Medicine and Health Sciences Commons^™

Regional Campuses And Long Distance Relationships: Making Them Work, Robert D. Barraco Md, Mph, Margaret A. Hadinger Edd, Ms, M. Edwyn Harrison Md, Joseph M. Kaczmarczyk Do, Mph

Margaret A. Hadinger, EdD, MS

No abstract provided.

Predicting Medical Student Success On Licensure Exams, Charles A. Gullo, Michael J. Mccarthy, Joseph I. Shapiro, Bobby L. Miller

Michael McCarthy

Many schools seek to predict performance on national exams required for medical school graduation using prematriculation and medical school performance data. The need for targeted intervention strategies for at-risk students has led much of this interest. Assumptions that preadmission data and high stakes in-house medical exams correlate strongly with national standardized exam performance needs to be examined. Looking at prematriculation data for predicting USMLE Step 1 performance, we found that MCAT exam totals and math-science GPA had the best prediction from a set of prematriculation values (adjusted R 2 = 11.7 %) for step 1. The addition of scores from …

Practc: Practice Readiness Academic Clinical Training Collaborative –– Gap Analysis To Advance Clinical Training For Nurse Practitioner Students, Jennifer Hartlaub, Mary Ann Muzi, M. Jamie Cairo, John R. Brill, James Weese, Kristin Rivera, Susan Hafemann, Ann M. Rohrer, Julia Schumacher, Terri L. Vandenhouten

Kristin Rivera

Background: Multiple factors have created a perfect storm of health care provider shortages in the United States. Advanced practice registered nurses (APRNs), long established as high-quality, cost-effective health care providers, are meeting health care needs across the nation in a variety of settings, and in Wisconsin will be needed to augment the primary care workforce. With 5.7% of its registered nurses credentialed as APRNs, Wisconsin lags behind the national average of 8.7%. However, current capacity to educate this workforce is strained, requiring innovative data-driven clinical education models. Purpose: To identify gaps in the current clinical educational framework for nurse practitioner …

Aligning Asthma Education Across The Continuum Of Physician Education: Impact On Clinical Metrics, Lisa Sullivan Vedder, Deborah Simpson, Jacob L. Bidwell, John R. Brill, Theresa Frederick

Lisa Sullivan Vedder, MD

Background: All trainees entering family medicine residency training programs after June 1, 2012, must complete the same American Board of Family Medicine (ABFM) Maintenance of Certification (MOC) requirements as practicing physicians. These shared requirements provide an opportunity to align physician education initiatives across the continuum focused around a clinical care topic to improve health care system metrics.

Purpose: To assess the initial effectiveness of an ABFM Asthma Part IV approved MOC module, aligned to meet residency and medical student program accreditation requirements, on health care system metrics.

Methods: An ABFM Asthma Part IV MOC module was implemented for family medicine …

Triple Aim For Clinical Teachers (Tact): Faculty Physician Perceptions On Their Ability To Balance Clinical Quality, Trainee Learning, And Teaching Efficiency, Minuja Muralidharan, Anne Getzin, Kjersti E. Knox, Bonnie L. Bobot, Marie M. Forgie, Nicole P. Salvo, Deborah Simpson

Kjersti Knox, MD

Background: A common challenge facing teaching physicians is balancing high-quality student and resident teaching with efficient, high-quality care and patient service. Publicly accessible clinic performance reports increasingly affect where patients seek care and demand that teaching clinics rise to consumer expectations while training future physicians to function in the modern health care workplace. Limited information is available to guide physicians to achieve the triple aim for clinical teachers (TACT): clinical quality/patient experience, trainee learning, and teaching efficiency.

Purpose: To understand clinical teachers’ TACT-related experiences, perceptions and preferences for how to learn TACT-associated skill sets to improve their competence as teachers. …

Hypertension Management: Making Sense Of Guidelines And Therapy Options For The Elderly, Miranda Arthur, Lindsay Saum, Jessica Wilhoite

Lindsay Saum

Goal: The goal of this activity is to increase the awareness of the pharmacist on the complications surrounding hypertension management in the elderly individual, clarify the differences in current guideline recommendations, and aid in making the most appropriate drug therapy decisions regarding the management of hypertension.

