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Download Entire Issue- Jefferson Interprofessional Education And Care Newsletter, Fall 2015, Volume 6, Issue 2

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

Download entire issue- Jefferson Interprofessional Education and Care Newsletter, Fall 2015, Volume 6, Issue 2

An Online Approach To Interprofessional Education, E. Adel Herge, Otd, Otr/L, Faota, Amber E. King, Pharmd, Bcps

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

Despite increasing interest in providing interprofessional education (IPE) opportunities for health profession students, the logistics of scheduling and integrating diverse curriculums remain challenging. Several models to address these potential barriers have been proposed and utilized (Blue et al, 2010). Faculty from three colleges within Thomas Jefferson University developed an asynchronous online interprofessional course as one solution to overcome logistical barriers to IPE.

Interprofessional Grand Rounds is offered to third year pharmacy students and second year occupational therapy (OT) students in the fall semester. The course utilizes a variety of learning activities to evaluate the influence of current public health and …

Examining Health Mentors’ Perceptions Of Student Teamwork, Deirdre Yarosh, Bs, Ma, Pharmd Student, Elena M. Umland, Pharmd

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

Statement of Issue:

With the increasing emphasis on interprofessional teamwork in healthcare, the need to train future health care professionals to work together as a functional team to provide patient-centered care is clear. Limited information exists regarding education of health care students and teamwork training.1,2 This research evaluates student team performance.

Background:

Thomas Jefferson University (TJU) offers a unique, two-year program emphasizing delivery of patient-centered care and providing valuable skill development by pairing interprofessional student teams with a Health Mentor (HM). The HM is an adult community volunteer with one or more chronic health condition(s). Student teams include representatives from …

In Addition To Checking Out A Book, You Can Check Out Your Health Too: A New Partnership Between Jefferson College Of Nursing And The Philadelphia Free Public Library, Kathryn Shaffer, Edd, Rn, Msn, Cne

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

At Jefferson Health is all we do, but at Jefferson College of Nursing (JCN), Health is H.E.R.E (humanistic, evidenced-based, reflective, excellence in clinical leaders). With a redesign of the undergraduate nursing curriculum, Jefferson College of Nursing (JCN) has transformed the way nurses of the 22nd century will practice, with a focus on caring for patients in all areas of the care continuum. The newly designed curriculum centers around four themes that are threaded throughout, Innovation, Practice Excellence, Interprofessional Collaboration, and Population Health. JCN believes that patients are partners in their health and that care is a collaborative effort.

To model …

From The Editors, Elizabeth Speakman, Edd, Rn, Anef, Fnap, Christine Arenson, Md, Lauren Collins, Md, Shoshana Sicks, Edm

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

This fall has seen a flurry of activity at the Jefferson Center for InterProfessional Education (JCIPE). In September, Lauren Collins, MD, Associate Director of JCIPE, was selected as one of five recipients of the prestigious Macy Faculty Scholars (MFS) program, a two-year career development award supported by the Josiah Macy Jr. Foundation. She now joins a national network of other MFS recipients in helping to re-envision training of health professions students and delivery of collaborative care. Elizabeth Speakman, EdD, RN, ANEF, FNAP, JCIPE Co-Director, completed her three-year Robert Wood Johnson Executive Nurse Fellowship and was recently selected to attend the …

Antibiotic Resistance And The White House Forum On Antibiotic Stewardship, Mary Lou Manning Phd, Crnp, Cic, Faan

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Pharmacists On The Front Lines Of Polypharmacy: The Individualized Medication Assessment And Planning (Imap) Project To Improve Medication Use In Senior Adults With Cancer, Ginah Nightingale Pharmd, Bcop, Laura T. Pizzi Pharmd, Mph, Emily Hajjar Pharmd, Bcps, Bcacp, Cgp, Elizabeth Pigott, Margaret Wang, Shannon Doherty, Kristine Swartz Md, Andrew Chapman Do, Facp

