likely to persist and even grow.[11]

Studies have documented the quality of ECFMG applicants and certificate holders.[12] Some data have also been reported concerning the U.S. citizen cohort, including medical schools attended, success on certification examinations, and rates of specialty board certification.[13] Nevertheless, given that USIMGs who obtain U.S. clinical experience during medical school tend to obtain residency positions and, for the most part, eventually practice in the United States, it is important to know more about their educational pathways, characteristics, and abilities.[14]

The purpose of this paper is to provide a comprehensive overview of USIMGs who applied for ECFMG certification, including their performance on certification exams and their success in achieving certification and entry into the U.S. workforce. Because more accurate applicants form the pipeline of physicians who may eventually be certified, accepted to residency programs, and practice in the United States, we chose to focus our analysis on the ECFMG applicant cohort over the fifteen-year period from 1992 to 2006.

Fri, 29 Jul 2022 12:00:00 -0500 en text/html
Killexams : PMP exam Prep Resources To Help You Get Certified

Editorial Note: We earn a commission from partner links on Forbes Advisor. Commissions do not affect our editors' opinions or evaluations.

Preparing for the project management professional (PMP) exam can be daunting. With a wealth of PMP prep resources available across the internet, you might feel overwhelmed, uncertain or confused about which resources are the best.

Creating an effective personal study plan with goals and deadlines and using the best exam prep resources will help to ensure your PMP certification success.

In this article, we share some strategies and PMP exam prep resources to help you prepare to take the test. Options vary from short practice tests to PMP prep courses. Let’s dig in.

Prepping for Your PMP Exam

With the PMP exam costing up to $555 per attempt, intentional preparation is critical for saving money, time and energy. The Project Management Institute (PMI) administers the PMP exam. PMI states that successful test-takers spend 35 hours or more on exam prep.

The following considerations can help you pass the PMP exam on the first try.

Obtain Minimum Contact Hours

PMP candidates must complete at least 35 contact hours of formal project management education before they can take the certification exam.

You can build these contact hours through the following avenues:

  • PMI-authorized training partners
  • Employer/company-sponsored programs
  • Training companies or consultants (e.g., training schools)
  • Distance-learning companies, including an end-of-course assessment
  • University/college academic and continuing education programs

Create a Reasonable Test Timeline

Once you complete your contact hours, it’s time to set a test-taking timeline.

The American Psychological Association suggests stretching your study time over a more extended period to help you better retain information. For example, if you aim to complete 35 total hours of studying, it is better to study for three to four hours per week for nine to 11 weeks rather than 12 hours per week over three weeks.

Last-minute cram sessions can be helpful for short-term information retention, but spacing out your study sessions results in better recollection.

After you determine how long your preparation should take, schedule out study time and practice tests leading up to exam day.

Take Practice Exams

Practice exams are a great way to track your progress and test how well you recall the exam material. You don’t need to take the full 200-question test every time. Shorter, more focused tests can help you identify improvement areas and strengthen your knowledge of specific subjects.

Toward the end of your preparation period, make sure you are ready for exam day by taking the paid, PMI-authorized practice exam. This practice questions follows the same format as the PMP certification exam, giving you a true feel for the official test’s design, questions and time frame.

PMP exam Prep Resources

The following resources, excluding PMI’s official Project Management Body of Knowledge Guide (PMBOK® Guide), are completely free and can be used for self-study and reference purposes.


The PMBOK Guide is the foundational resource for all things project management. It details the best practices, terminologies and guidelines that all project managers should know. The PMBOK Guide is a must-have resource for any project manager. It costs only $99 and is free to PMI members. is a free, no-frills resource that helps you prepare for the PMP exam. The site offers four practice PMP exams, each of which contains 50 multiple-choice questions covering three domains: people, process and business environment. This practice questions reflects the same proportions found on the official PMP exam.

Each practice questions is instantly scored and provides detailed explanations for questions answered incorrectly.

PM PrepCast

PM PrepCast offers a free, 120-question practice test. Each question connects to a specific project management knowledge area and domain. This resource includes a test-timer and a marking feature for self-review. If you are struggling to answer a practice question, you can use the hint button.

PM PrepCast also offers a project management exam simulator for $149. This resource includes over 2,280 trial questions with detailed answer notes and helpful references to further your learning.

Project Management Academy

As a PMI-authorized training partner, the Project Management Academy offers a free 50-question training exam to all users. The organization also features 2,000 additional practice questions for Project Management Academy students.

The Project Management Academy’s practice exam is based on PMBOK Guide topics. Your exam results include explanations for every answer. Keep in mind that to receive your exam results, you must input your name and email address.


Quizlet’s user-created study set includes over 1,500 terms and definitions. Quizlet is free, does not require an account and offers multiple self-study options, including a flashcard feature.

With an account, you can use Quizlet’s term-matching feature. You can also generate a test that includes written-answer, multiple-choice, true-or-false and matching questions. If you want a more advanced learning experience, the Study Path feature uses your individual goals to create a study plan.


BrainSensei offers two PMP training modules and a mini practice exam. This resource offers a seven-day free trial.

Each module uses an interactive slide deck and videos to teach project management concepts. The first module is an overview of project management, and the second focuses on initiating a project. Each unit offers self-assessment opportunities, which require users to drag and drop the appropriate vocabulary terms into their correct respective spaces.

This practice questions resource is free and comprises 25 questions. organizes its PMP practice questions into five sections, aligned with the five steps of the project life cycle: initiating, planning, executing, monitoring and controlling and closing. Each question is multiple-choice and includes a short description.

This resource is best for quickly testing your knowledge of the project life cycle.


The Simplilearn practice questions is free and based on the PMBOK Guide. It includes 200 multiple-choice questions. Test-takers have 240 minutes to complete the practice exam. They can pause and continue the test at any point and attempt the exam as many times as they want.

Taking this lengthy test from beginning to end can help build your mental stamina in preparation for the real deal. Skillup by Simplilearn offers a free PMP basics course if you need more study time before taking the practice test.


Udemy’s free PMP exam prep course covers various introductory project management concepts. The five-unit course—plus one paid self-promotion unit—walks through each Topic using short video lessons that total just 1.5 hours.

The Udemy course can be helpful for those who are just starting project management careers or seeking more information about the PMP exam.


This free 200-question practice exam uses Google Forms. Once the test is complete, your results include a final score and provide feedback that references specific sections of the sixth-edition PMBOK Guide.

Some practice questions address concepts covered in the PMBOK Guide, and some refer to Agile or adaptive methodologies. This test can give you a broad sense of the questions you’ll find on the PMP certification exam. Those interested in the PMI Agile Certified Practitioner exam can benefit from this practice questions as well.


Unlike the other free practice exams on this list, this resource offers three difficulty levels. The easiest level is not timed and gives instant feedback after each question. The second has a two-hour time limit and provides feedback at the end. The third and most difficult level limits your time on each question.

This exam comprises 90 questions and explains the correct answers after submission. The test also shares your accuracy on each of the PMBOK Guide performance domains, helping you identify areas that might require more study time.

Thu, 04 Aug 2022 08:15:00 -0500 Brandon Galarita en-US text/html
Killexams : An evolving role for colleges: Training people recovering from substance abuse disorders to be part of treatment teams

LaShondra Jones went through years of mental illness and alcohol addiction, and in her late 40s she was living in a women’s shelter in Brooklyn.

Finally stable and sober, she needed work — any type of work — for which her history wouldn’t count against her.

Jones Googled “free training in NYC” and learned that several area community colleges offered training for people to become certified recovery peer advocates for those coping with alcohol or drug addiction.

Her experience, in this case, would be a big plus.

There were obstacles. Jones needed special permission to stay out past the shelter bed check time because her classes at Bronx Community College ended at 9 p.m. and the subway trip back to Brooklyn could take hours. But she completed the training, passed the certification test and now works as a certified recovery peer advocate with people in, or in danger of becoming caught up in, New York’s criminal justice system.

