My internship site aims at developing, testing, and comparing interventions in hopes of improving the care for adults with Alzheimer's disease which has effected more than 6.5 million Americans aged 65 and older. My role in the scheme of things is to follow up, schedule, and administer the interview with the patient/caregiver in their respective time frame. The responses from the interviewees are then utilized to frame a general idea on what different measures could be used (or already being used) and their outcomes in terms of a positive (or negative) impact it has had on the retardation in development of the disease. Finding any relation to decreased mental health aggressors on participants with the ADRD screening results is a large aim which this study hopes to answer to possibly provide caregivers with increased preparedness when dealing with family members diagnosed with ADRD. 

Learning and Skills 

Desires

As I was growing up, I found myself struggling with feeling social anxieties and confidence in my social building skills. Social anxiety is an enemy masked as a friend--it asks you to do the thing that feels most comfortable yet is most harmful-- staying away from people. This internship will help me in my efforts to combat my social fears and increase my confidence, by encouraging me to step out of my comfort zone and interact with respondents, researchers, and coworkers. Building social skills is not only important to my desired career path, but also essential to my everyday life. I value human connection, and with continued efforts to build my confidence, I am sure I will build a atmosphere of comfortability and approachability around me. 


Skill

As an undergraduate student, courses are mostly focused on content and lab work. I am excited to build the skill of administrating standardized measuring tools, such as the PHQ-9 and GAD-7, as well as interpreting responses to understand effects on overall wellness. As a future physician, it is important to understand that overall wellness includes emotional, mental, and behavioral health. Recent research has proven the consequential relationship between emotional/mental and physiological health. This internship will help me to become a more well-rounded physician that looks at a patient in relationship to their whole system, rather than addressing one physical symptom. 

Additonal Skills 

As a child of immigrants, I was always taught that the road to success will only be paved through my hard work, determination, and commitment to progress. As such, I understand the importance of responsibility, and holding oneself accountable for one's setbacks, success, and advancements. I was pleased to exercise my independence and accountability, as well as my willingness to accept any feedback/constructive criticism into my current time at the internship. When working as a part of a team, it is important for the team members to feel that they can trust each other to complete their assigned tasks. Having a strong sense of self-accountability and responsibility is essential in optimizing team performance. I am always working to improve my communication. Social anxieties can create some barriers to strong communication, however, I believe it is crucial to always push myself outside of my comfort zone in order to see growth. I plan to continue challenging myself to grow this skill by checking-in with my supervisor more often, building rapport with my fellow researchers, and initiating meetings where I can identify any support I need throughout the project. Through regular meetings, I could plan out better for future weeks which in turn would begin increasing my hours while also in-directly solidifying my grasp on communication in a professional setting. 


As my first real job, I found more meaning into the work I am assigned as I begin to realize how everything comes full loop like gears in an engine to produce work. Keeping up with responsibilities allows the team to function fully without a cork impeding the continuing cycle needed for smooth flow. The independence I have gained while also continuing to practice humility in recognizing that I have a learning curve, has been very enlightening. Being able to look back back to where I first began has been both a humbling and exciting experience to embark upon as I continue to strive and grow, with the aid of my colleagues, to build a more solid foundation of being an independent person. Excluding the experiences I have had in terms of personal growth, I found the interactions with some interviewees as a very delightful part of this internship. The appreciation and kind words which some have given have been a wonderful way to lighten up any difficult week during the semester.

Although it was not directly involved in the material taught in class, being able to communicate more clearly in both team settings and presentations for class has improved significantly. Shifting away my focus from any insecurities due to public speaking and only having to worry about the content which my presentations contain, has allowed me to dive deeper into the work at hand without the additional stress that many face from public speaking. This is a great benefit to my over-all learning experience for the class and will surely allow improvements on any assessments pertaining to the concepts.

My Impact

As someone who administers various interviews made to collect the data, I would be classified as a data collector! This portion of the study is essential as the data collected is run to provide various statistics in hopes of finding a correlation between the measuring tools and responses of the participants to answer the study's aims. The efforts I've made here are important to the "bigger job" for the study since the entire study's material used for answering the aims/purpose is collected by the work which I, and many of the other team members, participate in. Without the collection of this data through the interviews would essentially be the equivalent of testing a possible drug without running any trial or experiment in a lab. This could be arguably the most important aspect of conducting a study as the data provided answers the questions that presented the experiment to begin with!

The Workplace 

One large common skill I have noticed all the team members are particularly good at, which has greatly impacted the quality of their work, includes their strong grasp on communication. Through constant communication, it has introduced both a space for increased productivity between the team members (through applications like zoom, teams, etc.) while also clarifying any concerns that may effect the study or alter its validity. Keeping everyone within in the loop ensures that no one falls behind or is overwhelmed by their work as everyone makes an attempt to alleviate the pressure of failure/shortcomings. This immensely beneficial action of keeping within the loop is something I aim at developing while working within the team. 

