Medicine and Health Sciences Commons^™

Mortality In Medicine, Maren Dougherty

Honors Projects

Practitioners in the medical field attend to health issues across one’s lifespan from birth to death and everything in between. A common conflict in today’s practice of medicine is establishing the true function of medicine. The complete reliance on medicine to ward off death proliferates the biomedicalization of natural life processes, like death. Biomedicalization is the process in which medical authority and its accompanying technology begin to control other aspects of daily life. With medicine’s ultimate goal being to cure disease and fight death, it interferes with the inevitability of human mortality. End-of-life treatment can be taken too far without …

Importance Of Mind-Body Medicine And Human Flourishing In The Training Of Physicians, Aviad Haramati

Marshall Journal of Medicine

No abstract provided.

Teaching Poetry To Med Students? A Conversation With Owen Lewis And Abriana Jetté, Owen W. Lewis M.D., Abriana Jette

Journal of Creative Writing Studies

A Narrative Medicine curriculum is now generally part of medical education to promote capacities for reflection, observation, engagement, and empathy. The impact of this curriculum is furthered when students are given specific arts training in a limited, but focused, way. This paper details the approach of an intensive poetry reading and craft course embedded in a broader Narrative Medicine curriculum

Health Professional Students Receiving Osteopathic Manipulative Treatment: An Interdisciplinary And Interprofessional Activity To Improve Attitudes Towards Osteopathic Medicine And Interprofessional Collaboration, Nicole Neiman, Justinas Joksas, Erica Sickel, Anne Marie Zeller

Research Day

No abstract provided.

Examining The Factor Structure Of A Subjective Well-Being Measure In A Medical Student Sample, Hoan Do, Mary Wurm-Schaar, Gordon Brooks

Mid-Western Educational Researcher

Accreditation standards for U.S. medical education programming require that training programs promote trainee wellness and well-being, although constructs such as psychological distress and depression commonly serve as proxies for well-being. A direct measure of subjective well-being would be invaluable to inform programming efforts to promote medical trainees’ well-being and advance the study of the well-being construct itself. This study investigated the structural validity of subjective well-being as measured by the Well-Being Scale in a sample of 548 osteopathic medical students. Results of the confirmatory factor analysis indicated that subjective well-being is best represented by a bifactor model with a general …

Development Of An Experiential Learning Lab Activity On Skeletal Muscle Physiology In Undergraduate Md Pre-Clerkship Curriculum, Meyer B. Maddox, Angela Martinez, Daniel Salinas, Kelsey Potter-Baker, Amin Shah

Research Symposium

Background: Experiential learning is an important part of the medical education curriculum. Due to the clinical relevance of skeletal muscle strength in evaluating patients’ complaints of muscle weakness or imbalance, skeletal muscle physiology is an important concept with extensive potential for experiential learning opportunities. Our goal was to establish an experiential learning skeletal muscle physiology lab activity that would improve undergraduate MD pre-clerkship students’ skill to collect muscle force measurements using a hand-held dynamometer (HHD) and understanding of core physiological concepts.

Methods: As part of the Musculoskeletal and Dermatology (MSKD) Module in the undergraduate MD pre-clerkship curriculum, we developed a …

Rapid (Reducing The Anxiety Of Patients In Interventional And Diagnostic) Radiologic Procedures: A Review Of The Literature, Unie Háng, Nathan Sim, Harika K. Bollineni, Arif Musa Md, Foaz Kayali Md, Roger Kakos Md, Monte Harvill Md, Ali Harb Md

Medical Student Research Symposium

Abstract Title: RAPID (Reducing the Anxiety of Patients in Interventional and Diagnostic) Radiologic Procedures: A Review of the Literature

Background: Pre-procedural anxiety is a prevalent concern that can be associated with negative effects for patients including perceived pain. Most interventional radiologic procedures are performed under local anesthesia with minimal sedation if any, which may not be sufficient in relaxing the patient. Effective patient education with appropriate pain management and anxiety control can improve comfort and can yield optimal post-procedural outcomes.

