Digital Commons Network^™

Exploring Head And Neck (H & N) Melanoma Sentinel Lymph Node (Sln) Outcome Compliance With Multicenter Selective Lymphadenectomy Trials (Mslt) Predicted Outcome, Chunmeng Zhang, Srinivasa Rama Chandra, Maggie Moore, Dominick Dimaio, Valerie Shostrom, Ujwal Yanala, Edibaldo Silva-Lopez, Jason Foster

Graduate Medical Education Research Journal

No abstract provided.

Carboplatin Hyperthermic Intraperitoneal Chemotherapy (Hipec) Is Safe And Efficacious In Recurrent And Advanced Ovarian Cancer, Chunmeng Zhang, Ryan Mikus, Dalton Hegeholz, Valerie Shostrom, Abraham Matthews, James Commers, Laura Lambert, Jason Foster

Graduate Medical Education Research Journal

No abstract provided.

Expanded Mutation Profiling In Appendix Peritoneal Metastasis Has Prognostic And Therapeutic Utility When Managed With Cytoreductive Surgery/ Hyperthermic Intraperitoneal Chemotherapy (Crs/Hipec), Chunmeng Zhang, Ben Plambeck, Maggie Moore, Alexander Tu, Ryan Miku, Valerie Shostrom, Krista Brown, Allison Cushman-Volkoun, Benjamin Swanson, Jason Foster

Graduate Medical Education Research Journal

No abstract provided.

Diagnostic Quality And Radiation Dose For Pulmonary Embolism Protocol Computed Tomography: Asir-V Vs. Standard Filtered Back Projection, Lei Yu, Antonia Gurney, Kelly Dea, Neil Hansen, Valerie Shostrom, Chandrakanth Are, Anna Zajicek

Graduate Medical Education Research Journal

No abstract provided.

The Clinical Relevance Of Cement Volume In Percutaneous Vertebral Augmentation, Michael Warden, Ravi G. Mirpuri, Virginia Hardie, Madhuri Are

Graduate Medical Education Research Journal

No abstract provided.

Sleep Improvement Program And Academic Performance, Matthew Tingle, Liz Wellsandt, Kari Nelson, Rj Barber, Beau Konigsberg, Maxwell Lydiatte, Cale Ewald, Matthew Mcmanigal

Graduate Medical Education Research Journal

No abstract provided.

Neurolytic Celiac Plexus Blockade In Patients With Upper Intra-Abdominal Malignancies: An Evidence-Based Narrative Review, Apollo Stack, Kevin Wong, Madhuri Are

Graduate Medical Education Research Journal

No abstract provided.

Laboratory Quality Improvement: Utilizing Microsoft Office 365 Collaborative Tools To Improve Communication And Efficiency In Molecular Diagnostic Laboratories, Jeff Plambeck, Tareq Qdaisat, Allison Cushman Vokoun

Graduate Medical Education Research Journal

No abstract provided.

First Cardiovascular Event In Rheumatoid Arthritis: Do Patients With Venous Thromboembolism Have A Different Risk Profile Than Patients With Atherosclerotic Cardiovascular Disease?, Gulsen Ozen, Sofia Pedro, Rebecca Schumacher, Teresa Simon, Kaleb Michaud

Graduate Medical Education Research Journal

No abstract provided.

The Advantages Of A Rural Residency Rotation In Otolaryngology Training, Mark Miller, Paul Brosnihan, Christie Barnes, Matthew Johnson, Jayme Dowdall

Graduate Medical Education Research Journal

No abstract provided.

The Association Of Severity Of Copd And Severity Of Osa: A Retrospective Analysis, Mollie K. Brittan, Maureen Mcelligott, Kaeli Samson, Valerie Press, Michael Summers, John Harrington, Nancy Stewart

Graduate Medical Education Research Journal

No abstract provided.

Total Motile Sperm Count Effect On Pregnancy Outcomes In Intrauterine Insemination, Melissa Mathes, Stephanie Gustin

Graduate Medical Education Research Journal

No abstract provided.

How Many Emergency Medicine Rotations Are Students Completing?, Erin Karl, Chichen Qiu, Zach Jarou

Graduate Medical Education Research Journal

No abstract provided.

Factors Affecting Emergency Medicine Residency Applicant Perceptions Of Competitiveness And Number Of Applications Submitted, Erin Karl, Zach Jarou, Chichen Qiu, Aaron Barksdale

Graduate Medical Education Research Journal

No abstract provided.

