Digital Commons Network^™

Echo-Ct: An Interdisciplinary Videoconference Model For Identifying Potential Postdischarge Transition-Of-Care Events., Mariana R Gonzalez, Lauren Junge-Maughan, Lewis A Lipsitz, Amber Moore

Project ECHO Bibliography

BACKGROUND: Discharge from the hospital to a post-acute care setting can be complex and potentially dangerous, with opportunities for errors and lapses in communication between providers. Data collected through the Extension for Community Health Outcomes- Care Transitions (ECHO-CT) model were used to identify and classify transition-of-care events (TCEs).

METHODS: The ECHO-CT model employs multidisciplinary videoconferences between a hospital-based team and providers in post-acute care settings; during these conferences, concerns regarding the patient's care transition were identified and recorded. The videoconferences took place from January 2016 to October 2018 and included patients discharged from inpatient medical and surgical services to a …

Fatal Self-Injury In The United States, 1999-2018: Unmasking A National Mental Health Crisis, Ian R H Rockett, Eric D. Caine, Aniruddha Banerjee, Bina Ali, Ted Miller, Hilary S. Connery, Vijay O. Lulla, Kurt B. Nolte, G Luke Larkin, Steven Stack, Brian Hendricks, R Kathryn Mchugh, Franklin M M White, Shelly F. Greenfield, Amy S B S B Bohnert, Jeralynn S. Cossman, Gail D'Onofrio, Lewis S. Nelson, Paul S. Nestadt, James H. Berry, Haomiao Jia

Pathology Research and Scholarship

BACKGROUND: Suicides by any method, plus 'nonsuicide' fatalities from drug self-intoxication (estimated from selected forensically undetermined and 'accidental' deaths), together represent self-injury mortality (SIM)-fatalities due to mental disorders or distress. SIM is especially important to examine given frequent undercounting of suicides amongst drug overdose deaths. We report suicide and SIM trends in the United States of America (US) during 1999-2018, portray interstate rate trends, and examine spatiotemporal (spacetime) diffusion or spread of the drug self-intoxication component of SIM, with attention to potential for differential suicide misclassification.

METHODS: For this state-based, cross-sectional, panel time series, we used de-identified manner and underlying …

California V. Texas: The Role Of Congressional Procedure In Severability Doctrine, Mary Leto Pareja

Faculty Scholarship

The United States Supreme Court is once again considering a case that challenges the constitutionality of the Affordable Care Act (“ACA”). In this round of litigation, plaintiffs argue that because Congress lowered the individual mandate tax penalty to zero in the 2017 Tax Act that makes the individual mandate itself unconstitutional and that, furthermore, the individual mandate cannot be severed from the rest of the ACA. The District Court agreed with the plaintiffs and struck down the entire ACA, and the Supreme Court granted cert to hear this momentous question. A decision is expected by summer of 2021.

The ACA …

Hope Springs Eternal: Can Project Echo Transform Nursing Homes?, Alice Bonner

Project ECHO Bibliography

No abstract provided.

02-09-21 Hsc Committee Meeting Notice, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

Unm Hsc Education Day Agenda 2020-21, Gary Smith

HSC Education Days

No abstract provided.

Creating And Implementing An Anesthesiology Selective Rotation In The University Of New Mexico School Of Medicine Phase Ii Curriculum, Christine H. Teng, Daniel Pitcher, Terra L. Wubbenhorst, Laura M. Pinault

HSC Education Days

Introduction: Anesthesia is poorly understood and underestimated as a career choice for graduating medical students in the United States. In 2019, 25 of 151 LCME accredited medical schools reported an average of 1.7 required weeks of anesthesia. Currently, University of New Mexico (UNM) Phase II medical students have less than one mandatory week of anesthesia and do not have the option to select anesthesia as an elective for any core clerkships. Objectives: Familiarize UNM third-year medical students with the field of anesthesiology by creating a phase II elective rotation. Students would benefit from the opportunity to have protected time to …