Methods: A search was done with the PubMed database for studies concerning patient anxiety in radiologic procedures. Search terms included, …

Presentations Of Cutaneous Disease In Various Skin Pigmentations: Acne Vulgaris - Comedonal Acne, Christopher M. Wong, Christina Guo, Christian J. Scheufele, Daniel A. Nguyen, Jean Elizze M. Charles, Michael Carletti, Stephen E. Weis

HCA Healthcare Journal of Medicine

Acne vulgaris is a common inflammatory skin condition of the pilosebaceous unit in adolescents and young adults and is primarily characterized by the presence of open and closed comedones. In patients of various skin pigmentations, skin-colored comedones may be difficult to appreciate and lead to incorrect or delayed diagnosis of acne. To aid in the identification of acne vulgaris in patients of various skin pigmentations, we present comedonal acne in different skin types and commonly encountered differential diagnoses. With its significant volume and burden of disease, acne vulgaris should be correctly identified in various skin pigmentations by primary care clinicians …

Variation In Transcript Reports Among Residency Applicants: An Anesthesia Program’S Perspective, Alex M. Hendon, Imani Thornton

HCA Healthcare Journal of Medicine

Background

With recent changes made to move USMLE Step 1 and COMLEX Level 1 scores to Pass/Fail, it becomes necessary to find other metrics to evaluate residency candidates. One conserved metric included in all residency applications is medical school transcripts. This study aims to highlight the highly varied transcript reporting in a new era of holistic applicant review.

Methods

Medical school transcripts were extracted from the Electronic Residency Application Service applications to our anesthesiology residency program for the 2021-2022 application cycle. All personally identifiable information was removed. Results were categorized and tallied by 2 independent reviewers. Overall, we assessed transcript …

Expansion Of Osteopathic Medicine Practitioner Education On Substance Use Disorders, Joanna Petrides, Stuti Jha, Alexander Kowalski, Suzanna Hosein, Philip B Collins, Joshua Coren

Rowan-Virtua School of Osteopathic Medicine Faculty Scholarship

CONTEXT: Medical school graduates are generally not well prepared to treat patients with substance use disorders (SUDs), even though opioid overdose deaths in the United States have increased in recent years. When it comes to training in SUDs, osteopathic medicine lags far behind allopathic medicine. It was only in 2019 that the American Osteopathic Association approved Board Certification in Addiction Medicine to help combat the opioid epidemic. Few articles have been published in the literature pertaining to substance use education for osteopathic students and trainees.

OBJECTIVES: The goal of this study was to expand the education of osteopathic medical students …

A Konnyaku Jelly Model For Ultrasound-Guided Fascia Iliaca Compartment Block, Arthraj J. Vyas, Matthew C. Lo, Arthur Au, Md

Alpha Omega Alpha Research Symposium Posters

Purpose

Konnyaku Jelly:

•Previously used as effective ultrasound-guided IV access phantom

•Withstands multiple needle piercings without phantom deterioration

•<$3 per pack

Emotional Stressors Faced By Medical Students Expressed Using Cartoons: A Qualitative Study, Casey Fishman, Ba, Justin Do, Bs, Fred W. Markham Jr., Md

Alpha Omega Alpha Research Symposium Posters

Purpose: Empathy, a fundamental pillar of medicine, has been shown to decrease in medical school. Increased stress is linked to decreased empathy, but specific stressors remain unclear. The goal of this study was to qualitatively explore specific stressors among third year medical students.

Methods: Third year medical students (n=248) participated in Reflection Rounds with a clinician and a member of pastoral care at Thomas Jefferson University and in their final sessions created a cartoon to express sentiments surrounding medicine. Qualitative analysis of the cartoons was conducted on both the images and text. Common themes were identified from the students’ …

Enhancing Dissemination At Medical Conferences: A Cross-Disciplinary Approach For Learners, Raquel Lamarche, Jasmine R. Marcelin

Graduate Medical Education Research Journal

Empowering novice authors, particularly trainees and learners, this perspective piece integrates a cross-disciplinary approach to bolster scholarly dissemination at medical conferences. Through a tripartite methodology — Innovate, Implement, and Influence — the article first delves into innovation, offering four essential heuristics sourced from diverse fields, guiding the germination of ideas. Next, it demystifies the transformation of these ideas into research abstracts through a structured blueprint. The finale encompasses strategies to create compelling presentations that resonate with audiences. Woven throughout is an emphasis on craftsman-like precision in idea execution, fostering relationships, and engaging genuinely with content while maintaining audience-centricity. This blueprint …

