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A Four-Year Longitudinal Curriculum To Improve Feedback-Seeking Behaviors For Medical Students, Vicki Hayes, Robert Bing-You, Tamara Palka, Marybeth D. Ford, Robert Trowbridge Jr 2022 Maine Medical Center

A Four-Year Longitudinal Curriculum To Improve Feedback-Seeking Behaviors For Medical Students, Vicki Hayes, Robert Bing-You, Tamara Palka, Marybeth D. Ford, Robert Trowbridge Jr

Journal of Maine Medical Center

Introduction: Feedback is essential for performance improvement and plays a pivotal role in competency-based medical education. Medical learners need training to acquire skills to effectively seek feedback for their unique situations.

Methods: We developed a 4-year longitudinal curriculum designed to encourage feedback-seeking by medical students. The 4.5-hour curriculum consisted of interactive lectures, feedback-seeking surveys, trigger videotapes, and peer-group discussions in small- and large-group formats.  A volunteer study cohort (n = 14/37, 38%) was interviewed in 4 separate waves in individual and focus-group formats to explore perceptions about feedback-seeking and effectiveness of the curriculum.

Results: Themes and student quotes related ...


Senior Academic Ranks In Us Anesthesiology Programs: Differences Between Women And Men And Examination Of Independent Factors For Success, Brenda Lee, Farhad Zahedi, Ina Zaimi, Roman Schumann 2022 Harvard Medical School

Senior Academic Ranks In Us Anesthesiology Programs: Differences Between Women And Men And Examination Of Independent Factors For Success, Brenda Lee, Farhad Zahedi, Ina Zaimi, Roman Schumann

Journal of Maine Medical Center

Introduction: Gender equality among faculty is a challenge in academic medicine, including anesthesiology. We investigated the likelihood that several factors were associated with academic success in the United States (US), defined as having achieved a senior academic rank (SAR) in a US anesthesiology training program.

Methods: We collected data available on the Internet on 131 anesthesiology programs, including faculty academic rank, gender, number of faculty, graduate status from an American medical school, fellowship training status, number of residents, number of program fellowships, and geographic location. SAR was defined as either associate professor or professor. Data were analyzed with logistic regression ...


Inpatient Discharge-By-Noon: Are Fewer Better Than All?, Nicholas Ballester, Pratik J. Parikh, Kara Combs, Jordan S. Peck 2022 IU Health, Indianapolis, IN

Inpatient Discharge-By-Noon: Are Fewer Better Than All?, Nicholas Ballester, Pratik J. Parikh, Kara Combs, Jordan S. Peck

Journal of Maine Medical Center

Introduction: To address boarding in hospital emergency departments, discharge-by-noon could free up inpatient beds earlier in the day. However, discharging all patients by noon can heavily burden inpatient units and may not be feasible. In this study, we determine the number of discharges after which the benefits of an additional discharge-by-noon diminish.

Methods: We conducted a simulation analysis to quantify how occupancy rate, mean daily number of discharges, and peak discharge time impact upstream boarding time in an inpatient neurology unit at Maine Medical Center. Using a day-of-discharge simulation model with one year of retrospective data, we assessed configurations approximating ...


Desperately Seeking Feedback: A Phenomenographic Study Of Medical Students’ Experiences During A 4-Year Longitudinal Feedback Curriculum, Robert Bing-You, Victoria Hayes, Tamara Palka, Marybeth Ford, Robert Trowbridge 2022 Maine Medical Center

Desperately Seeking Feedback: A Phenomenographic Study Of Medical Students’ Experiences During A 4-Year Longitudinal Feedback Curriculum, Robert Bing-You, Victoria Hayes, Tamara Palka, Marybeth Ford, Robert Trowbridge

Journal of Maine Medical Center

Introduction: The focus of feedback in medical education recently shifted to a dialogic partnership between teachers and learners, co-creating effective feedback exchanges. We previously described a prototype, longitudinal 4-year curriculum for medical students to develop feedback-seeking behaviors. We explored the students’ experiences as participants in this novel program.

Methods: Beginning in academic year 2017-2018, we assessed the 4-year experiences of 14 medical students with a phenomenographic, qualitative approach. Three waves of semi-structured, individual interviews were conducted during the first 3 years. Focus groups were conducted in the final year of the program. Meaning units were identified, and categories were determined ...


Monthly Trends Of Substance Use Among Mainers Receiving Buprenorphine Treatment During The Covid-19 Pandemic, Sarosh Khan 2022 University of New England College of Osteopathic Medicine

Monthly Trends Of Substance Use Among Mainers Receiving Buprenorphine Treatment During The Covid-19 Pandemic, Sarosh Khan

Journal of Maine Medical Center

Introduction: Drug-related deaths in Maine increased by 23% in the first quarter of 2020 compared to the last quarter of 2019. Most of these deaths were accidental overdoses involving at least one opioid, and 65% of these deaths were caused by fentanyl, according to the Maine Center for Disease Control and Prevention.