Methotrexate Is Associated With Reduced Cardiovascular Risk In U.S. Veterans With Rheumatoid Arthritis Independent Of Disease Activity Modification, Tate Johnson, Joshua Baker, Punyasha Roul, Harlan Sayles, Grant W. Cannon, Brian Sauer, Ted Mikuls, Bryant England

Graduate Medical Education Research Journal

No abstract provided.

The Impact Of "Meds To Beds" On Postpartum Opioid Use, Kelsie Cabrera, Anna Gorman, Joshua Dahlke, Sonja Kinney, Harlan Sayles

Graduate Medical Education Research Journal

No abstract provided.

Spontaneous Pneumothorax, Pneumomediastinum, And Pneumorrhachis After Choking, Steven Curry, Eric T. Rohe, Daniel J. Wehrmann

Graduate Medical Education Research Journal

No abstract provided.

Accelerated Fractionated Compared To Conventional Fractionated Salvage Radiation Therapy Improves Outcomes In Salvage Chemotherapy Refractory Diffuse Large B-Cell Lymphoma, Brendan Coutu, Avyakta Kallam, Matthew Lunning, Gregory Bociek, Philip Bierman, Julie Vose, James Armitage, Charles Enke

Graduate Medical Education Research Journal

No abstract provided.

Trends In Intraoperative Opioid Analgesic Use Among Patients Undergoing Laparoscopic Cholecystectomy, Allison Bell, Wanying Pei, Blaine Schlawin, Peter Pellegrino, Zhaohui Hu, Apollo Stack, Jason Lau, Katie Berky

Graduate Medical Education Research Journal

No abstract provided.

Nodal Harvest For Right-Sided Colon Cancer: A Case-Matched Assessment Of Laparoscopic Vs. Robotic Approaches, Rishi Batra, Matthew Fuglestad, Herman Hernandez, Kaeli Samson, Jennifer Leinicke, Sean Langenfeld

Graduate Medical Education Research Journal

No abstract provided.

Does Location Of Birth Influence The Outcomes Of Infants With Gastroschisis?, Paul Aylward, Matthew Fuglestad, Stephen Raynor, Robert Cusick

Graduate Medical Education Research Journal

No abstract provided.

Endoscopic Removal Of Fractured 3d-Printed Nasopharyngeal Swabs From The Olfactory Cleft During Covid-19, Matthew Miller, Kristy Carlson, Jayme Dowdall, Christie Barnes, Sam Pate

Graduate Medical Education Research Journal

The severe acute respiratory syndrome SARS-CoV-2 pandemic has posed significant challenges to hospital and public health systems in the United States. In response to a shortage in nasopharyngeal swabs, our institution developed, tested, and deployed 3D-printed swabs to obtain a specimen for testing. A patient was tested in preparation for a scheduled Esophagogastrodeuodenoscopy. During the procedure the swab broke and a portion remained in the superior meatus and olfactory cleft. This case study describes the process of locating and removing the broken sections of the 3D-printed swab. In response to this incident, 3D-printing teams test swabs for sample collection and …

New Onset Murmur Or Hamman’S Sign: Mid-Systolic Click In A Suspected Case Of Connective Tissue Disorder, Amanda Dave, Jodi Cantrell

Graduate Medical Education Research Journal

We present the case of a 15 y/o previously healthy male who presented to CHMC from an OSH with a 3 day history of shortness of breath, audible clicking noise, and chest discomfort after playing at the batting cages 4 days prior. No history of trauma. He was transferred to CHMC for further evaluation after identification of a pneumothorax on chest CT performed at OSH.

With respect to family history, the patient is one of 8 children. Of note, per discussion with family, his older siblings are all tall and have some connective tissue anomalies. Two siblings were noted to …

Laryngeal Histoplasmosis In Patients With Crohn’S Disease Undergoing Treatment With Humira (Adalimumab): A Case Series, Jenna Berg, Jonathan Blecha, Chris Bingcang, Justin Oltman, Jayme Dowdall, Subodh M. Lele

Graduate Medical Education Research Journal

The FDA has advocated for increasing awareness of histoplasmosis for patients undergoing TNF blockers as delay in diagnosis can lead to a poor outcome.¹ Laryngeal histoplasmosis is a rare entity that should be part of the differential diagnosis in patients receiving immune suppression for Crohn’s disease. Patients with laryngeal histoplasmosis often report hoarseness, mucosal ulcerations, dysphagia, and odynophagia. We present a series of two cases of laryngeal histoplasmosis in patients with Crohn’s. These cases illustrate the high index of suspicion required to make the diagnosis of laryngeal histoplasmosis, especially in the Midwestern United States. Diagnosis is made quickly and …