Evaluation Of A Point-Of-Care Ultrasound (Pocus) Workshop For Peripheral Intravenous Cannulation, Ulrich Steinwandel, Linda L. Coventry, Homa Kheirkhah

Research outputs 2022 to 2026

Background: Point-of-care ultrasound (POCUS) is increasingly used as a non-invasive vascular access assessment method by clinicians from multiple disciplines worldwide, prior and during vascular access cannulations. While POCUS is a relatively new method to establish a vascular access in patients with complex vascular conditions, it is also essential to train and educate individuals who are novices in the techniques of cannulation so that they become proficient in performing this task subsequently on patients safely and successfully. A simulated environment may be a helpful tool to help healthcare providers establish skills in using POCUS safely and may also help them to …

Survey Of Pediatric Critical Care Fellows On Postresuscitation Debriefing, Nicole K. Sather, Lauren E. Zinns, Gillian Brennan, Lily Guo, Nadia Khan, Vinod Havalad

Journal of Patient-Centered Research and Reviews

Purpose: Current guidelines recommend debriefing following medical resuscitations to improve patient outcomes. The goal of this study was to describe national trends in postresuscitation debriefing practices among pediatric critical care medicine (PCCM) fellows to identify potential gaps in fellow education.

Methods: A 13-item survey was distributed to fellows in all 76 ACGME-accredited PCCM programs in the United States in the spring of 2021. The online survey addressed frequency and timing of debriefings following medical resuscitations, whether formal training is provided, which medical professionals are present, and providers’ comfort level leading a debriefing. Results were analyzed using descriptive statistics.

Results: A …

Evaluating The Efficacy Of Chatgpt In Navigating The Spanish Medical Residency Entrance Examination (Mir): Promising Horizons For Ai In Clinical Medicine., Francisco Guillen-Grima, Sara Guillen-Aguinaga, Laura Guillen-Aguinaga, Rosa Alas-Brun, Luc Onambele, Wilfrido Ortega, Rocio Montejo, Enrique Aguinaga-Ontoso, Paul Barach, Ines Aguinaga-Ontoso

Department of Medicine Faculty Papers

UNLABELLED: The rapid progress in artificial intelligence, machine learning, and natural language processing has led to increasingly sophisticated large language models (LLMs) for use in healthcare. This study assesses the performance of two LLMs, the GPT-3.5 and GPT-4 models, in passing the MIR medical examination for access to medical specialist training in Spain. Our objectives included gauging the model's overall performance, analyzing discrepancies across different medical specialties, discerning between theoretical and practical questions, estimating error proportions, and assessing the hypothetical severity of errors committed by a physician.

MATERIAL AND METHODS: We studied the 2022 Spanish MIR examination results after excluding …

Graduate Medical Education In The Mountain West, Mohit Pande, Nicole Diaz Del Valle, Yashesvi Sharma, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet examines Graduate Medical Education (GME) metrics in the Mountain West (Arizona, Colorado, Nevada, New Mexico, and Utah). The original report from the Association of American Medical Colleges (AAMC) includes data from all 50 states and includes measures of graduate medical education and the facilities needed to conduct graduate medical education. This fact sheet builds upon data previously published in fact sheets on Nevada medical residencies for the 2021, 2022, and 2023 graduating classes of the Kirk Kerkorian School of Medicine at the University of Nevada, Las Vegas (UNLV) and the University of Nevada, Reno (UNR) School of …

We Are What We Pre-Attend To Be: Piloting A Pre-Attendingship Rotation In Hospital Medicine, Timothy Kuchera, Md, Gretchen Diemer, Md, Jillian Zavodnick, Md, Rebecca Jaffe, Md

Department of Medicine Posters

Problem Definition

• New-to-practice attendings (NPTAs) lack readiness for independent practice
• Graduated autonomy – understood but not structurally enforced in residency training
• Curricular expectations not explicitly defined despite experiential differences between graduate training levels of PGY2 and PGY3 internal medicine residents
• Although residents achieve competencies established by the ACGME prior to graduation, NTPAs feel unprepared suggesting opportunities to change the clinical learning environment to increase

Steps On Establishing A Faculty Development Curriculum For Health Science Educators In A New Medical School, Beatriz Tapia, Karina Madrigal, Robert Nelson

Research Colloquium

Purpose: New Medical Schools need health science educators, to teach throughout the medical education continuum from basic science to clinical years. The need to establish a defined faculty development curriculum for health science educators will aid in standardizing best teaching practices and build a potential master teacher to move the curriculum toward active learning and innovation. The UTRGV SoM is a distributed campus, to achieve increase outreach we will offer synchronous and asynchronous online faculty development during the pandemic. This poster will share our progress to date.