LaShondra Jones is among a small but growing number of people being trained by community colleges to become certified recovery peer advocates for people who, like them, have experienced mental health and substance abuse issues. Credit: Yunuen Bonaparte for The Hechinger Report

“I enjoy the fact I never know who I’m going to meet. I never know what their story is. I get to sit down and listen to them — I might be the only person who has ever listened to them,” said Jones, 50, who now lives in and works out of her own apartment in Manhattan.

The success of Jones and others who have gone on to become recovery peer advocates shows that with the right financial and other kinds of support, and in fields where they can use their personal experiences to help others, even some of the most vulnerable can succeed at college-level training — and colleges at graduating them into good jobs.

This has become more important as the number of students over age 24 enrolled in higher education has continued to slide, down nearly 6 percent, and more than 16 percent at community colleges, since the start of the pandemic, according to the National Student Clearinghouse Research Center.

“Adults are disappearing from higher education. We have to build back their confidence,” said Van Ton-Quinlivan, chief executive officer of Futuro Health, a California nonprofit that helps train health care workers.

Futuro, in partnership with community colleges and employers, has provided training and education to more than 5,000 people for jobs such as patient care representatives, pharmacy technicians and peer support specialists. It has found that even students who have been out of school for years will come back if they have flexibility in when and how they can learn and coursework that engages them. They also need ongoing support, but that support has to be subsidized by the government or employers to be affordable.

They also need to know they’re training for jobs that are immediately available.

“Adults are skittish to commit to pursuing a degree,” Ton-Quinlivan said. “One way higher education can bring them back is through industry-valued certifications or credentials offered in a highly supportive environment.” Some of those students might continue on to a degree.

In a system that is often not very good at anticipating labor market demand, however, it can also take a confluence of events for such efforts to work.

“Adults are skittish to commit to pursuing a degree. One way higher education can bring them back is through industry-valued certifications or credentials offered in a highly supportive environment.”

Van Ton-Quinlivan, chief executive officer, Futuro Health

While Jones got where she is through determination and hard work, national trends also helped drive her success. About 14.5 percent of Americans older than 12 have alcohol or drug use disorders, according to the federal Substance Abuse and Mental Health Services Administration, or SAMHSA; the numbers spiked during the pandemic thanks largely to opioid misuse, creating an urgent demand for more trained people to respond to the crisis.

Still, only 6.5 percent of those 12 years and older with substance use disorders had received any type of care in the last year, according to the most accurate National Survey on Drug Use and Health. More than a million peer support specialists are needed, SAMHSA estimates — more than 40 times the 23,507 now at work.

This gap between supply and demand — and the increasing number of training programs provided through higher education and elsewhere — means that some of the country’s most marginalized and ignored people now have a chance to acquire skills and find fulfilling employment.

Related: A new way to help college students transfer: Admit them to two schools at once

Peer support for people grappling with mental health and substance use challenges is not new, but accurate developments have “radically changed the addiction field,” according to the national Peer Recovery Center of Excellence, established last year with federal funding.

“We’re seeing a growing understanding of the peer-based recovery profession,” said Keegan Wicks, national advocacy and outreach manager for Faces and Voices of Recovery, an advocacy organization. Other boosts to the field include Medicaid expansion, which allows employers to be reimbursed for recovery peer advocates’ services, and federal, state and local grants for training programs.

The City University of New York’s College of Staten Island, or CSI, launched a certified recovery peer advocate training program in 2018 in response to the opioid epidemic. Until it was recently surpassed by the Bronx, Staten Island was the New York City borough with the highest rates of opiate overdoses and deaths.

“Every resident of Staten Island could say they were impacted in some way by substance use disorder,” said Lisa Spagnola, the college’s former director of workforce development who helped develop its certified recovery peer advocate program. “Everybody can say they know someone who died of an overdose.” Staten Island is the least populated of New York City’s five boroughs.

More than a million peer support specialists are needed nationwide, according to one estimate, far more than the 23,507 now at work.

Almost all states now offer certification for peer support specialists; most combine mental health and substance use, while 12 states, including New York, offer separate credentials for the two. A national certification is available but hasn’t been widely adopted.

Other types of training programs in New York State generally charge between $500 and $1,000, said Ruth Riddick, a spokesperson for Alcoholism and Substance Abuse Providers of New York State.

CSI sought out funding — primarily from the federal government — so students training to become peer advocates could attend for free. Another CUNY school, Queensborough Community College, already had its own recovery peer advocate program, so Spagnola used some of its curriculum in the CSI course design, along with input from prospective employers.

New York State requires a minimum of 46 hours of training to become a certified recovery peer advocate. The CSI course, administrators say, takes 75 hours over about eight weeks and teaches skills such as communication, teamwork, cultural competency, note-taking and how to use electronic health records.

Raymond Jordan, 57, was part of the first group of graduates and since then has worked 25 hours per week at a local social service nonprofit called Project Hospitality.

Related: One university has a new college specifically to re-enroll adults who had dropped out

His mother died when he was three, alienated as a young gay Black man, a drug-user since he was 15 and formerly incarcerated, Jordan had tried rehabilitation more times than he can count. He supported himself with prostitution and stealing and lived on the streets.

In 2017, he was sober and in outpatient treatment at Project Hospitality. Laura Novacek, the nonprofit’s associate area director, called him over.

“She asked me, ‘Raymond, would you be interested in becoming a peer?’ and told me about the program at CSI and said, ‘I think you’d be really good at it,’ ” Jordan said. His voice shaking, he added, “That was the first time someone had believed in me.”

When he was in outpatient treatment at Project Hospitality in New York’s Staten Island, Raymond Jordan, right, was recruited by the organization’s associate area director, Laura Novacek, to become a recovery peer advocate. “That was the first time someone had believed in me,” he said. Credit: Yunuen Bonaparte for The Hechinger Report

Jordan enrolled in the first recovery peer advocacy training class CSI offered and took to it immediately. He loved the role-playing, which made him feel as if sharing his experience was helping someone.

“This is my first job,” Jordan said. “When Laura told me I was a valuable worker I broke down. That’s why I’ve stayed clean, because I’m so happy to be alive, so happy to help others.”

Jordan’s remaining obstacle to becoming a certified peer advocate is the state’s certification test, which he has failed twice. He can take it as many times as needed, but has to wait 90 days and pay $80 each time; Project Hospitality picks up the licensing exam fees for its employees. In the meantime, Jordan works in the residential program, which, unlike outpatient care, doesn’t bill Medicaid for recovery peer advocacy reimbursement, so the peers don’t need to be certified.

One key aspect of training for these kinds of jobs is the selection process; prospective students need a high school diploma or equivalent but often have limited work experience, so trainers have to judge the candidates primarily based on a sense of their potential.

“It was the first time in my life that my substance use history became an asset instead of a liability.”

Kevser Ermendi, a graduate of a program that trains recovery peer advocates

“That means someone great at listening, able to share their recovery story in order to inspire others and able to work on a team,” said Curtis Dann-Messier, founding director of the NYC Health + Hospitals Peer Academy, which was established last year specifically to train peers to work in the city’s public health system.

At CSI’s information sessions, prospective students are told about the requirements for the program, the jobs available, including how much money they could make (barely above minimum wage, without much room for promotion, though national groups are trying hard to change this), and the demand for graduates. If they’re still interested, they sign up for a 30-minute interview.

The intake process tries to make the program sound rigorous “without making it so intimidating that you drive them away,” Spagnola said.

Many of those who apply to the peer programs never enroll once they realize the time and effort required, but, according to administrators, 70 to 90 percent of students who start the courses at the Peer Academy and at New York City’s three community colleges where they’re offered finish.

Classes usually include no more than 25 students. At CSI, 44 out of 49 students have so far completed the course, Spagnola said.

