Digital Commons Network^™

Justice And Equity In Diabetes Care: An Interprofessional Education Opportunity, Lisa M. Taylor, Adreanne Cordova, Robin Gatlin

HSC Education Days

The purpose of this presentation is to report on the development, implementation, and evaluation of this seminar/IPE opportunity, “Justice and Equity in Diabetes Care.” We will address the process to refine this seminar to increase registration across the HSC. During the inaugural seminar:

- Participants examined and biases embedded in contemporary U.S. culture with an emphasis on how these structures impact health care and health outcomes of individuals, families, communities, and populations, specifically relating to diabetes care and outcomes.

- Participants explored their roles as professional healthcare providers in advocating for social justice and equity and develop skills to begin …

Unm College Of Nursing Innovative Carousel Clinical Model, Allison Phillips, Leeanna Vargas, Crystal Sanchez, April Tafoya

HSC Education Days

Introduction: The innovative restructuring of the UNM College of Nursing Undergraduate clinical placements across various specialties is a good reflection of our colleges' commitment to meeting the needs of our students. Based on cohorts' performance on standardized exams administered through the Health Education Systems Inc (HESI), clinical courses were changed to allow every student to take a didactic course and clinical hours in the specialty areas previously limited to a select number of students.

Methods: The cohort data revealed lower performances on HESI exams within the specialty areas of behavioral health, pediatrics, community, and maternity. The traditional upper-level clinical courses …

What's Right With You? Using Strength-Based Approaches To Empower Patients, Communities, And Learners, Luke Sanchez, Derek Lin, Anthony Fleg

HSC Education Days

A deficits model is the cornerstone for the health professions education, practice and scholarship. With a focus on diseases, deficits, addictions, social risk factors, this approach has a risk of disempowering patients, communities, and learners. A strength-based approach instead focuses on what people and communities do well – resources, skills, strengths, resilience, etc. – with intention of building upon these to improve health. Strength-based approaches are critical for decolonization and for undoing racism. This session, led by HSC students, presents a mixture of data and personal experience to elucidate the importance of strength-based approaches to health, with guidance on how …

Vertical Mentoring In Established Multi-Year Communities: Leveraging Student Experience, Hannah Herring, Kristin Strosnider, Abigale Aldrich, Elena Florez-Aguirre, Ann Morrison

HSC Education Days

Background: Learning Communities (LC) are an established mechanism for student advisement and support in medical schools in the United States. A recent survey* of LC programs in 27 US medical schools identified intentionally connecting students across class years as a feature of many LCs. The UNM School of Medicine LC program, launched in 2015, has seen the benefits of providing vertical mentoring and has increasingly scheduled activities where students interact with learners from other classes at key points throughout the curriculum. However, as the challenges students face change between didactic and clinical learning, it is important to understand the best …

Internal Medicine Resident Outcomes After Initiation Of Block Scheduling, Annashia Shera, Michael Louie, Raymond G. Murphy

HSC Education Days

The height of the COVID pandemic took a considerable toll on all healthcare workers and heavily on resident physicians. The long work hours and subsequent effect on mental health required a change to the system not only for wellness but also education. This especially affected the quality of the resident outpatient experience due to the competing high demands of inpatient service. Feedback from residents propelled the decision to implement block scheduling at the University of New Mexico Internal Medicine Residency program in 2021. In this presentation, we share the outcomes of this change in terms of duty hours, wellness, and …

Applying Generative Artificial Intelligence (Ai) In Health Professions Education, Amy Bachyrycz, Seth Daly, Sharon Schaaf, Kendall Rogers, John Williams

HSC Education Days

No abstract provided.

Hsc Connects Newsletter - February 9, 2024, Unm Hsc Communications

HSC Connects Newsletters

Weekly newsletter of the UNM Health Sciences Center.

Empowering Student Wellness: Our Approach At The Health Sciences Library, Varina Kosovich

Posters and Presentations

Health sciences students experience mental health issues, demoralization, and burnout at greater rates compared to other students and often do not report these issues for fear of marginalization. Additionally, many neurodiverse students struggle in higher education due to environments that are not accessible. Considering these information points, authors surveyed space in the library to determine an appropriate area to create and pilot the Wellness Room. Funding was established through an internal grant and a study room was approved for use in the pilot. Resources were provided with autonomous space, feminist ethics of care, and trauma informed care tenets. Feedback from …

First, Do No Harm: One Medical School’S Approach To Designing And Implementing A Socially Accountable Global Track Of Distinction, Natalie Reid, Amy Clithero-Eridon, Cameron S. Crandall

HSC Education Days

Background

A socially accountable health professional curriculum aims to produce graduates competent in addressing priority health needs in diverse communities. Although parts of the UNM SOM curriculum address issues around health equity and cultural diversity, there is no formal curriculum training medical students to address global health (GH). Before designing our GH curriculum, we surveyed students to determine factors that may contribute to engagement.

Results

Nearly 98% of respondents were interested in GH, and 82% expressed interest in serving underserved populations. 88% of students with past GH experiences wanted to participate in an elective GH curriculum, which was statistically significant …

Role Of Mentorship In Recruiting Community College Students Into Health Professions Programs, Annslee Lowe, Amy Clithero-Eridon, Cameron Crandall, Marlene P. Ballejos

HSC Education Days

BACKGROUND:

The social mission of health professional schools is generally to ensure a diverse cadre of providers is trained to care for populations, with particular attention paid to the delivery of primary care in underserved areas. Students who attend community college (CC) before matriculating to a health professional program typically bring diversity and concordance with local population demographics. However, CC students face more challenges than traditional students in obtaining proper resources and support to prepare for graduate programs, including mentorship. This study aimed to identify challenges faced by CC students, such as financial status, cultural backgrounds, and fear of medical …

Integrating Dei Into The Som Quantitative Medicine Block, Jonathan Eldredge, Jens Langsjoen

HSC Education Days

No abstract provided.