Working With Communities: Rural And Urban Underserved Program Scholars Take On Broader Health Issues Working With Communities, Crystal Krabbenhok, Jesse Barnes, A Carolyn Ice, Claire Sava, Tenzin Desel, Robert Williams

HSC Education Days

Clinicians in medically underserved communities encounter both community-wide health issues and community strengths. Together these raise the opportunities and responsibilities for clinicians to take action outside the clinical exam room to improve health in the community. Rural and Urban Underserved Program (RUUP) Scholars develop skills through engagement with communities in: 1) Health related advocacy, 2) Volunteer clinical care, 3) Health education pipeline support, 4) Non-clinical public health based community work, and/or 5) Community health education. Emphasis is on meaningful yet practical ways of partnering with others to work toward improved health goals. Students are encouraged to choose projects which take …

Covid-19 In 2020: Defining Medical Student Roles During The Pandemic, Fiore Casale, Sally Midani, Elizabeth Lawrence, Felisha-Rohan Minjares, Rebecca Williams, Rebecca Hartley

HSC Education Days

Introduction: The COVID-19 pandemic has unequivocally disrupted medical education. Medical students have been removed from clinical rotations despite continued desire to participate in patient care during the pandemic. Many medical schools are adopting online learning while the COVID-19 pandemic continues, but the role of medical students in patient care and value of COVID-19-related education remains unclear. Methods: Rising third and fourth year medical students were placed in a 4-week long curriculum designed to prepare students for leadership during times of crisis, to educate students about COVID-19, to understand the societal and public health impacts of the pandemic, to develop tools …

Pandemics In The Media: Achieving Wellness Through Information & Resource Sharing, Fiore Casale, Christine Teng

HSC Education Days

Introduction: The COVID-19 pandemic increased uncertainty and anxiety in the lives of medical students. It is difficult to remain updated with quality information about COVID-19. Moreover, unprecedented stresses threaten student wellness. Objectives: Create an initiative to investigate and analyze domestic and international information disseminated through the media, public health responses, and popular culture. Pilot wellness techniques to ease despair related to the quantity and quality of COVID-19 information. Methods and Materials: A comprehensive overview of COVID-19 global media coverage included news articles, journals, podcasts, and documentaries. An analysis of the information was discussed amongst the group. Global public health strategies …

Strategies To Support Online Student Success, Mary Thelander Hill

HSC Education Days

Online coursework in health care professional programs was increasing prior to Covid-19 pandemic emergency online coursework, and will likely continue to expand. Numerous current strategies to improve student engagement and skill instruction are presented. Opportunities to reflect on challenges and benefits of online coursework will allow for translation from literature to curriculum development to successful instructional experiences. Incorporation of Culturally Responsive Theory will encourage online students to share their diverse knowledge and perspectives.

The Impact Of Virtual Simulations On Undergraduate Nursing Student Success In Managing Patient Care, Sarah Patel, Heidi Orehek, Adreanne Cordova

HSC Education Days

Patient encounters are instrumental in nursing education to integrate didactic learning with clinical experiences and prepare students for core client needs competencies evaluated on standardized examinations and on the National Council Licensure Examination (NCLEX). Previously, undergraduate nursing students have shown difficulty connecting management of care concepts from didactic content to patient activities care. To overcome the lack of access to clinical experiences due to COVID-19, the College of Nursing integrated virtual nursing simulations to supplement student learning experiences. While high fidelity simulation has been proven as an effective clinical replacement in nursing education, virtual simulations (vSims) are an innovative educational …

Pets Against Pandemics: A Medical Student-Led Wellness Initiative During Covid-19, Sabah Osmani, Justine Yang, Ali Salehpoor, Aakriti Mishra, Carly Wujek, Mary Bartlett

HSC Education Days

The COVID-19 pandemic has impacted people around the world but has had an especially profound effect on medical students. Many students have suffered from drastic changes to their academic curriculum, including withdrawal from in-person patient encounters. Additionally, medical students were expected to remain in-state and discouraged from traveling to see friends or family due to the unpredictable nature of when they would be allowed to return. While staying home and social distancing throughout the pandemic, many students relied on their pets’ emotional support and companionship to lessen the burden of isolation and quarantine fatigue. The objective of our wellness initiative …

