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CNOR test - Certified Nurse Operating Room Updated: 2024

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Exam Code: CNOR Certified Nurse Operating Room test January 2024 by Killexams.com team

CNOR Certified Nurse Operating Room

The Certified Perioperative Nurse (CNOR) credential is the only accredited certification for perioperative registered nurses. Earning the CNOR is a mark of distinction and demonstrates a commitment to upholding the highest standards in patient safety.

CNOR certification assesses the knowledge and skills of a perioperative nurse with a minimum of two years of clinical practice. More than 40,000 nurses internationally hold the CNOR credential and consider the designation a personal and professional accomplishment.



"Age-specific, anatomy & physiology, assessment, diagnostic studies, documentation, laboratory results, nursing diagnosis, nursing process, NANDA, Perioperative Nursing Data Set (PNDS), pathophysiology, physical assessment, preoperative fasting, vital signs"

"Allergies, complementary/alternative

medicine (CAM), herbs, illegal/illicit drugs, medication reconciliation, pharmacology, recreational drugs side effects"
"Preoperative verification, site

marking, surgical safety checklist, The Joint Commission, time out, wrong site, wrong procedure, wrong person"
"Alternatives, autonomy, benefits, complications, informed consent, patient rights, privacy, respect, risk"
Advance directive, allow natural death (AND), CPR directive, DNR, living will, medical durable power of attorney, Patient Self- Determination Act (PSDA)

"Allergies, analgesia, narcotics, NSAIDS, nonpharmacological interventions, opioids, pain block, pain intensity scales, PCA, pharmacology, regional anesthesia, self-report, signs, symptoms, The Joint Commission"

"Nursing diagnoses, preoperative nursing interventions, patient needs"

"Age-specific, anxiety, behavioral responses, collaboration, comfort, cultural /ethnic diversity,"

"legal/ethical standards, pain management, physiological responses, patient-centered, resources, SCIP protocol, spiritual needs"

"Chemical, radiation, fire, laser, positioning"

"Hand hygiene, PPE, contact, droplet, airborne"

"Hyperthermia, hypothermia, infection control, infection prevention, patient temperature"

"control, perfusion, surgical procedure, wound classification, wound healing"

"Comfort, anxiety, medication, pain management, cultural, ethical, and spiritual needs"

"Body mechanics, chemical, counts, deep vein thrombosis, documentation, ergonomics, equipment, manufacturers instructions for use (IFU), fire, hazardous materials, lead aprons, National Patient Safety Goals, smoke plume, laser, laser goggles, positioning, radiation, tourniquet, Universal Protocol, WHO checklist"

"Patient dignity, modesty, privacy, positioning, skin prep antisepsis"

"Anesthesia agents, labeling, medications, pain management"

"Aseptic technique, expiration date, instruments, package integrity, sterile, surgical products"

"Air exchanges, humidity, noise, room temperature, traffic"

"Documentation, explant, implant, verification"

Autotransfusion, blood products, Continuity of care, hand-off/hand over, interdisciplinary, PACU, transfer of care criteria
"Discharge, regulatory guidelines, wound care"

"Bioburden, biofilm, cleaning, critical item, decontamination, decontamination area, disinfection, documentation, enzymatic cleaner, FDA, germicide, high-level disinfection, loaner instrumentation, low-level disinfection, non-critical item, PPE, semi-critical item, Spaulding classification, ultrasonic cleaner"

Dynamic air removal, gravity displacement, hydrogen peroxide gas plasma sterilization, immediate use sterilization, implants, load, packaging, prevacuum, steam, sterilization

"Biological indicator, Bowie-Dick, chemical indicator, documentation, emulating indicators, load parameters, physical monitor, pressure, temperature, regulations, tracking"

"Controlled conditions, event related, regulatory requirements, shelf life, storage, time related, tracking, transportation, vendors"

"Blood, bloodborne pathogen, chemotherapy drugs, CJD, ETO, glutaraldehyde, radioactive materials"

"Bioburden, biofilm, cleaning, critical item, decontamination, decontamination area, disinfection, documentation, enzymatic cleaner, FDA, germicide, high-level disinfection, loaner instrumentation, low-level disinfection, non-critical item, PPE, semi-critical item, Spaulding classification, ultrasonic cleaner"

Dynamic air removal, gravity displacement, hydrogen peroxide gas plasma sterilization, immediate use sterilization, implants, load, packaging, prevacuum, steam, sterilization

"Biological indicator, Bowie-Dick, chemical indicator, documentation, emulating indicators, load parameters, physical monitor, pressure, temperature, regulations, tracking"

"Controlled conditions, event related, regulatory requirements, shelf life, storage, time related, tracking, transportation, vendors"

"Blood, bloodborne pathogen, chemotherapy drugs, CJD, ETO, glutaraldehyde, radioactive materials"

"Allergy, anaphylactic shock, anaphylaxis, latex free, latex safe, sensitivity, transfusion reaction"

"Advanced cardiac life support, basic life support, cardio- pulmonary resuscitation, ischemia, myocardial infarction"

"Acidosis, calcium, Dantrium, dantrolene sodium, dysrhythmia, hypercarbia, hyperkalemia, hypermetabolic, hyperthermia, tachycardia, trigger"

"Airway obstruction, anoxia, arterial blood gas, aspiration, atelectasis, bronchospasm, difficult airway, hypoxia, laryngospasm, pneumothorax, pulmonary edema, pulmonary embolism"

ARDS, autotransfusion, blunt trauma, DIC, diagnostic tests, DNR, end of life care, MAST, mechanism of injury, multisystem, organ donor, rapid sequence intubation, shock, trauma, traumatic brain injury, triage

Burn, explosion, flammable, fuel, ignition source, oxygen, RACE, PASS, thermal injury
"Allied health care providers, competency, delegation, mentor, management, patient acuity, scope of practice, staff education, supervision, support personnel, UAP"

"Cost containment, environmental consciousness (go green), fiscal responsibility, product evaluation, product selection, recycling, reprocess, resource management, single-use device, supply management"

"Accountability, ethics, family, health care industry representative, loaner instrumentation, patient rights, patient privacy, student, vendor, visitor"

"Biologic implants, PPE, preventive maintenance, room turnover, spills, terminal cleaning"

"Accrediting agency, advocacy, best practice, board of nursing, community standard, evidence- based practice, guidelines, nurse practice act, patient rights, position statement, recommended practices, regulation, regulatory standards,"

"scope of practice, standard, statute"

"Best practice, certification, competency, continuing education, life-long learning, professional organization, self- assessment, staff education"

"Audit, best practice, change, evidence-based practice, information literacy, measures, performance improvement, Plan- Do-Study-Act, quality assurance, quality improvement, research, risk management, shared governance"

"Chain of command, collegiality, confidentiality, culture of safety, delegation, ethics, healthy work environment, horizontal violence, just culture, lateral violence, patient advocate, professional growth, professional standards"

