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Download Entire Issue- Jefferson Interprofessional Education And Care Newsletter, Fall, 2013, Volume 4, Issue 2

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Download entire issue- Jefferson Interprofessional Education and Care Newsletter, Fall, 2013, Volume 4, Issue 2.

Jefferson Makes A Major Contribution To Collaborating Across Borders, Iv Conference, Kevin Lyons, Phd

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

The fourth international Collaboration Across Borders conference (CAB IV) was held in Vancouver BC, Canada on June 12‐14, 2013. This conference, held every two years, attracts people involved in interprofessional education and care (IPEC) from across North America, and from other countries such as Japan, Australia and the European Union. The conference is a collaborative venture between the American Interprofessional Health Collaborative (AIHC) and the Canadian Interprofessional Health Collaborative (CIHC). The site of the conference alternates between the United States and Canada. As interest and involvement in interprofessional approaches to education and health care grows, so too does attendance at …

Award Corner, Julia M. Ward, Phd, Rn

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

My career in nursing began more than three decades ago. Healthcare education during that time was delivered in the familiar “silo” style. Having to navigate through clinical practice, learning along the way which disciplines were involved in the care of patients and how to work as a team developed over time.

Teamstepps Pilot Course, Alan T. Forstater, Md, Facep

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

A new and exciting course on TeamSTEPPS was introduced at Jefferson last Spring. JCIPE has embraced the concept of TeamSTEPPS, a program developed by the Department of Defense and now sponsored by AHRQ to train healthcare professionals to work together effectively as a team to ensure patient safety. The following team skills are emphasized: leadership, situational awareness, team support and communication skills. To introduce this to the campus JCIPE sponsored a pilot project in May, 2013 to train a cadre of students in the techniques of TeamSTEPPS.

From The Editors, Elizabeth Speakman, Edd, Rn, Cde, Anef, Christine A. Arenson, Md

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Welcome to the Fall 2013 edition of the Jefferson Interprofessional Education and Care newsletter. In this edition you will read about Collaborating Across Borders, IV, the largest IPE meeting to date, where the work of developing, integrating, and sustaining interprofessional education and collaborative practice was shared by over 700 participants. The clear message of CAB IV – interprofessional education is being recognized and adopted by health professions education programs in a way not seen before, but the work of clearly identifying optimum education strategies and documenting impact on patient care must be a high priority for all of us in …

The Reality Of Disaster: An Educational Template That Brings Community Into The Classroom, Mary T. Bouchaud Phd, Msn, Cns, Rn, Crrn, Edward H. Jasper Md

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Empowering Rehabilitative Medicine Residents To Transform Healthcare With Quality Improvement And Patient Safety Curriculum, Ashlee Goldsmith Md

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

The Population Health Revolution, Drew Harris Dpm, Mph

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Healthcare-Associated Infections-Is Targeting Zero A Global Reality?, Mary Lou Manning Phd, Crnp, Cic, Faan, Denise Murphy Rn, Mph, Cic, Faan

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Pathways For Successful Accountable Care Organizations: Physician Engagement

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Models For Identifying Patients At Risk Of Hospitalization: Use In Medical Homes In Emilia-Romagna Region, Italy, Vittorio Maio Pharmd, Ms, Msph, Guiseppina Rossi Md, Stefano Del Canale Md, Phd, Massimo Fabi Md, Ettore Brianti Md, Stefano Sforza Ms, Mary Robeson Ms, Scott Keith Phd, Joseph S. Gonnella Md, Daniel Z. Louis Ms

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Adverse Childhood Experiences, Disability And Health-Risk Behaviors, Sophia Miryam Schussler-Fiorenza Rose Md, Phd

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Jefferson And Japan: Working Together To Advance Best Practices In Healthcare Education And Research, Yumiko Radi

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Orthopaedics And Ipads: The Future Of Resident Education?, Nathan Tiedeken Md, John A. Handal Md, Solomon P. Samuel D.Eng.

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Jefferson Hosts American Public Health Association Student Assembly's Strategic Planning Meeting, Alex Bryan

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Health Reform Upate: The Road To Implementing State-Run, Partnered, And Federally Facilitated Exchanges, Anne Mainardi Md, Shira Yun Md

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Download Entire The Medicine Forum, Volume 14, 2012.

The Medicine Forum

Download entire The Medicine Forum, Volume 14, 2012.