Methods: A pilot, faculty development program, was established from faculty needs assessment data, …

The Reality Of Virtual Undergraduate Medical Education: Hands-On Learning In A Hands-Free World, Layla Nejad, Paola Ibarra, Aleena Flores, Robert Nelson Jr.

Research Colloquium

Background & Purpose: In the wake of the current COVID-19 pandemic, medical education has been forced to rely on virtual experiences including skills workshops, patient interactions, and oral exams. The virtual reality (VR) technology that currently exists has the potential to enhance undergraduate medical learning by improving information retention, clinical skills, and communication; however, most undergraduate medical education (UME) curricula lack its integration and use. Introducing VR to the UTRGV School of Medicine (SOM) could incorporate all existing learning styles and update the virtual world where medical students live and learn, leading to more versatile future-physicians.

Methods: We have explored …

Proactively Preventing Medical Errors: A Student-Led Approach To Patient Safety In Pre-Clinical Curriculum, Sahar Panjwani, Daniel Nwosuocha, Nelson D. Gonzalez, Ayleen Godreau

Research Symposium

Introduction: Preventable medical errors are currently the third leading cause of death in the United States following heart disease and cancer (1). This study was designed to assess the change in knowledge from earlier education of medical students during pre-clinical years.

Methods: Patient safety trainings have been conducted for two years for interested first and second-year medical students and responses are assessed through a pre-test, immediate post-test, 3-month post-test, and 6-month post-test. The survey assesses student knowledge on aspects of patient safety and has Likert scale questions assessing if the training influenced students’ desire to learn about patient safety. …

From Dream To Reality: Conducting A Thorough Physical Exam With A Cell Phone, Noel Garza, Barbara Stewart

Research Symposium

Background: The COVID-19 pandemic has prompted a surge in the utilization of telemedicine as physicians and patients attempt to protect themselves. The art of medicine is rooted in the ability to gather subjective and objective data from patients to make accurate diagnoses and recommendations. We must rely on creativity and innovation to gather this information in the new setting of telehealth in a manner with high consistency and reliability to maintain high-quality patient care.

Case Presentation: After gathering a thorough history, we work with the patient’s guardian to systematically view the patient head to toe, perform cardiopulmonary auscultation, and assess …

Covid-19'S Impact On Medical Students' Wellbeing And Residency Choices, Jessy Feng, Sabrina Orta, Lori Berry

Research Symposium

Background: COVID-19 has impacted medical education in many ways including altering in-person rotations, limiting research opportunities, and introducing additional financial strain for medical students. With these unprecedented changes, we were interested in examining the impact of COVID-19 on medical students’ well-being and choices surrounding their upcoming resident medical education.

Methods: An online questionnaire was written and distributed via Qualtrics to 4th year medical students across Texas from May to December 2020. The inclusion criteria were MD or DO U.S. medical students planning to apply to residency in the 2020-2021 cycle.

Results: A majority of participants (78.05%) identified as a minority …

Breastfeeding Education Of Medical Students And Resident Physicians, Kathleen E.H. Douangchak D.O.

Intellectus

Breastfeeding is widely recognized for its medical and neurodevelopmental benefits, leading to the American Academy of Pediatrics (AAP) recommending exclusive breastfeeding for the first 6 months of an infant’s life with continuation through 2 years of age and beyond.1 However, this literature review finds that despite the 2022 update to the AAP’s recommendations, education on breastfeeding for physicians-in-training is inadequate. Though interventions have been shown to increase the breastfeeding knowledge and confidence of physicians, more research is needed to evaluate the efficacy of educational interventions. This paper emphasizes the urgency of implementing comprehensive interventions that address the gaps in breastfeeding …

The Experiences Of Autistic Doctors: A Cross-Sectional Study, Sebastian C.K. Shaw, Alexander Fossi, Laura A. Carravallah, Kai Rabenstein, Wendy Ross, Mary Doherty

Jefferson Autism Center of Excellence Faculty Papers

Introduction: Medicine may select for autistic characteristics. As awareness and diagnosis of autism are growing, more medical students and doctors may be discovering they are autistic. No studies have explored the experiences of autistic doctors. This study aimed to fill that gap.