Related: Largely unseen and unsupported, huge numbers of student fathers are quitting college

Those who join the programs say the combination of support from teachers and classmates, engaging coursework that emphasizes role-playing and the sharing of personal experiences and the realization that they can go on to meaningful careers keeps them coming back to class even when life feels overwhelming.

Kevser Ermendi, 60, said she has a long history of starting courses and not finishing them, then falling back into drugs. The CSI recovery peer advocate course was the first she’s completed since high school. She passed the certification test and now works at a community organization on Staten Island.

“It was fun to go to class. It wasn’t something I dreaded,” Ermendi said. “It was the first time in my life that my substance use history became an asset instead of a liability. It was definitely a Topic I knew back and forwards.”

State certification boards decide if it’s necessary for a peer to have personally experienced substance use disorder; in some states people with family members or close friends who have been or are addicted or those who just consider themselves allies can also become recovery peer advocates.

“That was the first time someone had believed in me.”

Raymond Jordan, one of the first graduates of a program to train recovery peer advocates

Often trainers themselves are recovering from addiction, and many of the students in recovery said they are the best equipped to do the job.

Those who haven’t experienced substance use challenges directly can be affected “but not infected by this disease,” Ermendi said. “If I’m in a treatment facility and I’m a patient, you’re not really my peer. You don’t know what it’s like to have this voice in your head that’s telling you you have to use.”

Spagnola estimates that half her former students are employed and certified, most at about a dozen nonprofits on Staten Island. But many have difficulty staying in their jobs over the long term.

Of about 10 peers she has hired (not all from CSI’s program), said Novacek, only two — Jordan and one other — have stayed. Peers don’t last “for a variety of reasons. They don’t have their own addictions under control, or their mental health is unstable, or it’s been so long since they worked,” she said. “We’re very flexible, but sometimes they still can’t do it.”

Novacek stressed, however, that she sees CSI’s program as a success.

Laura Novacek, associate area director at Project Hospitality in New York’s Staten Island, has hired about 10 graduates of recovery peer training programs. Two have stayed. “Sometimes they still can’t do it,” she says. Credit: Yunuen Bonaparte for The Hechinger Report

“Look at Raymond — he’s someone who never worked and has now successfully been working for four years,” she said. “The only time I had to write him up is when he worked too many hours.”

Dan McCawley, director of operations for West Virginia Sober Living, a residential recovery program that uses and trains recovery peer specialists, said he believes two years of abstinence is “that sweet spot” for people engaging in peer support for substance use disorder.

“We’re a vulnerable population serving a vulnerable population. I wouldn’t have trusted myself with six months in recovery to be out on the streets, under the bridges doing the kind of work I was doing. It would have been a potentially dangerous situation for my own personal recovery. And that’s the last thing we want to do, is put one more person back out there.”

Jack Chudasama, 51, for years a functional — and then nonfunctional — alcoholic, was at one point drinking a gallon of vodka a day. Five years ago, when his wife threatened him with divorce and his children told him they wished he were dead, he stopped drinking and has been in recovery for five years.

He is one of 18 (of 28) students in the first class of the Peer Academy who graduated in June, Dann-Messier said. He was recently hired by a Queens hospital as a peer.

The Peer Academy, housed in the downtown Manhattan office of NYC Health + Hospitals, is free — and intense: Students have to commit to about three months of full-time attendance, with 177 hours of classroom training, 126 hours of hospital-based internship and at least 20 hours of online workshops.

For Chudasama, the most surreal aspect was “transitioning from being in the bed to being on the other side with the treatment team. I was always used to being a patient.”

Related: As businesses hunt for educated workers, states are loosening the purse strings for higher ed again

Chudasama, who was born in India but moved to the U.S. with his family as a child, appreciates that some Indian patients who won’t communicate with the medical team have opened up to him.

“I see this as a career opportunity and not just a job,” he said. “I saw this as an opportunity to do what I want to do and love.”

While employment is the end game, trainers say just taking the course — learning what drugs do to bodies and brains, how to listen and interview, how to give and receive respect — is invaluable.

“We are engaging our own community to become more empowered,” said Barbara Hart, who ran the Bronx Community College certified recovery peer advocate program from its start in 2018 until 2021, when, she said, it did not receive the grants it needed to continue.

“Adults are disappearing from higher education. We have to build back their confidence.”

Van Ton-Quinlivan, chief executive officer, Futuro Health

LaShondra Jones was working two peer advocates jobs for a while. But then she was offered a full-time position with the Center for Alternative Sentencing and Employment Services, a nonprofit that focuses on providing services for people in or potentially involved with the criminal justice system. She makes a decent salary and gets benefits. And her bosses understand if she’s having a bad day and needs to take off or work with clients by phone.

The other peer advocates at her organization, which has branches around the city, just started their own support group. And now she has a formerly incarcerated client who wants to be a peer, who she hopes to guide down the same path she took.

Jones has now signed up for an online bachelor’s program in wellness and nutrition; she’s still sometimes amazed at where she has landed.

“I feel like I didn’t choose this profession,” she said. “It chose me.”

This story about higher education for adults over 24 was produced by The Hechinger Report, a nonprofit, independent news organization focused on inequality and innovation in education, and supported by the Institute for Citizens & Scholars Higher Education Media Fellowship. Sign up for Hechinger’s higher education newsletter.

The Hechinger Report provides in-depth, fact-based, unbiased reporting on education that is free to all readers. But that doesn't mean it's free to produce. Our work keeps educators and the public informed about pressing issues at schools and on campuses throughout the country. We tell the whole story, even when the details are inconvenient. Help us keep doing that.

Join us today.

Tue, 02 Aug 2022 05:37:00 -0500 en-US text/html
Killexams : Newsmakers for July 31

Keller Williams Platinum Realty

Brad Weisman, Realtor/co-owner of Keller Williams Platinum Realty in Wyomissing is celebrating 30 years in the real estate business. Weisman has been a well-established realtor since 1992 with experience selling residential real estate in the surrounding Berks County area and has closed more than 1,700 real estate transactions in his career. With 30 years success in the business, Weisman says staying relevant in all markets is the biggest challenge within the industry.


In the past 30 years, Weisman has made it his mission to be involved within the community through volunteer work. He has developed and continues to develop long lasting relationships with the organizations he serves, those he serves beside and the community members he serves.

He said his biggest charitable contribution was on the Cystic Fibrosis Valentines Gala Committee where he served for 19 years, raising more than $1.5 million that went to the Cystic Fibrosis Foundation to help find a cure. He has also served on the Olivet Boys and Girls Club, has volunteered for Meals on Wheels, was the president of the Greater memorizing Mental Health Alliance and served on the board of directors for the Animal Rescue League. He currently serves on the Habitat for Humanity Birdhouse Challenge committee.

Albright College

The Albright College Board of Trustees has named Dwight Davis, M.Div. ‘97 to a three-year term as an Albright College trustee at-large. Davis is an Albright class of 1997 alumnus.


Davis has worked with elected officials to create solutions for high-need students and served nearly two decades as a fifth-grade teacher, award-winning administrator, and English and language arts coach in Washington, D.C. In July 2021, he became an advisor at Bradley Holdings LLC — an entrepreneurial business development and real estate investment company in Rockford, Mich. He currently serves as principal partner of CityBridge Action Fund.

A member of Albright College’s Athletics Hall of Fame (basketball) and the college’s Society of Black Alumni, Davis holds a bachelor’s degree in psychology, history and education from Albright, a Master of Divinity and a Master of Arts degree in education from Princeton Theological Seminary, a teaching certificate from Princeton University, a certificate in memorizing and literacy George Washington University and a certificate in leadership from the McDonough School of Business at Georgetown University.

He previously served as an Albright Trustee from 2016-2020, participating on the student affairs committee and the commencement speakers advisory group. His eldest son graduated from Albright with a degree in music in May 2022.

