Medicine and Health Sciences Commons^™

Medicine In The Americas, Kristine A. Petre Mls, Cm, Ahip

Kristine A Petre, MLS, CM, AHIP

Medicine in the Americas is a freely available, searchable collection of historical medical Americana. The collection is part of the Digital Collections repository at the National Library of Medicine’s online digital archives. This review discusses the contents, searching functions, and additional features available in the collection.

Assessing Oral Health Curriculum In Us Family Medicine Residency Programs: A Cera Study, Hugh Silk, Ronnelle King, Ian M. Bennett, Alexander W. Chessman, Judith A. Savageau

Judith A. Savageau

BACKGROUND AND OBJECTIVES: During the past decade, national initiatives have called for improved oral health training for physicians. We do not know, however, how family medicine residency programs have answered this call. METHODS: Family medicine residency directors completed a survey that asked how many hours of oral health teaching are included in their programs in addition to what topics are covered and the perceived barriers to this education. The response rate was 35%. RESULTS: A total of 72% of respondents agreed that oral health is an important topic, but only 32% are satisfied with their residents' competency in oral health. …

An Ounce Of Prevention: How Are We Managing The Early Assessment Of Residents' Clinical Skills?: A Cera Study, Tracy Kedian, Lisa S. Gussak, Judith A. Savageau, Andreas Cohrssen, Ilene Abramson, Kelly Everard, Alison Dobbie

Judith A. Savageau

BACKGROUND AND OBJECTIVES: Clinical skills deficits in residents are common but when identified early can result in decreased cost, faculty time, and stress related to remediation. There is currently no accepted best practice for early assessment of incoming residents' clinical skills. This study describes the current state of early PGY-1 clinical skills assessment in US family medicine residencies.

METHODS: Eleven questions were embedded in the nationwide CERA survey to US family medicine residency directors regarding the processes, components, and barriers to early PGY-1 assessment. Responses are described, and bivariate analyses of the relationship between assessment variables and percentage of international …

أمراض الأطفال المزمنة, Suad Fahad Alferaih

Dr. Suad Fahad AlFuraih

No abstract provided.

Impact Study Of A Central Lines Simulation Training Program Using Kirkpatrick’S Four-Level Evaluation Model, James P. Orlando Edd, Andrew C. Miller Do, William Bond Md, Ms, Valerie A. Rupp Rn, Bsn, Bryan G. Kane Md, Cindy Umbrell Rn, Msn, Michael Pasquale Md

Bryan G Kane MD

No abstract provided.

Sdot Faculty And Resident Training Study, Kevin Weaver Do, Kathleen E. Kane Md, Gavin Barr Jr. Md, Allison Raines Do, Nicole L. Bendock Do, Brian M. Berry Do, Gregory Smeriglio Jr, Do, Bruce C. Stouch Phd, Dawn M. Yenser, Bryan G. Kane Md

Bryan G Kane MD

No abstract provided.

Impact Of An Interprofessional Central Venous Catheter Insertion Training Program, James P. Orlando Edd, Andrew Miller Do, William Bond Md, Ms, Valerie A. Rupp Rn, Bsn, Bryan G. Kane Md, Cindy Umbrell Rn, Msn, Michael Pasquale Md, Elizabeth Verheggen Phd, Elliot J. Sussman Md, Mba

Bryan G Kane MD

No abstract provided.

Emergency Medicine Residents As Teachers, Julie K. Wachtel Do, Mph, Marna Rayl Greenberg Do, Mph, Amy B. Smith Phd, Kevin R. Weaver Do, Bryan G. Kane Md

Bryan G Kane MD

No abstract provided.

The Accelerated Residency Program: The Marshall University Family Practice 9-Year Experience, Stephen Petrany, Richard Crespo

Stephen M. Petrany

Background: In 1989, the American Board of Family Practice (ABFP) approved the first of 12 accelerated residency programs in family practice. These experimental programs provide a 1-year experience for select medical students that combines the requirements of the fourth year of medical school with those of the first year of residency, reducing the total training time by 1 year. This paper reports on the achievements and limitations of the Marshall University accelerated residency program over a 9-year period that began in 1992.Methods: Several parameters have been monitored since the inception of the accelerated program and provide the basis for comparison …

The Accelerated Residency Program: The Marshall University Family Practice 9-Year Experience, Stephen M. Petrany, Richard Crespo

Richard Crespo

Background: In 1989, the American Board of Family Practice (ABFP) approved the first of 12 accelerated residency programs in family practice. These experimental programs provide a 1-year experience for select medical students that combines the requirements of the fourth year of medical school with those of the first year of residency, reducing the total training time by 1 year. This paper reports on the achievements and limitations of the Marshall University accelerated residency program over a 9-year period that began in 1992.Methods: Several parameters have been monitored since the inception of the accelerated program and provide the basis for comparison …

Medicine In The Americas, Kristine A. Petre Mls, Cm, Ahip

Kristine A Petre, MLS, CM, AHIP

Medicine in the Americas is a freely available, searchable collection of historical medical Americana. The collection is part of the Digital Collections repository at the National Library of Medicine’s online digital archives. This review discusses the contents, searching functions, and additional features available in the collection.

