Consensus
Building on the innovative Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Quality Through Collaboration: The Future of Rural Health offers a strategy to address the quality challenges in rural communities.
Rural America is a vital, diverse component of the American community, representing nearly 20% of the population of the United States. Rural communities are heterogeneous and differ in population density, remoteness from urban areas, and the cultural norms of the regions of which they are a part. As a result, rural communities range in their demographics and environmental, economic, and social characteristics. These differences influence the magnitude and types of health problems these communities face.
Quality Through Collaboration: The Future of Rural Health assesses the quality of health care in rural areas and provides a framework for core set of services and essential infrastructure to deliver those services to rural communities. The book recommends:
It is critical that existing and new resources be deployed strategically, recognizing the need to improve both the quality of individual-level care and the health of rural communities and populations.
288 pages
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6 x 9
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hardcover
ISBN Ebook: 0-309-58877-4
DOI:
https://doi.org/10.17226/11140
Institute of Medicine. 2005. Quality Through Collaboration: The Future of Rural Health. Washington, DC: The National Academies Press.
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Motor vehicle crash rates for teen drivers during the learner's permit phase are relatively low and comparable to those of adult drivers. However, once teenagers begin driving independently, the crash risk increases significantly at licensure and remains high during the first few months of solo driving.
BTSCRP Research Report 13: Outcomes of Variability in Teen Driving Experience and Exposure: Evidence from Naturalistic Driving Studies, from TRB's Behavioral Traffic Safety Cooperative Research Program, provides insights on how exposure to driving during the learner's permit period and the first months of driving independently, including driving in diverse environments, impacts safety outcomes in later driving.
60 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-72312-4
ISBN Ebook: 0-309-72313-2
DOI:
https://doi.org/10.17226/29066
National Academies of Sciences, Engineering, and Medicine. 2025. Outcomes of Variability in Teen Driving Experience and Exposure: Evidence from Naturalistic Driving Studies. Washington, DC: The National Academies Press.
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There is widespread material degradation that affects all components of bridges, often limiting their service lives. For reinforced concrete bridge members, that deterioration is predominately caused by corrosion of the internal steel reinforcement.
NCHRP Synthesis 641: State DOT Policies and Practices on the Use of Corrosion-Resistant Reinforcing Bars, from TRB's National Cooperative Highway Research Program, documents the policies and practices of state departments of transportation related to their use of corrosion-resistant reinforcing bars.
186 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-73449-5
ISBN Ebook: 0-309-73450-9
DOI:
https://doi.org/10.17226/29045
National Academies of Sciences, Engineering, and Medicine. 2025. State DOT Policies and Practices on the Use of Corrosion-Resistant Reinforcing Bars. Washington, DC: The National Academies Press.
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The repair of transverse cracks and longitudinal paving joints and cracks in asphalt and asphalt-surfaced pavements is a common maintenance activity for state departments of transportation (DOTs). One of the limitations of crack sealing and filling, however, is the width of the crack for which these repairs are successful.
NCHRP Synthesis 640: Wide Cracks and Joints in Flexible and Composite Pavements: State DOT Maintenance Practices, from TRB's National Cooperative Highway Research Program, documents practices used by state DOTs for flexible and composite pavement maintenance for wide transverse and longitudinal cracks and joints.
138 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-73427-4
ISBN Ebook: 0-309-73428-2
DOI:
https://doi.org/10.17226/29035
National Academies of Sciences, Engineering, and Medicine. 2025. Wide Cracks and Joints in Flexible and Composite Pavements: State DOT Maintenance Practices. Washington, DC: The National Academies Press.
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Consensus
In the modern history of the United States, investment in the teaching of science, technology, engineering and mathematics has resulted in a rich variety of education innovations (programs, practices, models, and technologies). Although a number of these innovations have had the potential to impact learners on a broad scale, that potential often remains unrealized. Efforts vary in their success in widescale implementation and sustainability across different educational contexts - leaving questions about how to achieve the major improvements to STEM education that many policy leaders seek.
Scaling and Sustaining Pre-K-12 STEM Education Innovations: Systemic Challenges, Systemic Responses examines the interconnected factors at local, regional, and national levels that foster or hinder the widespread implementation of promising, evidence-based Pre-K-12 STEM education innovations, to identify gaps in the research, and to provide guidance on how to address barriers to implementation. This report comes in response to a mandate within the CHIPS and Science Act of 2022.