Methods: This research explored substance use in Maine during 2020. Among the sample of individuals, 46% were homeless and receiving recovery services at a buprenorphine-assisted treatment program at a federally qualified health center in Maine. Charts of 35 patients were reviewed for emergency room visits and urine drug ...


How Do You Measure The Success Of A New Journal Launch?, Robert Bing-You, Devin Carr, Carolyne Falank, Vicki Hayes, Dina McKelvy, Charlotte Bailey 2022 Maine Medical Center

How Do You Measure The Success Of A New Journal Launch?, Robert Bing-You, Devin Carr, Carolyne Falank, Vicki Hayes, Dina Mckelvy, Charlotte Bailey

Journal of Maine Medical Center

No abstract provided.


Thomas Jefferson University Research - Convergent Thinking, Creative Application, 2022 Thomas Jefferson University

Thomas Jefferson University Research - Convergent Thinking, Creative Application

Thomas Jefferson University Research

One way we accomplish our distinctive programmatic approach to research is by organizing as multidisciplinary centers and institutes around specific challenges. Led by visionaries and staffed by experts, these entities enable us to more quickly move discovery to translation and application; and they are excellent environments for training colleagues and students to address the practical challenges the world presents.


Sending Jefferson Research To Space, 2022 Thomas Jefferson University

Sending Jefferson Research To Space

Thomas Jefferson University Research

Three of Jefferson’s collaborative research projects will become part of the upcoming Rakia space mission, the first-ever private mission to the International Space Station. Scheduled for early 2022, Rakia will include 44 research projects to help scientists explore topics including the effects of low-gravity and space travel on the human body.

“The Rakia mission selected all three of the projects submitted by Jefferson and its institutional collaborators—Sheba Medical Center, the Ramon Foundation and the Israeli Space Agency at the Ministry of Science and Technology,” explains Zvi Grunwald, MD, James D. Wentzler Professor of Anesthesiology and executive director of ...


Anticipating Risk For Joint Replacement Problems, 2022 Thomas Jefferson University

Anticipating Risk For Joint Replacement Problems

Thomas Jefferson University Research

Research teams led by Javad Parvizi, MD, clinical research professor and vice chair of orthopedic surgery, have identified risk factors associated with two major postoperative issues for patients undergoing total hip or knee replacements.

Despite ongoing improvements in technology and perioperative protocols, some patients undergoing total joint arthroplasty (TJA) experience serious medical complications requiring postoperative intensive care. With TJA increasingly being performed in ambulatory surgical settings, it is important to understand which patients are most at risk for such complications. Dr. Parvizi and his colleagues conducted a study to identify patient risk factors for admission to an intensive care unit ...


Jeffsolves With Student Innovation, 2022 Thomas Jefferson University

Jeffsolves With Student Innovation

Thomas Jefferson University Research

The JeffSolves MedTech program teams industrial design and medical students to develop innovative solutions to specific healthcare problems. Having chosen particular, concrete challenges faced by medical patients, student teams collaborate to conduct in-depth user research and problem identification, develop potentially marketable solutions and create prototype products. “The solutions these teams create are consistently remarkable and effective,” says Bon Ku, MD, assistant dean for health and design at Sidney Kimmel Medical College.


A Design For Mitigating Patient Hypothermia, 2022 Thomas Jefferson University

A Design For Mitigating Patient Hypothermia

Thomas Jefferson University Research

General anesthesia during surgery can impair the body’s autonomic temperature regulation and lead to patients having dangerously low body temperature. That, in turn, increases an array of clinical risks, including poor wound healing and infection, excess blood loss, cardiac arrhythmias and impaired renal function. Unfortunately, current surgical gowns— which have very little thermal capability—provide no significant protection against heat loss.

For that reason, a cross-disciplinary team of Jefferson students and faculty—with expertise in anesthesiology, mechanical engineering, textile engineering, textile technology and fashion design—is creating a new type of patient garment that is intended to mitigate the ...


Does Art Reduce Bias Among Healthcare Providers?, 2022 Thomas Jefferson University

Does Art Reduce Bias Among Healthcare Providers?

Thomas Jefferson University Research

Katherine Cambareri, who earned an MPH from Jefferson in 2019, works as a clinical research coordinator at Children's Hospital of Philadelphia. She is also a serious photographer and deeply interested in exploring the synergies between public health and art.

In 2016, Cambareri created a photographic exhibition by documenting the clothes worn by survivors of sexual violence when they were assaulted. The exhibit’s photographs—individually straightforward, collectively powerful—were created with the intention of increasing understanding of sexual assault and challenging false assumptions of those who blame the victim. The exhibition titled “Well, What Were You Wearing?” has been ...


Measuring Empathy Among The Healthcare Team, 2022 Thomas Jefferson University

Measuring Empathy Among The Healthcare Team

Thomas Jefferson University Research

We live in a time when empathy seems more important than ever. Two recent studies assess opportunities and challenges for training physicians and nurses to develop stronger skills in empathy.