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Pass CNOR test at your first attempts with CNOR dumps questions and practice test. Our team keep searching for CNOR real test questions from real tests and update CNOR test dumps at get section accordingly. All you have to memorize the CNOR Braindumps and take CNOR test. You will surprise to see your marks.
Medical
CNOR
Certified Nurse Operating Room
https://killexams.com/pass4sure/exam-detail/CNOR
Question: 1
A patient's lab reports shows a slightly elevated total white blood cell count with equal elevations
of all types of white blood cells, an elevated hemoglobin and hematocrit, normal creatinine but
elevated blood urea nitrogen (BUN), increased urine specific gravity, and increased serum
sodium. The most likely nursing diagnosis is:
A. Risk of infection
B. Deficient fluid volume
C. Excess fluid volume
D. Imbalanced nutrition
Answer: B
Question: 2
Metoclopramide may be given as a preoperative medication in order to:
A. Relieve apprehension
B. Reduce risk of aspiration
C. Relieve discomfort
D. To control secretions
Answer: B
Question: 3
A do-not-resuscitate order is most likely to be suspended and CPR performed if the patient
experiences cardiac arrest in the preoperative period because of:
A. Acute myocardial infarction
B. Drug reaction
C. Advanced cancer
D. Sepsis
Answer: B
Question: 4
A patient with an Aldrete score of 7 in the PACU will generally be:
A. Transferred out of the PACU to the surgical unit
B. Transferred out of the PACU into the ICU
C. Returned to the OR
D. Retained in the PACU until condition improves
Answer: D
Question: 5
All of the following can result from overpressurization during abdominal insufflation with CO2
except:
A. Hypocarbia
B. Postoperative neck and shoulder pain
C. Decreased respiratory effort and cardiac output
D. Regurgitation and aspiration
Answer: A
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Medical Certified test - BingNews https://killexams.com/pass4sure/exam-detail/CNOR Search results Medical Certified test - BingNews https://killexams.com/pass4sure/exam-detail/CNOR https://killexams.com/exam_list/Medical An Exploratory Look At Whether Generative AI Can Pass An Official Mental Health Counseling Licensing test That Professionals Take

In today’s column, I will be closely looking at whether generative AI could potentially pass an official mental health counseling licensing exam. This is part of my ongoing in-depth series about generative AI or large language models (LLMs) that are or can be anticipated to be used for mental health guidance or advisement.

Before I dive into today’s particular topic, I’d like to provide a quick background for you so that you’ll have a suitable context about the arising use of generative AI for mental health advisement purposes. I’ve mentioned this in prior columns and believe the contextual establishment is essential overall. If you are already familiar with the overarching background on this topic, you are welcome to skip down below to the next section of this discussion.

The use of generative AI for mental health treatment is a burgeoning area of tremendously significant societal ramifications. We are witnessing the adoption of generative AI for providing mental health advice on a widescale basis, yet little is known about whether this is beneficial to humankind or perhaps contrastingly destructively adverse for humanity.

Some would affirmatively assert that we are democratizing mental health treatment via the impending rush of low-cost always-available AI-based mental health apps. Others sharply decry that we are subjecting ourselves to a global wanton experiment in which we are the guinea pigs. Will these generative AI mental health apps steer people in ways that harm their mental health? Will people delude themselves into believing they are getting sound mental health advice, ergo foregoing treatment by human mental therapists, and become egregiously dependent on AI that at times has no demonstrative mental health improvement outcomes?

Hard questions are aplenty and not being given their due airing.

Furthermore, be forewarned that it is shockingly all too easy nowadays to craft a generative AI mental health app, and just about anyone anywhere can do so, including while sitting at home in their pajamas and not knowing any bona fide substance about what constitutes suitable mental health therapy. Via the use of what are referred to as establishing prompts, it is easy-peasy to make a generative AI app that purportedly gives mental health advice. No coding is required, and no software development skills are needed.

We sadly are faced with a free-for-all that bodes for bad tidings, mark my words.

I’ve been hammering away at this course and hope to raise awareness about where we are and where things are going when it comes to the advent of generative AI mental health advisement uses. If you’d like to get up-to-speed on my prior coverage of generative AI across a wide swath of the mental health sphere, you might consider for example these cogent analyses:

  • (1) Use of generative AI to perform mental health advisement, see the link here.
  • (2) Role-playing with generative AI and the mental health ramifications, see the link here.
  • (3) Generative AI is both a cure and a curse when it comes to the loneliness epidemic, see the link here.
  • (4) Mental health therapies struggle with the Dodo verdict for which generative AI might help, see the link here.
  • (5) Mental health apps are predicted to embrace multi-modal, e-wearables, and a slew of new AI advances, see the link here.
  • (6) AI for mental health got its start via ELIZA and PARRY, here’s how it compares to generative AI, see the link here.
  • (7) The latest online trend entails using generative AI as a rage-room catalyst, see the link here.
  • (8) Watching out for when generative AI is a mental manipulator of humans, see the link here.
  • (9) FTC aiming to crack down on outlandish claims regarding what AI can and cannot do, see the link here.
  • (10) Important AI lessons learned from the mental health eating-disorders chatbot Tessa that went awry and had to be shut down, see the link here.
  • (11) Generative AI that is devised to express humility might be a misguided approach including when used for mental health advisement, see the link here.
  • (12) Creatively judging those AI-powered mental health chatbots via the use of AI levels of autonomy, see the link here.
  • (13) Considering whether generative AI should be bold and brazen or meek and mild when proffering AI mental health advisement to humans, see the link here.
  • (14) Theory of Mind (ToM) is an important tool for mental health therapists and the question arises whether generative AI can do the same, see the link here.
  • And so on.

Here’s how I will approach today’s discussion.

First, I will introduce you to a pioneering research study that sought to assess whether generative AI could potentially pass an test taken by medical school students as part of their pursuit of achieving their medical degree. The test is known as the United States Medical Licensing test (USMLE). This study received a great deal of headlines since it showcased that generative AI seems to do well on the arduous medical exams taken by budding doctors. Next, I will share with you some salient details about an test for mental health professionals known as the National Clinical Mental Health Counseling Examination (NCMHCE).

I’m guessing you might be wondering whether generative AI might be able to do well on that type of exam. Great question, thanks. I opted to use a popular generative AI app called ChatGPT to try out a half-dozen questions from the NCMHCE. Please note that this was merely an official sample set and not by any means the full exam.

Would you be surprised to know that the generative AI was able to successfully answer many of the sampled sample questions? I provide some important caveats and limitations about this mini experiment of sorts, and I want to emphasize this was principally done on an ad hoc basis and merely intended to be illustrative.

Here’s the deal.

Please do not jump the shark on this matter. Hold your horses. My mainstay aims here are simply to inspire others to do a deep dive on this and perform a fully comprehensive rigorous research study of an akin nature, perhaps modeled somewhat on the same approach taken by the study on the USMLE or similar such professional licensing domains.

Anyway, I believe you will find this interesting, engaging, and possibly whet your appetite to find out more on these topics. My discussion is yet another angle to considering where we are and where things are going pertaining to generative AI and the field of mental health therapy.

Please buckle up and prepare yourself for quite a ride.

Generative AI And Medical School Standardized Licensing Exam

Let’s talk about tests.

We generally assume that to practice medicine a test of some kind should be required to attest to the proficiency of the person that will be serving as a medical professional. I’d like to start by discussing perhaps one of the most famous such medical proficiency tests known as the United States Medical Licensing Examination (USMLE). This is the test typically expected of those attaining a medical degree in the United States.

The USMLE was devised to aid in standardizing upon one major medical examination test that would be acceptable across every state and ensure that MDs were meeting the same set of standards. The test is composed of three separate stages and is taken during medical school and also upon graduation from medical school.

Here’s some additional detail as noted on the USMLE website:

  • “In the United States and its territories, the individual medical licensing authorities (‘state medical boards’) of the various jurisdictions grant a license to practice medicine. Each medical licensing authority sets its own rules and regulations and requires passing an examination that demonstrates qualification for licensure. Results of the USMLE are reported to these authorities for use in granting the initial license to practice medicine. The USMLE provides them with a common evaluation system for applicants for initial medical licensure.”
  • “USMLE was created in response to the need for one path to medical licensure for allopathic physicians in the United States. Before USMLE, multiple examinations (the NBME Parts examination and the Federation Licensing Examination [FLEX]) offered paths to medical licensure. It was desirable to create one examination system accepted in every state, to ensure that all licensed MDs had passed the same assessment standards – no matter in which school or which country they had trained.”
  • “The United States Medical Licensing Examination® (USMLE®) is a three-step examination for medical licensure in the U.S. The USMLE assesses a physician's ability to apply knowledge, concepts, and principles, and to demonstrate fundamental patient-centered skills, that are important in health and disease and that constitute the basis of safe and effective patient care.”