Attitudes Toward Substance Abuse Clients: An Empirical Study Of Clinical Psychology Trainees, Chandra Mundon, Melissa Anderson, Lisa Najavits

Melissa L. Anderson

Despite the high prevalence of substance use disorder (SUD) and its frequent comorbidity with mental illness, individuals with SUD are less likely to receive effective SUD treatment from mental health practitioners than SUD counselors. Limited competence and interest in treating this clinical population are likely influenced by a lack of formal training in SUD treatment. Using a factorial survey-vignette design that included three clinical vignettes and a supplementary survey instrument, we investigated whether clinical psychology doctoral students differ in their level of negative emotional reactions toward clients with SUD versus major depressive disorder (MDD); whether they differ in their attributions …

Triple Aim For Clinical Teachers (Tact): Faculty Physician Perceptions On Their Ability To Balance Clinical Quality, Trainee Learning, And Teaching Efficiency, Minuja Muralidharan, Anne Getzin, Kjersti E. Knox, Bonnie L. Bobot, Marie M. Forgie, Nicole P. Salvo, Deborah Simpson

Deborah Simpson, PhD

Background: A common challenge facing teaching physicians is balancing high-quality student and resident teaching with efficient, high-quality care and patient service. Publicly accessible clinic performance reports increasingly affect where patients seek care and demand that teaching clinics rise to consumer expectations while training future physicians to function in the modern health care workplace. Limited information is available to guide physicians to achieve the triple aim for clinical teachers (TACT): clinical quality/patient experience, trainee learning, and teaching efficiency.

Purpose: To understand clinical teachers’ TACT-related experiences, perceptions and preferences for how to learn TACT-associated skill sets to improve their competence as teachers. …

Aligning Asthma Education Across The Continuum Of Physician Education: Impact On Clinical Metrics, Lisa Sullivan Vedder, Deborah Simpson, Jacob L. Bidwell, John R. Brill, Theresa Frederick

Deborah Simpson, PhD

Background: All trainees entering family medicine residency training programs after June 1, 2012, must complete the same American Board of Family Medicine (ABFM) Maintenance of Certification (MOC) requirements as practicing physicians. These shared requirements provide an opportunity to align physician education initiatives across the continuum focused around a clinical care topic to improve health care system metrics.

Purpose: To assess the initial effectiveness of an ABFM Asthma Part IV approved MOC module, aligned to meet residency and medical student program accreditation requirements, on health care system metrics.

Methods: An ABFM Asthma Part IV MOC module was implemented for family medicine …

Developing Curricula, Resources And A Cultural Immersion To Prepare Medical Students To Work With And Improve The Health Of Indigenous Australians, Janie Smith, Shannon Springer, Bradley Murphy, Christina Wolfe, John Togno, M Martin, Sally Sargeant, Katrina Bramstedt, David Waynforth

Sally Sargeant

All medical, nursing and allied students require an understanding of different cultures to be able to work effectively and safely, with all of their patients, clients and other team members.

Twelve Tips For Facilitating Team-Based Learning, Charles Gullo, Tam Ha, Sandy Cook

Charles Gullo

Background: Team-based learning (TBL) has become a more commonly recognized and implemented pedagogical approach in curricula of numerous disciplines. The desire to place more autonomy on the student and spend less in-class time delivering content has resulted in complete or partial adoption of this style of learning in many educational settings.

Aim: Provide faculty with tools that foster a well facilitated and interactive TBL learning environment.

Methods: We examined the published literature in the area of facilitation – specifically in TBL environments, and explored learning theories associated with team learning and our own experiences to create these facilitation tips.

Results: …

Perceived Harm Of Secondhand Electronic Cigarette Vapors And Policy Support To Restrict Public Vaping: Results From A National Survey Of Us Adults, Susan Mello, Cabral Bigman, Ashley Sanders-Jackson, Andy Tan

Andy SL Tan

Introduction: There is ongoing debate over banning electronic cigarette (e-cigarette) use (vaping) in public places. Many people perceive secondhand e-cigarette vapors (SHV) to be relatively harmless, which may affect their support for policies to restrict vaping in public places. Given that awareness of secondhand cigarette smoke risks predicts public support for clean air policies, we hypothesized that greater perceived harm of SHV to personal health would be associated with stronger support for vaping restrictions.