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Jefferson Interprofessional Education Center Teamstepps Workshops For Staff, Alan Forstater Md, Facep, Dimitri Papanagnou Md, Mph, Kevin Lyons Phd, Shoshana Sicks Med, Elizabeth Speakman Edd, Rn, Cde, Anef

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Smoking It Out; Vaping Is In. The Rise Of E-Cigarettes Amoung U.S. Youth, Russell K. Mcintire Phd, Mph, Brianna Ludwig

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Jeffhope News-Fall 2015

JeffHOPE News

Issue includes:

• HIV Rapid Testing
• Clinic at a Glance
• JeffHope Research Projects
• Questions and Answers with Dr. Dave Manoff and Dr. Tori Rose
• The Directors and Committee members reflect on their JeffHOPE experiences
• How would you describe JeffHOPE in one word?
• Alumni Corner

Communication Skills Training For Patients And Healthcare Providers: A Proposed Blend Of Performance Studies, Theatre, And Communication Strategies, Rachel Thomas Mph, Pamela Zubow Poe Phd

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

The 24th Annual Dr. Raymond C. Grandon Lecture: Building A Culture Of Health In America

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Honoring The University Of Delaware Medical Scholar Graduates

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

The Stephen Klein Wellness Center As A Community-Centered Health Home - A Partnership Between Jefferson And Project Home, James D. Plumb Md, Mph, Lara Weinstein Md, Mph, Monica Mccurdy Pa-C, Mhs

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

The Generation Of Transformation, Stephen Klasko Md, Mba

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Download Entire Issue Of The Medicine Forum, Volume 15, 2013-2014

The Medicine Forum

Download entire issue of The Medicine Forum, Volume 15, 2013-2014

Stay, Jennifer Alloo Hong, Md

The Medicine Forum

As an intern, I thought of myself as the member of the team who gets the things done. I took pride in prioritizing my long list of tasks and efficiently working through each item. I spent most of my time at the computer, on the phone, in front of the chart, or in a consultant’s office. My time with patients was so limited that I grew more comfortable thinking about their medical problems away from their bedside.

Swyer-James-Mcleod Syndrome, Esther Molnar, Md, Arun Matthew, Md

The Medicine Forum

Admission chest x-ray of an 81 year-old man admitted to the hospital for atrial fibrillation with rapid ventricular response is shown in Figure 1. The chest x-ray shows a unilateral hyperlucent lung, with paucity of peripheral vessels and decreased lung volume. Differential diagnosis for unilateral hyperlucent lung includes Swyer-James-McLeod syndrome (SJMS), centrilobular emphysema, allergic bronchopulmonary aspergillosis, congenital lobar over inflation, bronchial atresia and congenital interruption of pulmonary artery.1 High resolution CT imaging confirmed the diagnosis of SJMS in this patient.

Pyoderma Gangrenosum Associated With Acute Myelogenous Leukemia, Lekha Mikkilineni, Md, Aishah Ali, Md

The Medicine Forum

A 20-year-old man presented with a non-healing ulcer on the dorsum of the left foot that initially appeared after the patient fell and hit his left foot on the edge of a door. An ulcer had formed and grown in size over the past several weeks after repeated physical insults and despite home wound care, as seen in Figure 1. Additionally, the patient had a non-healing ulcer inferior to his left knee. He had a notable past medical history of acute myelogenous leukemia (AML) in remission after a haploidentical stem cell transplant, uncontrolled diabetes type 1, and graft-versus-host disease of …

Tb, Or Not Tb?, Michael A. Valentino, Md, Phd

The Medicine Forum

The patient is a 43-year-old African American male with a past medical history of hypertension, hyperlipidemia, and chronic low back pain who presented to the ER for worsening dyspnea and a 30-lb weight loss over the past 3 months. He also reported a nonproductive cough over this period of time as well as an eruption of small ~1cm flesh-colored nodules on his extremities and trunk. He denied any fevers, chills, or night sweats. In the ER, he had a chest x-ray performed (Figure 1) which showed diffuse centrilobular nodules visualized throughout the lung fields in a miliary pattern. He subsequently …