Pottstown Hospital-Tower Health

Theresa Cedzo, PA-C, MSA, has joined Pottstown Hospital Occupational Health Program. She brings 30 years of experience as a comprehensive occupational health medical provider with expertise in occupational health clinic management.


Cedzo previously worked at MedCenter 100 (formerly Brandywine Occupational Health-Tower Health) in Exton. She joins Pottstown Hospital as an Occupational Health medical provider and will also lead the hospital’s ancillary clinic team.

Pottstown Hospital’s team of occupational health providers specializes in providing services for commercial and industrial clients in an outpatient building in the Tri-County Business Campus, 81 Robinson St. in Pottstown. The team also provides services onsite at workplaces. The professional staff provides comprehensive occupational health services such as worker injury care and case management, employer or industry-based policy physical exams and testing, Police physical exams, OSHA regulatory medical surveillance services, DOT regulatory testing and medical certification exams, employer state and local health concerns, worker wellness, education, and travel medicine.

TriCounty Area Chamber of Commerce

Lisa Rawus has joined the TriCounty Area Chamber of Commerce as member relations and engagement director.


With more than 10 years of customer service experience and working in various communication-based roles, Rawus brings strong relationship management skills and a positive, upbeat attitude allowing her to create meaningful connections. She is drawn to serving others and is excited to build lasting relationships that will make a difference within the community.

Rawus attended Moravian College, where she obtained her bachelor’s in vocal performance. She continued her studies to earn a Master of Business Administration with a concentration in strategic management from Northcentral University. She is an honorary member of Northcentral University’s Lambda Eta Chapter of the International Business Honor Society, Delta Mu Delta (DMD), and a presidential member of the National Society of Leadership and Success.

McCarthy Engineering Associates Inc.

Anderson E. Deutschman has joined McCarthy Engineering Associates Inc. as project engineer. In her new role as project engineer, Deutschman’s responsibilities include assisting the team on various projects such as permit approvals, plan reviews and creating AutoCAD drawings that will help team members visualize and analyze designs more easily and efficiently.


Deutschman has a Bachelor of Science degree in civil engineering from Villanova University, graduating in May 2022. She previously served as an intern with McCarthy Engineering Associates Inc.

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Sun, 31 Jul 2022 00:21:00 -0500 Reading Eagle en-US text/html
Killexams : Business Milestones


Pine Hall Brick Company celebrated its 100th anniversary with an employee luncheon, speeches by Flake Steele family members and local and state dignitaries and the unsealing of a time capsule in an event Aug. 5 at Pine Hall Brick Company’s manufacturing facility in Madison.

The company had its beginnings when Flake Steele bought Consolidated Brick Company in Pine Hall and hundreds of acres of land that contained Triassic shale, which makes the best brick. On Aug. 7, 1922, Pine Hall Brick Company was founded and later that year, began production in seven ‘beehive’ kilns making brick and clay pipe.

Walt Steele, who is the latest Steele family member to lead Pine Hall Brick Company as president and chief executive officer, said the company’s success has come because of the dedication of the employees, the hard work of its customers and the durability and aesthetic beauty of the products themselves.

People are also reading…

The North Carolina State Board of Certified Public Accountant Examiners approved 100 individuals for North Carolina CPA licensure on July 25.

Local individuals included: Monica E. Bogle of Kernersville; Kenneth Hunter Byrd of Winston-Salem; and Rusty Wayne Walser of Clemmons.

A CPA licensure applicant must pass the Uniform CPA Examination and satisfy the state’s education, work experience and moral character requirements. CPAs licensed to practice in North Carolina must annually renew their license and complete at least 40 hours of continuing professional education each year.

Also, board has announced that 45 North Carolina candidates, including Rachel Elizabeth Roeth of Clemmons, passed the Uniform CPA Examination in June.

SmartAsset’s second annual study on the fastest-growing financial advisor firms included Smith, Salley & Associates and Salem Investment Counselors. Both ranked among the 35 fastest-growing financial advisor firms nationwide.

Sixty-seven hospitals in North Carolina are among the 2,600 nationwide that participate in the American Heart Association’s Get With The Guidelines initiative to Strengthen outcomes for Americans who experience heart disease or stroke.

Local hospitals included: Atrium Health Kings Mountain, Atrium Health Wake Forest Baptist Medical Center, Atrium Health Wake Forest Baptist High Point Medical Center, Atrium Health Wake Forest Baptist Lexington Medical Center, Atrium Health’s Carolinas Medical Center, Blue Ridge Regional Hospital, Novant Health Forsyth Medical Center, Novant Health Kernersville Medical Center, Novant Health Thomasville Medical Center, UNC Health Blue Ridge and Watauga Medical Center.

Herbalife Nutrition has been selected as one of America’s Best Employers for Diversity in the 2022 Forbes’ rankings and in the top 10 in its industry category of food, soft beverage, alcohol and tobacco. In February of 2022, the company was also recognized by Forbes as one of America’s Best Midsize Employers. The diversity awards list can be viewed on

Cynthia Moore DeBruhl of Wake Forest Baptist Neuropsychology recently received her national board certification in psychometry.

Atrium Health Wake Forest Baptist is the first health system in the country to receive The Joint Commission’s Gold Seal of Approval for Osteoporosis Certification.

This recognition evaluates how organizations use clinical outcomes and performance measures to identify opportunities to Strengthen care, as well as educate and prepare patients and their caregivers for discharge.

Wake Forest Baptist underwent a rigorous, unannounced onsite visit in May during which a team of reviewers evaluated compliance with a variety of certification standards and met with staff and patients.

Wake Forest Baptist’s fracture prevention program is a multispecialty, preventive-care service designed to promote bone health in older adults and reduce the risk of fragility fractures.

Wake Forest Baptist was one of the first academic medical centers in the country to establish a formal fracture prevention program, in 2013.


Atrium Health has received the American Heart Association’s Get With The Guidelines-Stroke Gold Plus Quality Achievement Award at 12 facilities across North Carolina and Georgia, including Atrium Health Wake Forest Baptist Medical Center’s Comprehensive Stroke Center in Winston-Salem. The designation honors Atrium Health for its commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines.


A 2001 North Forsyth High School graduate and Pfafftown native is serving in the U.S. Navy as part of the world’s largest international maritime warfare exercise, Rim of the Pacific.

Petty Officer 1st Class Cliff Norman is an interior communications electrician aboard USS Chafee, currently operating out of Pearl Harbor, Hawaii.

A Navy interior communications electrician is responsible for maintaining electrical and alarm systems on navy vessels.

On the Move

  • After three years of dedicated service to Wake Forest University, Jane Aiken will step away from her role as dean of the school of law on July 31. Aiken will take a research leave to work on issues of reproductive rights as consulting counsel with National Advocates for
  • Pregnant Women. Following her research leave, Aiken plans to return to the faculty as a university professor. During her research leave, in addition to her reproductive rights work, Aiken will finish her current book project, “Motherhood and the Law: Enforcing Selflessness.” Nell Jessup Newton, professor of law at the University of Notre Dame Law School, has been named interim dean.
  • Ashleigh Stout of Winston Salem, a accurate linguistics graduate from Cedarville University, has accepted an ESL teaching job at St. Anthony’s Catholic School in Belmont, Ohio. This fall, Stout will begin developing the school’s first ESL program, with more than 30 students needing language assistance.
  • The Museum of Early Southern Decorative Arts at Old Salem has named Lea Lane as the new curator of the MESDA Collection. Lane was previously the curator of Preservation Virginia, where she oversaw a state-wide collection of houses and objects that tell the story of Virginia from before the English settlement at Jamestown in 1607 through to the present day.
  • Allegacy Federal Credit Union recently announced the promotion of Brian Vannoy to senior executive vice president. Vannoy joined Allegacy in 2015 and has 30 years of financial services experience.
  • Towne Insurance Agency has announced the addition of Stan Park as executive vice president and director of business development and strategic acquisitions. He will be based out of the Greensboro office.
  • Truliant Federal Credit Union has promoted Tricia Beeker to the role of vice president of marketing.
  • Truist Financial Corporation has announced J. Christopher Ward has been hired to lead its wholesale payments business including treasury solutions, merchant services and commercial card solutions. Ward will be responsible for developing and delivering comprehensive and integrated payment capabilities for Truist’s business clients, reporting to Chief Consumer Finance and Payments Officer Michael Maguire.
  • IFB Solutions, a nonprofit organization based in Winston-Salem and the largest employer of people who are blind or visually impaired in the country, has promoted Jason Moser to vice president of finance, Ken Mullins to manager of procurement and demand planning and Naomi Venable to development support professional.
  • Mitchell’s Nursery & Greenhouse has rehired Delores Kincer as the director of marketing.