438 pages
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6 x 9
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paperback
ISBN Paperback: 0-309-72602-6
ISBN Ebook: 0-309-72603-4
DOI:
https://doi.org/10.17226/27950
National Academies of Sciences, Engineering, and Medicine. 2025. Scaling and Sustaining Pre-K-12 STEM Education Innovations: Systemic Challenges, Systemic Responses. Washington, DC: The National Academies Press.
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The transportation industry is working toward a common understanding of integrating transportation resilience into various agency processes and exploring new methods for evaluating resilience investments.
Transportation Insights 5: Transportation Resilience 2023 presents the discussions and presentations from an international conference hosted by TRB in November 2023 in Washington, DC.
86 pages
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8.5 x 11
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ISBN Ebook: 0-309-73314-6
DOI:
https://doi.org/10.17226/28858
National Academies of Sciences, Engineering, and Medicine. 2025. Transportation Resilience 2023: International Conference on Extreme Weather and Climate Change Challenges. Washington, DC: The National Academies Press.
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Workshop
Early life disadvantages have been associated with a higher risk of dementia, but the risk may be modified by early life and midlife exposures. While attention is often given to individuals' behavior and choices, structural and institutional forces may be more effective in addressing risk factors.
The Committee on Population held a two-day public workshop on August 29-30, 2024 that examined what measures, data infrastructure needs, and analytic measures can advance understanding of how midlife social exposures can address early life risk factors. Participants discussed the state of knowledge and identified conceptual approaches to guide research on better understanding midlife exposures that may be modifiable in reducing the risk of later-life dementia. This publication summarizes the presentations and discussion from the workshop.
106 pages
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6 x 9
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paperback
ISBN Paperback: 0-309-73376-6
ISBN Ebook: 0-309-73377-4
DOI:
https://doi.org/10.17226/28909
National Academies of Sciences, Engineering, and Medicine. 2025. Identifying Midlife Social Exposures That Might Modify Risks of Cognitive Impairment Associated with Early Life Disadvantage: Proceedings of a Workshop. Washington, DC: The National Academies Press.
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Bridge construction inspection is a critical component in fulfilling the mission of state departments of transportation (DOTs) and the U.S. Federal Highway Administration to deliver high-performing transportation systems that adhere to or surpass specified quality standards.
NCHRP Synthesis 649: Bridge Construction Inspection Training: Resources and Practices, from TRB's National Cooperative Highway Research Program, collects resources and documents practices used by state DOTs in training and setting qualifications of the bridge construction inspection workforce.
156 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-73411-8
ISBN Ebook: 0-309-73412-6
DOI:
https://doi.org/10.17226/29031
National Academies of Sciences, Engineering, and Medicine. 2025. Bridge Construction Inspection Training Resources and Practices. Washington, DC: The National Academies Press.
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Workshop_in_brief
The Roundtable on Mentorship, Well-being, and Professional Development convened a workshop on October 28 and 29th, 2024 to explore how the well-being, professional development, and interpersonal and mentoring relationships of graduate students, postdoctoral scholars, and faculty are affected by national and global events, cultural shifts, and legal changes.
13 pages
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8.5 x 11
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ISBN Ebook: 0-309-09918-8
DOI:
https://doi.org/10.17226/29093
National Academies of Sciences, Engineering, and Medicine. 2025. Mentorship, Well-Being, and Professional Development in Times of Societal Change and Institutional Disruptions: Proceedings of a Workshop—in Brief. Washington, DC: The National Academies Press.
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Workshop_in_brief
The National Academies of Sciences, Engineering, and Medicine appointed a committee to conduct an Independent Analysis of the Department of Defense's Autism Care Demonstration (ACD). The ACD provides applied behavior analysis (ABA) services to TRICARE-eligible military families.
To support this effort, the National Academies convened a public workshop on November 22, 2024, to explore methods for assessing program and clinical effectiveness in autism care. Presentations examined the strengths and limitations of current outcome measures, ethical considerations in data use and informed consent, and standards for ABA assessment and progress monitoring.
This Proceedings of a Workshop—in Brief summarizes key insights shared during the session and highlights considerations for improving care quality, accountability, and the lived experience of military families navigating autism services.