Development Of Psychomotor Skills In Doctor Of Physical Therapy (Dpt) Students Via A Modified Collaborative Model Post Covid-19, Susan J. Leach

HSC Education Days

In Spring Semester 2020, 28 2nd year DPT students were taking their 3rd in a 3-part series of didactic and lab classes preparing them to work with patients with neurologic dysfunction. Following Spring Break, all in-person classes at UNM were cancelled as a sequelae of COVID-19. Remaining didactic content was completed in an on-line format within 6 weeks. Outstanding psychomotor content was postponed until June 8 when students could return to campus with a maximum of four students plus an instructor in the same room. Prior to COVID-19, labs were divided into 2 groups with 14 students per group. Now …

Impact Of Virtual Curriculum On Shelf Exams, Stephen Esguerra, Fiona Thuy Nguyen, Joyce Pang, Bradley Pickett, Ming Li Wang

HSC Education Days

The COVID-19 pandemic has drastically transformed the third-year medical school curriculum. Due to the AAMC and public agencies’ guidelines, there was an abrupt cessation of teaching medical students in the clinical setting. At the UNM SOM, students were transitioned to a hybrid curriculum consisting of 6 months of 3-week virtual clerkships followed by 6 months of clinical clerkships. At the end of each virtual rotation, students were required to take the NBME shelf exams. This study aims to examine the difference between the shelf exam scores of the class of 2022 to the class of 2021 and 2020 students. De-identified …

Incorporating A Flipped Classroom In A Medical Spanish Course Designed With Role-Playing Experiential Learning, Rose Vallejo

HSC Education Days

The Division of Physical Therapy has offered an elective Medical Spanish course to all 2nd year doctoral students for the last 10 years. The curriculum was recently re‐designed to meet the needs of DPT students who have various levels of linguistic proficiency and to incorporate physical therapy‐specific experiential learning. The students in the course self‐identified as beginner, intermediate, or advanced Spanish speakers with general guidance from the instructor. The students were heterogeneously paired by ability so that advanced and beginner students worked together and homogenously paired so that intermediate level students worked together during the clinically‐based experiential lab sessions. Additionally, …

Valued Information Resources When Making Diagnoses: The Experiences Of Medical Students In A Clinical Reasoning Course, Jonathan D. Eldredge, Laura J. Hall, Sumit J. Patel

HSC Education Days

OBJECTIVES: The clinical reasoning process, aimed at making an accurate diagnosis, represents a complex activity. No studies to date have reported on how medical students harness existing information resources in their clinical reasoning courses to arrive at correct diagnoses. This study fills that gap. METHODS: Cross Sectional Study. An anonymous survey asked students to recall their most useful information resources halfway through their three clinical reasoning courses. Students then were asked to evaluate the comparative usefulness of these selected resources. Finally, students reported on those resources that they no longer found useful. This survey sought to learn what information resources …

Innovations In Community Clinical Education, Kelly Camden, Bolajoko Enemchukwu, Maggie June, Loren Kelly, Francisco Ronquillo, Leeann Vargas

HSC Education Days

The Care Calls Initiative was developed by the UNM HSC Office for Community Health (OCH) in partnership with the NM Aging and Long-Term Services Department (ALTSD), to help reduce a backlog of nearly 18,000 requests from older adults and people with disabilities in need of supportive services through ALTSD. The OCH has been coordinating a team of volunteers to make calls to community members who are awaiting services. One effect of the pandemic, has been that clinical opportunities have been limited and somewhat tenuous for nursing students. Two faculty from the College of Nursing joined the Care Calls Initiative and …

Consortium Collaboration For Success With Computer-Based Clinical Simulation: Making A Checklist, Mary Wright