Methods: Data from 1449 US adults in a national online panel was collected from October to December 2013. Using multiple regressions, we predict a three-item scale …

Simulated Surgical Workshops Enhance Medical School Students' Preparation For Clinical Rotation, Patricia Johnson, Christine Sly, Patrick Warnke

Patricia Johnson

Background A major focus of the medical school curriculum is to ensure medical students are well prepared prior to entering clinical rotations, which includes the compulsory surgical rotation. Objectives The objective of this research was to design and formally evaluate a set of real-life surgical workshops aimed at better preparing medical students for their clinical rotation in surgery. These workshops would be incorporated into the pre-clinical medical school curriculum. Method Dedicated surgical workshops were introduced into the pre-clinical component of the Bachelor of Medicine/Bachelor of Surgery (MBBS) program at our University in 2009. These workshops encompassed training in the clinical …

How We "Breathed Life" Into Problem-Based Learning Cases Using A Mobile Application, Michelle Mclean, Victoria Brazil, Patricia Johnson

Patricia Johnson

Background: Problem-based learning (PBL) has been widely adopted in medical education. Learners become bored with paper based cases as they progress through their studies. Aim: To breathe life (i.e. develop virtual patients) into paper-based PBL cases. Methods: The ‘‘patients’’ in paper-based PBL cases in one Year 2 were transformed into virtual patients by simulated patients roleplaying and the videos and associated patient data uploaded to Bond’s Virtual Hospital, a mobile Application. In unsupervised ‘‘clinical teams’’, second-year students undertook ‘‘ward rounds’’ twice a week, prompted by a virtual consultant and registered nurse. Immediately following the ‘‘ward rounds’’, they met with a …

Cultural Immersion – What Impact Does It Have?, Janie Smith, S Springer, B Murphy, C Wolfe, J Togno, Katrina Bramstedt, Sally Sargeant

Sally Sargeant

No abstract provided.

Medical Educators Working Abroad: Who Are They?, Michelle Mclean, Anna Da Silva, Judy Mckimm, Stella Major

Michelle McLean

Background: Medical education is an international activity. As students and educators travel across the globe to study and teach, both medical student populations and academic staff profiles are becoming increasingly multinational. Little is, however, known about medical educators who chose to work and live abroad. Methods: Following a pilot study in the Middle East, an online survey was adapted for an international audience. In addition to demographic data, information was collected about international medical educators’ countries of birth, where they had studied, their work history as well as their roles and responsibilities as medical educators. Results: The survey, completed by …

An Investigation Into The Use Of Filmed Scenarios For The Testing Of ‘Understanding People’ In Medical Selection Tests, Jennifer Bryce, Judy Nixon

Dr Jennifer Bryce

No abstract provided.

Teaching Of Biostatistics And Epidemiology In Medical Schools: How Do We Fare Compared With Developed Countries, Vijay Tiwari, Kuldeep Kumar, Sherin Raj

Kuldeep Kumar

Background Biostatistics is taught in almost all medical schools at the undergraduate and the postgraduate levels as a core course and is a prerequisite to epidemiology, public health and evidence-based medicine. However, it has to be taught in a different way in medical schools as compared with how it is taught to the students studying MSc (Biostatistics) or in the Statistics Department in universities. Objectives (1) To review the experience of teaching biostatistics in medical schools in India and compares the same with abroad (2) How best the curriculum can be designed as per the need of the medical students …

Addressing Health Disparities In Minority Communities: Evaluation Of A Cultural Competency Curriculum In Medical School, Debbie Salas-Lopez, Maria Soto-Greene, Dawne Mouzon, A Davidow, J Reteguiz, C Mclauglin, Ana Natale-Pereira

Debbie Salas-Lopez MD, MPH

No abstract provided.