Humans take the USMLE to showcase their proficiency in medicine. When you encounter a medical doctor, you are likely to assume they probably took the test and passed it. On an intuitive basis we realize that having to pass such an arduous test is impressive and helps to provide us comfort that the person knows their stuff when it comes to the medical field.

Shift gears.

Can generative AI potentially also be proficient enough to pass the USMLE?

That’s an interesting and some would say important question worthy of considering.

First, some quick background about generative AI.

Realize that generative AI is not sentient and only consists of mathematical and computational pattern matching. The way that generative AI works is that a great deal of data is initially fed into a pattern-matching algorithm that tries to identify patterns in the words that humans use. Most of the modern-day generative AI apps were data trained by scanning data such as text essays and narratives that were found on the Internet. Doing this was a means of getting the pattern-matching to statistically figure out which words we use and when we tend to use those words. Generative AI is built upon the use of a large language model (LLM), which entails a large-scale data structure to hold the pattern-matching facets and the use of a vast amount of data to undertake the setup data training.

There are numerous generative AI apps available nowadays, including GPT-4, Bard, Gemini, Claude, ChatGPT, etc. The one that is seemingly the most popular would be ChatGPT by AI maker OpenAI. In November 2022, OpenAI’s ChatGPT was made available to the public at large and the response was astounding in terms of how people rushed to make use of the newly released AI app. There are an estimated one hundred million active weekly users at this time.

Using generative AI is relatively simple.

You log into a generative AI app and enter questions or comments as prompts. The generative AI app takes your prompting and uses the already devised pattern matching based on the original data training to try and respond to your prompts. You can interact or carry on a dialogue that appears to be nearly fluent. The nature of the prompts that you use can be a make-or-break when it comes to getting something worthwhile out of using generative AI and I’ve discussed at length the use of state-of-the-art prompt engineering techniques to best leverage generative AI, see the link here.

Shortly after ChatGPT was made publicly available, many AI researchers began to test the AI app by administering various well-known standardized tests to see how the AI app would do. In February 2023, a research study was posted that indicated ChatGPT had performed surprisingly well on the USMLE. The study was entitled “Performance of ChatGPT on USMLE: Potential for AI-Assisted Medical Education Using Large Language Models” by Tiffany H. Kung, Morgan Cheatham, ChatGPT, Arielle Medenilla, Czarina Sillos, Lorie De Leon, Camille Elepaño, Maria Madriaga, Rimel Aggabao, Giezel Diaz-Candido, James Maningo, Victor Tseng, PLOS Digital Health, and posted on February 9, 2023.

Here is what the research paper stated overall (excerpts):

  • “We evaluated the performance of a large language model called ChatGPT on the United States Medical Licensing test (USMLE), which consists of three exams: Step 1, Step 2CK, and Step 3. ChatGPT performed at or near the passing threshold for all three exams without any specialized training or reinforcement. Additionally, ChatGPT demonstrated a high level of concordance and insight in its explanations.”
  • “USMLE questions are textually and conceptually dense; text vignettes contain multimodal clinical data (i.e., history, physical examination, laboratory values, and study results) often used to generate ambiguous scenarios with closely-related differential diagnoses.”

Consider mindfully those above-noted remarks from the AI research effort.

ChatGPT was able to score either at or near the passing threshold for the three staged USMLE. Thus, an arduous medical proficiency test that we expect human medical doctors to pass was nearly passed by a generative AI app. Some would decry this result as misleading in the sense that the generative AI was doing this without genuine “knowledge” akin to what humans seem to possess. The concern is that generative AI is nothing more than a so-called stochastic parrot that mimics human wording and fails to “understand” or “comprehend” what is going on.

Nonetheless, the aspect that generative AI could accomplish such a feat is unto itself impressive, even if done via smoke and mirrors as some suggest. The result is additionally surprising because the researchers used ChatGPT out of the box, as it were, namely the generic version of ChatGPT. Another approach would be to add additional data training on the medical field to ChatGPT, but that’s not what they did in this experiment. A generic data-trained generative AI was able to do well on a highly specialized medical domain exam. For more about how generic generative AI can be fine-tuned to specific domains, see my coverage at the link here.

Let’s consider a few other detailed aspects about the notable research result and then I’ll move to my next course of discussion.

The research paper noted these salient details (excerpted):

  • “The data analyzed in this study were obtained from USMLE sample question sets which are publicly available.”
  • “376 publicly-available test questions were obtained from the June 2022 sample test release on the official USMLE website. Random spot checking was performed to ensure that none of the answers, explanations, or related content were indexed on Google prior to January 1, 2022, representing the last date accessible to the ChatGPT training dataset. All sample test questions were screened, and questions containing visual assets such as clinical images, medical photography, and graphs were removed. After filtering, 305 USMLE items (Step 1: 93, Step 2CK: 99, Step 3: 113) were advanced to encoding.”
  • “In this present study, ChatGPT performed at >50% accuracy across all examinations, exceeding 60% in most analyses. The USMLE pass threshold, while varying by year, is approximately 60%.”
  • “Therefore, ChatGPT is now comfortably within the passing range. Being the first experiment to reach this benchmark, we believe this is a surprising and impressive result. Moreover, we provided no prompting or training to the AI, minimized grounding bias by expunging the AI session before inputting each question variant, and avoided chain-of-thought biasing by requesting forced justification only as the final input.”

I’d like to bring your attention to a few points made in those excerpts.

Notice that the experiment consisted of identifying a sample of publicly available questions associated with the exam. The idea is to usually feed samples of questions and not necessarily an entire test per se. It is important to consider how a sample was chosen and whether the sample is suitably representative of what the full test might contain. Fair is fair.

Another fairness consideration is that there is always a chance that the generative AI might have been initially data-trained on the very same questions. If those questions were found when the startup data training took place, you could say it is absurd to feed the same questions into the generative AI. The answers will likely already be known simply due to having seen the questions and their answers beforehand.

If you select questions that arose after the cutoff date of the generative AI app’s data training, you are somewhat comfortable that the content wasn’t encountered already. But even that is readily questioned since the questions might have appeared in other guises. Some exams modify old questions and reuse them in later versions of the exam. There is a chance that a new question is close enough to an older question that perhaps this gives the generative AI a leg up on answering the new question.

My point is that you need to carefully consider how these experiments are conducted. Overall, make sure to look at what sample was chosen and how appropriate it is. What are the odds that the generative AI has previously encountered the same or similar questions? As much as feasible, the goal is to set a fair and square playing field to see whether the generative AI can genuinely answer questions that have not previously been used as part of the data training effort.

You now have a semblance of what takes place when trying to assess generative AI about being able to pass exams such as the pervasive USMLE in the medical domain.

Let’s continue our exploration.

Generative AI And Mental Health Therapy test Taking

The research study that explored the use of generative AI such as ChatGPT on the USMLE can serve as a role model for similar kinds of studies. The conception is to identify publicly available sample questions, administer the questions to the generative AI, and see how well or poorly the generative AI scores on answering the questions. As much as possible, try to keep the playing field level and fair.

I decided to try this quickly for the field of mental health therapy or mental health counseling.

There is a well-known test known as the National Clinical Mental Health Counseling Examination (NCMHCE). sample questions are publicly posted online. I selected some of the sample questions and fed them into ChatGPT. I opted to use ChatGPT due to its immense popularity and it has generally been the default choice of similar research studies.

I might note that a more advanced generative AI such as GPT-4 by OpenAI or others would likely do a better job than ChatGPT. In that manner, you could interpret the ChatGPT usage as the floor and that we might expect heightened results by using a more advanced generative AI app. There isn’t an ironclad ensure that a more advanced generative AI will do better. The odds though are in that direction.

We also have to be watchful for in a sense polluting an experiment by perchance using questions that have already been seen by the generative AI during the initial data-training. Furthermore, if the generative AI is hooked up to the Internet, the AI might simply go out and find the questions and their answers, similar to a search engine, rather than trying to directly answer the questions. ChatGPT in that sense is a handy choice because the free version does not readily allow for Internet access to perform its activities and the data training was last cut off in January 2022 (at the time of writing of this discussion).

