Medicine and Health Sciences Commons^™

Vulnerable Neighborhoods Had Smaller Gains In Health Insurance Coverage During Early Covid-19, Ismail Mustafa Aijazuddin, Ammar Sukari

Medical Student Research Symposium

Background:

The Covid-19 pandemic has illuminated the inequities that jeopardize health, prompting rapid interventions to promote care access. However, such efforts have had mixed success in eradicating disparities. One focus is the equity of improvements in insured rates.

Methods:

Self-reported health insurance coverage rates among adults aged 18-64 were obtained from the CDC’s PLACES datasets for collection years 2018 and 2021, at the Census Tract level. These data were merged with the CDC’s 2018 Social Vulnerability Index (SVI), which ranks Tracts on 15 measures of social determinants of health. Across Tracts nationally and by state, univariate correlations between Overall SVI …

Addressing Barriers To Black Americans Participation In Clinical Trials: A Faith-Based Community Survey, Alexandra Stone, Lydell Lettsome Md, Brian A. Stone Md, Clinical Diversity Solutions

Medical Student Research Symposium

Background: The underrepresentation of high-risk minority groups in clinical trials remains a crisis in American healthcare. Despite pressures from the NIH to increase Black-American participation in trials, recruitment and retention in this group rarely match population demographics. Our company launched an opinion survey polling 260 Blacks regarding their thoughts and awareness about clinical trial participation.

Methods: We created a web-based survey consisting of 38 items and subdivided it into three main sections: (1) cultural affinity, (2) trust, and (3) background information. The survey was conducted using Jotform, a HIPAAcompliant web-based application. Our target population was Black Americans in central Alabama. …

Natural Spaces, A Social Determinant Of Health, And Self-Rated Health Among Medical Students, Josiah P. Stryd, Anil N. F. Aranha

Medical Student Research Symposium

Background and Purpose: Natural spaces are areas which have a majority of natural ground cover such as vegetation or water. These spaces have positive effects on both physical and mental health. The purpose of this study was to investigate whether medical students who have greater accessibility and use of natural spaces have better self-rated health.

Methods: M2-M4 students from Wayne State University School of Medicine received an email link to the Qualtrics-based study. Variables evaluated included: sociodemographics, residence zip code, natural spaces access frequency, distance, and transportation method. Self-rated physical and mental health was measured using the Healthy Days measure …

Exploring The Associations Between Age Related Decline In Anti-Mullerian Hormone (Amh) And Physical Activity In The All Of Us Research Program, Robert J. Leone, Dr. Paige Coyne, Ze Meng, Dr. Sara Santarossa

Medical Student Research Symposium

Anti-Mullerian Hormone (AMH) is used to measure female fertility levels. Physical activity (PA) has previously been linked to increases in fertility rates. We explored associations between age related decline in AMH and PA, hypothesizing that consistent PA would lead to a lessened decline of AMH levels. This study is a secondary data analysis, sourced from the NIH’s All of Us Research Program database. Inclusion criteria for participant data : a) ≥1 AMH test record in their electronic health records, b) AMH level of < 7ng/ml, and c) ≥30 days of valid Fitbit data within 1 year prior to AMH test date. A series of generalized linear regression models were conducted between normalized AMH level and four different daily average activity intensity minutes based on metabolic equivalents (sedentary, lightly active, fairly active, and very active) and daily step count, adjusting for age at AMH test. The final dataset included 24 participants. Daily average of “very active” minutes had a strong positive effect on lessening the decline of AMH levels (β=0.0159, p=0.136). Two clusters (C1 and C2) were identified by applying the Kmeans method. C1 (N=9) has significantly higher daily “fairly active” minutes (C1: 19.61(8.05) vs C2: 7.59(3.81)) and daily “very active” minutes (C1: 22.81(10.23) vs C2: 8.95(5.12)) compared to C2 (N=15). In an association analysis, C1 AMH level is higher than C2 (0.35(-0.10,1.03), p=0.162. There may be an association between being very active and a preservation of AMH, which could be valuable to providers counseling women prolonging motherhood.