Assessing Oral Health Curriculum In U.S. Family Medicine Residency Programs: A National Survey, Ronnelle King, Hugh Silk, Judith A. Savageau, Ian M. Bennett, Alexander W. Chessman

Judith A. Savageau

Background: During the past decade, national initiatives have called for improved oral health (OH) training for physicians. However, how Family Medicine residency programs have answered this call is unknown.

Objectives: The purpose of this study was to determine how much oral health education is being provided to Family Medicine residents, if the program directors are aware of the importance of oral health, and if there are specific barriers to teaching oral health curricula in these programs.

Methods: 452 Family Medicine residency directors were surveyed about numbers of hours of OH teaching, topics covered, and perceived barriers to …

The Effect Of Early Contextual Learning On Student Physical Therapists’ Self-Perceived Level Of Clinical Preparedness, Kevin E. Brueilly, T. Kirk Nelson, Tamara Gravano, Penny G. Kroll

Penny G. Kroll

Context: Students in health care often describe their feelings of self-inadequacy in clinical skills and report these feelings abate with experience.

Objective: To determine whether early contextual learning experiences can improve entry-level student physical therapists’ self-perceived level of clinical preparedness.

Design: A pair-wise comparison of pre vs. post intervention. Survey of students self-perceived level of clinical preparedness before and after a series of three planned small group contextual learning experiences involving the assessment of actual hospital patients.

Setting: Academic institution and associated medical center

Participants: Thirty-nine first-year student cohort in the 10th month of a 36-month entry-level Doctor of Physical …

Personal Growth During Internship : A Qualitative Analysis Of Interns' Responses To Key Questions, Rachel Levine, Paul Haidet, David Kern, Brent Beasley, Lisa Bensinger, Donald Brady, Todd Gress, Jennifer Hughes, Ajay Marwaha, Jennifer Nelson, Scott Wright

Todd W. Gress

BACKGROUND: During clinical training, house officers frequently encounter intense experiences that may affect their personal growth. The purpose of this study was to explore processes related to personal growth during internship. DESIGN: Prospective qualitative study conducted over the course of internship. PARTICIPANTS: Thirty-two postgraduate year (PGY)-1 residents from 9 U.S. internal medicine training programs. APPROACH: Every 8 weeks, interns responded by e-mail to an open ended question related to personal growth. Content analysis methods were used to analyze the interns’ writings to identify triggers, facilitators, and barriers related to personal growth. RESULTS: Triggers for personal growth included caring for critically …

Personal Growth And Its Correlates During Residency Training, Todd Gress, Scott Wright, Rachel Levine, Brent Beasley, Paul Haidet, Suzanne Caccamese, Donald Brady, Ajay Marwaha, David Kern

Todd W. Gress

• Objectives  To explore the characteristics of and factors associated with personal growth during residency training.
• Methods  In 2003, 359 house officers on 7 internal medicine residency training programmes in the USA were surveyed about their training experiences and issues related to their personal growth. Factor analysis and internal reliability testing were used to develop a ‘personal growth scale’. Logistic regression models were then used to identify independent associations between individual variables and ‘high’ versus ‘low’ personal growth scores.
• Results  A total of 281 house officers (80%) responded. The personal growth scale had a Cronbach's alpha of 0.81. Factors that were …

Effect Of Student Involvement On Patient Perceptions Of Ambulatory Care Visits, Todd W. Gress, John A. Flynn, Haya R. Rubin, Lisa Simonson, Stephen Sisson, Traci Thompson, Frederick L. Brancati

Todd W. Gress

OBJECTIVE: To determine if patient satisfaction with ambulatory care visits differs when medical students participate in the visit. DESIGN: Randomized controlled trial. SETTING: Academic general internal medicine practice. PARTICIPANTS: Outpatients randomly assigned to see an attending physician only (N = 66) or an attending physician plus medical student (N = 68). MEASUREMENTS AND MAIN RESULTS: Patient perceptions of the office visit were determined by telephone survey. Overall office visit satisfaction was higher for the “attending physician only” group (61% vs 48% excellent), although this was not statistically significant (P = .16). There was no difference between the study groups for …

What The Joint Admission Medical Program (Jamp) Can Do For Texas Physicians; What Texas Physicians Can Do For Jamp - See More At: Http://Www.Texmed.Org/Aug12journal/#Sthash.M6pv8cjh.Dpuf, Alan Podawiltz, James Richardson, Wallace Gleason, Kathleen Fallon, David Jones, Elizabeth Peck, Jeffrey Rabek, Manuel Schydlower, William Thomson, Russell Warne, Budge Mabry, Paul Hermesmeyer, Quentin Smith