Let’s dive into the ad hoc experiment by first establishing the nature of the mental health therapy or mental health counseling exam.

The National Clinical Mental Health Counseling Examination (NCMHCE) is devised and administered via an organization known as the National Board for Certified Counselors, Inc. Here is what the website for the organization says (excerpts):

  • “The National Board for Certified Counselors, Inc. and Affiliates (NBCC) is the premier credentialing body for counselors, ensuring that counselors who become nationally certified have achieved the highest standard of practice through education, examination, supervision, experience, and ethical guidelines.”
  • “Established as a not-for-profit, independent certification organization in 1982, NBCC’s original and primary purposes have broadened, and its divisions and affiliates have taken on additional responsibilities to advance the counseling profession and enhance mental health worldwide.”
  • “Today, there are over 69,000 National Certified Counselors (NCCs) in more than 40 countries.”

The gist is that this is a well-known and widely accepted organization, and the test is likewise well-known and widely accepted. I bring this up in case you read a study that used generative AI on some relatively unknown test or less than a stellar reputational exam, in which case, you would want to gauge the result of the study as partially on the rigor and standing of the test being given at the get-go.

Here is what the website about the NCMHCE says about the test (excerpts):

  • “The National Clinical Mental Health Counseling Examination (NCMHCE) is designed to assess the knowledge, skills, and abilities determined to be important for providing effective counseling services. The NCMHCE is a requirement for counselor licensure in many states. It is one of two examination options for the National Certified Counselor (NCC) certification and also fulfills the examination requirement for the Certified Clinical Mental Health Counselor (CCMHC) specialty certification.”
  • “The NCMHCE measures an individual’s ability to apply and evaluate knowledge in core counselor skills and competencies and to practice competently as a professional counselor. Specifically, it assesses an entry-level clinical mental health counselor’s ability to apply knowledge of theoretical and skill-based tenets to clinical case studies. The case studies are designed to capture a candidate’s ability to identify, analyze, diagnose, and develop plans for treatment of clinical concerns.”
  • “Candidates for the NCMHCE must have a graduate-level degree or higher from a counseling program accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP) or administered by an institutionally accredited college or university. The counseling degree program must contain courses in eight requirement areas.”

Observe some key points mentioned in those excerpts.

First, the test is used to assess entry-level clinical mental health counselors. You might say that this is handy for my ad hoc experiment since I want to focus on the keystone threshold needed to be considered suitably knowledgeable for proceeding to perform mental health therapy with genuine clients or patients. Other exams might be used to assess more advanced skill levels, but I’m aiming here to start with the usual starting point. I’m sure that other researchers are or will try to do the same for more advanced instances.

Second, note that candidates who want to sit for the test must have a graduate-level degree or higher from an accredited counseling program or as administered by an accredited college or university. This sets the bar higher than perhaps allowing an undergraduate to take the test or maybe wantonly opening the test to anyone who wants to take it. We can presume that the test is likely to ask questions of a hard nature. That’s good since we would want to make sure we deliver something challenging to generative AI rather than some easy-peasy questions or materials. We might also note that of course, generative AI would not qualify to officially take the test since it has not met all the criteria to do so.

The official test website provides an NCMHCE Sample Case Study that indicates the case study is considered updated as of March 2023. I selected six sample questions from this sample set. I want to loudly emphasize that this is an ad hoc selection and I do so merely to be illustrative of what might be done on a more rigorous basis.

Though the date says March 2023, there of course is a chance that these questions and their answers have been around before that date, for which ChatGPT might have seen before the January 2022 cutoff date. I tried to do various probing into ChatGPT to see if the content had already been prior encountered. By and large, it doesn’t seem to be, but that’s not known for sure, and a deeper analysis would need to be undertaken to ascertain this. For the moment, let’s go with the flow and assume that the sample questions weren’t previously seen by ChatGPT during its data training.

The six sampled sample questions cover these six respective topics:

  • Q1. Establish a therapeutic alliance.
  • Q2. Identify strengths that Excellerate the likelihood of goal attainment.
  • Q3. Discuss limits of confidentiality.
  • Q4. Determine a diagnosis.
  • Q5. Assess the presenting problem and level of distress.
  • Q6. Establish short- and long-term counseling goals consistent with the client’s diagnosis.

Keep that in mind as I walk you through what ChatGPT provided as answers to the posed questions.

The test is essentially based on case studies. For these six sampled sample questions, a case study was provided in the publicly posted material. The case study was fed into ChatGPT for this analysis. Rather than displaying for you the entirety of the case study, I will do a quick recap to bring you up to speed.

In this instance, the case study entails a divorced female of age 35 who is first undertaking a mental health counseling session with a mental health therapist who has some background about the client or patient but otherwise, this is the first meeting of the two. The client or patient has already been provisionally diagnosed as having a major depressive disorder.

Additional background is given about the client or patient. For example, after her divorce, she began staying in bed quite a lot and moved back in with her mother. She got fired from her job. She has had financial difficulties. Most days, she feels sad, empty, and anxious. She has joint legal custody with her ex-husband of their two children, respectively aged 10 and 12. And so on.

That outlines the nature of the underlying case study.

Questions And The Answers Generated By The Generative AI

I am going to walk you through each of the six multiple-choice questions and also showcase the answers that were generated by ChatGPT so that you can follow along step-by-step.

My initiating prompt asks ChatGPT to provide answers plus explain why each chosen answer was considered the correct answer by ChatGPT. Asking for an explanation is not necessary, but I thought getting explanations might be interesting to see.

There is also a bit of prompting strategy involved, namely that by asking for an explanation the chances are that a generative AI app might be more extensive in trying to solve a given question or problem, see my discussion at the link here. You could suggest that I was aiding the generative AI by giving an establishing prompt that would urge it to do a better job than otherwise. Whenever you look at research studies doing just about anything with generative AI, make sure to find out what prompts they used. This is a significant factor related to the performance of the generative AI. Studies that fail to showcase their prompts are unfortunately doing a bit of a disservice by not revealing how they got the generative AI to undertake things.

The sampled sample questions are based on the case study, and I’ve placed them in quotes to indicate they came from the case study. In some instances, the wording is slightly reworded merely and strictly for purposes of feeding them into ChatGPT.

I am purposely not going to speculate or comment on the answers that are given by ChatGPT. I will simply note whether ChatGPT selected the correct multiple-choice selection as stipulated in the sample set. I’m guessing that mental health therapists and mental health counselors will undoubtedly find the explanations of special interest and will indubitably get them extensively mulling over what ChatGPT had to say.

Here is my establishing prompt and the answer provided by ChatGPT:

  • My prompt: “I am going to ask you a series of questions about the case study. The questions are multiple-choice. You are to select an answer of either A, B, C, or D from the choices provided for each question. I want you to carefully read each question and then indicate which answer is the best answer of the choices provided. You are to also explain why the answer you’ve chosen is the best answer. Are you ready to answer the first question?”
  • ChatGPT generated a response: “Yes, I'm ready. Please proceed with the first question.”

Okay, we are good to go.

Here’s the first question:

“Q1. What would be the best way for a mental therapist to at initial intake seek to establish a therapeutic relationship with this person?”

“A. Reflect on what is irrational about the woman’s self-evaluations.”

“B. Advise her about how to manage her painful experiences.”

“C. Summarize her emotions and her desire for change.”

“D. Explore how she could Excellerate her role in relationships.”

  • ChatGPT generated response:

“Answer to Q1 is C. Summarize her emotions and her desire for change.”

