Digital Commons Network^™

Unm Hsc Education Day Agenda 2023, Gary A. Smith

HSC Education Days

No abstract provided.

The Onset Of Rare Earth Metallosis Begins With Renal Gadolinium-Rich Nanoparticles From Magnetic Resonance Imaging Contrast Agent Exposure, Joshua Deaguero, Tamara Howard, Donna Kusewitt, Adrian Brearley, Abdul-Mehdi Ali, James H. Degnan, Stephen Jett, John Watt, G Patricia Escobar, Karol Dokladny, Brent Wagner

Pathology Research and Scholarship

The leitmotifs of magnetic resonance imaging (MRI) contrast agent-induced complications range from acute kidney injury, symptoms associated with gadolinium exposure (SAGE)/gadolinium deposition disease, potentially fatal gadolinium encephalopathy, and irreversible systemic fibrosis. Gadolinium is the active ingredient of these contrast agents, a non-physiologic lanthanide metal. The mechanisms of MRI contrast agent-induced diseases are unknown. Mice were treated with a MRI contrast agent. Human kidney tissues from contrast-naïve and MRI contrast agent-treated patients were obtained and analyzed. Kidneys (human and mouse) were assessed with transmission electron microscopy and scanning transmission electron microscopy with X-ray energy-dispersive spectroscopy. MRI contrast agent treatment resulted in …

Nurses' Knowledge, Communication Needs, And Future Directions In Neonatal Research: Results Of An International Survey, Sandra Sundquist Beauman, Wakako M. Eklund, Mary A. Short, Carole Kenner, International Neonatal Consortium (Inc) Communications Workgroup

Pediatrics Research and Scholarship

BACKGROUND: Preterm birth is a significant contributor to neonatal morbidity and mortality. Despite legislative efforts to increase pediatric drug development, neonatal clinical trials continue to be infrequent. The International Neonatal Consortium (INC) includes nurses as key stakeholders in their mission to accelerate safe and effective therapies for neonates.

PURPOSE: INC developed a survey for nurses, physicians, and parents to explore communication practices and stakeholders' perceptions and knowledge regarding clinical trials in neonatal intensive care units (NICUs).

METHODS: A stepwise consensus approach was used to solicit responses to an online survey. The convenience sample was drawn from INC organizations representing the …

Clinical Outcomes Of Pediatric Osteomyelitis, Kylie Disch, Deidre A. Hill, Harry Snow, Walter Dehority

Pediatrics Research and Scholarship

Background

Osteomyelitis in children may produce severe sequelae. However, the frequency and distribution of such complications by type of osteomyelitis (chronic or acute) is not well described.

Methods

We searched the HealthFacts® database (containing medical information on 68 million individual patients in the United States) with 238 International Classification of Diseases (ICD) version 10 codes for acute osteomyelitis and chronic osteomyelitis appearing in 2015. Outcomes were recorded for each subject, including development of limb length discrepancies, pathologic fractures, mortality, and need for multiple surgeries or prolonged orthopedic care (one to two years following diagnosis). Gender, age and season of diagnosis …

How To Achieve Sustainability At An Interprofessional Student-Run Free Clinic, Sarah Bouquin, Mary Blasl, Eleazar Torres, Lindsay Fox

HSC Education Days

The Albuquerque Opportunity Center (AOC) is an emergency shelter run by the local non-profit Heading Home. It temporarily provides a safe place for men experiencing homelessness to sleep at night and store their belongings during the day, as well as access to wrap-around services. UNM Health Science students from the medicine, pharmacy, nursing, and physician assistant programs run a weekly, free clinic for the residents of AOC. This interprofessional student-run clinic allows students the opportunity to learn from each other and treat patients as a cohesive team. Student-run organizations face the perennial challenge of maintaining institutional knowledge and consistency given …

Psychometrics At A Glance: What Does Item Analysis Tell Us?, Katherine Grand

HSC Education Days

The purpose of this work is to help educators improve assessments using item analysis. It is important to assess if the student made a connection of what was taught or learned. If exams are too easy this could lead to low motivation, or exams are too hard it could lead to student frustration or lack of confidence. The purpose of this poster will teach the teacher on how to interpret assessments using item analysis both item quality (difficulty index, discrimination index, and point biserial), and exam quality (Kuder-Richardson 20 (KR-20).

