Social and Behavioral Sciences Commons^™

A Building Block Of Empathy: Establishing A Graphic Medicine Collection In An Academic Health Sciences Library., Jess King, Alison Bobal

Journal Articles: Leon S. McGoogan Health Sciences Library

To help address the well-being of the campus and contribute to empathy building amongst students pursuing careers as healthcare providers, an academic health sciences library built a graphic novel collection focused on comics that discuss medical conditions and health-related topics. The collection contains the experiences of patients, providers, and caregivers. The reader-friendly format of graphic novels provides an easy entry point for discussing empathy with health professions faculty and students. The collection has been used in the classroom during library instruction sessions, with the idea of integrating it within the curriculum.

Postgraduate Medical Trainees At A Ugandan University Perceive Their Clinical Learning Environment Positively But Differentially Despite Challenging Circumstances: A Cross-Sectional Study, Paul E. Alele, Joshua Kiptoo, Kathleen Hill-Besinque

Pharmacy Faculty Articles and Research

Purpose

The clinical learning environment is an essential component in health professions’ education. Data are scant on how postgraduate trainees in sub-Saharan Africa perceive their medical school learning environments, and how those perceptions contribute to their engagement during training, their emotional wellbeing, and career aspirations. This study examined perceptions of postgraduate medical trainees (residents) in a resource-limited setting, regarding their learning environment and explored perceptual contributions to their career engagement during training. The data reported contribute to understanding how clinical learning environments can be improved in low-resource settings in Uganda and elsewhere.

Methods

This study was done at the Faculty …

Barriers To Exercise In A Medical Unit Of Us Army Reservists: An Exploratory Study, Madelyn B. Huhn, Elizabeth A. Kleitz, Namuna Sunar

Undergraduate Research Journal for the Human Sciences

Military Reservist healthcare workers must meet physical fitness standards similar to those on active duty. They, however, experience a unique occupational environment as citizen Soldiers. Their civilian careers as healthcare workers and their positions in the military both demand shift work, long hours, and critical response to high stress events. For a small group of Reservists working in civilian healthcare occupations who also serve in medical roles in the military, this exploratory study aimed to describe any perceived barriers to exercise. Although over 60% of respondents to an exercise barriers scale perceived physical and social health as the top benefits …

The Meaning Of A Choice, Julie-Louise Zeitoun

Masters Theses

If you are disabled or disadvantaged, you will be dismissed and stifled. Few people will actively care for your struggles. As a person with autism, I was deeply fearful of the persecution I had faced throughout my life; it was a fear that followed me with terrifying determination. I desperately wanted to blend into society. So I designed myself to be devoid of any weakness, and productivity was the way I chose to conceal any difficulties I faced. It was a way to measure my success — a way to measure my normalcy.

Standard medical textiles are generic, cumbersome devices. …

Barriers To Exercise In A Medical Unit Of Us Army Reservists: An Exploratory Study, Madelyn B. Huhn, Elizabeth A. Kleitz, Namuna Sunar

Undergraduate Research Journal for the Human Sciences

Military Reservist healthcare workers must meet physical fitness standards similar to those on active duty. They, however, experience a unique occupational environment as citizen Soldiers. Their civilian careers as healthcare workers and their positions in the military both demand shift work, long hours, and critical response to high stress events. For a small group of Reservists working in civilian healthcare occupations who also serve in medical roles in the military, this exploratory study aimed to describe any perceived barriers to exercise. Although over 60% of respondents to an exercise barriers scale perceived physical and social health as the top benefits …

An Analysis Of The Role Of Fentanyl In Fatal Overdoses In Orange County, Logan Michalski

Honors Undergraduate Theses

Fentanyl is a potent narcotic analgesic that leads to countless overdoses each year. Past studies have shown that fentanyl use has been growing substantially in counties within Florida. However, little research has been done to quantify and analyze rates of fentanyl overdose within Orange County, particularly over multiple year periods of time. The goal of this study is to provide information and analysis on the rates of fentanyl overdose within Orange County, Florida from 2019 to 2021, and to explore demographic factors that correlate with fentanyl overdose. It is hypothesized that the rate of fentanyl overdoses will have significantly increased …

Provider Racial Concordance And Medical Mistrust In Pediatric Dentistry, Chinelo Eke

Theses and Dissertations

Purpose: Studies have drawn varying conclusions on the importance of a racially concordant patient provider relationship. Medical mistrust has continued to garner attention as healthcare enterprises thread equity, diversity and inclusion throughout their organizational policies, practices and systems.

