Medicine and Health Sciences Commons^™

Reproducibility Efforts As A Teaching Tool: A Pilot Study, Nestoras Karathanasis, Daniel Hwang, Vibol Heng, Rimal Abhimannyu, Phillip Slogoff-Sevilla, Gina Buchel, Victoria Frisbie, Peiyao Li, Dafni Kryoneriti, Isidore Rigoutsos

Computational Medicine Center Faculty Papers

The "replication crisis" is a methodological problem in which many scientific research findings have been difficult or impossible to replicate. Because the reproducibility of empirical results is an essential aspect of the scientific method, such failures endanger the credibility of theories based on them and possibly significant portions of scientific knowledge. An instance of the replication crisis, analytic replication, pertains to reproducing published results through computational reanalysis of the authors' original data. However, direct replications are costly, time-consuming, and unrewarded in today's publishing standards. We propose that bioinformatics and computational biology students replicate recent discoveries as part of their curriculum. …

Myocardial Dysfunction After Out-Of-Hospital Cardiac Arrest: Predictors And Prognostic Implications., Yuan Yao, Nicholas James Johnson, Sarah Muirhead Perman, Vimal Ramjee, Anne Victoria Grossestreuer, David Foster Gaieski

Department of Emergency Medicine Faculty Papers

We aim to determine the incidence of early myocardial dysfunction after out-of-hospital cardiac arrest, risk factors associated with its development, and association with outcome. A retrospective chart review was performed among consecutive out-of-hospital cardiac arrest (OHCA) patients who underwent echocardiography within 24 h of return of spontaneous circulation at three urban teaching hospitals. Our primary outcome is early myocardial dysfunction, defined as a left ventricular ejection fraction < 40% on initial echocardiogram. We also determine risk factors associated with myocardial dysfunction using multivariate analysis, and examine its association with survival and neurologic outcome. A total of 190 patients achieved ROSC and underwent echocardiography within 24 h. Of these, 83 (44%) patients had myocardial dysfunction. A total of 37 (45%) patients with myocardial dysfunction survived to discharge, 39% with intact neurologic status. History of congestive heart failure (OR 6.21; 95% CI 2.54-15.19), male gender (OR 2.27; 95% CI 1.08-4.78), witnessed arrest (OR 4.20; 95% CI 1.78-9.93), more than three doses of epinephrine (OR 6.10; 95% CI 1.12-33.14), more than four defibrillations (OR 4.7; 95% CI 1.35-16.43), longer duration of resuscitation (OR 1.06; 95% CI 1.01-1.10), and therapeutic hypothermia (OR 3.93; 95% CI 1.32-11.75) were associated with myocardial dysfunction. Cardiopulmonary resuscitation immediately initiated by healthcare personnel was associated with lower odds of myocardial dysfunction (OR 0.40; 95% CI 0.17-0.97). There was no association between early myocardial dysfunction and mortality or neurological outcome. Nearly half of OHCA patients have myocardial dysfunction. A number of clinical factors are associated with myocardial dysfunction, and may aid providers in anticipating which patients need early diagnostic evaluation and specific treatments. Early myocardial dysfunction is not associated with neurologically intact survival.

Teaching The Emergency Department Patient Experience: Needs Assessment From The Cord-Em Task Force., Kory S. London, Jeffrey Druck, Matthew Silver, Douglas Finefrock

Department of Emergency Medicine Faculty Papers

INTRODUCTION: Since the creation of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction (PS) scores, patient experience (PE) has become a metric that can profoundly affect the fiscal balance of hospital systems, reputation of entire departments and welfare of individual physicians. While government and hospital mandates demonstrate the prominence of PE as a quality measure, no such mandate exists for its education. The objective of this study was to determine the education and evaluation landscape for PE in categorical emergency medicine (EM) residencies.

METHODS: This was a prospective survey analysis of the Council of Emergency Medicine Residency …

Evidence-Based Practice In Occupational Therapy Curricula., Tina Angelis, Edd, Otr/L, Thomas G Dimarco, Susan Toth-Cohen, Edd, Otr/L

Department of Occupational Therapy Faculty Papers

The purpose of this study is to describe currently used educational strategies for teaching evidence-based practice (EBP) in entry-level master's degree occupational therapy programs in the United States. Fifty-eight entry-level occupational therapy program directors completed a survey. Results showed that occupational therapy programs consistently use a wide variety of EBP resources for teaching EBP including database searches, literature reviews, and the development of a research proposal. Less commonly used strategies include the use of case stories and journal clubs. The current study provides a baseline of existing strategies taught in entry level programs that may be built upon to gather …

Education And Referral Criteria: Impact On Oncology Referrals To Palliative Care., Barbara Reville, Joanne Reifsnyder, Deborah B Mcguire, Karen Kaiser, Abbie Santana

Department of Family & Community Medicine Faculty Papers

OBJECTIVE: To describe a quality improvement project involving education and referral criteria to influence oncology provider referrals to a palliative care service.