Development Of A Holistic Review Process Of Applications For Internal Medicine Residency Program To Maximize Mission Aligned Recruitment, Suman Pal, Sara Combs, Mary Lacy

HSC Education Days

While increasingly recognized as a best practice in recruitment, a holistic review of applications for GME programs can be a daunting task. Here we describe the steps in creating a mission-aligned recruitment process for our GME program. Define and examine program's mission The mission of the UNM Internal Medicine Residency Program is to train exceptional internal medicine residents to serve the urban, rural, primary care, and subspecialty healthcare needs of New Mexico. In our examination of this statement, we identified three key themes, namely “exceptional residents”, “to serve”, and “needs of New Mexico”. Identify applicant values that would align with …

Utilizing Simulations To Increase Medical Student's Self-Efficacy During The Obstetrics And Gynecology Clerkship, Promise Bood, Salam Chalouhi, Maria Montoya, Brenna Mcguire

HSC Education Days

PURPOSE Hands-on learning opportunities in the field of Obstetrics and Gynecology are generally less available to medical students due to the intimate nature of the specialty. The University of New Mexico School of Medicine’s Obstetrics and Gynecology faculty have created and implemented a novel simulation curriculum in order to supplement hands-on learning practice for procedural, exam and clinical reasoning skills for medical students. METHODS Third-year medical students on their Obstetrics and Gynecology clerkship perform simulated tasks during a half-day session, typically in the second week of the six-week clerkship. Students use a Likert scale to reflect on their self-efficacy in …

Care Through Connection: Patient Mutuality And Working Alliance Curriculum, N Mariam Salas, Kathryn Lenberg

HSC Education Days

Background: There is clear evidence in the psychology literature that beyond “people skills,” providers who give the patient an active role in developing the treatment plan can increase the adherence to the medical plan by 70%. Though this is utilized extensively in psychology, medical trainees are not routinely taught these communication skills. To arm our fellows with these necessary skills, we worked with our clinical psychologist, Dr. Kathryn Lenberg, to develop an integrated curriculum over the 2-year period of the fellowship. Implementation: We began a phased roll out of the curriculum in 2020. During elective rotations, fellows spent 1 hour …

5 Simple Ways To Get A Wellness Committee Started, Kari J. Rezac

HSC Education Days

Much has been written about the increase in burnout, increase in rates of depression, and overall decrease in wellness for residents during COVID. Plenty of articles address different factors that could help to achieve wellness for residents including the popular Stanford model, which details the importance of personal resilience, workplace culture, professional fulfillment, and practice efficiency. However, little has been published about the wellness programs and committees that have been carried out during or post-COVID. What has been effective? What starts a wellness culture? Using UNM’s physical medicine and rehabilitation residency’s journey to wellness as a guide, this presentation will …

Top Tips For Using Color And Contrast In Your Presentations, Evelyn Lockhart

HSC Education Days

PowerPoint is an indispensable tool in our teaching arsenal to create multimedia presentations that combine images and text. However, many who use PowerPoint have never been trained in graphic design. In this presentation, we will review evidence-based principles of graphic design that can help educators create presentations with clarity and impact. We will focus on the effective use of color and contrast--two powerful preattentive features which, when used well, can align visual salience with the relevant material in your presentation. We will also review visual accessibility for learners, including consideration for those with visual impairment and color blindness.

Creating A Dei Statement For Yourself: How And Why To Do It!, Anthony N. Fleg, Monserrat Orozco, Michael C. Bennett

HSC Education Days

DEI Statements are increasingly requested for job applications and give the applicant a chance to show their interest and track record in this realm. This lunch conversation will focus on how to write strong DEI statements and why having such a DEI statement is important.