Methods: Parents/caregivers of pediatric patients at VCU Pediatric Dentistry were invited to participate. Surveys included questions about demographics, racial concordance, language preference, and the validated Group-Based Medical Mistrust Scale.

Results: A total of 246 guardians completed the survey. For guardians, 40% reported Black or African American, 31% Hispanic, and 19% Caucasian. Seventy-one percent of guardians reported speaking English, 18% Spanish, and 11% …

A Pilot Survey: Retention In Pain Medicine Among Fellowship Trained Anesthesiologists., Sarang S Koushik, Kelly Leap, Kenneth Seier, Kay See Tan, Naum Shaparin, Alan D Kaye, Omar Viswanath, Grant H Chen

Journal Articles

BACKGROUND: We aim to explore the factors related to job satisfaction among pain physicians and identify the reasons why individuals minimize or stop practicing outpatient pain medicine.

OBJECTIVES/STUDY DESIGN: This is a survey-based study with the primary goal to identify factors determining job satisfaction and dissatisfaction among pain medicine fellowship graduates who continue to practice and those who are no longer practicing interventional pain. A secondary goal is to elucidate reasons for anesthesiologists trained in pain medicine to leave pain medicine, despite an additional year of training, and to work as general anesthesiologists.

METHODS: In this study, all 114 pain …

Nevada Medical Residencies, 2021-2022, Katie M. Gilbertson, Geneva Martin, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet highlights medical residency data for the 2021 and 2022 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 Medicine. This fact sheet highlights the number of residency program matches at the Kirk Kerkorian School of Medicine at UNLV and the UNR School of Medicine in 2021 and 2022 and reveals where Nevada medical school students pursue their residencies.

Medical Student Sensitivity Training On The Differences In Sex Development, Paul Endres, Deborah Ziring, Dimitrios Papanagnou

Student Papers, Posters & Projects

No abstract provided.

The Patient Narrative And The Impositions Of Implicit Biases In Health Care, Dhara Shukla

Honors Theses

The patient narrative includes the patient’s sentiments about their health condition and how this has affected their lifestyle as opposed to a list of ailments. A large portion of the patient’s diagnosis and treatment plan is rooted in the patient’s narrative. If the health care provider does not listen to the patient’s story, they may miss a vital puzzle piece that could aid them in solving the mystery. The extent to which the health care provider listens to and values the patient narrative could be clouded by implicit biases that the provider holds. Implicit biases are preferential attitudes and associations …

A Survey To Highlight Areas Of Focus For Patient Care In Settings Utilizing Medical Interpretation, Azayzel Deregis

Undergraduate Honors Theses

This thesis recounts my personal experience working as a volunteer medical interpreter for the Language and Culture Resource Center at East Tennessee State University. The result of my time spent volunteering as a medical interpreter, shadowing professional medical interpreters, and witnessing patient-provider interactions during interpreted sessions was an inspiration to study medical interpretation further and delve into the challenges faced by patients who require medical interpreters. During my time researching this topic, I found that the United States is severely lacking in Spanish medical interpreters—with some healthcare facilities employing no medical interpreters—even though the size of the Hispanic population is …

Social Workers’ Perceptions In Working With Children With Medical Complexities, Elia Galicia, Rosa Espinoza