“Explanation: Establishing a therapeutic relationship involves demonstrating empathy, understanding, and acknowledging the client's emotions. Summarizing her emotions and desire for change (Option C) helps validate her experiences and shows that the therapist is actively listening and comprehending her situation. This approach helps build rapport and sets the foundation for a collaborative therapeutic relationship. It also allows the client to feel heard and understood, creating a safe space for further exploration and intervention.”

End of ChatGPT response

ChatGPT selected answer C, which is considered the correct answer as per the sample set.

The explanation indicates the presumed basis. I could have also asked ChatGPT to explain why the other answers weren’t as good as the selected answer. That would have gotten quite wordy and didn’t seem needed for this ad hoc analysis. A deeper study might want to consider getting a lengthier reply with a more elaborate explanation.

We move to the second question:

“Q2. What information should a mental health therapist explore to help the client remember her strengths?”

“A. The client’s disclosure about her previous level of functioning.”

“B. The client’s recollections of past mistakes.

“C. The client’s feelings about her mother paying for counseling.”

“D. The client’s use of cognitive distortions.”

  • ChatGPT generated response:

“Answer to Q2 is A. The client’s disclosure about her previous level of functioning.”

“Exploring the client's disclosure about her previous level of functioning (Option A) would be most relevant to identify and highlight her strengths. Understanding her past achievements, abilities, and positive aspects of her life before the onset of depressive symptoms can help the therapist and the client focus on resources that can be tapped into for recovery. This approach emphasizes a strengths-based perspective and encourages the client to recognize her capabilities, fostering a more positive outlook on her current situation.”

End of ChatGPT response

The answer indicated by ChatGPT is answer A, which is also the correct answer per the sample set. We are now two-for-two in terms of having gotten the questions right.

Next, let’s see what happens with the third question:

“Q3. How should a mental health therapist handle the client’s concern about confidentiality?”

“A. Explain that as a mental therapist, they will share progress updates with the mother but not provide any details.”

“B. Clarify what can and cannot be shared through informed consent.”

“C. Request the mother’s assent to the treatment and obtain the client’s consent.”

“D. Ask the client for a signed release that would include her mother as part of the treatment process.”

  • ChatGPT generated response:

“Answer to Q3 is B. Clarify what can and cannot be shared through informed consent.”

“The best approach is to clarify confidentiality issues through informed consent (Option B). The therapist should explain the limits of confidentiality, outlining what information can be shared and under what circumstances. This empowers the client to make an informed decision about what aspects of her treatment will remain confidential and what may need to be shared. It respects the client's autonomy and privacy while addressing concerns about the involvement of her mother in the therapy process.”

End of ChatGPT response

The answer indicated by ChatGPT is B, which is also the correct answer via the sample set. Three for three, so far.

Here’s the fourth question:

“Q4. From the perspective of the mental health therapist, what self-report from the client is a discernable criterion for the given diagnosis?”

“A. Her disagreements with her mother.”

“B. Her increased psychomotor agitation.”

“C. Her difficulty managing her children.”

“D. Her decreased pleasure in her activities.”

  • ChatGPT generated response:

“Answer to Q4 is D. Her decreased pleasure in her activities.”

“A discernible criterion for a major depressive disorder is often a pervasive and persistent decrease in pleasure or interest in previously enjoyed activities. This is commonly referred to as anhedonia. The client's report of not being able to remember the last time she enjoyed something and the cessation of an activity she used to find enjoyable (creating jewelry) aligns with this criterion. While other aspects, such as disagreements with her mother (Option A) or difficulty managing her children (Option C), may be related to her emotional state, the decreased pleasure in activities is a more specific indicator for depression.”

End of ChatGPT response

The answer indicated by ChatGPT is D, which is the correct answer according to the sample set. You will also note that this time the explanation opted to explain why the chosen answer was considered a better choice than some of the other proposed answers.

We are at four of four in terms of getting the correct answers.

Let’s see what occurs with the fifth question:

“Q5. What criteria were likely used to determine the severity specified for the client’s major depressive disorder?”

“A. The number of symptoms is not substantially in excess of those needed to make the diagnosis, yet functional impairment exists.”

“B. The intensity of the symptoms is distressing but manageable, and results in minor impairment of social or occupational functioning.”

“C. The intensity of symptoms is high and is accompanied by psychomotor agitation and mixed features associated with a major depressive episode.”

“D. The number of symptoms and their intensity are distressing and unmanageable and interfere with the client’s social and occupational functioning.”

  • ChatGPT generated response:

“Answer to Q5 is D. The number of symptoms and their intensity are distressing and unmanageable and interfere with the client’s social and occupational functioning.”

“The severity specified for major depressive disorder is often determined by the number and intensity of symptoms, as well as their impact on the client's social and occupational functioning. In this case, the client reports feeling sad, empty, and anxious most days, experiences tension every day, has difficulty getting out of bed, and has ceased engaging in previously enjoyed activities. Additionally, she has lost her job, faces financial difficulties, and expresses guilt about her interactions with her children. These factors suggest a significant impact on both social and occupational functioning, aligning with the criteria for a more severe form of major depressive disorder.”

End of ChatGPT response

ChatGPT indicates the answer should be D, but the sample set indicates the correct answer is A. This is the first miss by ChatGPT in this set of sampled sample questions.

I was curious whether ChatGPT could justify the answer D versus the answer A.

One thing to keep in mind is that some generative AI apps such as ChatGPT tend to immediately back down when you challenge them about an answer. The AI will indicate that it was wrong and switch to the answer that you say is the correct answer. In a sense, this is somewhat disconcerting because you would generally prefer the AI to moderately push back and support an answer that was chosen.

I am not saying this should be doggedly dogmatic. It certainly makes sense to have the AI back down if the user is telling the AI that the answer is wrong, though I think you can see how this might be a dangerous slope to slide upon. Just because a user says that something is wrong does not mean that it indeed is wrong. You can end up with the AI being too easily convinced of falsehoods simply because the user said they were truths. This is an ongoing issue of concern about generative AI, see my analysis at the link here.

All in all, rather than telling the AI that it was wrong, which would possibly get it to collapse like a deck of cards, I came to the matter politely and tangentially. I merely asked ChatGPT to compare the answer D with the answer A. I didn’t tip my hand that the answer A is considered the correct answer.

Here we go:

  • My prompt: “I'd like you to compare the answer D that you selected to the choice A. What makes answer D better than answer A?”
  • ChatGPT generated response:

“Let's compare options D and A:”

“D. The number of symptoms and their intensity are distressing and unmanageable and interfere with the client’s social and occupational functioning.”

“A. The number of symptoms is not substantially in excess of those needed to make the diagnosis, yet functional impairment exists.”

“The main distinction lies in the severity of functional impairment. Option D suggests that the number of symptoms and their intensity are distressing and unmanageable, leading to significant interference with social and occupational functioning. This aligns with a more severe form of major depressive disorder, where the impairment is substantial.”

“On the other hand, Option A acknowledges functional impairment but does not emphasize the distressing and unmanageable nature of the symptoms. It leaves room for interpretation that the impairment might be present but not to the extent that it is distressing or unmanageable.”

“In the context of major depressive disorder, severity is often determined not just by the presence of symptoms but also by the impact on daily functioning. Option D explicitly addresses the distress and interference with functioning, making it a more comprehensive and accurate description of a severe presentation of major depressive disorder.”

End of ChatGPT response

I’d bet that mental health professionals could readily debate the indication of ChatGPT about why one of the answers is construed as better than the other. Please do so at your leisure.

Moving to the sixth and final question, take a look at this one:

“Q6. From the perspective of the mental health therapist, what short-term goal would guide the treatment of the client’s presenting problem?’

“A. Spend one hour each day rewriting difficult childhood memories with her mother.”

“B. Return to her previous sleep schedule to be more present with her children.”

“C. Spend one hour each day journaling about her vision for her next marriage.”

“D. Return to full-time work in nursing to boost her self-image and mood.”

  • ChatGPT generated response:

“Answer is B. Return to her previous sleep schedule to be more present with her children.”