Vaccine Hesitancy Among Youth Living With Hiv In Detroit, Madeline B. Simone

Medical Student Research Symposium

Vaccine hesitancy among youth with human immunodeficiency virus (HIV) was evaluated to determine if the pandemic affected vaccine acceptance. A retrospective chart review was conducted to analyze vaccine rates over a five-year (pre-post COVID) in one university-based clinic. Results indicated a variation in acceptance rates between vaccines, with the MenACWY, MenB, tetanus, and HPV having the highest acceptance rates and COVID-19 and annual flu vaccine having the lowest acceptance rates. Vaccine hesitancy did not correlate with HIV treatment hesitancy nor with aversion to needles. Negative messaging around vaccines from a variety of sources appeared to be the primary factor in …

M-Chat Implementation Strategies To Improve Autism Screening Rates In Pediatric Clinics In Metro Detroit, Karamoja Monchamp

Medical Student Research Symposium

The Modified Checklist for Autism in Toddlers (M-CHAT) is the most widely used autism screening tool. However, current practices for M-CHAT roll-outs and follow-ups are not wide-reaching, culturally sensitive, or consistent. This study aims to address the existing barriers to universal autism screenings and design a sustainable implementation strategy for a successful M-CHAT roll-out. We implemented strategies in five Henry Ford Health pediatric clinics, incorporating iPad-administered M-CHAT in waiting rooms, multilingual options, task shifting for referrals, forced choice mechanisms, and audit-and-feedback support. A Clinical Screening Dashboard tracked real-time M-CHAT data, including demographic information, collected from EPIC. Our goal is to …

Assessment Of Breastfeeding Education In Medical Training, Saranya Madan, Abigail Kuplicki

Medical Student Research Symposium

In 2019, the Academy of Breastfeeding Medicine issued a revised set of educational objectives for medical trainees at various stages of education. In this statement, objectives for medical school were broken down into preclinical and clinical training objectives. In this project, our goal is to assess the degree to which medical training at Wayne State University School of Medicine is addressing these aims.

The assessment of breastfeeding education is accomplished by surveying medical students at various stages of training (M1-M4) and eliciting their level of confidence in and understanding of the topics outlined in the objectives by the Academy of …

Clinical Pathway Using Arabic Written Medical Information To Improve Incontinence Healthcare Utilization, John F. Knapp, Codrut Radoiu, Emma Ross, Jack Vercnocke Md, Aron Liaw Md, Nivedita Dhar

Medical Student Research Symposium

Introduction and Objective: Metro Detroit holds ~13% of all Arabic speakers in the U.S.A. and 91% of those in Michigan. Evidence supports that patients who do not speak the local language have poor access to healthcare. This study describes our preliminary experience of managing Arabic only speaking women with bothersome stress urinary incontinence (SUI) from May 2022 to October 2023. These women routinely request same-sex interpreters, which is not always possible, leading to a lack of detailed translation. A potential solution is to use Arabic written medical information (AWMI). The purpose of the study was to retrospectively look at the …

Development Of Model Vaccination Initiative In Detroit, Muhammad Tarar

Rushton Journal of Undergraduate Humanities Research

The distribution of vaccines to Detroit residents faced significant challenges during the COVID-19 health crisis. Vaccine distribution was slow, ineffective, and resulted in significant disparities in vaccine coverage among various racial and ethnic populations. This study examines existing data barriers to vaccination efforts in the United States, including common factors associated with vaccine hesitancy and attempts to identify factors that impact racial and ethnic disparities in vaccine coverage. Finally, this study examines successful vaccination initiatives from other cities in the United States to discuss a model vaccination initiative in Detroit.

Conflict With Administrators: Conflict Resolution Approaching Admin, Amjad El Othmani, Bethany Lyche, Hafsah Umerani, Issac Anderson, Katie Clark, Nikhil Navathe, Ayman Salem

Patient Education Projects

No abstract provided.

Conflict With Administrators: Scheduling Conflicts With Administration, Constance Cleveland, Deepa Raghavan, Dipra Debnath, Jay Maixner, Ranya Krayem, Vikash Mehan, Zane Mustafa, Ayman Salem

Patient Education Projects

No abstract provided.

Conflict With Administrators: Excused Absence Policy, Ashley Frei, Cameron Bear, Grant Zydeck, Justin Hassen, Madison Meyer, Mithil Gudi, Amanah Fatima

Patient Education Projects

No abstract provided.

Conflict With Administrators: Professionalism Conflict With Administrator, Jessica Long, Jovan Jande, Krishni Kumaresan, Mohammad Al-Hadidi, Molly Dahle, Trevor Ruesch, Wassim Mohamad-Said

Patient Education Projects

No abstract provided.

Conflict With Administrators: Medical School Scheduling Conflicts, Ciara White, Cornelius Lau, Hani Nasr, Kimera Harris, Lisa Doan, Kenan Abou Chaer, Astha Saini

Patient Education Projects

No abstract provided.