Unmasking The Imposter Phenomenon On A Global Level: A Study Exploring Professional Identity Formation In Health Professional Students, Rebecca Hohsfield, Samantha Dewees, Cameron S. Crandall, Amy Clithero-Eridon

HSC Education Days

Imposter phenomenon (IP) is characterized by high achieving individuals experiencing “chronic feelings of self-doubt, the fear of being discovered as an intellectual fraud, and a perception of being less intelligent or competent than peers.” There is limited data on the implications of IP including how feelings of imposterism may affect aspects of one’s mental health. In the current climate of health worker burnout, it is important to consider factors that may predispose individuals pursuing a career in healthcare to mental and emotional disengagement. We investigated the prevalence of IP among students in various healthcare fields on a global scale and …

An Interprofessional Case-Based Activity On Transgender Health Care: A Multi-Program Student-Faculty Collaboration To Promote Interprofessional Education For Addressing Gender Minority Health Disparities, Jonathan Hulse, Tk King, Lucia Vulcan, Pamela Gonzales, Jada Gooden, Molly Mcclain, Miranda Aragon, Kelsea Aragon, Heidi H. Rogers, Ann Morrison

HSC Education Days

The LGBTQ+ community experiences unique health needs that many healthcare providers do not possess adequate training to address. This critical barrier to promoting the health of the LGBTQ+ population contributes to health disparities and discrimination. This is particularly salient for the transgender population who experience high rates of discrimination and have difficulty accessing gender affirming care (GAC). The World Professional Association for Transgender Health recommends an interprofessional team-based approach to providing GAC to gender diverse patients. Unfortunately, the siloed approach to training healthcare providers in their respective fields stifles interprofessional collaborative learning and hinders this necessary team-based approach to caring …

Hear To Help! Using An Innovative Musical Parody Approach, 'Theraoke' In Pmhnp Education, Joellen Schimmels

HSC Education Days

Engaging learners can be challenging. Working memory is not very efficient and finding novel, unique, and distinctive ways of appealing to mental health work is important for nursing practice. Improving care in an enjoyable and effective manner is greatly needed. Theraoke serves as a useful tool to engage learners and patients through music and spoken word. Using the instrumental versions of popular songs to create new “lyrics” helps present knowledge in a useful and emotional way for interactive engagement and learning. Using this technique to engage learners has many positive outcomes including engaging the brain in areas involved with attention, …

Mental Status Exam: Nuts And Bolts, Frames And Mirrors Teaching The Mental Status Exam To First-Year Psychiatry Residents With Cultural Humility, Wayles Haynes, Olivia Shadid, Travis Campbell

HSC Education Days

The mental status exam (MSE) is a tool used in psychiatry and behavioral health to create a cross-sectional assessment of the emotional, behavioral, and cognitive status of patients. This tool serves clinicians to understand and communicate a patient’s current psychiatric state but can be problematic when applied without consideration of provider bias or patient identity within the larger system. The inherently subjective nature of the MSE can assessments that perpetuate biases and inequities when providers are unaware of the complex interactions of identity, culture, power, and privilege. One possible solution is to teach learners to identify the dually subjective and …

Responsible Use Of Race In Research Workshop, N Mariam Salas, Martha Carvour

HSC Education Days

Background: Clinical outcomes stratified by race have been used to determine guidelines and treatment plans despite evidence that racial data is unreliable at best and misleading at the worst. There is growing evidence that the misrepresentation of race in medical research may cause erroneous racial profiling, an inaccurate attribution of disease outcomes to biological markers while missing the impact of social determinants of health, and worsening of health care disparities. There is also a belief amongst basic scientists that racial inequities do not impact their professional work or environments. Our curriculum seeks to guide basic science researchers to rethink research …

“It’S Natural, We Have No Choice”: Practical Steps For Menstrual Equity In The Library, Varina A. Kosovich, Sally Bowler-Hill

HSC Education Days

In 2021, the UNM Health Science’s Library and Informatics Center formed a Justice, Equity, and Inclusion Committee. In response to an upset student’s feedback about the lack of menstrual products on campus, one of the first actions of the Committee was to set up a free menstrual product program at the library. After initial research about what other libraries and institutions had done, pads, panty liners, and tampons were placed in all library restrooms. Because the library does not yet have gender neutral restrooms and in support of transgender, non-binary, and gender nonconforming folks, this included both the women’s and …