“The most appropriate short-term goal would be to address the immediate issue affecting her daily functioning, which is her disrupted sleep schedule. Returning to her previous sleep schedule (Option B) can have a positive impact on her mood, energy levels, and ability to engage with her children. This goal is specific, achievable, and directly addresses a key factor contributing to her distress. It also aligns with improving her overall well-being and functioning in the short term.”

End of ChatGPT response

The answer selected by ChatGPT is answer B, which is the correct answer according to the sample set.

Conclusion

Please do not try to calculate the percentage of times that ChatGPT was able to correctly answer the sampled sample. Doing so would be ridiculous as this was not a rigorous experiment but instead an ad hoc one and meant solely to get the juices flowing about examining how generative AI might do on these kinds of tests. That being said, I believe there is enough indication that performing a thorough study would be worthwhile. Had the generative AI got none of the answers correctly I would probably be leaning toward suggesting that a full-on study wasn’t likely worth the effort. This snippet suggests that doing more might be valuable.

There are flies in the ointment on these matters.

One argument about having generative AI take these various types of tests is that there isn’t any human soul or human connection that is also being assessed, see my discussion at the link here. In other words, just because a generative AI app can answer questions on a dry test does not mean that we would want the generative AI to interact with real people in real life and provide advice as to whatever domain or realm of expertise is being tested.

The argument is further amplified when considering the course of mental health. Some would assert that only another human can adequately counsel another human. An AI system is not human and does not have human experience under its belt. A counterviewpoint is that notwithstanding humanness, there is still a place for AI to aid humans, including in the sphere of mental health guidance or advice.

Let’s conclude this discussion for now by invoking a famous line.

The renowned American psychologist Carl Rogers purportedly said this: “In my early professional years, I was asking the question, how can I treat, or cure, or change this person? Now I would phrase the question in this way, how can I provide a relationship that this person may use for their personal growth?”

Can generative AI form a relationship with humans and if so, do we want that to be how mental health is conveyed or advised?

More questions ostensibly need more answers; thus, the endeavor must continue.

Mon, 01 Jan 2024 09:36:00 -0600 Lance Eliot en text/html https://www.forbes.com/sites/lanceeliot/2024/01/01/an-exploratory-look-at-whether-generative-ai-can-pass-an-official-mental-health-counseling-licensing-exam-that-professionals-take/
So THAT'S Why You Have To Pee More Frequently As You Get Older No result found, try new keyword!We asked gynecologists, urologists and pelvic floor therapists to delve into the common reasons you have to pee more frequently as you get older. Here’s what to know: According to the North American ... Wed, 03 Jan 2024 00:44:00 -0600 en-us text/html https://www.msn.com/ Porch pirates, medical marijuana, and SEPTA crimes: A rundown of Pennsylvania’s new laws in 2024

It may be difficult for Pennsylvania politicians to pass a recreational marijuana law or to ban drivers from cruising in the passing lane, but they sure don’t have trouble passing laws to recognize Certified Public Accountant Week or William Penn Landing Site in Chester Month.

Despite the potential corniness of some of these local edicts, a slate of recently passed legislation will affect millions of Pennsylvanians this year. From addressing the rise of stolen packages by so-called porch pirates to rules governing medical marijuana, here are some new laws to look out for as they come into effect this year.

Effective: February

The new law, former Senate Bill 527, aims to “crack down on porch pirating,” according to its author, State Sen. Frank A. Farry (R., Bucks). According to the Philadelphia Police Department, more than 3,000 packages are stolen every year in the city. This law aims to lessen that number by increasing the penalties for mail theft.

According to the Pennsylvania Senate Republicans website, criminal charges for theft of mail were previously “based solely on the value of the item taken.” Under the new law, repeat offenses and high-value thefts can lead to felony charges.

For example, someone arrested for their third theft-of-mail offense or stealing mail, including packages valued at more than $2,000, can be charged with a third-degree felony carrying a seven-year prison sentence and a $15,000 fine.

“With online shopping being a growing method of commerce, package thefts have been on the rise nationwide,” Farry said in a statement last month. “This bill focuses on repeat offenders by using a grading system that would increase the penalties if the thief had prior convictions for theft of mail.”

Effective: July

The new law, former Senate Bill 596, will lower the monetary threshold to charge someone with a felony for committing organized retail theft.

For a theft to be considered an organized retail theft, there must be an intent to resell the items. Shoplifting is different and usually refers to an individual stealing items for personal use, not for resale.

Under the new law, a person can face a third-degree felony if they’re arrested for organized retail theft with stolen goods valued between $2,500 and $9,999. Before, the value of the stolen goods had to be between $5,000 and $19,999 to be considered a third-degree felony.

If the stolen goods are valued between $10,000 and $49,999, that would be a second-degree felony. Any organized retail theft of stolen goods valued at $50,000 or more would be a first-degree felony.

For example, a person charged with a third-degree felony for organized retail theft can receive up to seven years in prison and a $15,000 fine. A second-degree felony can land a person in prison for 10 years with a $25,000 fine, according to Pennsylvania law firm Lampan Law.

While the Pennsylvania branch of the American Civil Liberties Union supports the “porch-piracy” law, it doesn’t support this law, previously citing that the legislation “relies on demonstrably failed ‘tough on crime’ policies in response to exaggerated industry claims of an organized retail theft ‘crisis.’”

According to research by the Council on Criminal Justice, retail theft across 24 major U.S. cities, including Pittsburgh, varies across different parts of the country, with some cities having fewer incidents of shoplifting than before the pandemic, while others, like New York and Los Angeles, have seen some of the largest increases in shoplifting in the country in accurate years.

In Philadelphia, retail thefts have risen steadily over the years, but many of the Philly suburbs are experiencing less shoplifting, according to a 2022 report by The Inquirer.

Effective: Immediately

The new law, former Senate Bill 414, expands access to Sexual Assault Nurse Examiner (SANE) programs at hospitals throughout Pennsylvania. SANE-trained nurses specialize in trauma-informed care and forensic nursing that provide more complete care for survivors of sexual assault.

Pennsylvania State University already runs the SAFE-T Program, which uses telehealth to connect patients with SANE-trained nurses during a hospital visit, especially useful in rural areas where SANE programs are more scarce. This telehealth program will be expanded. The law also allows more hospitals to establish SANE programs at their facilities and requires the department of health to publish a list of each county’s hospitals with SANE programs.

In Philadelphia, there is a SANE program at the Philadelphia Sexual Assault Response Center (PSARC) in West Philly. The Inquirer has a resource guide on where to find sexual assault support and counseling resources in the Philadelphia region.

Effective: February

The new law, former Senate Bill 683, introduced by former Republican governor nominee, State Sen. Doug Mastriano, will require hospitals to test for fentanyl and xylazine when giving a urine drug test to patients in an emergency room. The usual five-panel urine drug screening does not test for the synthetic opioid fentanyl or xylazine, the powerful animal tranquilizer also known as “tranq,” which has contaminated the drug supply in places like Kensington.

Mastriano sees this legislation as an opportunity to save lives. ”Testing for fentanyl can mean the difference between life and death for someone who has unknowingly been poisoned with it,” he said in a statement before the law’s passage.

However, some of Mastriano’s colleagues told The Center Square Pennsylvania news organization that they felt the legislation was one of many measures rushed through the legislative process on the final days of the 2023 General Assembly sessions. State Rep. Tim Twardzik (R., Schuylkill) cited concerns raised by nurses at Lehigh Valley Health Network that the legislation could lead to increased costs and a scramble to implement new mandatory testing.

Effective: March

The new law, former Senate Bill 773, allows all medical marijuana growers to sell their legal cannabis directly to approved Pennsylvania medical marijuana patients. Before this law, only five out of 25 cannabis growers in the state were allowed to sell directly to patients. All growers will be allowed to apply for and be awarded a license to open dispensaries. Independent dispensaries will also be allowed to apply for grower-processor licenses to cultivate their own medical marijuana.