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Fri, 05 Aug 2022 11:45:00 -0500 en text/html
Killexams : Business Management Program Helps Students Set Themselves Apart

As Madison Koch CAPS’22 nears the completion of Bethel’s B.S. in Business Management program, she’s confident that she has set herself apart as she pursues the next steps in a marketing career. That’s because along with earning her degree, Koch has received multiple industry-recognized certifications while completing the program. “I would say these certifications are an essential component of my success thus far,” she says.

Bethel’s B.S. in Business Management program now has many industry-recognized professional certifications embedded into its courses. “This is an innovative way to allow students to earn industry-recognized credentials while they are earning their business degree,” says Molly Wickam, program director of the B.S. in Business Management Program. The certifications are a key way for students to get ahead in the job market since they’re a way to show employers that someone is proactively working to gain skills. “Employers are looking for employees to take charge of their own upskilling to stay current with their jobs,” Wickam says.

The industry or professional certifications are credentials awarded by certification bodies—typically nonprofit organizations, professional associations, industry/trade organizations, or businesses. Such certifications are based on a person demonstrating that he or she has acquired the knowledge, skills, and abilities required to perform a specific occupation or job. After gaining the skills and knowledge through their Bethel courses, students take an exam to earn the certification. Many certifications offer practice tests along the way for students to assess their knowledge. And most allow one free retake to pass the exam. And Bethel has negotiated reduced pricing for the certifications with each certification provider. “If students took the certifications outside of Bethel, they could do so but would pay more,” Wickam says.

Mon, 18 Jul 2022 03:56:00 -0500 text/html
Killexams : The Math Doesn’t Work: Nursing Home Staffing Woes Unsolvable Without Immigration Action

As nursing home operators scramble to recruit direct care workers during a historic staffing shortage, many in the sector believe there is one obvious solution that has yet to gain meaningful traction, in part due to legislative gridlock: immigration.

Meanwhile, the Centers for Medicare & Medicaid Services (CMS) has honed in on minimum staffing ratios, and is incorporating staffing data into surveys as well as the five-star rating system. Such initiatives come at a time when the sector is operating with 14% less of its pre-pandemic workforce, according to data from the Bureau of Labor Statistics (BLS).

Providers have taken it into their own hands to bring direct care workers in from overseas, with little success. The Evangelical Lutheran Good Samaritan Society has only been able to bring one nurse over to the U.S.; the nonprofit organization aimed to bring 250 nurses over from different countries by the end of 2023.

Meanwhile, there is some legislative action on immigration at the federal level that could bring more health care workers to U.S. shores, but the fate of these bills remains uncertain — while other countries are way out ahead in attracting workers from other countries.

Unworkable math

Immigration does fall outside of the purview of CMS, which means immigration policy as a long-term solution to staffing shortages would have to be a cross-agency lift, ATI Founder and CEO Anne Tumlinson told Skilled Nursing News.

The Biden administration’s sweeping nursing home reform initiatives revealed in February don’t mention any intersection of immigration policy and long-term care either, but Congress has introduced a number of bills to address workforce shortages through immigration — most recently a trio of legislative initiatives in June.

One such bill, the Immigrants and Allied Health Act (HR 8021), would help immigrants get financial support to enter nursing school or another health career. A second bill, the International Medical Graduate Assistance Act (HR 8022), would reduce barriers to immigrants looking to receive their U.S. medical license.

The third offers training and counseling to internationally trained health professionals who are U.S. citizens or immigrants legally residing in the U.S. while also educating employers on the abilities of health care workers that have been educated overseas – the Professional’s Access to Health (PATH) Workforce Integration Act (HR 8019).

“Their staff on the Hill are connecting the dots. I think that that is really encouraging,” Tumlinson said. “[The latest bills] are great, but they don’t change immigration law. I don’t know that they addressed the underlying issue, which is that we have to make it easier for people to get here in the first place, legally, to do these jobs. And we have to make it really attractive for them to want to do that.”

The bills join several other proposed legislative efforts that frame immigration as part of the workforce solution.

“We’ve been having, at least within this long-term care policy echo chamber, this very robust conversation about staffing, minimum staffing standards and staffing challenges,” Tumlinson said. “There’s a lot of really great policy experts working in immigration, a lot of great people working on the direct care workforce – it’s really hard to find people who are working across these disciplines because that requires an enormous amount of expertise. That’s part of the challenge.”

Still, there’s “almost no way” to talk about staffing without talking about immigration, she said, because currently the math just doesn’t work. In a webinar earlier this year hosted by the Brookings Institution, a nonprofit public policy organization based in D.C., thought leaders including Tumlinson said incentivizing domestic workers won’t come anywhere close to solving the sector’s labor crisis.

The sector has lost nearly 229,000 caregivers since February 2020, according to the Bureau of Labor Statistics.

A June report published by ATI revealed a “long-standing reliance” on domestic talent ultimately limits nursing supply. Immigrants make up nearly one in four direct care workers – about 225,000 undocumented individuals are working as doctors, nurses and home health aides, and 190,000 serve in custodial or administrative roles.

Laura Benzing, an analyst with ATI and co-author for the report, said findings reinforce the idea that the sector and policymakers can’t ignore immigration when considering solutions to the direct care workforce shortage.

Operator efforts in immigration fizzle

Operators, meanwhile, have on their own brought up immigration as a solution to work on in tandem with other short-term staffing stopgaps, but results have been disappointing and slow.

Brickyard Healthcare is working with health care staffing company PRS Global to recruit registered nurses (RNs) from the Philippines. The process is long, taking about 18 months to get nurses from other countries in facilities providing care.

Indiana-based Brickyard has been working to get RNs for a couple of months now, Prince said, making this a fairly accurate endeavor. So far, the team has hired 40 international nurses and would like to hire 75, according to Prince.

International efforts were ramped up in light of the temporary nurse aide (TNA) program set to expire in October, and looming staffing measures as part of the five-star rating system.

The TNA program was borne from a waiver tied to the public health emergency (PHE). The waiver allowed certified nursing assistant trainees, or temporary nurse aides (TNAs) to work on the front lines longer than the federally mandated four months before taking a state exam.

As of June 7, that four-month cutoff will be restored. Anyone hired prior to June 7 will have until Oct. 7 to meet testing requirements.

The Evangelical Lutheran Good Samaritan Society has been advocating for immigration as a workforce solution for years, CEO Nate Schema said, but so far efforts have fizzled. In June 2021, the nonprofit organization sought to bring 250 nurses over from various countries by the end of 2023 – they have currently been successful getting one international nurse at their facilities.

Schema attributes the slow approvals to the bureaucracy that exists in bringing international nurses in, including visa delays and ensuring that all paperwork is being processed. Such red tape impedes that race to the finish line.

“It’s frustrating. Frankly, very frustrating. We’ve got over 1,500 open positions, 2,000 open positions, and we just can’t get these people here fast enough,” Schema said. “They’re excited and anxious to enter the United States and … enter the sector, and we just can’t get them here fast enough.”