The Clinical Relevance Of Cement Volume In Percutaneous Vertebral Augmentation, Ravi G. Mirpuri, Madhuri Are, Virginia Hardie, Michael J. Warden, Robin High

Graduate Medical Education Research Journal

Introduction: Vertebroplasty and Kyphoplasty are two forms of percutaneous vertebral augmentation (PVA), in which polymethylmethacrylate cement is used to stabilize vertebral compression fractures (VCF). This study sought to evaluate the relationship between cement volume and clinical outcomes, including pain reduction, opioid use, and complication rate.

Methods: Retrospective chart review produced 88 patients who received PVA at a tertiary care outpatient pain clinic. Cement volume, type of PVA, gender, level (thoracic vs lumbar) were collected, as well as clinical outcomes of numeric pain score (NPS) reduction, opioid percent change (OPC), and complications. Both pre-procedure and post-procedure (between 2-4 weeks) data were …

Irrigation For Cerumen Removal Causing Meningitis – Case Report, Steven Tenny, Pashayar Lookian, Andre Wakim, Daniel Surdell

Graduate Medical Education Research Journal

Introduction: Cerumen impaction is a common problem seen in primary care clinics. There are a variety of methods to deal with impacted cerumen including water irrigation but meningitis after water irrigation cerumen removal has not been previously reported.

Methods: We describe the case of a 59-year-old female with otitis media who developed meningitis with empyema after water-jet irrigation for impacted cerumen.

Results: Our patient presented 24-hours after water-jet irrigation for impacted cerumen with worsening headaches. Workup included positive CSF cultures and empyema on MRI consistent with meningitis. She also had ear drainage from the treated ear which was positive for …

Establishing An Institution-Wide Graduate Medical Education Research Collaborative To Promote Scholarly Activities Among House Officers, Kaeli K. Samson, Lynette M. Smith, Valerie Shostrom, Jeffrey P. Gold, Chandrakanth Are

Graduate Medical Education Research Journal

Background: House officers’ ability to participate in research and quality improvement projects can be hindered by barriers, including lack of time, mentoring, and resources.

Objective: Create a collaborative for house officers that provides readily accessible resources in study design as well as data collection, analysis, interpretation, and presentation.

Methods: In 2017, we established a collaborative comprised of biostatisticians and an Associate Dean for Graduate Medical Research, providing a trove of experience in research and quality improvement. We worked closely with the Institutional Review Board and Electronic Health Records Core to simplify the process for house officers to utilize these research …

Screen Media Use In Pediatrics: A Qi Project To Promote Behavioral Change, Taylor Kratochvil, Michelle Wineinger Md, Danielle Saner Do, Cristina Fernandez Md

Graduate Medical Education Research Journal

Background: Children are growing up in an increasingly digital world. As mobile devices and digital screens become more accessible, greater attention is being paid to screen media use and its effect on pediatric development. The American Academy of Pediatrics (AAP) and the World Health Organization (WHO) have released recommended screen time limits for children of various ages and emphasize the importance of high-quality screen media when used. In 2016, the AAP released the Family Media Plan: an online tool developed for families to create personalized strategies to manage screen media use.

Objective: While a useful tool, the AAP’s Family Media …

Evaluation Of Resident Satisfaction In The Current Era: A Local Perspective On A National Issue, Paul Aylward, Kari L. Nelson, Chandrakanth Are

Graduate Medical Education Research Journal

Background: Mitigating resident burnout is a high priority for medical centers. Monitoring residents’ overall perceptions of their training environments could be a reliable indicator of potential future burnout. Furthermore, recent national studies suggest procedural specialties have a higher burnout rate and lower satisfaction than non-procedural specialties. In the current study, we utilized institutional data from the Accreditation Council for Graduate Medical Education (ACGME) resident survey to better understand trends related to our residency program learning environments over time (2012-2018) and by specialty grouping (procedural versus non-procedural).

Methods: Annual ACGME survey results from 2012 to 2018 were retrospectively analyzed to determine …

Tobacco Cessation And Cancer Patients - Perspective Of An Ent Resident, Lauren Klute

Graduate Medical Education Research Journal

No abstract provided.