According to the bill’s sponsor, State Sen. Chris Gebhard (R., Lebanon), the law aims to level the playing field for smaller, independent medical marijuana businesses in the state.

While restrictions around medical marijuana loosen, what about recreational marijuana? The Inquirer spoke with state legislators, lawyers, and policy wonks last year about when Pennsylvania might legalize adult-use cannabis, and the prospect was murky.

Effective: January

The new law, former Senate Bill 84, repeals a restriction found in Pennsylvania’s Public School Code of 1949, which prohibits public school teachers from wearing “any dress, mark, emblem or insignia” that indicates that a teacher is a member of a religion.

Pennsylvania is the last state in the U.S. to repeal its “garb statute,” after Oregon repealed its same law in 2010 and Nebraska in 2017, reported WHYY. The religious garb restriction has roots that go back a century, with the Ku Klux Klan’s support of such laws due to its anti-Catholic stance.

“I’m proud to say we’ve rectified a longstanding error in Pennsylvania law, now permitting teachers to wear religious garb in the classroom,” said State Sen. Judy Schwank (D., Berks), cosponsor of the bill, in a statement. “This move brings Pennsylvania in line with the rest of the nation, ending our status as the only state still upholding this kind of prohibition.”

Effective Date: Immediately

Act 40 of 2023, formerly Senate Bill 140, creates a special prosecutor role in the Pennsylvania Attorney General’s Office to prosecute crimes that occur on mass transit, including Philadelphia’s SEPTA transit system. Prosecuting these crimes formerly rested with District Attorney Larry Krasner.

The attorney general’s special prosecutor now gets the first chance to prosecute SEPTA crimes. If the special prosecutor declines, then the district attorney’s office gets the case. Anyone who has worked in the district attorney’s office in the last six years isn’t eligible for the special prosecutor job.

The stripping of authority from Krasner is part of an ongoing effort led by Pennsylvania Republicans to oust the progressive district attorney. At the end of last year, Krasner was impeached by a Republican-led House for “misbehavior in office,” but the Senate trial that could potentially remove him from office was put on indefinite hold.

“Like the impeachment effort, Act 40 is built on outright lies and falsehoods about Philadelphia, its voters, and public safety,” Krasner said in a statement.

The Inquirer has a comprehensive breakdown of what powers the special prosecutor will have over prosecuting mass transit crimes and more.

Thu, 04 Jan 2024 20:00:00 -0600 en text/html https://www.inquirer.com/news/philadelphia/new-laws-pennsylvania-2024-list-theft-marijuana-septa-20240105.html
Pennsylvania medical marijuana cards and anxiety: What the research says No result found, try new keyword!Anxiety disorders are the leading reason doctors approve patients for a medical marijuana card in Pennsylvania. If you’re considering using cannabis for anxiety, here are some resources that could be ... Thu, 04 Jan 2024 03:44:00 -0600 https://www.centredaily.com/news/state/pennsylvania/article283841688.html MSDH places hold on over 70% of medical cannabis product after allegations of pesticide contamination

The concerns impact one of the state’s largest medical cannabis testers in Mississippi, Rapid Analytics, and product that has been certified through their facility.

The Mississippi State Department of Health (MSDH) has put an administrative hold on a large number of medical cannabis products after allegations that those products were not properly tested for pesticides.

The halted products are those tested by Rapid Analytics out of Natchez, one of two testing facilities in the state. Steep Hill Mississippi, located in Jackson, are still able to test products for dispensaries.

MSDH notified Rapid Analytics of the issue on the Wednesday after Christmas. The two groups met to review the company’s testing procedures.

A representative from Rapid Analytics said the claims of improper testing are baseless and came from an anonymous phone call. The company indicated that this hold has impacted roughly 70 percent of the medical cannabis product on the market in the state. Rapid Analytics plans to retest all cannabis samples, even though they are not required to do so in order to reassure patients and dispensaries.

Since the state made medical cannabis products legal for specific ailments the program for which product can be developed, tested, and dispersed, has been operated by the MSDH. The Health Department, which certifies growers and dispensaries, requires products be tested prior to dispensaries obtaining and selling the items.

Medical marijuana products first hit the shelves in January of 2023.

“The specific circumstances leading to the hold remain under investigation by MSDH, but the retesting is to validate results related to the use of pesticides and presence of mycotoxins,” said MSDH in a press release.

MSDH added that no illnesses have been reported related to the impacted products.

This hold prevents dispensaries from selling any cannabis product that was tested by Rapid Analytics until further notice. MSDH said roughly 9,814 unaffected packages are still on the market in dispensaries, which comes to about 20% of all packaged products. Most Mississippi dispensaries were impacted by the hold with only 10 facilities in the state using Steep Hill.

MSDH said officials are overseeing the retesting of the medical cannabis products and testing is being done in licensed medical cannabis facilities with approved methods. MSDH indicates that this retesting is being prioritized based on type and category of product. For instance, flower and bud is being tested first because it serves as the base for many more products. As batches are cleared, MSDH will remove holds and they will return to the market.

“Through the state’s seed to sale tracking system, the agency can isolate the batch and lot numbers associated with this administrative hold and expedite the retesting. The tracking system is an invaluable tool to assist with regulatory compliance and overall product safety,” said Laura Goodson, Director of the Mississippi Medical Cannabis Program.

Mike Watkins, Executive Director for the Mississippi Independent Cannabis Association said all parties involved in the cannabis business are taking this issue seriously.

“The scope of how large this is, makes us not want to rush through it,” said Watkins. “If that many products are impacted, we want to make sure they are tested and safe. That’s why we have a legal regulated market.”

Watkins said the state has been in contact with growers involved in the tested product, but because of the ongoing investigation many cannot comment. This has left the public with a lack of information. He added that a key component to rectifying testing issues in the future is the opening of additional facilities like Alchemy Analytics in Meridian and Magnolia Tech Labs in North Mississippi. Watkins said those facilities are in the process of being certified to test product.  

“Our focus now has been on working with patients and dispensaries to get new products to them that they can use, if the ones they prefer are being held due for retesting,” said Watkins.

Individuals suffering from the below ailments are eligible for a medical marijuana card:

Cancer, Parkinson’s, Huntington’s, muscular dystrophy, glaucoma, spastic quadriplegia, HIV, AIDS, hepatitis, amyotrophic lateral sclerosis (ALS), Crohn’s, ulcerative colitis, sickle cell anemia, Alzheimer’s, agitation of dementia, PTSD, autism, pain refractory to opioid management, diabetic/peripheral neuropathy, spinal cord disease, or severe injury; chronic medical treatment that causes cachexia or wasting, severe nausea, seizures, severe and persistent muscle spasms, or chronic pain.

Earlier this month, Steep Hill, the other testing facility, sounded the alarm on potentially deadly toxins found in products sold throughout Mississippi gas stations. The products, which are allowed under the 2018 Farm Bill, are hemp based but cannot have a THC content of more than 0.3 percent.

The testing, however, found THC levels of between 1 and 15 percent in those products. Steep Hill also tested for the presence of heavy metals like lead and arsenic as well as pesticides, mold and bacteria. They reported that of the eight pre-rolls, or marijuana cigarettes, one contained high levels of pesticides.

State lawmakers say they are working towards a bill to address this issue.

-- Article credit to Sarah Ulmer of the Magnolia Tribune --

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Start the Week Off Right: In need of medical assistants, Genesis “grows” its own

Genesis Health System faced an ongoing shortage of medical assistants, with no end in sight. Fewer and fewer students were graduating from Quad-Cities training programs. With 40+ vacancies, the time had come to get creative.

Recognizing a need, Genesis focused on its own staff to grow the pipeline of qualified candidates. Genesis launched its own Medical Assistant Student Program in March and, after two cohorts, will graduate 16 students in 2023. The program will continue and expand in 2024.