Jefferson research professor of psychiatry and human behavior Mohammadreza Hojat, PhD, led a nationwide study of empathy in nearly 11,000 osteopathic medical students in the United States. The study used the Jefferson Scale of Empathy (JSE), a validated measurement tool developed at Jefferson and used in 85 countries and translated into 56 languages. Among its findings were that women tended to score higher on the empathy scale than men ...


Canine Intervention For Ptsd, 2022 Thomas Jefferson University

Canine Intervention For Ptsd

Thomas Jefferson University Research

Strong anecdotal evidence suggests that trained service dogs can help mitigate symptoms of posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI). In particular, they may help reduce incidence of substance abuse and suicide in military veterans with PTSD and TBI. Two Jefferson College of Nursing faculty members— assistant professor Jennifer Shiroff, PhD, and instructor Jacquelyn O’Rourke-Fulford, MSN— have begun the process of formally assessing the effectiveness of service dogs as a therapeutic intervention for veterans with PTSD or TBI.


Assessing Trauma’S Effects On Children, 2022 Thomas Jefferson University

Assessing Trauma’S Effects On Children

Thomas Jefferson University Research

“Children who are exposed to adverse experiences early in life may not think, feel or behave the same way that typically developing children do,” says Kirby L. Wycoff, PsyD, associate professor of counseling and behavioral health and director of Jefferson’s Community and Trauma Counseling program. “If behavioral health professionals are not cognizant of the effects of trauma in the lives of children, they may actually be providing ineffective and inefficient care—and doing a disservice to the children and their families.”


Brain Implant Aims To Restore Movement After Stroke, 2022 Thomas Jefferson University

Brain Implant Aims To Restore Movement After Stroke

Thomas Jefferson University Research

In the United States, someone has a stroke every 40 seconds. Often, these victims have long-term physical disabilities—the inability to use an arm and hand properly, for example. While rehabilitation can restore some function, improvements typically plateau well short of full recovery. Seeking to help stroke patients gain a fuller return-to-function, a research group led by assistant professor of neurology Mijail Serruya, MD, PhD, has begun a clinical trial of a brain implant and motorized robotic brace that could enable greater mobility. The work represents a convergence of disciplines, including computer science, fashion design, mechanical engineering, neurology, physics and ...


Immune Signals In Parkinson’S Disease, 2022 Thomas Jefferson University

Immune Signals In Parkinson’S Disease

Thomas Jefferson University Research

The Jefferson Comprehensive Parkinson’s Disease Center is one of the Parkinson’s Foundation’s 33 Centers of Excellence in the United States. Its director, Richard Smeyne, PhD, professor of neuroscience, and his research group are examining the cell signaling and cascade of events that leads to initiation of Parkinson’s disease (PD), seeking important clues about ways to arrest the condition’s progression. Mutation within the Leucine-rich Repeat Kinase 2 (LRRK2) gene is thought to underlie about 20 percent of all PD cases. Two of the group’s recent studies suggest that immune signaling from T-cells and B-cells in ...


How Does Calcium Impact Cardiac Mitochondria?, 2022 Thomas Jefferson University

How Does Calcium Impact Cardiac Mitochondria?

Thomas Jefferson University Research

The ability of a cardiac cell to work hard and continuously depends on the energy-producing function of its mitochondria. Calcium is key to proper mitochondrial function—but only in the right amounts. Too much calcium leads to cell death; too little suppresses production of the fuel a cell needs to function.

Research collaborators Shey-Shing Sheu, PhD, professor of medicine, and Gyorgy Csordas, MD, research associate professor of pathology, anatomy and cell biology, are studying the mechanisms by which cardiac mitochondria use calcium and other molecules. And they are shedding light on how dysfunction in those mechanisms contribute to ischemic heart ...


Paradigm-Changing Immunotherapy For Multiple Sclerosis, 2022 Thomas Jefferson University

Paradigm-Changing Immunotherapy For Multiple Sclerosis

Thomas Jefferson University Research

In multiple sclerosis (MS), the body’s immune system attacks the myelin sheath, the protective layer surrounding nerve axons. Current MS therapies act by suppressing the immune system broadly—with sometimes serious side effects, including infection and cancer. However, a team of researchers led by Abdolmohamad Rostami, MD, PhD, professor and chair of neurology, has found a way to prevent immune cells from attacking myelin—while leaving the rest of the immune system intact. In mouse models of MS, their approach has halted disease progression.


Studying Hiv Antiretroviral Therapy, 2022 Thomas Jefferson University

Studying Hiv Antiretroviral Therapy

Thomas Jefferson University Research

Combination antiretroviral therapy (ART) has turned HIV infection into a treatable, chronic condition, rather than one that is almost inevitably fatal. As a result, as they age, people with HIV often begin taking other medications to treat medical conditions ranging from heart disease to gastrointestinal problems to cancer. The increased number of medications creates a risk for drug-drug interactions. Jason Schafer, PharmD, professor and vice chair of pharmacy practice, is exploring combinations of ART drugs that can reduce the number and severity of those interactions.


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