Meanwhile, Good Samaritan has had to increase resident referral restrictions as a result of the workforce shortage. The organization was denying 5% of prospective residents in March – that statistic has jumped to more than 20% as of July.

Schema said he’s not overly optimistic that the team will meet their goal of bringing 250 nurses in by the end of 2023, but still acknowledges international nursing and immigration reform as “absolutely critical” and “paramount” to staffing strategies in the sector.

Brickyard and Good Samaritan aren’t the only operators seeking to work with companies to bring international workers through their doors. PruittHealth and SALMON Health and Retirement are among other nursing home chains in the same situation, leaders have previously told Skilled Nursing News.

Pruitt, for one, in March said the organization plans to hire as many as 1,000 international nurses and certified nursing assistants (CNAs).

Once international nurses are in the country, operators can take it from there to create a warm, culturally sensitive environment.

“I’ve had the unique opportunity to work with international nurses over my career, and I’ve found it to be a very rewarding experience as long as we take the proper care to ensure that we are welcoming them, and culturally that we are very cognizant of the needs of our international nurses,” Prince said.

Staffing solution in a lightning rod topic

In the summer of 2020, the Biden campaign did propose immigration as one solution to the health care workforce shortage, but accurate initiatives have left this cross-departmental solution by the wayside.

Instead, CMS is focusing on appropriate staffing levels, while Congress and the Biden administration incorporate immigration policy as part of initiatives like the Build Back Better Act.

A bill gaining the most traction was originally part of the act, and has been reintroduced on its own with bipartisan support: The Citizenship for Essential Workers Act (S. 747, HR 1909).

The legislation, introduced in Congress last May, would allow a pathway to citizenship for immigrants that have been deemed essential during the Covid-19 pandemic.

“I would say that is a proposal that is less controversial, because it is really a pathway to citizenship, permanent resident status,” said Andrea Price-Carter, director of workforce and technology policy for LeadingAge.

Another existing bill with bipartisan support, the Health Care Workforce Resilience Act (S. 1024), would allow unused immigrant visas to be recaptured and used to bring in more nurses and physicians. Price-Carter said there are approximately 40,000 visas that went unused in previous fiscal years.

Price-Carter said the Resilience Act, introduced in March, is also considered relatively uncontroversial and also more likely to be supported across the aisle.

“Every time you try to have consideration of a broader immigration bill … there needs to be discussion on the border, border control issues, and so that’s a lot more controversial,” said Price-Carter. “It’s really hard. It’s hard to move.”

The trio of bills introduced in June do not have bipartisan support or additional sponsors as of yet: Democratic Reps. Adam Smith of Washington and Lucille Roybal-Allard of California are the original sponsors of these bills.

“Sometimes a proposal will be introduced, but then there are other strategies that the sponsors may use to actually try to get the intent of the legislation moving,” said Price-Carter.

Slow immigration policy reform will ultimately come back to bite us, Tumlinson said, as other countries like the United Kingdom already have a robust nurse recruiting program.

“As a country, we’re way behind. Five years from now, we’re going to be competing with other countries to offer attractive packages to a whole bunch of workers from other countries to come here and do this work,” Tumlinson said.

Thu, 28 Jul 2022 09:50:00 -0500 Amy Stulick en-US text/html
Killexams : The business news you need


Pine Hall Brick Company is celebrating its 100th anniversary with an employee luncheon, speeches by Steele family members and local and state dignitaries and the unsealing of a time capsule in an event today, Aug. 5, at Pine Hall Brick Company’s manufacturing facility in Madison.

The company had its beginnings when Flake Steele bought Consolidated Brick Company in Pine Hall and hundreds of acres of land that contained Triassic shale. On Aug. 7, 1922, Pine Hall Brick Company was founded and later that year, began production in seven ‘beehive’ kilns making brick and clay pipe.

Walt Steele, who is the latest Steele family member to lead Pine Hall Brick Company as president and chief executive officer, said the company’s success has come because of the dedication of the employees, the hard work of its customers and the durability and aesthetic beauty of the products.

People are also reading…

The North Carolina State Board of Certified Public Accountant Examiners approved 100 individuals for North Carolina CPA licensure on July 25.

Local individuals included: Katherine Elizabeth Bagley of High Point; Monica E. Bogle of Kernersville; Alexander Joseph Gibbons, John David Harsh and Brooke Shannon Van Fossan, all of Greensboro; Taylor Marie Queen of Burlington; and Ayesha Zeb of Archdale.

Also, the board has announced that 45 North Carolina candidates passed the Uniform CPA Examination in June. Local individuals included: Kelsey Clark Chamberlin and Meredith Emily Smith, both of Greensboro; Brianna Joyce Cardwell of Madison; and Christian Samuel Kasai of Stokesdale.

SmartAsset’s second annual study on the fastest-growing financial advisor firms included Smith, Salley & Associates and Salem Investment Counselors. Both ranked among the 35 fastest-growing financial advisor firms nationwide.

Ellis & Winters partner Alex Hagan was recently selected as treasurer-elect to the International Association of Defense Counsel’s board of directors. Firm partner Andrew Chamberlin is now the immediate past president of the IADC after completing his term as the organization’s president.

The induction took place in Berlin, Germany on July 14 at IADC’s 2022 annual meeting. Hagan previously held the role as president for the IADC Foundation for the 2021-2022 term.

Guilford County EMS graduated the members of their first-ever Emergency Medical Technician Academy Class on July 29. Graduates included: Nathan Acain, Amber Cooper, Beth Harris, Jada Jones, Stephen Remole, Jaquan Roper and Natalie Shaver.

As members of the inaugural EMT LAUNCHPAD, these new employees hold full-time, benefitted positions while they train for an EMT certification. All previous Guilford County EMS hiring processes have only been open to providers with a current EMT or paramedic certification. The seven graduates were selected from more than 400 applications. Throughout the four month program, EMT LAUNCHPAD students received both classroom and real-world instruction. The graduates will soon partner with current Guilford County EMS providers to work on ambulances deployed throughout the county.

GCEMS recently closed the application process for a second EMT LAUNCHPAD cohort, expected to begin in September 2022. The current process received 180 applications, and the service intends to expand the second class to 12 students. Guilford County EMS runs approximately 85,000 calls annually and staffs an average of 23 ambulances and eight Quick Response Vehicles per day. They currently employ 270 certified EMTs and paramedics, both full-time and hourly.

Sixty-seven hospitals in North Carolina are among the 2,600 nationwide that participate in the American Heart Association’s Get With The Guidelines initiative to Strengthen outcomes for Americans who experience heart disease or stroke.

Local hospitals included: Annie Penn Hospital, Cone Health, Cone Health – Alamance Regional, Novant Health Kernersville Medical Center and Wesley Long Hospital.

Christine Moore, operations manager for Guilford Metro 911, graduated from the Certified Public-Safety Executive Program through the Association of Public-Safety Communications Professionals International.

Drawing on resources from leadership professionals and distinguished academic sources, the program allows participants to explore syllabus that include management versus leadership, models/theories of leadership, leadership styles, public safety leadership issues and executing and managing change.

The program consists of two, 12-week online courses and a 10-day capstone seminar at APCO headquarters in Daytona Beach, Fla.


The Abbey Taphouse at 310 E. Sycamore St., Suite A in Greensboro will hold a grand opening from noon to 11 p.m. Aug. 6.

The event will feature food trucks, a flower vendor, an ice cream sandwich vendor, ice cream floats with drinks from the tap, live music, free swag and more.

Besides beer, the business offers a curated selection of craft wine, cider, seltzer, non-alcoholic options and more.

Owners are couples Abby and William Clayton and Abigail and Daniel Davidson.

For information, visit

With its headquarters in Greensboro, Market America Worldwide — SHOP.COM is celebrating its 30th anniversary at its annual International Convention Aug. 11-14 at the Greensboro Coliseum.

Featuring the first ever “The World of Market America,” the “size and capability of the structures and displays will have to be seen—and tested out—to be believed.”