Student Perceptions Of A Labor And Delivery Skill Guide, Talia Passarelli, Promise Bood, Salam Chalouhi, Maria Montoya, Brenna Mcguire

HSC Education Days

Problem: When learning specific clinical skills within the Obstetrics and Gynecology Clerkship, the concerns of prior students pointed to knowing which skills to complete and how to ask for experience within the Labor and Delivery (L&D) rotation. The development of a passport as a checklist for certain skills to be signed off by faculty was initiated as a vehicle for students to feel comfortable advocating for their learning. Methods: Our research aims to assess third-year medical student satisfaction and quality of experience when completing the L&D passport, and offer students the ability to provide feedback. Data is collected via an …

Assessing The Impact Of A Shinrin-Yoku (Forest Bathing) Intervention On Physician/Healthcare Professional Burnout: A Randomized, Controlled Trial, John Kavanaugh, Mark E. Hardison, Heidi Honegger Rogers, Crystal White, Jessica Gross

HSC Education Days

The practice of Shinrin-Yoku (Forest Bathing) is a specific evidence-based practice which research has shown can improve an individual’s mental health. We investigated the impact of a guided Shinrin-Yoku (Forest Bathing) nature-based intervention on burnout symptoms among physicians and other healthcare workers by using a randomized, controlled trial. Ultimately, no statistically significant differences were detected between the pre-test and post-test scores for the intervention group or between the post-test scores of the intervention group compared to the control group. However, the subjective responses collected from participants after participating in the Shinrin-Yoku walk overwhelmingly reported decreased feelings of stress and increased …

Initiating A Mindfulness And Meditation Program For Medical Students And Others, Joyce F. Phillips, Toby W. Ngo, Maria E. Hoober, Alexander Win, Carrie Zografos, Elizabeth Lawrence

HSC Education Days

Background: In 2021, we introduced a SEAC-funded mindfulness intervention to medical students. Our goal was to provide a course that was accessible and free of charge in a psychologically safe environment. Mindfulness is a proven strategy for reducing negative stress-related health outcomes. Design: All students enrolled in the UNM SOM were invited to participate in a 6-session mindfulness curriculum designed for healthcare professionals and adapted for use based on student input. The 6 sessions were offered over Zoom. Our goal was to have participants attend each of the sessions and complete a pre- and post-course survey. Due to delays in …

The Conundrum Of The Struggling Resident: Designing A Curriculum For Successfully Passing A High Stakes Exam, Jennifer Dillow, Rebecca Gerlach, Davit Kocharyn, Bradley Graustein, Eli Torgeson

HSC Education Days

One of the biggest challenges for a program director is the adult learner who struggles with standardized testing and therefore, although they may be an excellent clinician, cannot advance in residency or become board certified. During anesthesiology residency, all residents take a standardized exam (The Basic Exam) during their second year which 15% of all residents fail and passing is required to continue to advance in residency – quite a conundrum. We developed a standardized curriculum for residents who failed their Basic Exam which involved weekly “teach back” sessions with identified faculty members focusing on missed keywords. The strategies employed …

The 10 Minute Teach: Teaching Faculty How To Be Better Teachers In An Easy, Accessible Format, Jennifer M. Dillow, Eli L. Torgeson

HSC Education Days

Not all faculty members are up to date on the most effective teaching techniques and despite the resources available at UNM, faculty often don’t have the time or energy to devote to educating themselves on the topic. As part of the program director team, we saw an opportunity to educate our faculty in an efficient and fun forum and initiated the “Ten Minute Teach” every month at our faculty meetings. Each month, a new and easily applicable teaching topic is taught to the entire Anesthesiology faculty via the faculty meeting, allowing more expert educators to pass on their knowledge to …

A Novel Use Of An Objective Structured Clinical Examination (Osce) To Assess Student Learning In A Clinical Spanish Course, Rose M. Vallejo, Eric S. Kruger