Russell T Warne

Texas faces health challenges requiring a physician workforce with understanding of a broad range of issues – including the role of culture, income level, and health beliefs – that affect the health of individuals and communities. Building on previous successful physician workforce "pipeline" efforts, Texas established the Joint Admission Medical Program (JAMP), a first-of-its-kind program to encourage access to medical education by Texans who are economically disadvantaged. The program benefits those from racial and ethnic minority groups and involves all 31 public and 34 private Texas undergraduate colleges and universities offering life science degrees, as well as all 9 medical …

Stereotactic Ablative Radiotherapy For Comprehensive Treatment Of Oligometastatic Tumors (Sabr-Comet): Study Protocol For A Randomized Phase Ii Trial., Michael Lock

Michael Lock

No abstract provided.

Evaluating The Efficacy Of Training Programs For Community Health Workers In Rural Uganda, Elizabeth Butler, Edward O’Neil, Zachary Tabb, Edward Mwebe, John Mukadde, Prossy Jim, Michael A. Godkin, Judith A. Savageau, Safi Ahmed, Arwen Wolfe

Judith A. Savageau

Background: The Ministry of Health and Omnimed, a non-profit U.S.-based organization that works with international communities to provide basic health education, have partnered to provide health training to community health workers (henceforth referred to as village health workers or VHWs) in rural villages in Uganda. The training is provided via an intensive five-day long session that introduces a wide variety of themes in basic health education taught by experts in the respective fields. The participants are selected by the local government based on their age, reliability, level of education and availability. On the first day, the participants are given a …

Medical Education History In A Digital World (Poster), Marian Taliaferro, Molly Alexander

Marian Taliaferro

No abstract provided.

Development Of A Peer Teaching-Assessment Program And A Peer Observation And Evaluation Tool, Jennifer M. Trujillo, Margarita V. Divall, Judith T. Barr, Michael J. Gonyeau, Jenny A. Van Amburgh, S. James Matthews, Donna M. Qualters

Samuel James Matthews

Objectives. To develop a formalized, comprehensive, peer-driven teaching assessment program and a valid and reliable assessment tool. Methods. A volunteer taskforce was formed and a peer-assessment program was developed using a multistep, sequential approach and the Peer Observation and Evaluation Tool (POET). A pilot study was conducted to evaluate the efficiency and practicality of the process and to establish interrater reliability of the tool. Intra-class correlation coefficients (ICC) were calculated. Results. ICCs for 8 separate lectures evaluated by 2-3 observers ranged from 0.66 to 0.97, indicating good interrater reliability of the tool. Conclusion. Our peer assessment program for large classroom …

Pharmacy Student Knowledge And Communication Of Medication Errors, Nathaniel M. Rickles, Carey M. Noland, Anthony Tramontozzi, Michele A. Vinci

Carey M. Noland

Objectives. To describe and evaluate pharmacy students' knowledge of and comfort in communicating, managing, and preventing medication errors. Methods. Using a cross-sectional design, a survey instrument was administered to fifth-year pharmacy students. The survey instrument included both open-and close-ended questions to describe and examine factors associated with knowledge and comfort in communication of medication errors.Results. Survey instruments were completed by 93 students (90% response rate). Nearly 80% reported not having received training in communicating medication errors. The perception of having more adequate training was related to greater knowledge in the communication of medication errors (p

A Tool For Measuring Active Learning In The Classroom, Jenny A. Van Amburgh, John W. Devlin, Jennifer L. Kirwin, Donna M. Qualters

John W. Devlin

Objectives. To develop a valid and reliable active-learning inventory tool for use in large classrooms and compare faculty perceptions of active-learning using the Active-Learning Inventory Tool.Methods. The Active-Learning Inventory Tool was developed using published literature and validated by national experts in educational research. Reliability was established by trained faculty members who used the Active-Learning Inventory Tool to observe 9 pharmacy lectures. Instructors were then interviewed to elicit perceptions regarding active learning and asked to share their perceptions.Results. Per lecture, 13 ( range: 4-34) episodes of active learning encompassing 3 ( range: 2-5) different types of active learning occurred over 2.2 …

A Tool For Measuring Active Learning In The Classroom, Jenny Van Amburgh, John Devlin, Jennifer Kirwin, Donna Qualters

Jennifer L. Kirwin

Objectives. To develop a valid and reliable active-learning inventory tool for use in large classrooms and compare faculty perceptions of active-learning using the Active-Learning Inventory Tool.Methods. The Active-Learning Inventory Tool was developed using published literature and validated by national experts in educational research. Reliability was established by trained faculty members who used the Active-Learning Inventory Tool to observe 9 pharmacy lectures. Instructors were then interviewed to elicit perceptions regarding active learning and asked to share their perceptions.Results. Per lecture, 13 ( range: 4-34) episodes of active learning encompassing 3 ( range: 2-5) different types of active learning occurred over 2.2 …