Smartphone App Reviews, Jonathan A. Dunn, Md, Jacqueline V. Kraft, Md, Mitul Kanzaria, Md

The Medicine Forum

Smartphone App Reviews for Doximity, ECG Source, Heart Failure Trails, QX Calculate.

Too Tall For Guatemala, Evan M. Lapinsky, Md

The Medicine Forum

I was clearly out of place. I came to the highlands of Guatemala during my fourth year of medical school to study Spanish, work in a rural clinic, and experience a different way of life. For a month, I lived with a Guatemalan family, ate plantains with every meal, and generally tried to immerse myself in the rich Mayan culture surrounding me. Almost a year later, my Spanish is fading fast. The handful of days I spent in volunteer clinic is a distant memory at this point. Why did I go there again?

I was the epitome of an outsider. …

Discharge Summaries: How Long Is Too Long?, Kevin M. Curl, Md

The Medicine Forum

The Graduate Medical Education (GME) committee is composed of all Jefferson residency and fellowship program directors, as well as ten selected housestaff members. The committee meets monthly to discuss a wide array of topics, including Accreditation Council for Graduate Medical Education compliance, duty hours violations, and program reviews. One recently covered topic was the timeliness of discharge summary dictations. Implementing changes to improve transitions of care remains a focus of all healthcare systems. Jefferson is attempting to take an innovative approach to this issue, and discharge summaries are only one of the areas being examined.

The current policy requires house …

Easing The Pain: An Argument For Prescribing Opiates In Continuity Clinic, Lindsay Wilde, Md

The Medicine Forum

Continuity clinic can be painful. The patients are often non-adherent, the no-show rate is high, and the paperelectronic records hybrid system is less than ideal. Added to that is the stress of caring for patients with a variety of medical issues and the burden of being expected to prescribe opiates for them. Given all of the difficulties associated with opiate prescribing, including the potential for abuse, limited continuity with providers, and poor overall adherence to medical advice, it has been proposed that these medications should no longer be prescribed at our resident clinic, and many residents support this plan. However, …

An Argument Against Prescribing Opiates In Continuity Clinic, Hasan Bayat, Md

The Medicine Forum

Chronic pain is one of the most common complaints a primary care physician faces while in practice. As resident physicians at Jefferson Hospital Ambulatory Practice (JHAP), it is a frequently addressed concern, which ultimately leads to the question of whether or not opiates should be prescribed at JHAP to those patients who have failed non-narcotic alternatives.

The hesitation most physicians have in prescribing such medications is the potential for abuse, addiction and diversion. The Drug Enforcement Administration (DEA) shares these concerns and consequently monitors and restricts the prescription of opioids, stimulants and anxiolytics by requiring a separate license. Most resident …

Metastatic Uveal Malignant Melanoma: A Case Report, James W. Walter, Md, Rebecca Matro, Md, Daniel M. Quirk, Md, Mph

The Medicine Forum

Case Report

A 77-year-old woman presented with a chief complaint of one day history of severe, acute abdominal pain. The patient described the pain as "intense," non-radiating, and located primarily in the left upper abdominal quadrant.The pain was associated with nausea and multiple episodes of non-bilious, non-bloody emesis. She denied melena and hematochezia. On physical examination, her abdomen was soft and exquisitely tender in the left upper quadrant and epigastric regions. Aside from trace lower extremity edema.the remainder of her physical examination was unremarkable. Laboratory results at the time of admission were notable for:hemoglobin 10.8 g/dL, alkaline phosphatase 459 U/L, …

A Young Female Who Develops Tachycardia And Orthostatic Intolerance Following A Recent Infection, Michael A. Valentino, Md, Phd

The Medicine Forum

Case Presentation

The patient is a 20-year-old female with a history of asthma and anxiety with panic attacks who presented with palpitations and lightheadedness/pre-syncope. The morning of admission, she was attending a seminar and experienced an acute onset of palpitations. The palpitations started while she was seated and worsened upon standing. They were associated with lightheadedness, shortness of breath, and chest tightness. A nurse attending the seminar recommended that she go to the emergency room.

On presentation to the emergency department (ED) her vital signs were: Temperature: 99.2°F, Blood pressure (BP): 140/98; Heart rate (HR): 140; Respiratory rate (RR): 16; …

A 73-Year-Old Female With Palpitations, Kevin M. Curl, Md, Jacqueline V. Kraft, Md, Malinda Wu, Msiii, Carlos Fernandez-Ortega, Msiii

The Medicine Forum

Background

Atrial fibrillation is a commonly encountered clinical problem. Although a large percentage of patients have no dearly identifiable precipitant, secondary atrial fibrillation is a well-documented clinical entity.'