Electronic Theses, Projects, and Dissertations

ABSTRACT

This research study reviewed some of the challenges that foster care children with medical complexities encounter. The number of children with medical complexities in the foster care system has significantly increased in the last few years. However, little is known about the perceptions of social workers who have worked or will work with this specific population during their careers. This research explored social workers’ knowledge about care and the designed protocols in working with foster children with medical complexities. Variables including social workers’ classification, education level, degree’s background, experience, and completion of training were considered in this study. This …

Moving Beyond Doctor Google: Finding And Evaluating Quality Health Information Online, Beth Transue

Library Staff Presentations & Publications

• Identify quality health websites
• Evaluate health websites
• Improve communication with your health care provider

This was presented as part of a Pathways Institute for Lifelong Learning course.

Essays In Urban And Health Economics, Allyssa Ann Wadsworth

Graduate Theses, Dissertations, and Problem Reports

Chapter 1 analyzes the impact new hospital construction has on neighboring residential real estate prices. In 2017, the Oishei Children’s Hospital was built in downtown Buffalo, New York, representing a new era for women and children’s medical facilities. Individuals working at the old facility now faced the decision of whether to move closer to the new hospital or have a longer commute. Using property sales data, I analyze how Oishei impacts residential property prices with a difference-in-differences hedonic price model while utilizing three unique time treatments and two distance treatments. The opening of Oishei generated a statistically significant percentage increase …

Cross-Mentorship: A Unique Lens Into The Realities And Challenges Of Diversity In Surgery., Marina Affi Koprowski, Karen J Dickinson, Crystal N Johnson-Mann, Martha Godfrey, Emilia J Diego, Marie Crandall, Kevin Y. Pei Md, Mhsed

Other Specialties

Mentorship in surgery is a perennial topic of interest, as successful mentoring relationships are associated with improved career satisfaction, academic promotion, research productivity, and overall well-being. While it is true that certain minority groups in surgery find great personal and professional benefit in receiving and providing mentorship among “their own” (ie, a female academic surgeon mentoring a female resident), it is important to recognize that many mentoring relationships, whether intentionally or otherwise, extend across gender, sexuality, generations, race, ethnicity, and other differences. Lived examples of these include an Asian man hailing from the Northeast with no children mentoring a White …

Teaching English To Medical Students: Current Trends And Perspectives, Dilafruz Buranova

Philology Matters

The teaching of special subjects in English in non-linguistic universities is currently being widely introduced into the higher educational system. The main requirements for the modern image of today's personnel, the peculiarities of teaching English as well as the essence of the strategy for the acquisition of foreign languages are coming up on the agenda. Accordingly, the issues of the introduction of effective methodologies for achieving quality and respectable results in the organization of activities in this regard, the efficient use of modern teaching methods – all this is very important and leads to huge achievements. The given investigation examines …

Decisions And How Doctors Make Them: Modeling Multilevel Decision-Making Within Diagnostic Medicine, Michelle S. Kaplan

USF Tampa Graduate Theses and Dissertations

Effective decision-making is critical and necessary for organizational success across a wide range of occupations, situations, and industries. However, decision making, by its nature, is not always a direct process of a single decision leading to a direct outcome. Rather, it can often become a multilevel process whereby one decision’s outcome leads to information that is used in subsequent larger or other types of decisions. The decision-making process then becomes progressively more complex and more difficult to navigate as these decisions compound within one another. Thus, decision-makers must find an appropriate way to approach such decisions. Understanding the multilevel nature …

Mapping Nevada's Dental Workforce, Kelvin Chen

UNLV Theses, Dissertations, Professional Papers, and Capstones

Access to care is a concern at the forefront of public health. Due to socioeconomic and geopolitical pressures, the distribution of healthcare providers across a population often does not coincide with the demand for healthcare in a specific geographic area. Rural areas typically do not have enough providers and urban areas typically have too many. This stark reality underscores an inherent inefficiency in the allocation of healthcare resources and is a discrepancy that must be addressed by state-sponsored institutions and programs. From a public health perspective, the problem of insufficient or lack of access to care is the greater of …