Methods: This is a cross-sectional study. A participatory approach was used to identify the need for the project and to modify a pre-existing survey for use exploring the experiences of autistic doctors.

Results: We received 225 responses. 64% had a formal diagnosis of autism. The mean age of receiving a formal diagnosis was 36 (range 3–61). Most were …

Developing An Interprofessional Community Psychiatry Rotation Using An Assertive Community Treatment Team Model: A Preliminary Evaluation, Ruth Frydman

Journal of Maine Medical Center

Introduction: There is a shortage of psychiatric providers trained to work in community settings with people with serious mental illness (SMI) and associated comorbidities. We designed an innovative psychiatry rotation and curriculum for psychiatry residents and other learners.

Methods: The rotation incorporates working with our Assertive Community Treatment team and includes home visits, assertive outreach, and visits in other community settings. It was designed to improve learners’ confidence in their understanding and skill set for working with and treating people with SMI in the community on an interprofessional (IP) team. This pilot quality improvement project evaluated psychiatry resident responses to …

A Cohort Study Assessing The Impact Of Anki As A Spaced Repetition Tool On Academic Performance In Medical School, Michael M. Gilbert, Timothy C. Frommeyer, Garrett V. Brittain, Nickolas A. Stewart, Todd M. Turner, Adrienne Stolfi, Dean Parmelee

Pediatrics Faculty Publications

Introduction

Anki is an application that capitalizes upon the techniques of spaced repetition and is increasingly utilized by medical students for examination preparation. This study examines the impact of Anki usage in a medical school curriculum on academic performance. Secondary objectives analyzed individual Anki utilization and a qualitative assessment of Anki use.

Methods

A cohort-control study was conducted at Boonshoft School of Medicine. One hundred thirty first-year medical students were enrolled in an Anki utilization training program from July 2021 to September 2021. Training included educational Anki courses and subsequent survey data collection over Anki usage. Data variables included all …

Ambivalence At 10 000 Feet, Marc Perlman

HCA Healthcare Journal of Medicine

The transition from medical neophyte to seasoned physician is a gradual process spanning the course of many years. However, there are various milestones throughout the experience that capture increases in decision-making capacity and responsibility, such as the switch from pre-clinical to clinical medical education. Medical students in their clinical years are endowed with an abundance of knowledge from their pre-clinical years and are just beginning to synthesize and apply that information to patient care. “Ambivalence at 10 000 Feet” captures a reflection of a third-year medical student on the theoretical decision to provide emergency medical care in the absence of …

The Role Of Narrative Medicine In Patient Healing And Meaningful Clinical Practice, Elizabeth Gray Duperier

Honors Theses

The patient-clinician relationship is one that relies heavily on trust and understanding—both of which are reached through effective communication. As medicine advances, it is increasingly important to prioritize the human interaction in the clinical encounter. Illness is more than just a set of diagnoses; it is the culmination of one’s way of being and interacting with the world while experiencing these diagnoses—it is a narrative. In order for physicians to provide quality care, trust and understanding are of the utmost importance, but oftentimes these are not at the forefront of medical practice due to logistical barriers that the US healthcare …

Exploring Physician Assistant Students' Perceptions Of Stress And Help Seeking Behavior, Kayla Cetrone

Educational Studies Dissertations

Physician Assistant (PA) students, similar to other students enrolled in medical education, experience a variety of stressors throughout their education and training that can inhibit their academic and clinical success and affect patient care outcomes. The purpose of this mixed-methods research study was to explore PA students' and alumni's perceived stressors, their experiences of the stressors, and the help-seeking behaviors they employ and perceive as useful to address them. Following an explanatory sequential design, all PA students and alumni (n = 288) from one program in the northeast were invited to complete an anonymous online survey assessing their perceptions and …