HSC Education Days

The Program Directors from the twelve New Mexico Nursing Education Consortium (NMNEC) programs started meeting weekly in the 2020 spring semester as a public health emergency was declared in the state of New Mexico and campuses were closed. With the shift from face-to-face clinical or simulation to online computer-based simulation activities (commonly referred to as virtual simulation), it rapidly became apparent that a consistent approach and guidelines were needed in converting learning activities into computer-based clinical simulation activities that met program objectives, state board of nursing requirements, as well as simulation and accreditation standards. While working closely with the program …

Mock Paging Program In Internal Medicine Boot Camp, Sarah Burns, Mary Lacy

HSC Education Days

Purpose: To provide practice in common mock paging scenarios in internal medicine (IM) with formative feedback. Abstract: Transitioning to residency is a stressful time with increased expectations. One expected skill is answering and triaging pages, by utilizing clinical knowledge, behaviors and attitudes to provide the best care possible. To increase experience, comfort level and critical thinking skills, we created 14 unique IM cases for mock paging through the Southern Illinois University mock paging program. The 14 IM cases encompass common scenarios found on the wards. A panel of invited experts reviewed each case for appropriate responses, including assessments, investigations, management, …

Virtual Radiology Education During The Covid-19 World Pandemic, S Elman, Jennifer S. Weaver

HSC Education Days

The COVID-19 pandemic necessitated a paradigm shift in traditional radiology education. Conventional teaching and imaging review at the Picture Archive and Communication System (PACS) workstation and didactic group lectures/case conferences are no longer feasible due to physical distancing requirements. We will discuss our implementation of a videoconferencing system, including web cameras for virtual PACS image review and teaching as well as for didactic lectures/case conferences. We discuss the importance of social inclusiveness and well-being in radiology education while physically distanced, to prevent feelings of isolation. Many faculty and learners reported virtual PACS learning is nearly identical to in person learning. …

Virtual Introductory Lecture Series For First Year Radiology Residents During The Covid-19 World Pandemic, Tim Naney, S Elman, Jennifer S. Weaver

HSC Education Days

Physical distancing requirements of the COVID-19 pandemic can result in increased educational and social stresses on first year radiology residents. Faculty can no longer easily welcome and quickly integrate new residents into the radiology department via social events at the beginning of the academic year due to limitations of physical distancing requirements. Interactions between new residents and faculty/senior residents in the reading room has also been limited due to physical distancing requirements. As a result, we developed a virtual introductory lecture series for our first year residents to introduce them to key elements of radiology education, rotation expectation, and daily …

The Influence Of Institutional Trust On The Academic Decisions Of Medical Students, Hannah Howse, Promise Bood, Patrick Rendón

HSC Education Days

Introduction: Research in regard to medical students’ trust in their institution and willingness to follow the presented curriculum is currently lacking, yet the student-school trust dynamic may offer potential insight into the academic performance, study methods, and clinical confidence of future physicians. We are conducting a series of surveys and interviews to gather information from pre-clerkship students concerning trust in their medical institution, and how trust shapes their interaction with the curriculum. Methods: The initial phase of this research included a survey designed to gauge their trust in the curriculum and institution related to board exam preparation. Analysis of the …

Early Introduction Of Trauma-Informed Care In A Medical School Curriculum, Anusara Carolyn Ice, Heather Metcalf, Rachel Mnuk

HSC Education Days

The long-term effects of trauma are pervasive among patients, manifesting as chronic conditions, maladaptive behaviors, and non-adherence to care. One way to improve health outcomes is through implementation of universal trauma-informed care (TIC). TIC is a strengths-based care delivery approach focused on recovery and healing through safe, collaborative relationships between patients and healthcare providers. Awareness of TIC is essential for practicing clinicians. TIC is often incorporated into discussions related to OB/GYN; however, all specialties care for patients who have experienced trauma. The UNM medical school curriculum does not include focused TIC content for Phase I students. Medical students should develop …

Simulating A Dashboard - Programming An Excel Workbook To Provide An Interactive Custom-Shaped Heat-Map, Jamie Riera