METHODS: A single group post-test only quasi-experimental design was used to evaluate palliative care service (PCS) referrals following an intervention consisting of a didactic presentation, education outreach visits (EOV) to key providers, and referral criteria. Data on patient demographics, cancer types, consult volume, reasons for referral, pre-consult length of stay, overall hospital stay, and discharge disposition were collected pre-intervention, then post-intervention for 7.5 months and compared.

SETTING AND SAMPLE: Attending oncologists, nurse practitioner, and house staff from the …

Robert Milton Zollinger, M.D., Teacher, Surgeon, Soldier, And Farmer., Fiona M. Chory, B.S., Charles J. Yeo, Md, Pinckney J. Maxwell, Iv, Md

Department of Surgery Gibbon Society Historical Profiles

From Humble roots, Dr. Robert Milton Zollinger worked his way to a position in history among the giants of American surgery. He was born on September 4, 1903, in the central Ohio town of Millersport, the son of Elmira and William Zollinger. Neither of his parents had a high school education, but they supported education and always expressed a confidence that young Robert would be successful at anything he attempted.1 He had aspirations of attending West Point, a dream that was never fulfilled when he decided to be a surgeon. On being informed of his son’s intentions, Zollinger’s father bestowed …

Resident Teaching Expectations And Medical Student Feedback, Michael Ignatowski

Jefferson Journal of Psychiatry

Objective Much of resident teaching of medical students occurs in an informal manner, with bedside teaching a common focus. Hence, the ability to monitor such teaching is limited. Feedback about how students perceive the teaching is perhaps one way to more effectively monitor and influence resident teaching.

Identifying Strategies Early Intervention Occupational Therapists Use To Teach Caregivers., Jessica L. Colyvas, L Brook Sawyer, Philippa H. Campbell

Department of Occupational Therapy Faculty Papers

This study investigated early intervention occupational therapists' use of strategies to teach caregivers. A sample of 40 videotapes made by early intervention occupational therapists was randomly selected from an archival videotape data set of provider home visits. The sample included 20 videotapes illustrating traditional services and 20 videotapes illustrating therapists providing participation-based services. Videotapes were rated using the Teaching Caregivers Scale, which rates three variables on 30-s intervals: (1) routine, (2) provider role, and (3) strategies used to teach caregivers during early intervention home visits. Regardless of the model of service, explicit teaching strategies were rarely used during home visits.

Organizational Characteristics And Restraint Use For Hospitalized Nursing Home Residents., Meg Bourbonniere, Neville E. Strumpf, Lois K. Evans, Greg Maislin

College of Nursing Faculty Papers & Presentations

OBJECTIVES: To examine the effect of organizational characteristics on physical restraint use for hospitalized nursing home residents.

DESIGN: Secondary analysis of data obtained between 1994 to 1997 in a prospective phase lag design experiment using an advanced practice nurse (APN) intervention aimed at reducing physical restraint for a group of hospitalized nursing home residents.

SETTING: Eleven medical and surgical units in one 600-bed teaching hospital.

PARTICIPANTS: One hundred seventy-four nursing home residents aged 61 to 100, hospitalized for a total of 1,085 days.

MEASUREMENTS: Physical restraint use, APN intervention, age, perceived fall risk, behavioral phenomena, perceived treatment interference, mental state, …

Ariel - Volume 12 Number 1, John Smith, David Polin, Larry Pastor, Diedre Collins, Martin Getzow, Mary Kay Martini, Jean Lien, Randy Simak, Allan Cummings, Deepak Kapoor

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Ariel - Volume 11 Number 5, Saul Helfing, David Polin, Jeff Greenwald, Steve Edmundowicz, Kevin Hardy, Allan Cummings

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Ariel - Volume 9 Number 5, John Welch, George Coar, John W. Smith, Ii, Richard Yelovich, Mark Rubin, Roslyn Taylor, Steve Levine, John Radomski, Robert L. Brent, Vincent Viscomi, Jon Adams, Joyce Freidel, Mark Repka

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Ariel - Volume 9 Number 4, Guy Giordano, Ed Silverman, Rob Kester, George Coar, Richard Yelovich, Brad Feldstein, Cathy Hayward, Steve Levine, Arthur Allen, W.D.B. Hiller, John P. Welch, James Weidman, John D. Angstadt, Elizabeth Mcguire, Eli Saleeby, Joel Shaffer