11 pages
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8.5 x 11
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ISBN Ebook: 0-309-09894-7
DOI:
https://doi.org/10.17226/29086
National Academies of Sciences, Engineering, and Medicine. 2025. Understanding Methods for Measuring Program Effectiveness and Clinical Effectiveness: Proceedings of a Workshop—in Brief. Washington, DC: The National Academies Press.
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Workshop_in_brief
To explore opportunities for improving equitable diagnosis to reduce health disparities in the U.S., the Forum on Advancing Diagnostic Excellence at the National Academies hosted a public workshop in September 2024 in collaboration with the Roundtable on the Promotion of Health Equity. Speakers highlighted factors contributing to diagnostic inequities and suggested potential strategies to advance health equity through technology, education, research, and patient- and community-centered approaches.
Speakers at the workshop discussed potential strategies including using technological innovations such as remote monitoring and telehealth, improving education in cultural humility and holistic care, enhancing high quality data collection on historically underserved communities, increasing patient engagement, improving clinician communication, and strengthening community partnerships to build trust with patients. This publication highlights the presentations and discussions that occurred at the workshop.
14 pages
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8.5 x 11
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ISBN Ebook: 0-309-73083-X
DOI:
https://doi.org/10.17226/28573
National Academies of Sciences, Engineering, and Medicine. 2025. Advancing Equity in Diagnostic Excellence to Reduce Health Disparities: Proceedings of a Workshop—in Brief. Washington, DC: The National Academies Press.
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Workshop
Despite traumatic brain injury (TBI) being a leading cause of morbidity and mortality in the U.S., substantial unmet needs persist in TBI prevention, diagnosis, treatment, and recovery. The National Academies Forum on Traumatic Brain Injury hosted a public workshop in April 2024 to explore examples of recent research, development, and implementation of TBI diagnostic biomarkers, injury prevention technologies, clinical decision tools, and treatment approaches. Discussions explored examples of needs, opportunities, and challenges influencing innovation.
148 pages
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6 x 9
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paperback
ISBN Paperback: 0-309-72991-2
ISBN Ebook: 0-309-72992-0
DOI:
https://doi.org/10.17226/28258
National Academies of Sciences, Engineering, and Medicine. 2025. Examples of Technical Innovation for Traumatic Brain Injury Prevention, Diagnosis, and Care: Proceedings of a Workshop. Washington, DC: The National Academies Press.
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Consensus
Ocean Acoustics - the study of sound in the ocean, how it travels, interacts with, and is affected by its underwater surroundings - is a growing and critical field. Sound from both natural and human-generated sources can be an effective tool for probing the ocean environment. While the first applications of ocean acoustics began in the military, applications today encompass offshore energy production, national security, environmental monitoring, climate science, exploration and mapping, as well as fundamental ocean science.
Even as demand for ocean acoustics grows, workforce development is challenged by both the multidisciplinary nature of the field and its widely varying career paths. Ocean acoustics may be housed in a diversity of departments in higher education institutions, and career paths and trajectory of formal education can range from the vocational/associates' level through the doctorate level. This report examines the state of ocean acoustics education; assesses expected demand for acoustics expertise over the next decade; identifies competencies required across higher education and professional training programs; and presents strategies to raise the profile of careers in ocean acoustics. The report recommends a number of actions that federal agencies, industry, and academia can take to develop the expertise needed to meet current and future workforce demands.
234 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-70687-4
ISBN Ebook: 0-309-70685-8
DOI:
https://doi.org/10.17226/27337
National Academies of Sciences, Engineering, and Medicine. 2025. Ocean Acoustics Education and Expertise. Washington, DC: The National Academies Press.
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Symposium_in_brief
In July 2024, the National Academies Roundtable on Obesity Solutions hosted a symposium to honor its 10th anniversary and discuss its next decade. Speakers considered the Roundtable's history of informing obesity research, policy, and practice. The event explored major developments toward prevention, treatment, and management of obesity, as well as ideas for meeting future challenges.
100 pages
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6 x 9
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paperback
ISBN Paperback: 0-309-73102-X
ISBN Ebook: 0-309-73103-8
DOI:
https://doi.org/10.17226/28579
National Academies of Sciences, Engineering, and Medicine. 2025. Roundtable on Obesity Solutions 10th Anniversary: Looking Back, Moving Forward: Proceedings of a Symposium. Washington, DC: The National Academies Press.