HSC Education Days

Yearly, the University of New Mexico (UNM) School of Medicine produces a Location Report that provides a statistical overview of current practice location for UNM-trained MDs practicing in New Mexico. However, the limited space of the printed report only allows a portion of UNM-trained MD data to be included. The distribution of this additional data proved difficult, sporadic, and even not-existent. To disseminate additional UNM-Trained MD data, I created an interactive Location Report in Excel that supplements the existing printed report by displaying further data and sub-divided information in a New Mexico heat-map. I customized spreadsheets and Visual Basic code …

Virtual Anatomy, Julie Jordan, Rebecca Hartley

HSC Education Days

Clinical Morphology is the foundational anatomy course for UNM School of Medicine MD and PA curricula. This 9-week block overviews normal human anatomy, histology and embryology as they relate to clinical practice. It relies heavily on dissection laboratories, peer instruction, and team-based learning. This July, Clinical Morphology successfully transitioned to a fully online course, with optional weekly prosection labs supplemented with prosection videos. All content was delivered asynchronously, using a learning management system on which weekly Independent Learning Modules (ILMs) were posted. ILMs consisted of overview videos and high yield notes with learning objectives and associated content. Formative self-assessments were …

Escaping The Boredom Of Online Learning: The Implementation Of Virtual Escape Rooms, Sarah Patel

HSC Education Days

Educational innovations are necessary to improve student learning outcomes and motivation. However, the COVID-19 pandemic created barriers in implementing in-person strategies to facilitate students’ understanding and application of course material. To promote educational content delivery in online learning, the College of Nursing faculty have implemented revolutionary teaching methods, including escape rooms, to enhance students’ virtual learning experiences. Escapes rooms allow students to apply clinical judgement skills to escape a virtual room by integrating knowledge gained from course content. In person escape rooms promote team work principles for individuals to gather clues to “escape” their room or environment. The same techniques …

The Quiet Room: Pre-Exam Wellness For Pre-Clinical Students, Sabah Osmani, Elizabeth Lawrence

HSC Education Days

Exams are stressful for all learners. Some students feel especially anxious after walking into a classroom on test day to find their classmates frantically engaged in last-minute studying. Many students wait in their cars or stand in front of the building alone to avoid these stressful situations. Although some would rather study right up until the start of an exam, our aim was to create a calm space for those who preferred not to do so. In order to provide this relaxing environment, we reserved a room near students’ exam area; we dimmed the lights and turned on a light …

Using A Data Placemat To Evaluate A Redesigned Curriculum In The Unm Medical School, Nancy Shane

HSC Education Days

The purpose of this poster is to describe the Data Dashboard process and reflect on its effectiveness as a guiding tool for improving the complex endeavor that is a curriculum renewal. The Curriculum Committee—a representative group of about 40 medical school faculty, staff and students—overhauled ‘Phase I,’ the first two years of undergraduate medical education (UME) preceding students’ first licensure exam, Step 1. UME altered the structure of the basic science coursework; stretched the Phase by several weeks; added eight intersessions; assigned ‘core faculty’ to help block chairs with standardization; redesigned the unit for assisting struggling students; and changed requirements …

Nursing Education: From Classroom To Computers-The New Mexico Nursing Education Consortium's Collaborative Problem-Solving During The Pandemic, Judy Liesveld, Kimberly Petrovic, Teresa León, Susan Grohman, Mary Wright

HSC Education Days

Introduction: The Covid-19 pandemic forced many nursing programs to emergently move classroom and clinical instruction to remote learning. Faculty wondered: How can we move our courses on-line? How will we teaching nursing skills and simulation? Will our students be able to progress? How do we assure rigor and quality in our programs? and What will happen with our new graduates? Specific Aims for our project: 1) Identify similar challenges that nurse educators addressed amidst the pandemic 2) Demonstrate the benefit of a university and community college nursing education consortium (or partnership model) 3) Inform nurse educators of innovative outcomes originating …