Does Medical Racism Influence Medical Mistrust In The Black Community?, Danielle Forrest

Honors Undergraduate Theses

Mistrust in the medical field can be generated through experiences of racism and discrimination during interactions with members of the medical community. Black and African American individuals find themselves facing increased rates of morbidity including heart disease, and diabetes, and increased rates of mortality as compared to White individuals yet are treated less frequently and to a lesser extent. This thesis examines the mistrust black people have towards the medical field, as well as differences within the black community in terms of experiences with medical racism. In order to collect this information, I created a survey that enquires about race …

Hips That Harm: When Medical Devices Fail Women, Sophie N. Putka

Capstones

Medical devices that save the lives of thousands of Americans each year advance at a rapid pace - but some of them consistently leave women behind. When it comes to joint replacements and even heart devices, women have worse health outcomes. Behind this preventable problem is a system that overlooks women from start to finish. Female bodies are different from male bodies, but women are often underrepresented in medical trials for device approval. Women’s participation in clinical testing for devices has increased, but there’s rarely a detailed analysis of performance by sex, and even less information on women by race …

The Early Impact Of The Affordable Care Act Upon Colorectal Cancer Screening Utilization In Florida, Aldenise P. Ewing, Laura Baum, Rosalyn Roker, Marlene Joannie Bewa, Tali Schneider, Claudia F. Parvanta, Clement K. Gwede, Cathy D. Meade, Dinorah Martinez Tyson

Journal of Health Disparities Research and Practice

Background: Colorectal cancer is the second leading cause of cancer-related deaths in the United States. Although preventable and curable through screening, early detection and treatment, a lack of health insurance is a major obstacle to receiving colorectal cancer screening (CRCS). Despite the Affordable Care Act (ACA) increasing access to health insurance by mandating coverage of CRCS, disparities in utilization rates continue. Therefore, researchers sought to better understand ACA related facilitators and impediments that affect the utilization of CRCS and collect specific recommendations from healthcare professionals to increase screening utilization rates in Florida.

Methods: Researchers conducted in-depth interviews with …

Exploring The Experience Of Psychological Distress For Young Adults With Cancer: Implications For A New Diagnosis Of Medical Traumatic Stress, Audrey Ryan

Counseling and Psychology Dissertations

The purpose of this qualitative study was to investigate how a serious medical diagnosis, such as cancer, can act as an acute or prolonged trauma. This was explored through the lived experiences of psychological distress of young cancer survivors. Participants were 12 men and women who had been diagnosed with cancer within the past seven years when they were between the ages of 18 and 39. From these interviews several themes emerged that describe the phenomenon of what I have termed medical traumatic stress.

Trauma from a medical event does not currently meet criteria for PTSD in the DSM-5 …

Experiences Of Transgender Adults Navigating Healthcare Access In Massachusetts, Nic Tompkins-Hughes

Honors Program Theses and Projects

Recent research studies regarding Transgender individuals’ experiences of discrimination in health care settings strongly recommend the value of qualitative data, and the need for research into how transgender patients find, obtain, and access medical care, preventatively and as needed. However, despite calls for qualitative data, limited qualitative studies have focused on medical access and experiences of transgender patients as of 2019. This exploratory qualitative study utilized semi-structured qualitative interviews conducted between May 27^th, 2019 through August 10^th, 2019 to ask about the experiences of transgender individuals as it pertains to accessing health care services in Massachusetts. …

Curricula For Empathy And Compassion Training In Medical Education: A Systematic Review., Sundip Patel, Alexis Pelletier-Bui, Stephanie Smith, Michael Roberts, Hope Kilgannon, Stephen Trzeciak, Brian W Roberts

Faculty Scholarship for the College of Science & Mathematics

BACKGROUND: Empathy and compassion are vital components of health care quality; however, physicians frequently miss opportunities for empathy and compassion in patient care. Despite evidence that empathy and compassion training can be effective, the specific behaviors that should be taught remain unclear. We synthesized the biomedical literature on empathy and compassion training in medical education to find the specific curricula components (skills and behaviors) demonstrated to be effective.