For information and tickets, text SHOP to 79385.

The Needham Group, a Greensboro-based insurance agency founded by Richard Needham, has affiliated with Leavitt Group. Leavitt Group is a network of insurance brokers “whose collective national strength allows members to provide a broader array of resources to their clients.”

Along with this affiliation, the agency is changing their name to Leavitt Group Piedmont to reflect their partnership with Leavitt while still representing their local roots and presence.


Cynthia Carlton Thompson received the Hartman/Dennis Service to Education Award on July 27 during the 98th Graphic Communications Education Association Conference, hosted by Appalachian State University.

This award was established by the association to give recognition to graphic and print educators.

Thompson becomes the first African American to receive this distinguished honor. Thompson served as the past chairwoman of the department of graphic communication systems and technological studies at N.C. A&T where she trained students in print production and graphic design. Thompson was also the first African American to serve as president of the association.

The award was presented by John Craft, Appalachian State University conference host.

On the Move

  • High Point University recently welcomed several new team members: Trudy Carrion, digital concierge; Meredith Cummings and Angel Hicks, administrative assistants; Cierra Davis and Jonathan Whitfield, admissions counselors; Katie Goldsmith, clinical counselor; Lauryn Heilig, counselor; Lovelle McMichael, assistant director of community engagement; Madison Pollard, learning excellence specialist; and Alexander McWhirt, regional admissions counselor.
  • The Randolph Community College Board of Trustees have chosen Vice President of Workforce Development and Continuing Education Elbert Lassiter as acting president for the college while the search for a permanent president is underway. Lassiter is a regional supervisor with officials for the North State Association where he oversees the recruiting and training of football officials for more than 80 high schools in a 16-county area.
  • Jeremy Bennett has been named GTCC’s new associate vice president of instruction. For the past five years, Bennett has served as the academic dean for human services and public safety at GTCC.
  • The City of Greensboro has hired LaToya Caesar-Crawford as its first intergovernmental relations manager. Caesar-Crawford comes to the city after serving as the principal of Greensboro College Middle College.
  • Towne Insurance Agency has announced the addition of Stan Park as executive vice president and director of business development and strategic acquisitions. He will be based out of the Greensboro office.
  • The Center for Creative Leadership has appointed Deirdre G. Robinson as its chief human resources officer. Robinson will serve as a member of the executive team and will report to CCL’s CEO, Scott Bohannon.
  • Truliant Federal Credit Union has promoted Tricia Beeker to the role of vice president of marketing.

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Thu, 04 Aug 2022 16:00:00 -0500 en text/html
Killexams : Check Out These 20 Cyber Monday eLearning Deals That Will Help Advance Your Career

If you've been wanting to learn a new skill or advance your career by adding new expertise to your resume, good for you. Bettering yourself is always a plus and with so many eLearning classes available these days, it's easier than ever before for anyone to do it on their own time and in the comforts of their own home.

For those wanting to continue their learning and professional success into the next year, we've rounded up some of the most popular and valuable eLearning bundles around and right now they're included as part of our Cyber Monday deal so you can get them for a great price.  All of the eLearning bundles included in this roundup are an additional 70% when you used coupon code CMSAVE70 at check out, but only for a short time so be sure to act fast.

Climb up the career ladder with this Microsoft Excel Training bundle that is packed full of premium content for beginners and advanced Excel users. This 6-course bundle will help you better understand advanced functions that turn Excel from a basic program into a powerful analytics tool. Taught by certified Excel experts like Chris Dutton and Kyle Pew, you'll learn all about tools like Power Query, Power Pivot, and Data Analysis Expressions (DAX) and how to use them to advance your career.

Get The Ultimate Microsoft Excel Certification Training Bundle for $10.20 (reg. $945) with code CMSAVE70.

Whether you're just starting out playing the guitar or you want to take your talent to the next level, this 9-course bundle has everything you need to strum like the professionals. For beginners, you'll learn how to read, write, count, tap, and strum any rhythm from instructor and guitar expert, Dan Dresnok. You'll also learn all about playing and memorizing Bluegrass, Blue and Jazz. By the end of this highly-rated guitar bundle, you'll be familiar with every piece of your guitar and well on your way to creating your very own jam sessions.

Get The Ultimate Beginner to Expert Guitar Lessons Bundle for $2.99 (reg. $1,601) with code CMSAVE70. 

If you've been thinking of getting involved in the stock market, but are not sure where to start, this bundle is for you. Packed with 16 hours of proven profitable strategies on day/swing trading and technical analysis, you'll become a stock game master after completing this bundle. There's even a 4.5/5 rated advanced trading masterclass that will help you develop a winning trading mindset.

Get The Premium Novice-to-Expert Day Trading & Technical Analysis Bundle for $15 (reg. $2,000) with code CMSAVE70.

If artificial intelligence is your thing and you want to stay up-to-date on this fascinating world, this 4-course bundle is right up your alley. From creating machine-learning algorithms to learning Python programming for data analytics and data science this 5-star rated bundle has it covered. The best part is, you'll receive a certification after you complete the courses, so you can land a certified tech job quickly!

Get The Ultimate Artificial Intelligence Scientist Certification Bundle for $10.50 (reg. $799) with code CMSAVE70.

Enter the world of stocks and boost your returns in no time with this 4-course stock trading and profits bundle. According to one student, when taking the course, you will "learn proven Candlestick patterns and become a Ninja trader that wins most of the time and you'll learn the secrets to day trading so that you can gain a major edge over your competition. You'll dive into technical analysis and chart patterns taught by full-time day trader."

Get The Secret to Stock Trading & Profits Bundle for $9 (reg. $1,400) with code CMSAVE70.

If accounting is your jam, this bundle is the one for you. This financial accounting bundle has 25 hours of content on the fundamentals of financial accounting from an actual well-known CPA. Robert Steele is a practicing CPA that has written books and courses on financial accounting and he will teach you everything he knows.  At the end of the course, you'll be given a CPA certification.

Get The Ultimate Financial Accounting & CPA Certification Training Bundle for $10.50 (reg. $1,592) with code CMSAVE70.

Take your career to the next level with this 22-course project and quality management bundle. Become a pro at handling projects and delivering stellar results using Six Sigma, Agile, Jira, Scrum and more. Instructor and psychology expert, Paul Cline will also give you tools, strategies and techniques to think like a top-performing leader and make massive advances in your business or career.

Get The Premium 2022 Project & Quality Management Certification Bundle for $13.80 (reg. $4,400) with code CMSAVE70.

Take your ethical hacking expertise to the next level with this 18-course bundle from top security instructors. With this bundle, you'll learn to code your own penetration testing tools, use PyCharm to create your own programs, discover vulnerable applications and learn how to use Burp to automate certain attacks. There's even a course that will show you how to get paid to legally hack some of the world's biggest web apps.

Get The All-In-One 2021 Super-Sized Ethical Hacking Bundle for $12.90 (reg. $3,284) with code CMSAVE70.

For the gamers, this bundle is for you. This 6-course bundle will help you build your own games and master game development by doing what you love. You'll earn the basic concepts, tools, and functions that you will need to build fully functional Android mobile games with the Unity game engine. You'll even dive into action game creation by building a first-person shooter with the powerful Unreal Engine. One happy gamer wrote this 5-star review saying, "Amazing package to learn to make your own video games and maybe sell them on the internet. Absolutely recommended."

Get The Unreal & Unity Game Development for Beginners Bundle for $9 (reg. $1,200) with code CMSAVE70.

Never pay for another course again! The Video School membership gives you unlimited access to all courses, including all future courses and course updates. This includes several top-rated courses such as Photography Masterclass, Video Production Bootcamp, YouTube Masterclass, Digital Marketing Masterclass, and Adobe applications such as Photoshop, Premiere Pro, Illustrator, After Effects, and more. Enjoy 1,500 hours of highly-rated content taught by the highly-rated and talented Phil Ebner.