Technique For Safe Placement Of A Dobhoff Tube Without A Cortrak® Machine, Jon Chao, Md, Jennifer Alloo Hong, Md

The Medicine Forum

A 58 year old female with a history of end stage renal disease on hemodialysis, insulin dependent diabetes mellitus, ischemic cardiomyopathy, and adrenal insufficiency, presented from home with altered mental status and hypotension. She developed refractory hypotension requiring vasopressors and was admitted to the medical ICU for management of septic shock due to bacterial peritonitis. She was intubated and had an oro-gastric tube placed for enteral nutrition. However, significantly elevated gastric residuals developed secondary to delayed gastric emptying. We decided to place a post-pyloric Dobhoff tube as an alternative gastric access to continue enteral feeding. Since a Cortrak machine (an …

A Case Of Body Packing: Internal Smuggling Of Illicit Drugs, Michael A. Valentino, Md, Phd

The Medicine Forum

The patient is a 27-year old Hispanic female who was brought to the ER from the airport by the Drug Enforcement Agency (DEA) on suspicion of “body packing” (illicit drug smuggling via ingestion). An abdominal X-ray (Figures 1a,b) was obtained in the ER which showed multiple radiopaque foreign bodies which were uniform in size measuring 5 cm x 2 cm throughout her colon. The patient then admitted to ingesting numerous heroin pellets. She subsequently had a CT Abdomen/Pelvis performed (Figure 2) which again showed numerous tubular radiopaque foreign bodies throughout the gastrointestinal tract. She was admitted to the medical intensive …

A Case Of Fanconi’S Syndrome In A Patient With Hiv, Mariam Kabir, Md, Phd, Christopher Miller, Md, Rakesh Gulati, Md, Mrcp, William R. Short, Md, Mph

The Medicine Forum

Introduction

Tenofovir disoproxil fumarate (TDF) is a nucleotide analogue reverse transcriptase inhibitor (NtRTI), which blocks reverse transcriptase, an enzyme found in HIV. Since its approval for use in HIV by the FDA in 2001, it has contributed to effective treatment in numerous patients. The most common side effects include nausea, vomiting, diarrhea, asthenia, abdominal pain and hepatotoxicity. A less common side effect is nephrotoxicity leading to Fanconi’s syndrome. Here is an interesting case of Fanconi’s Syndrome caused by Tenofovir.

Case

A 50-year-old Caucasian female with a past medical history of HIV and Hepatitis C presented to the Emergency Department with …

A Case Of Septic Portal Vein Thrombosis (Pylephlebitis), Erin Carnish, Md, Andrew Garrett, Md, Mary Slome, Ms1

The Medicine Forum

INTRODUCTION

Pylephlebitis, defined as suppurative thrombosis of the portal vein often associated with bacteremia, is a rare and serious complication of intra-abdominal infections. Prior to antibiotics, the mortality rate of this disease approached 100%.1 The veins adjacent to the infection are the first to be involved, with later spread to the portal vein and possibly the mesenteric and splenic veins.2-3 Extension into the mesenteric veins can lead to bowel necrosis and increased morbidity and mortality.2-4

CASE PRESENTATION

A 63-year old male with a history of hypertension presented to the emergency department with one week of progressively worsening malaise, chills, severe …

Hepatitis C Therapy: Serendipitous Successes, Apeksha Shah, Md, Jonathan Fenkel, Md

The Medicine Forum

Introduction

Hepatitis C virus (HCV) infection is a growing epidemic worldwide, with about 170 million cases reported by 2011.1 New therapies have been introduced to the market, but the prior mainstay of therapy involves pegylated interferon-alpha (IFN) along with ribavirin (RBV).2 Treatment with the first generation direct-acting antiviral agent-containing regimens consisted of at least 24 weeks of therapy, with the goal of sustained viral response (SVR) – no detectable virus 24 weeks after treatment is completed. We report two cases in which therapy was terminated early due to the developed of severe infection, yet the patients still achieved SVR.