Within the Workplace 

Although there are many points where I would like to further develop myself as part of this team, I feel as though I am lacking mostly in my ability to stay punctual. I have experienced many external difficulties this past year. As students, we are not only met with academic and work responsibilities, but our lives extend past the walls of the university. If COVID-19 taught us anything, it is that life is filled with the unexpected. The unexpected pays no mind to punctuality. Though life has been filled with the unexpected for me lately, I will continue to work on improving my punctuality. Through my time at this internship, I hope to be more capable in juggling things when presented with an increase of tasks as it would help maintain my composure in light of what my profession will surely also encompass. 


Being able to assimilate and keep an open mind towards all environments of a healthy workplace has been very reassuring in terms of what I look forward to in the future. Since everyone is different and many come from all aspects of life, you begin to worry about the differing expectations that some may bring along with their work. Having everything stated out clearly with guidelines to ensure that everyone feels both safe and comfortable in their work environment at a professional level clears away any doubt I previously had on the possibilities of toxic environments so often mentioned by classmates or in everyday media.


Relationships are powerful. Our one-to-one connections with each other are the foundation for change. And building relationships with people from different cultures, often many different cultures, is key in building diverse communities that are powerful enough to achieve significant goals. Whether you want to make sure your children get a good education, bring quality health care into your communities, or promote economic development, there is a good chance you will need to work with people from several different racial, language, ethnic, or economic groups. And in order to work with people from different cultural groups effectively, you will need to build sturdy and caring relationships based on trust, understanding, and shared goals.

As both my first internship and real job (one that is not family run), my expectations were blown away in terms of how tightly intertwined a successful work environment can be. Under my impression of the work, I had believed initially that it was to be fully independent which would have lacked many of the details I see in this team setting. To be so successful, a continued loop of communication; clearly highlighted work procedures; and the outpouring of support to one another has been a refreshing view of what a team can accomplish when all strive to do their best.

The workplace culture and values presented at the COADs internship is one which I hope to find in all future jobs I may stumble upon. One which is very open to any newcomers and presents many opportunities for help, has been a very welcoming experience when compared to some of the horror stories which some of my some of my peers had described. Although a very welcoming culture, a few ways which it may deviate from my ideal workplace culture includes the lack of constant face-to-face interactions and virtual connection with the participants of the study. In hopes of becoming a doctor, I feel as though the aspect of interaction within the workplace is essential to creating a strong tie between the patient and respective doctor of the practice. This not only allows for easier diagnosis and management of the patient, but also creates a sense of trust that is essential for a speedy and accurate assessment of the patient and their issues. Without the face-to-face interactions provided in this study with some of the participants, I feel as though I had fallen a little short of expectations for developing my communication and interaction skills. 

Successes and Challenges

My first real “win” in terms of the work done at this internship includes my first week of independent calls! Utilizing the plethora of aid my colleagues had provided made the stress of a possibility to fail much less dictating when working alone. Providing me with practice mock runs, lots of detailed notes, easily followable/clearly listed procedures, and one-on-one joint calls all collectively increased my confidence in independent work that I otherwise would have found much too challenging. 


Although I had known it would definitely impede my schoolwork as it is a job outside of the curriculum, I hadn’t pictured it to be as difficult as it has shown. With the addition of outside or at home stressors, I found myself sometimes asking if it was the correct decision in joining such a time consuming and thought demanding job while attempting to prepare for medical school. I have learned however that in-order to overcome these challenges, I am to better myself in terms of planning and making sacrifices to the more important aspects of my life. Whether that be decreasing my sociability/time spent with friends or any private leisures I set aside for myself, it is all attainable if you put ahead what you truly desire.

Family caregivers of people living with Alzheimer’s disease and related dementias (ADRD) are often unprepared for the emotional, physical and financial strain that can result from caregiving. These consequences of caregiving may be worse when people are identified late with ADRD. The COADS study is a randomized controlled trial that will examine the impact of early detection of ADRD on family members of older adults. 1,809 dyads of primary care patients in greater Indianapolis aged 65 and older with no diagnosis of ADRD and one of their family members were recruited and randomly assigned to one of three groups. Two of the groups were screened for ADRD and received their screening results and are encouraged to get follow-up diagnostic care, and one group did not receive screening.  Dyads are followed every six months to measure patient and family member depression, anxiety, and health related quality of life. Caregiver preparedness and caregiving self-efficacy are measured for the family members. We hypothesize that family members in the two screening groups will have a better quality of life, lower rates of anxiety, depression, and be more prepared for caregiving at 24-months after screening.