Get a Video School Online Unlimited Lifetime Membership for $15 (reg. $1,375) with code CMSAVE70.

Equip yourself with the essentials of computer science with this 11-course bundle. You'll get over 100 hours of content on Java, C++, Ruby on Rails, Python and more. Students of this bundle will go through over 100 hours worth of lessons on popular programming languages, including JavaScript. By the end of the JavaScript courses, you’ll be a master web developer!

Get The 2021 All-in-One Computer Science Certification Bundle for $10.50 (reg. $2,200) with code CMSAVE70.

Strengthen your programming career and increase your earning potential with this premium programming bundle. 90 hours of instruction on the world's leading programming language will show you how to create programs, apps, scripts, coding and more using the highly rated Python programming. Upon completion of the course, not only will you be a well-rounded Python programmer, but you will also receive a certification of completion to add to your resume.

Get The Premium Python Programming Certification Bundle for $9 (reg. $2,000) with code CMSAVE70. 

Start your career in web development off on the right foot with this 25-course super bundle. Trusted by over 500,000 learners and developers, Zenva Academy will provide you with world-class training in all the crucial areas of web development including AWS, Azure, CSS, HTML, Java, Python, SQL and so much more.

Get The 25 Course Web Development Super Bundle for $10.20 (reg. $2,475) with code CMSAVE70. 

If you've been wanting to learn more about flying and operating drones, this bundle is here to teach you. This 40-hour comprehensive drone videography course bundle will help you take flight and access everything you need to know to shoot awesome aerial footage like the pros.

Get The All-in-One Phantom DJI Drone & Mavic Filmschool Bundle for $12 (reg. $1,400) with code CMSAVE70.

Master a new language in the new year with this CPD accredited American Sign Language bundle! Learn the basics from the alphabet to more advanced signs, such as those used for medical emergencies. This bundle is exactly what you need to become confident in ASL for all situations. Perfect for beginners or advanced students, you'll have access to over 100 hours of online learning that is available to you for life.

Get The Complete 2022 American Sign Language Master Class Bundle for $9 (reg. $242) with code CMSAVE70. 

Get your guitar ready and start learning how to play and compose your very own music with 74 hours of learning content inside this master guitar bundle. You'll learn fingerpicking, chord changes, scales and more from guitar masters like Dan Dresnok and Patrick O'Malley. You'll even get a crash course on how to play the blues.

Get The 2022 Curious Guitarist Master Class Bundle for $9 (reg. $2,388) with code CMSAVE70. 

Get lifetime access to 9 exam simulations on the most popular Comp TIA certifications: A+ Core, Network+, Security+, CySA+, PenTest+, and Linux. Each simulation will help you review the fundamental skills for each exam, prepare better and get CompTIA certified in no time. Identify threats to network security and appropriate countermeasures and controls and test devices in new environments such as the cloud and mobile.

Get The Premier All CompTIA Certification Training Bundle: Lifetime Access for $5.70 (reg. $174) with code CMSAVE70. 

Hone your tech skills and stack up your expertise with 15 premium courses on NFT, Java Script, DApp, AWS, HTML, Swift 5.5, and more. You'll even explore the power of Python by actually building apps. Go hands-on in the 4.5/5 star rated web developer boot camp and build 15 full professional projects.

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This bundle has everything you need to create your own games in Epic's Unreal engine. Access 5 courses and 95 hours of content 24/7 from qualified and experienced gamers and coders. You'll also have access to a course forum where you can discuss syllabus on a course-wide basis, or down to the individual video and learn how to code your first video game in just 100 minutes with visual scripting.

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With this 18-hour comprehensive course bundle, you'll learn how to understand functions, write scripts, and automate tasks to increase your daily productivity. You'll also learn how to use Python in a practical and easy way and how to use PowerShell to help increase your management skills.

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Prices subject to change. 

Futurism fans: To create this content, a non-editorial team worked with an affiliate partner. We may collect a small commission on items purchased through this page. This post does not necessarily reflect the views or the endorsement of the editorial staff.

Wed, 20 Jul 2022 09:40:00 -0500 text/html
Killexams : Wisdom Academy - Trusted for Success in NEET, CA, CS, CWA & IGCSE Coaching

Wisdom Academy has more than 15 years of experience in the education industry and provides the best coaching for various educational fields and exams like NEET, IIT-JEE, CBSE, ICSE, and IGCSE to name a few.

Wisdom Academy - Trusted for Success in NEET, CA, CS, CWA & IGCSE Coaching

They have been proudly guiding top-ranking students year after year with the help of their expertise in cutting-edge teaching approaches and skilled and motivated teachers.

When it comes to offering strategic, one-on-one personalized sessions between the tutor and student, they are the best industry leader in the educational field in Mumbai. This has enhanced their commitment to setting the standard for home tuition and group tuition in Mumbai. At Wisdom Academy, they strive to be the best at offering professional coaching and to go above and beyond by giving students high-quality instruction that will enable them to reach their full potential for success in the future.

Wisdom Academy strives to alleviate students' stress by providing top-notch coaching from highly qualified professionals. Whether you need coaching for NEET, IITJEE, MH CET, IGCSE, GRE, GMAT, SAT, IELTS, CET, CAT, NMAT, BCOM, BAF, BMS, BFM Engineering, ICSE, CBSE, or IB, they have all the solutions.

A perfect combination of qualified teachers makes up their staff of highly professional and goal-oriented educators, who serve as the Institute's solid foundation. Their teachers are a diverse group of engineers, postgraduates, doctors, and certified public accountants who are enthusiastic about teaching their particular courses and have a wealth of teaching expertise.

After going through a thorough interview procedure that includes participating in practice teaching sessions, Wisdom Academy chooses its instructors, who then join their team of knowledgeable faculty members. The teachers analyze and identify your weaknesses and offer advice on how to turn them into strengths, giving you the study self-assurance you need to ace your preparations.

IB, IGCSE, and A Level Curriculums are the main programs offered at the academy for which they provide IGCSE coaching in Mumbai. Additionally, they are experts in providing coaching for NEET and IIT-JEE  (Main & Advanced) for their crucial competitive exams. Additionally, they have a separate section of commerce where they provide CA, CS, and ICWA coaching in Mumbai for its professional CA, CS, and ICWA/CMA courses.

Highlights of Wisdom Academy’s Home Tutors

  • Certified Subject Matter Experts
  • Innovative and Creative Teaching Methods
  • In-depth Explanation of Concepts
  • Periodic Assessment
  • Expert Guidance for Physics
  • Sophisticated Study Material
  • Home Tuition everywhere in Mumbai

Why Choose Wisdom Academy?

Wisdom Academy's coaching strategy is basic and straightforward, ensuring that all students have a positive experience. Their faculty is highly certified and experienced, with a comprehensive understanding of how to meet the needs and requirements of students. They give their students valuable notes created by subject-matter experts specifically for various coaching programmes.

  • Instructors are quite knowledgeable and competent, handling the subjects correctly and effectively.
  • Each student receives individualized attention, and there is a big emphasis on student-teacher interaction.
  • Paying close attention to students' questions and making sure they understand the essential concepts
  • Effective methods for time management and exam preparation
  • Regular tests are used to keep track of students' progress.
  • A concept-driven approach exposes students to a range of challenges.
  • NEET Repeaters Batch (For students who don’t get good marks on the first attempt)


Wisdom Academy supports its students in achieving their full potential by utilizing innovative teaching strategies to boost their self-confidence and morale, enabling them to accomplish their objectives.

At Wisdom Academy, students gain an understanding of the curriculum and courses for which they enroll and get career guidance, all the while advancing their educational process as they get ready to run the nation's economy and guide it toward progress and success.


Wisdom Academy

Phone: +91 932-447-5566 / 981-949-5082


Tue, 02 Aug 2022 21:21:00 -0500 en text/html
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