On Being An International Medical Educator, Michelle Mclean, Stella Major, Judy Mckimm

Michelle McLean

Hayden's (2006) article on the internationalisation of medical education set out a compelling vision of transnational medical education. A typical scenario would therefore be an international teacher with a class of international students, an international curriculum and instiutional collaboration across national boundaries. In today's shrinking global world of travel and communication, such a scenario is probably not as uncommon as one might imagine.

Medical Educators Working Abroad: A Pilot Study Of Educators' Experiences In The Middle East, Michelle Mclean, Judy Mckimm, Stella Major

Michelle McLean

Medical education is now a global enterprise, with many medical educators working internationally, either for short or longer periods or even permanently. In parallel, many medical schools are now involved in collaborations and partnerships with schools in other countries. With this in mind, we set out to explore what motivates, supports and inhibits medical educators who wish to or might work outside their ‘‘home country’’. This article reports on the pilot stage (in specific organizational contexts in Middle East) of a longitudinal project aimed at canvassing medical educators on a broader global scale, using reflective accounts and a questionnaire survey. …

How We "Breathed Life" Into Problem-Based Learning Cases Using A Mobile Application, Michelle Mclean, Victoria Brazil, Patricia Johnson

Michelle McLean

Background: Problem-based learning (PBL) has been widely adopted in medical education. Learners become bored with paper based cases as they progress through their studies. Aim: To breathe life (i.e. develop virtual patients) into paper-based PBL cases. Methods: The ‘‘patients’’ in paper-based PBL cases in one Year 2 were transformed into virtual patients by simulated patients roleplaying and the videos and associated patient data uploaded to Bond’s Virtual Hospital, a mobile Application. In unsupervised ‘‘clinical teams’’, second-year students undertook ‘‘ward rounds’’ twice a week, prompted by a virtual consultant and registered nurse. Immediately following the ‘‘ward rounds’’, they met with a …

Using A Student-Run Free Clinic To Teach Medical Students Innovative Healthcare Models, Chantal Brazeau, Robin Schroeder, Ana Natale-Pereira, Steven Keller

Robin S. Schroeder MD

No abstract provided.

Central Line Registry And Research Project: A Standardized Orientation Course On Central Line Placement Leads To Persistent Knowledge Improvement, Andrew Miller, James Orlando, Bryan Kane, William Bond, Valerie Rupp, Cindy Umbrell, Michael Pasquale

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Interprofessional Central Line Course For Increased Patient Safety, Amy Smith, Melissa Walsh, James Orlando, Andrew Miller, William Bond, Valerie Rupp, Bryan Kane, Cindy Umbrell, Michael Pasquale

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

The Changing Landscape Of Anesthesia Education: Is Flipped Classroom The Answer?, Denise Hersey, Viji Kurup

Denise Hersey

Unifying Compensation: The Lehigh Valley Physician Group Compensation Plan Experience, Edward Norris, Michael Rossi

Edward R Norris MD, FAPA, FAPM

No abstract provided.

Can Staff Education Change Nursing Attitudes Towards Suicidal Patients, Edward Norris, Ralph Primelo, Gail Stern, Karen Burke, Michael Kaufmann, Carol Foltz, Terry Capuano

Edward R Norris MD, FAPA, FAPM

No abstract provided.

Cracks In Problem Based Learning: What Is Your Action Plan?, Samy Azer, Michelle Mclean, Hirotaka Onishi, Masami Tagawa, Albert Scherpbier

Michelle McLean

Background: Problem-based learning (PBL) as an educational approach has been adopted by medical and health sciences faculties worldwide. Successful implementation of these curricula may, however, end a few years later with several problems reflecting cracks in curriculum maintenance. Aims: The aim of this article is to discuss these problems, their possible causes and what action can be taken to maintain effective curriculum delivery. Methods: We reviewed the current literature, recent Association for Medical Education in Europe conferences' sessions on PBL, explored curriculum design approaches and problems (cracks) identified in PBL programs that may occur a few years after successful implementation. …

Can Staff Education Change Nursing Attitudes Towards Suicidal Patients, Edward Norris, Ralph Primelo, Gail Stern, Karen Burke, Michael Kaufmann, Carol Foltz, Terry Capuano

Terry A Capuano MBA, MSN, RN, FACHE, NE-BC

No abstract provided.