Case presentation

A 73-year-old female with a history of obstructive sleep apnea, hypertension, and chronic obstructive pulmonary disease presents with complaints of intermittent palpitations, substernal squeezing chest pressure, and shortness ofbreath for two weeks. Her most recent episode occurred on the bus, prompting her to come to the emergency room for evaluation. Further questioning revealed mild weight loss and diarrhea over the prior few weeks. Home medications included amlodipine, baby aspirin, albuterol …

Uncommon Hepatic Sequelae From An Acute Sickle Cell Crisis, Kimberly Lim, Md, James W. Walter, Md

The Medicine Forum

Background

Sickle cell crises are commonly treated at our institution given its large sickle cell patient population and well-established hematology department. While pain management is a crucial aspect to these patients' care, it is important to remember that a vasa-occlusive crisis can be life threatening. Many organs can be at risk, including the lungs (acute chest syndrome), brain (stroke), eyes (retinopathy) and as in our case, the liver. We hope this case report can become incorporated in future differential diagnoses pertaining to sickle cell crises.

Case Presentation

A 48-year-old black female with a past medical history of sickle cell anemia, …

A Case Study Of Pseudo-Neuropathic Pseudogout, Christina Cress Lindenmeyer, Md, Adam C. Sobel, Md, Levon N. Nazarian, Md, Steven Mandel, Md, Steven M. Raikin, Md, Homyar N. Karanjia, Dpm

The Medicine Forum

Background

This interesting case highlights the clinical progression of a rare disease process and the important role of a multi-disciplinary team in achieving a diagnosis and successful management plan.

Case Presentation

A 76-year-old male with a history of coronary artery disease, hypertension and hyperlipidemia presented as an outpatient with left foot pain and swelling. He had spent a week bicycling in Colorado one month prior to presentation. The pain was initially localized to the plantar surface of his foot and progressed to involve the lateral and dorsal aspects of the foot, as well as his great toe. The pain was …

Paraneoplastic Acral Vascular Syndrome, Daniel M. Kopolovich, Msiii, Dean D. Lagonosky, Msiii, Allison A. Greco, Msiv, Emma Weaver, Md, Rahul Malhotra, Md, Phoebe Holmes, Md, John R. Stewart, Md

The Medicine Forum

Introduction

Cases of rheumatologic phenomena coinciding with malignancy have been well-documented in the medical literature. These syndromes may be associated with common autoimmune markers, potentially masking the underlying diagnosis of malignancy. The association between malignancy and its coinciding rheumatologic manifestations is poorly understood. These paraneoplastic symptoms are more prevalent in high-stage adenocarcinomas of the lung, breast, and ovary. Possible mechanisms may include cytokine derangements, blood hyperviscosity, and circulatory disruption. While some evidence suggests that control of the primary tumor alleviates its associated paraneoplastic symptoms, other proposed therapies include heparin, prednisone, aspirin, and vasodilatory agents. Efficacy is limited due to association …

A 47-Year Old Female With Muscular Rigidity, New-Onset Diabetes And Hypothyroidism, Michael A. Valentino, Md, Phd

The Medicine Forum

Background

This case highlights a rare but devastating neurologic condition, Stiff Person Syndrome (SPS). While symptoms of muscular rigidity andspasms areassocia ted with numerous neuromuscular conditions, the association between SPS, autoimmune diabetes, and other autoimmune disorders such as thyroiditis, pernicious anemia, and vitiligo, could aid in the early diagnosis of this debilitating condition.

Case Presentation

A 47-year-old African American female presented with six months of progressively worsening rigidity and spasticity of her axial muscles and extremities. The patient was in good health until one and a half years prior to admission when she lost consciousness while driving and was subsequently …

Palpable Purpura In A Vietnamese Teenage Girl, Akram Mustafa, Md, Edward K. Len, Md, Alan Chiu, Msiii

The Medicine Forum

A 19-year-old Vietnamese female with no significant past medical history presented to the emergency department (ED) with fevers, sore throat, generalized myalgias, arthralgias, and a worsening lower extremity rash for the past two weeks. Approximately one week after the onset of constitutional symptoms, the patient noticed a rash developing on the anterior surface of her legs. Three days prior to hospitalization, her primary care physician prescribed cephalexin for her, but she didn’t recall what it was for. When her symptoms continued to worsen the next few days, she presented to the ED. In the ED, she also complained of abdominal …