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Ariel - Volume 8 Number 5, R. S. Moberg, George Greasy, Neeraj Kanwal, Nicholas Tepe, Patrick Sokas, Jim Spigel, Jim Sechler, Martin Trichtinger, Shahab Minassian, Doug Jenkins

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Ariel - Volume 8 Number 3, David Gastfriend, Martin Trichtinger, Richard J. Perry, Michael J. Grimes, George Risi, Scott A. Waldman, Gail Orner, Jamie Lockard, Dick Moberg, Robert L. Brent, John A. Timour, Patrick Sokas, Shahab Minassian

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Ariel - Volume 7 Number 1, Jim Burke, Bob Levin, Halley S. Faust, Robert Brent, Gordon L. Brodie, Nancy Redfern, Robert Sataloff, Robert B. Baker

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tOO mUCH (University Medical College Hospital - London)

Ariel - Volume 6 Number 4 (Alternate Version), John Lammie, J.D. Kanofsky, Nancy Redfern, Deborah Boehm, Ken Jaffe, James L. Buckley, Bob Sklaroff, Morton A. Klein, Bob Sataloff, Wally Judd, Irving Olshin, Curt Cummings, H. S. Faust, Jim Burke, Robert Brent, Philip Nimoityn, R. Wing

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Ariel - Volume 6 Number 4, John Lammie, J.D. Kanofsky, Nancy Redfern, Deborah Boehm, Sheryl Lederman Silfen, Ken Jaffe, James L. Buckley, Bob Sklaroff, Morton A. Klein, Bob Sataloff, Wally Judd, Irving Oishin, Curt Cummings, Jim Burke, Robert Brent, Philip Nimoityn

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Ariel - Volume 6 Number 2, Jim Burke, Halley S. Faust, J.D. Kanofsky, Sandy Wolf, Janet Bernstein, Liz Thile, Mike Treat, Tim Heffron, Robert Brent, Gary Kaskey, Curt Cummings, Paul Poinsard, Gary Emmett

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Ariel - Volume 6 Number 1, Fred Massimino, Halley S. Faust, Frank Chervenak, Harry Brener, John Lammie, J.D. Kanofsky, David S. Brashear, Bob Sklaroff, Curt Cummings

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Ariel - Volume 4 Number 1, David A. Jacoby, Mark Widome, Anita Robinson, J.D. Kanofsky

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Ariel - Volume 2 Number 8, Lynne Porter, Roosevelt Mccorvey, Delvyn C. Case, Jr., Robin Anne Edwards, Philip Hoffman, Eugenia Miller, Anton Kemps, Judy Jones, Larry Berley

Ariel

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Ariel - Volume 2 Number 7, Delvyn C. Case, Jr., Richard Bonanno, Alan Asi, Steven Allen Ager, Stephen P. Flynn, Mark Widome, James Redka, Lynne Porter, David Jacoby, Tom Williams

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Ariel - Volume 2 Number 3, Delvyn C. Case, Jr., Eugenia Miller, Jack Guralnik, Steve P. Flynn, Rod Dorand, Michael J. Blecker, Deborah Fernhoff, Donald Bergman, Steve Ager, Lin Set Edwards, Phil Graitzer, Tom Williams, Robin Edwards, Harry A. Doyle, William Claflin, Jolian Forsyte, Harvey Zeligman

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Introductory Address Delivered Before The Students Of Jefferson Medical College, Philadelphia., B. Howard Rand, Md

Jefferson Medical College Opening Addresses

No abstract provided.

The Professor And The Pupil; A General Introductory Lecture Delivered October 13th, In The Jefferson Medical College Of Philadelphia, Session 1862-3., Thomas D. Mitchell, Md

Jefferson Medical College Opening Addresses

No abstract provided.

Introductory Lecture To The Course On Midwifery, And Diseases Of Women And Children, In Jefferson Medical Colelge, Delivered October 12, 1859., Charles D. Meigs, Md

Jefferson Medical College Opening Addresses

No abstract provided.

The Late Professor J.K. Mitchell, M.D. Professor Dunglison's Preliminary Remarks. Professor Dickson's Inaugural Lecture., Robley Dunglison, Md, Samuel Henry Dickson, Md, Lld

Jefferson Medical College Opening Addresses

No abstract provided.

An Inaugural Address Introductory To The Course On Surgery In The Jefferson Medical College Of Philadelphia, Delivered October 17, 1856., Samuel D. Gross, Md

Jefferson Medical College Opening Addresses

No abstract provided.

Reminscences Of Great Britain In The Summer Of 1855. A Lecture Introductory To The Course Of Materia Medica And General Therapeutics, In The Jefferson Medical College Of Philadelphia, Delivered October 10, 1855., Robert M. Huston, Md

Jefferson Medical College Opening Addresses

No abstract provided.