“We’re excited to extend this opportunity to our own employees who want to advance their careers in the health care,” said Beau Dexter, medical group, eastern division regional vice president. “We have built a program that removes some of the barriers. In turn, we benefit from the talent and professionalism within our own Genesis workforce.”

What attracted Kendra Behrens-Looney, Desiree Johnson and Crystal Wheeler of Genesis to the program?

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Genesis made it easy, providing tuition for the four-month program, certification test scholarships, hands-on skills training, hourly compensation, full-time benefit eligibility, and best of all, guaranteed placement as a medical assistant at Genesis upon program completion.

In short, they could still earn a paycheck without having to juggle the demands of work and school.

The program serves as both a retention and recruitment tool. Students are able to grow within Genesis, instead of seeking opportunities elsewhere. Genesis has found some relief from the challenges of recruiting qualified medical assistants during a nationwide health care workforce shortage.

Career advancement made easy

Before the program, Kendra Behrens-Looney was an office receptionist at Genesis HealthPlex, Davenport, looking to grow in a clinical field. She now works at the same location as a medical assistant for family practice.

“You’re getting a free education and advancing your career,” Behrens-Looney said. “Genesis is investing in their current employees, and it’s good for all of us.”

Crystal Wheeler had been at Genesis 14 years when her leader turned her on to the Genesis Medical Assistant Student Program. Ready for a change and already exploring the medical assistant field, she had the nudge she needed.

“The program was amazing. The most memorable part was meeting Barb Sherbeyn, the program’s leader,” said Wheeler, a medical assistant at Genesis Health Group, Aledo. “Whether you were studying at home or in class, Barb was always there to answer the phone, answer your questions and always willing to be there for you.”

Desiree Johnson had worked in emergency department registration and as a patient care tech in the hospital. She enjoyed the program’s hands-on learning experiences at a variety of Genesis clinics, especially the opportunity to explore her interest in neurology. Today, she is a medical assistant at Genesis Health Group, Neurology.

“The MA program through Genesis offers so much support…everyone is rooting for us everywhere we go," she said. "Everyone always asked, ‘How can we help you learn? What can we show you?’ It was very hands-on, and you could feel how everyone wanted you to succeed.”

A growing need

Since the COVID pandemic, 50% of medical practices across the nation have reported having to hire alternative staff to cover open medical assistant positions and identified medical assistants as the most difficult position to recruit, according to Medical Group Management Association.

The U.S. Bureau of Labor Statistics anticipates the need for medical assistants will grow 14% by 2032, nearly five times more than the national average for other occupations.

“Medical assistants provide much-needed support to our Genesis providers and patients. They are a vital part of the Genesis care team,” Dexter concluded. “We’re happy to ‘grow our own’ with the Genesis Medical Assistant Student Program.”

To learn more about health care career opportunities, go to www.genesishealth.com/careers.

Linda Barlow is division communications manager for Genesis/MercyOne.

Mon, 25 Dec 2023 20:00:00 -0600 en text/html https://qctimes.com/news/local/start-the-week-off-right-genesis-medical-assistants-program/article_fb0e85e4-9ddf-11ee-ab23-03efab20bfc4.html
SIU medical student competing for Miss America

CARBONDALE — SIU medical student Jessica Tilton will represent the state of Illinois in the Miss America competition, broadcast live from Orlando, on Jan. 14.

Jessica Stanton parades her Miss Illinois sash.

Tilton started competing in pageants two years ago to fund her way through medical school, according to a release from Southern Illinois University School of Medicine. Now, halfway through her first year at SIU, scholarships from the Miss America Opportunity have indeed helped fund her education.

A native of Washington, Illinois, she competed for the first time in January 2022 in the Miss Central Illinois competition.

She considers her small-town upbringing idyllic, but a mixed blessing, according to the release. “Part of why I got into medicine is because I really want to help others in rural and underserved communities,” she said.

She said her interest in medicine was fostered through a youth spent in sports and gymnastics, which caused strains and subsequent trips to an orthopedic physician’s office.

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At the entrance to the clinic, a gallery of doctors’ photos greeted her. All of them were men.

She said her child self wanted to be the first female physician on the mural and to someday inspire other little girls to achieve their dreams.

The more she learned about physiology and how muscles and bone work together, the more she wanted to explore a potential health care career, the release said. In high school, she enrolled in community college courses to become a certified nursing assistant. The same weekend she received her high school diploma, Tilton earned her CNA license.

Studying biology at Bradley University, she conducted research on cocaine’s effect on juveniles. She worked in a molecular lab analyzing RT-PCR tests during the height of COVID, while a full-time student. She graduated with bachelor’s and master’s of science degrees in biology.

In the middle of pursuing those degrees, she had an accident that nearly derailed her dreams, the release said.

On a Hawaiian vacation, Tilton was struck by a lava bomb that shattered her hip, sacrum, femur and tibia. Over the next four years, she endured physical therapy, relearned how to walk, and went through five different surgeries.

Following college graduation, she taught biology courses at Bradley University and supervised a group of research students for two years before applying to medical school. She also coached the color guard squad at Washington High School, her alma mater.

When Tilton took her first tentative steps into the pageant competition circuit, she channeled her personal interests into the mix. She enjoyed the creativity of sewing her outfits and dresses and drew upon her muscle memory from years of gymnastics and color guard.

She competed for Miss Illinois in June 2022 and lost.

“I knew I wanted to improve,” she said in the release. “I watched tape like a basketball player, sought out a coach and worked on my interviewing skills.

While teaching at Bradley, Miss America became her “second job.” With coaching, determination and teamwork, Tilton competed and won the local title of Miss Quad Cities, a preliminary competition to Miss Illinois.

She returned to Miss Illinois in June 2023. This time she won.

Her talent in the Miss America competition will be a flag performance, the first time it has ever been done in the national pageant. According to the release, in both medical research and pageants, novelty is prized.

She is also championing organ donation in her platform, a cause very personal to her. Tilton’s paternal grandfather had polycystic kidney disease.

“It was a spontaneous mutation, and he didn’t find out until he was in his 40s,” she said. “Unfortunately, by that point, his kidneys were pretty far gone, and he needed a transplant to survive. But because of a donor, I got to grow up with him.”

Jessica’s father and aunt both have PKD and have received kidney transplants. Her dad got the call that a donor kidney had been found and had his surgery in February.

“My youngest sister and two cousins also have PKD,” she said. “Since I don’t have the gene, I plan on being a living kidney donor.”

She said she volunteers in my grandpa’s place with Gift of Hope, a non-profit organization providing organ and tissue donation services, and reads his speech at various organ donation events.

Since arriving at SIU, she said she’s been grateful for the camaraderie and backing she’s received from her peers.

“I’m incredibly fortunate to have this amazing support group down here with me,” she said in the release. “We’ve all bonded and they’re just as excited as I am.”

The medical school and several local sponsors treated Tilton to a send-off celebration at the Carbondale Civic Center on Dec. 9. Her fellow students, medical school faculty and staff, family and pageant supporters were given a sneak peek of her attire and a preview of her competition schedule.

She uses her social media presence to spread health information, most of which surrounds kidney health. Posts include the link of smoking to kidney function and information on dialysis.

She flies to Florida this week to begin rehearsals and preliminary events, and on Jan. 14 she’ll compete against 50 other contestants.

Thu, 04 Jan 2024 14:00:00 -0600 en text/html https://thesouthern.com/news/siu-medical-student-competing-for-miss-america/article_9c4d5a29-d1d8-5b0d-bfca-a178fee2b0fa.html
Alabama aims to get its medical cannabis program started while lawsuits continue No result found, try new keyword!The Alabama Medical Cannabis Commission will issue licenses to companies to start the state’s new medical marijuana industry on Friday unless a court intervenes. During a Zoom meeting on Thursday, the ... Thu, 28 Dec 2023 08:52:00 -0600 en-us text/html https://www.msn.com/




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