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Workshop_in_brief
Clinical practice guidelines are condition- or disease-specific recommendations for the appropriate health care management of patients. Because guidelines can differ between different organizations, the National Academies Roundtable on Genomics and Precision Health and National Cancer Policy Forum hosted a public workshop in October 2024 to explore how clinical guidelines can impact the adoption and coverage of genomic testing in routine medical care.
14 pages
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8.5 x 11
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ISBN Ebook: 0-309-73082-1
DOI:
https://doi.org/10.17226/28572
National Academies of Sciences, Engineering, and Medicine. 2025. Exploring Clinical Guidelines for the Adoption of Genomic Testing: Proceedings of a Workshop—in Brief. Washington, DC: The National Academies Press.
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Workshop_in_brief
When disaster strikes, critical infrastructure failures can follow - from loss of power and water to failures of information technology infrastructure and systems. Threats to the nation's healthcare and public health (HPH) critical infrastructure are highly complex and rapidly evolving, creating potentially new or increased national health security risks and disruptions, challenging assumptions about the current and future resilience of HPH critical infrastructure design and operations, and altering the implications for interdependent sectors and workforce. In December 2024, the National Academies Forum on Medical and Public Health Preparedness for Disasters and Emergencies hosted a public workshop to consider strategies, policies, and innovative actions to improve the resilience of HPH critical infrastructure concerning impacts from disasters and other emergencies.
15 pages
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8.5 x 11
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ISBN Ebook: 0-309-73573-4
DOI:
https://doi.org/10.17226/29081
National Academies of Sciences, Engineering, and Medicine. 2025. Enhancing the Resilience of Health Care and Public Health Critical Infrastructure: Proceedings of a Workshop—in Brief. Washington, DC: The National Academies Press.
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Off-ramp barriers are typically tested in straight, level conditions. However, real-world installations are often on curves with superelevation. This can affect how well they perform in crashes, especially when transitioning between highways and ramps.
NCHRP Research Report 1138: Evaluating the Performance of Longitudinal Barriers on Curved, Superelevated Off-Ramps, from TRB's National Cooperative Highway Research Program, aims to gain additional insights and establish guidelines relative to the crash performance of longitudinal barriers when placed on varying curved, superelevated ramp sections.
102 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-73155-0
ISBN Ebook: 0-309-73183-6
DOI:
https://doi.org/10.17226/28589
National Academies of Sciences, Engineering, and Medicine. 2025. Evaluating the Performance of Longitudinal Barriers on Curved, Superelevated Off-Ramps. Washington, DC: The National Academies Press.
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Workshop_in_brief
The Committee on National Statistics convened a workshop on September 25-26, 2024, to explore methodological, analytical, and statistical frontiers in the social and behavioral sciences. The workshop identified innovative approaches that deserve more research attention and could benefit more than one discipline. The workshop considered the latest developments and directions in approaches such as artificial intelligence (AI) and machine learning, new study designs, technologies, and data sources, causal and spatial analysis, and methods for data protection and dissemination. This proceedings of a workshop-in brief summarizes the presentations and discussions from the workshop.
11 pages
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8.5 x 11
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ISBN Ebook: 0-309-73575-0
DOI:
https://doi.org/10.17226/29083
National Academies of Sciences, Engineering, and Medicine. 2025. Future Directions for Social and Behavioral Science Methodologies in the Next Decade: Proceedings of a Workshop—in Brief. Washington, DC: The National Academies Press.
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NCHRP Web-Only Document 417: Background and Resources for the Design and Construction of Bonded and Unbonded Post-Tensioned Concrete Bridge Elements, from TRB's National Cooperative Highway Research Program, is a supplement to NCHRP Research Report 1139: Considerations for the Design and Construction of Bonded and Unbonded Post-Tensioned Concrete Bridge Elements.
106 pages
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8.5 x 11
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ISBN Ebook: 0-309-73416-9
DOI:
https://doi.org/10.17226/29032
National Academies of Sciences, Engineering, and Medicine. 2025. Background and Resources for the Design and Construction of Bonded and Unbonded Post-Tensioned Concrete Bridge Elements. Washington, DC: The National Academies Press.
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