HSC Education Days

Background: In an effort to meet the needs of patients with limited English proficiency and help reduce related healthcare disparities, the Physical Therapy Program at the University of New Mexico (UNM) has required its students to enroll in a clinical Spanish Course. This course was designed to align the curriculum with how students use Spanish in the clinic, emphasizing speaking and listening skills. To meet this endeavor, a flipped classroom design was used with language labs that focused on speaking and comprehension skills. Given the course design, it was recognized that a traditional written examination would not effectively assess student …

Justice, Equity, Diversity, And Inclusion (Jedi): From The Classroom To Serving New Mexico Communities: A Quality Improvement Project, Lisa M. Taylor, Adreanne L. Cordova, Robin A. Gatlin, Delsie Morrison, Lisa M. Acuff

HSC Education Days

Background/Introduction: Our faculty have identified gaps in our curriculum related to Justice, Equity, Diversity, and Inclusion (JEDI), which is important as this aligns with our CON values, including respect, integrity, diversity, and inclusion. With use of in-house grant funds, JEDI Paw was born to begin a community of practice. There are four major approaches described in the literature for working with racial bias in educational settings and JEDI Paw will address the first two: 1) raising awareness of how implicit biases influence health outcomes and how we counter these in ourselves; 2), engaging empathy and understanding through a broad holistic …

Ipe Honors Program Poster - Education Day 2023, Todd Hynson

InterProfessional Education Research and Scholarship

No abstract provided.

The Effects Of Wearing Personal Protective Equipment (Ppe) On Communication Between Nurses, Nursing Students And Patients, Geraldine Guerra-Sandoval, Stephen H.A. Hernandez, Patricia Watts-Kelley

HSC Education Days

Purpose: This study investigated nursing students' awareness of their communication manner while wearing Personal Protective Equipment (PPE). Background/Significance: Nursing students are educated to use therapeutic communication and students are instructed on how to wear PPE; however, there are many challenges of effective communication while wearing PPE. Method: An online survey was emailed to undergraduate and graduate students. Result(s): The study response rate was approximately 9%. Most respondents were undergraduate nursing students (56%). An important finding was that 42% of students did not learn communication skills while wearing PPE. When students were asked about actively listening to patient’s concerns while wearing …

Finding Success In Failure, Crystal Sanchez

HSC Education Days

The idea of failure is a daunting one in any health care profession. In an academic world filled with high stakes exams, an emphasis on high test scores, and exemplary clinical performance, the idea of failure can be very scary. However, to be completely without error is not a realistic expectation. Educators should consider ways to allow students to make mistakes in a safe environment, and let them become accustomed to not having all the answers. One way to incorporate the idea that nursing students can learn from their failures is using active learning strategies in didactic classes with evolving …

New Approaches To Case Studies To Prepare Student Nurses For Next-Generation Nclex And Clinical Practice, Christopher Nelson, Crystal Sanchez

HSC Education Days

In the setting of patients with increased complexity and record attrition, more is required of newly-graduated nurses than ever before. Novice nurses struggle to make clinical judgments at the same level as their more experienced counterparts. Nursing scholars have investigated what can be done to better prepare student nurses for the challenges of modern nursing practice. How does one develop or enhance students’ clinical judgment? Was the nursing licensing exam (NCLEX) reliably measuring novice nurses’ ability to use clinical judgment? The National Council of State Boards of Nursing designed the Clinical Judgment Measurement Model (CJMM) to better measure decision-making. The …

Rural And Community Psychiatry Residency Rotation: A Quality Improvement Initiative For Resident Training In Integrated Care, Poonè Haghani Tehrani, Kelsey J. Sala-Hamrick, Sushilla Knottenbelt, Heidi Rishel Brakey, Julie G. Salvador

HSC Education Days

Introduction: Many practice and policy organizations have recommended integration of behavioral health (BH), including psychiatric services, into primary-care clinics to increase patient access to high-quality care while reducing healthcare costs. Despite the effectiveness of integrated BH (IBH), few psychiatry residents are trained in these models. Currently, no evaluated and published curricula on IBH exists. To address this gap, we created a curriculum to teach different models of IBH to psychiatry residents. Methods: The curriculum was developed within the Kern 6-step theoretical framework and implemented at UNM Sandoval Regional Medical Center (SRMC) family practice clinic. To assess psychiatry residents’ perception of …