Using Facebook To Facilitate Course-Related Discussion Between Students And Faculty Members, Margarita V. Divall, Jennifer L. Kirwin

Jennifer L. Kirwin

Objectives. To use Facebook to facilitate online discussion of the content of a Comprehensive Disease Management course and to evaluate student use and perceptions of this exercise. Design. A Facebook page was created and coordinators encouraged students to "like" the page and to post and view study tips, links, or questions. At the end of the course, students' use and perceptions were evaluated using an anonymous survey tool. Assessment. At the end of week 1, there were 81 followers, 5 wall posts, and 474 visits to the course Facebook page. At peak use, the page had 117 followers, 18 wall …

Service-Learning At A Camp For Children With Asthma As Part Of An Advanced Pharmacy Practice Experience, Jennifer L. Kirwin, Jenny A. Van Amburgh, Kristyn M. Napoli

Jennifer L. Kirwin

Objectives. To describe a service-learning opportunity within an advanced pharmacy practice experience and report satisfaction survey results from 2001 through present. Design. Pharmacy students volunteered to attend asthma camp during an ambulatory care rotation. Students administered and monitored medications and coordinated educational activities for campers. Students set goals for the week and completed reflective journals about the experience. A survey was administered 1 week and 6 months after the experience to assess satisfaction, changes in attitudes toward children with chronic asthma, and empathy towards patients.Assessment. Most students accomplished their goals and were satisfied with the experience. Approximately 40% of students …

Development Of Progressive Oral Presentations In A Therapeutics Course Series, Michael Gonyeau, Jennifer Trujillo, Margarita Divall

Margarita V. DiVall

Objectives. To develop and implement a series of progressive evidence-based, oral presentation activities within the therapeutics series to strengthen interprofessional oral communication and literature evaluation skills.Design. A step-wise progression of oral presentations was created to establish interprofessional communication skills and reinforce such skills in successive modules. Students progressed from a basic oral presentation to a brief clinical trial presentation, followed by a full journal club, culminating with a therapeutic debate. Guidelines and assessment tools were developed for each presentation focusing on style, content and organization, and analytic approach. Feedback was obtained from students and faculty members through the administration of …

Using Facebook To Facilitate Course-Related Discussion Between Students And Faculty Members, Margarita V. Divall, Jennifer L. Kirwin

Margarita V. DiVall

Objectives. To use Facebook to facilitate online discussion of the content of a Comprehensive Disease Management course and to evaluate student use and perceptions of this exercise. Design. A Facebook page was created and coordinators encouraged students to "like" the page and to post and view study tips, links, or questions. At the end of the course, students' use and perceptions were evaluated using an anonymous survey tool. Assessment. At the end of week 1, there were 81 followers, 5 wall posts, and 474 visits to the course Facebook page. At peak use, the page had 117 followers, 18 wall …

Development Of A Peer Teaching-Assessment Program And A Peer Observation And Evaluation Tool, Jennifer M. Trujillo, Margarita V. Divall, Judith T. Barr, Michael J. Gonyeau, Jenny A. Van Amburgh, S. James Matthews, Donna M. Qualters

Margarita V. DiVall

Objectives. To develop a formalized, comprehensive, peer-driven teaching assessment program and a valid and reliable assessment tool. Methods. A volunteer taskforce was formed and a peer-assessment program was developed using a multistep, sequential approach and the Peer Observation and Evaluation Tool (POET). A pilot study was conducted to evaluate the efficiency and practicality of the process and to establish interrater reliability of the tool. Intra-class correlation coefficients (ICC) were calculated. Results. ICCs for 8 separate lectures evaluated by 2-3 observers ranged from 0.66 to 0.97, indicating good interrater reliability of the tool. Conclusion. Our peer assessment program for large classroom …

School-Wide Clinical Intervention System To Document Pharmacy Students' Impact On Patient Care, Margarita V. Divall, Brian Zikaras, Debra Copeland, Michael J. Gonyeau

Margarita V. DiVall

Objectives. To implement and evaluate a school wide, Web-based clinical intervention system to document types and impact of pharmacy students' clinical activities during advanced pharmacy practice experiences (APPEs). Methods. A clinical intervention form was developed by pharmacy practice faculty consensus and uploaded to a secure Web site. Prior to APPEs, all pharmacy students were trained on the purpose and use of the system as well as strategies to document interventions appropriately. Results. Over the 3-year period of data collection, 15,393 interventions were documented. Most common intervention types included dosage adjustments, education of patients and providers, and optimization of therapeutic regimens. …