METHODS: We searched CENTRAL, MEDLINE, EMBASE, and CINAHL using a previously published comprehensive search strategy. We screened reference lists of the articles meeting inclusion criteria to identify additional studies for potential inclusion. …

Research Development Webinar Series: A Collaboration Amongst Touro College And University System Libraries, Joanne M. Muellenbach, Sara V. Tabaei, Jason C. Fetty, Deborah A. Crooke, Rhonda L. Altonen, Amy Castro, Julie B. Horwath

Touro College Libraries Publications and Research

This collaboration amongst Touro College and University System (TCUS) libraries began as an initiative of the College Research Council to increase TCUS's research footprint. Specifically, faculty and students needed to develop greater research knowledge and skills. The Library Advisory Committee, one of four subcommittees of the Research Council, recognized the wealth of research taught across the system by individual libraries, and saw this as an opportunity for collaboration.

Combining Resources, Combining Forces: Regionalizing Hospital Library Services In A Large Statewide Health System., Heather J Martin, Basia Delawska-Elliott

Basia Delawska-Elliott, MLIS, AHIP

After a reduction in full-time equivalents, 2 libraries in large teaching hospitals and 2 libraries in small community hospitals in a western US statewide health system saw opportunity for expansion through a regional reorganization. Despite a loss of 2/3 of the professional staff and a budgetary decrease of 27% over the previous 3 years, the libraries were able to grow business, usage, awareness, and collections through organizational innovation and improved efficiency. This paper describes the experience--including process, challenges, and lessons learned--of an organizational shift to regionalized services, collections, and staffing. Insights from this process may help similar organizations going through …

Ic 058 Guide To Texas State Board Of Medical Examiners Records, 1907-1972, Texas State Board Of Medical Examiners

Institutional Finding Aids

The Texas State Board of Medical Examiners collection consists primarily of licensure records for more than 6,000 Texas physicians. The license applications and related materials date from 1907 to 1972. A typical doctor's file contains biographical information, licensure applications, registration cards, some correspondence, and usually a photograph. In addition to these files, there are two additional boxes of registration cards that are not accompanied by supplemental information. The collection also contains newsletters, a directory, and lists of doctors newly licensed, which date from 1979-2008. See more at IC 058.

Can Digital Media Affect The Learning Approach Of Medical Students?, Sonali Prashant Chonker, Hester Lau Chang Qi, Tam C. Ha, Melissa Lim, Mor Jack Ng, Kok Hian Tan

Faculty of Social Sciences - Papers (Archive)

Background: Students' learning approaches have revealed that deep learning approach has a positive impact on academic performance. There are suggestions of a waning interest in deep learning to surface learning. Aim: To assess if digital media can reduce the incidence of surface learning approach among medical students Method: A digital video introducing three predominant learning approaches (deep, strategic, surface) was shown to medical students between March 2015 and January 2017. The Approaches and Study Skills Inventory for Students (ASSIST), was administered at the beginning and end of their clinical attachment, to determine if there were any changes to the predominant …

Learning While Doing: Program Evaluation Of The Medical Library Association Systematic Review Project, Catherine Boden, Marie T. Ascher, Jonathan Eldredge

NYMC Faculty Publications

Objectives: The Medical Library Association (MLA) Systematic Review Project aims to conduct systematic reviews to identify the state of knowledge and research gaps for fifteen top-ranked questions in the profession. In 2013, fifteen volunteer-driven teams were recruited to conduct the systematic reviews. The authors investigated the experiences of participants in this large-scale, volunteer-driven approach to answering priority research questions and fostering professional growth among health sciences librarians. Methods: A program evaluation was conducted by inviting MLA Systematic Review Project team members to complete an eleven-item online survey. Multiple-choice and short-answer questions elicited experiences about outputs, successes and challenges, lessons learned, …