Case …

A Case Of Complete Heart Block Secondary To Anca-Associated Vasculitis, Krista Lim-Hing, Md

The Medicine Forum

INTRODUCTION

Anti-neutrophil cytoplasmic antibody (ANCA) associated vasculitides are systemic autoimmune diseases that often present as non-specific prodromal symptoms such as fever, fatigue, headache, and weight loss.1 With modern treatment, the disease has changed from being universally fatal to being treatable. It can have a chronic relapsing and remitting course. Therefore, early diagnosis is necessary.2,3

CASE PRESENTATION

A 53-year-old male with a past medical history of chronic sinusitis and some epistaxis needing multiple courses of antibiotics and steroids, was admitted after being diagnosed with high-grade heart block at another institution. He was found to have a heart rate of 26 and …

An Unusual Atrial Mass: A Case Study, David F. Reilly, Bs, Christina Lindenmeyer, Md

The Medicine Forum

BACKGROUND

This case highlights the evolution of a broad differential diagnosis when presented with a rare and diagnostically enigmatic clinical finding.

Recurrent Unilateral Pleural Effusion From Constrictive Pericarditis Of Unknown Etiology Requiring Pericardiectomy, Aishah Ali, Md, Gina Keiffer, Md

The Medicine Forum

Introduction

Constrictive pericarditis is an uncommon cause of unilateral pleural effusion. In patient’s who have repeated thoracenteses with no obvious cause for the pleural effusion, constrictive pericarditis should be considered. Right and left heart catheterization is used to diagnosis constrictive pericarditis by measuring filling pressures of the heart.

Case Report

A 52-year-old man with a history of hepatitis C, hepatocellular carcinoma (HCC), status post liver transplant in July 2013, chronic kidney disease, gastroesophageal reflux disease and hypothyroidism presented with increasing dyspnea with minimal exertion and was found to have recurrent pleural effusion. Patient had been worked up as an outpatient …

A Rare Case Of Tumor Lysis Syndrome, Anne Mainardi, Ms4, Daniel Okamoto, Md, Jianqing Lin, Md

The Medicine Forum

INTRODUCTION

Tumor lysis syndrome (TLS) is a metabolic disturbance caused by the destruction of rapidly dividing cancer cells following administration of cytotoxic chemotherapy. The subsequent release of intracellular material results in hyperuricemia, hyperkalemia, hyperphosphatemia, and hypocalcemia.1 The clinical presentation of TLS, including acute kidney injury, results from these electrolyte abnormalities and can be life-threatening.2 Here we present the second reported case of TLS in a woman with endometrial cancer.

CASE PRESENTATION

A 63 year old woman with newly-diagnosed endometrial cancer (International Federation of Gynecology and Obstetrics, FIGO, stage IVB) who received her first dose of carboplatin and paclitaxel four days …

Anomalous Left Main Coronary Artery Originating From The Right Sinus Of Valsalva, Silpa Yalamanchili, Ms4, Kevin M. Curl, Md

The Medicine Forum

Introduction

An anomalous left main coronary artery is a rarely seen clinical entity, particularly when it arises from the right sinus of Valsalva. This case report highlights this uncommon finding and how it affects the care of a patient with significant coronary artery disease.

Case Presentation

A 66 year-old male with a history of hypertension, hyperlipidemia, and type II diabetes presented with progressive exertional mid-epigastric and mid-chest discomfort. The patient stated that he had been feeling this “heaviness” with various activities and occasionally at rest for the past nine months. When it occurred with activity, the pain was generally relieved …