Medicine and Health Sciences Commons^™

Lgbtq+ Microaggressions In Clinical Skills Training., Andrew Givens, Gita Jaikumar, Hayden Norris, Jacqueline Tran, Elisha Vanzant, Bhawana Yadav, Emily Noonan, Linda Fuselier, Laura Weingartner

Undergraduate Research Events

BACKGROUND

Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people experience health disparities. Implicit bias and mistreatment by healthcare providers can also lead LGTBQ+ people to delay care or avoid it entirely. Clinical skills training in the care of LGBTQ+ patients is therefore critical to health equity. Standardized patient (SP) encounters allow medical students to be assessed as providers in a mock clinical setting.

METHODS

The study population was rising third-year medical students at the University of Louisville School of Medicine in 2022. Out of 149 total encounters, coders reviewed all encounters with gender diverse SPs (n=86) and coded microaggressions, which …

Missed Opportunities For Hpv Vaccination Discussion Among Medical Trainees, Jahnavi Sunkara, Emily Noonan, Laura Weingartner

Undergraduate Research Events

MISSED OPPORTUNITIES FOR HPV VACCINATION DISCUSSION AMONG MEDICAL TRAINEES

Jahnavi Sunkara, BA Candidate; Emily J Noonan, Ph.D., M.A; Laura A. Weingartner, Ph.D., M.S.Abstract

BACKGROUND

Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States and can cause serious health problems like genital warts and cancer. However, vaccination can prevent some of these issues. Although the CDC recommends that individuals between 9-26 years old should receive the HPV vaccine, catch-up vaccination until 45 years old is available upon further guidance from healthcare providers.

METHODS

Standardized patient (SP) encounters (n=28) were randomly sampled from 134 video recordings of …

Gender Identity And Pronoun Usage In Standardized Patient Encounters, Martha M. Popescu, Emily J. Noonan, Laura A. Weingartner

Undergraduate Research Events

The standardized documentation clinicians use to record evaluations of a patient are called Subjective, Objective, Assessment, and Plan (SOAP) notes. Consistent pronoun documentation and usage in these notes is especially important for affirming transgender and gender non-conforming patients as this population experiences significant health disparities linked to medical mistrust. A sample of SOAP notes (n=286) was taken from standardized patient encounters at the University of Louisville School of Medicine in 2017 (n=137) and 2018 (n=149). There were five case iterations of the standardized patient based on gender identity. The notes were coded using the software Dedoose for the following themes: …

Impact Of Metformin On Feeding, Behavior, And Metabolism In Drosophila Melanogaster., Erica E. Hassoun, Heba Kourhabi, Jason Bui Ho, Dae-Sung Hwangbo

Undergraduate Research Events

Metformin is a first-line drug used in the treatment of type II diabetes mellitus and is the 4th-most prescribed drug in the United States. It functions in lowering blood glucose levels and increasing insulin sensitivity. Despite its wide scale use, the degree to which it affects aspects of behavior and metabolism unrelated to diabetes is not fully understood.

Recent studies have attempted to fill this gap, particularly in the context of metformin’s impact on lifespan. We decided to extend this research by focusing on measurable behaviors as well as traits related to metabolism and physiology. Using the fruit fly Drosophila …

Eliciting Information During A Standardized Patient History, Sydney E Greene, Laura Weingartner, Emily Noonan

Undergraduate Research Events

ELICITING INFORMATION DURING A STANDARDIZED PATIENT HISTORY

AUTHORS

Sydney Greene, BA Candidate; Emily J Noonan, PhD, MA; Laura A. Weingartner, PhD, MS

BACKGROUND

Learning how to take a detailed patient history is a fundamental skill that is essential for all medical students to master. Understanding the amount of information elicited in various categories of a patient history may reveal areas where many students struggle to engage the patient, gaps in medical education that could be addressed, or possible predictors of patient satisfaction.

METHODS

I coded videos of rising third year medical students as they took a patient history and counted …

Prevalence Of Hormone Prescription And Education For Cis And Trans Women By Medical Trainees, Madison T Meister, Laura A. Weingartner, Emily J. Noonan

Undergraduate Research Events

PREVALENCE OF HORMONE PRESCRIPTION AND EDUCATION FOR CIS AND TRANS WOMEN BY MEDICAL TRAINEES

AUTHORS

Madison Meister, BA Candidate; Emily J Noonan, PhD, MA; Laura A. Weingartner, PhD, MS

BACKGROUND

Hormone replacement therapy is a common healthcare practice for contraception, hormone control, and menopause treatment. Transgender patients may also take hormones to affirm their gender identity, such as feminizing hormones (estrogen), for transgender women. Studying how trainees discuss hormone risks for both cis and trans women can demonstrate if disparities exist and how we may address them to overcome healthcare barriers.

METHODS

Fifty videos were analyzed of third-year medical students …

How Medical Students Screen For Hiv With Standardized Patients Establishing Care., Christopher J. Brown, Emily J. Noonan, Laura A. Weingartner

Undergraduate Research Events

How Medical Students Screen for HIV with Standardized Patients Establishing Care

AUTHORS

Christopher J. Brown, B.S., B.A. Candidate; Emily J Noonan, PhD, MA; Laura A. Weingartner, PhD, MS

BACKGROUND

Approximately 1.1 million people in the U.S. are living with HIV. The US Preventive Services Task Force (USPSTF) recommends HIV testing for everyone 15-65 years old at least once regardless of sexual activity, with more frequent testing for those considered at risk.

METHODS

Rising third-year medical students were recorded taking health histories from standardized patients. These recordings were coded for HIV screening, including: risk factors such as unprotected sex, intravenous drug …