Conflict With Administrators: Dissemination Of Information, Chase Aaron, Max Jones, Arhan Shetty, Ingrid Rocha, Jane Dow, Karamoja Monchamp, Amanah Fatima, Fadi Kathawa

Patient Education Projects

No abstract provided.

Conflict With Administrators: Administrator Makes An Insensitive Joke, Alexa Bernard, Elli Johnson, Jackson Ferris, Jose Lopez, Susan Hartzell, Theodore Schiff, Amanah Fatima

Patient Education Projects

No abstract provided.

Conflict With Administrators: Inappropriate Commentary, Ahmed Jafri, Brianna Regan, Maya Kohavi, Tareq Hanna, Zarin Kothari, Amanah Fatima, Fadi Kathawa

Patient Education Projects

No abstract provided.

Conflict With Administrators: Documentation And Administrator Conflict, Arainya Durham, Jacob Hall, James Soetedjo, Khush Hussain, Samantha Markowitz, Shruthi Ilango, Amanah Fatima, Fadi Kathawa

Patient Education Projects

No abstract provided.

Conflict With Administrators: Administrator Makes A Demeaning Joke, Anisha Patel, Annelise Gordon, Jonathan Toma, Maximilian Wehner, Rohit Goru, Amanah Fatima

Patient Education Projects

No abstract provided.

Conflict With Administrators: Conflict Resolution And Professionalism, Abrielle Fretz, Anusha Vavilikolanu, Cassandra Pecarski, Daphne Pate, Peter Nolan, Trisha Ray, Wassim Mohamad-Said

Patient Education Projects

No abstract provided.

Conflict With Administrators: Time Off Conflict, Demetrius Moncrease, Parshva Salvi, Basel Mhaimeed, Fadumo Yusuf, Marissa Yaldo, Sneha Bhargava, Kenan Abou Chaer, Astha Saini

Patient Education Projects

No abstract provided.

Conflict With Administrators: Admin Will Not Cover A Procedure, Anthony Bally, Manahil Shaikh, Nadeen Sukhon, Petar Martinovski, Sarah Chamdin, Yousif Jafar, Amanah Fatima, Fadi Kathawa

Patient Education Projects

No abstract provided.

Conflict With Administrators: Addressing Negative Evaluations, Derya Turk, Izma Khaliq, Katherine Gavagan, Morolayo Ilori, Nabeel Sumbal, Srikanth Pillai, Wassim Mohamad-Said

Patient Education Projects

No abstract provided.

Conflict With Patient: Medication Fatigue And Non-Compliance, Anthony Bally, Manahil Shaikh, Nadeen Sukhon, Petar Martinovski, Sarah Chamdin, Yousif Jafar, Amanah Fatima, Fadi Kathawa

Patient Education Projects

No abstract provided.

Conflict With Patient: Education On Medication Adherence, Alyssa Fabrizio, Elnaz Guivatchian, Joshua Rayham, Nico-Luis Ayala, Nikolas Minanov, Sidney Caudell, Sahalia Rashid, Rahul Vyas

Patient Education Projects

No abstract provided.

Conflict With Patient: Differing Religious Beliefs, Ashley Frei, Cameron Bear, Grant Zydeck, Justin Hassen, Madison Meyer, Mithil Gudi, Amanah Fatima

Patient Education Projects

No abstract provided.

Conflict With Patient: Late Physician And Patient Wait Time, Anisha Patel, Annelise Gordon, Jonathan Toma, Maximilian Wehner, Rohit Goru, Amanah Fatima

Patient Education Projects

No abstract provided.

Conflict With Patient: Managing Physician-Patient Conflicts Professionally, Constance Cleveland, Deepa Raghavan, Dipra Debnath, Jay Maixner, Ranya Krayem, Vikash Mehan, Zane Mustafa, Ayman Salem

Patient Education Projects

No abstract provided.

Conflict With Patient: Physician And Patient Conflict Resolution, Amjad El Othmani, Bethany Lyche, Hafsah Umerani, Issac Anderson, Katie Clark, Nikhil Navathe, Ayman Salem

Patient Education Projects

No abstract provided.

Conflict With Patient: Racial Discrimination, Ahmed Jafri, Brianna Regan, Maya Kohavi, Tareq Hanna, Zarin Kothari, Amanah Fatima, Fadi Kathawa

Patient Education Projects

No abstract provided.