What Is Not Said In The Classroom: Implicit Bias In Teaching, Kathy Dolan-Cox

HSC Education Days

Everybody has implicit bias. It is unconscious and effects student learning and outcomes. Learning about implicit bias and how to eliminate it in education will improve student outcomes, satisfaction, and potentially patient outcomes. The hot topic will include discussion of what implicit bias is, examples of it, impacts of it, and actions to take to address it.

Teaching What Matters: Addressing Social Determinants Of Health In Clinical Practice, N Marian Salas, Suman Pal

HSC Education Days

Social determinants of health (SD0H) account for 50-80% of healthcare outcomes. Despite this, many residents receive minimal training in how to address the negative social determinants of health in their patient populations. We developed a 1.5-hour workshop integrated into GME orientation for all the 167 incoming interns of our institution. We used case-based learning as a proven effective method for both improving knowledge gain and skills acquisition outcomes. Using the input of multiple subject matter experts, we developed four cases from different regions of the state that learners worked through in facilitated small groups supported by intermittent check-ins with the …

Survivorship Care For Women Living With Ovarian Cancer: Protocol For A Randomized Controlled Trial, Elizabeth Kvale, Farya Phillips, Samiran Ghosh, Jayanthi Lea, Claire Hoppenot, Anthony Costales, Jan Sunde, Hoda Badr, Eberechi Nwogu-Onyemkpa, Nimrah Saleem, Rikki Ward, Bijal Balasubramanian

Faculty, Staff and Student Publications

BACKGROUND: Ovarian cancer ranks 12th in cancer incidence among women in the United States and 5th among causes of cancer-related death. The typical treatment of ovarian cancer focuses on disease management, with little attention given to the survivorship needs of the patient. Qualitative work alludes to a gap in survivorship care; yet, evidence is lacking to support the delivery of survivorship care for individuals living with ovarian cancer. We developed the POSTCare survivorship platform with input from survivors of ovarian cancer and care partners as a means of delivering patient-centered survivorship care. This process is framed by the chronic care …

Sox On Tumors, A Comfort Or A Constraint?, Junqing Jiang, Yufei Wang, Mengyu Sun, Xiangyuan Luo, Zerui Zhang, Yijun Wang, Siwen Li, Dian Hu, Jiaqian Zhang, Zhangfan Wu, Xiaoping Chen, Bixiang Zhang, Xiao Xu, Shuai Wang, Shengjun Xu, Wenjie Huang, Limin Xia

Faculty, Staff and Student Publications

The sex-determining region Y (SRY)-related high-mobility group (HMG) box (SOX) family, composed of 20 transcription factors, is a conserved family with a highly homologous HMG domain. Due to their crucial role in determining cell fate, the dysregulation of SOX family members is closely associated with tumorigenesis, including tumor invasion, metastasis, proliferation, apoptosis, epithelial-mesenchymal transition, stemness and drug resistance. Despite considerable research to investigate the mechanisms and functions of the SOX family, confusion remains regarding aspects such as the role of the SOX family in tumor immune microenvironment (TIME) and contradictory impacts the SOX family exerts on tumors. This review summarizes …

Large Airway T Cells In Adults With Former Bronchopulmonary Dysplasia, Jing Gao, Petra Um-Bergström, Melvin Pourbazargan, Eva Berggren-Broström, Chuan X. Li, Heta Merikallio, Riitta Kaarteenaho, Nichole S. Reinke, Craig E. Wheelock, Erik Melén, Lindén Anders, Åsa M. Wheelock, Georgios Rassidakis, Cristian Ortiz-Villalon, Magnus C. Sköld

Research outputs 2022 to 2026

Background: Bronchopulmonary Dysplasia (BPD) in infants born prematurely is a risk factor for chronic airway obstruction later in life. The distribution of T cell subtypes in the large airways is largely unknown.

Objective: To characterize cellular and T cell profiles in the large airways of young adults with a history of BPD.

Methods: Forty-three young adults born prematurely (preterm (n = 20), BPD (n = 23)) and 45 full-term-born (asthma (n = 23), healthy (n = 22)) underwent lung function measurements, and bronchoscopy with large airway bronchial wash (BW). T-cells subsets in BW were analyzed by immunocytochemistry.

Results: The proportions …

Investigating The Genetic Makeup Of The Major Histocompatibility Complex (Mhc) In The United Arab Emirates Population Through Next-Generation Sequencing, Nour A. D. Marzouka, Halima Alnaqbi, Amira Al-Aamri, Guan Tay, Habiba Alsafar

Research outputs 2022 to 2026

The Human leukocyte antigen (HLA) molecules are central to immune response and have associations with the phenotypes of various diseases and induced drug toxicity. Further, the role of HLA molecules in presenting antigens significantly affects the transplantation outcome. The objective of this study was to examine the extent of the diversity of HLA alleles in the population of the United Arab Emirates (UAE) using Next-Generation Sequencing methodologies and encompassing a larger cohort of individuals. A cohort of 570 unrelated healthy citizens of the UAE volunteered to provide samples for Whole Genome Sequencing and Whole Exome Sequencing. The definition of the …

Detection And Relative Quantitation Of Changes In Gene Expression Of Hippo Proteins In Doxorubicin-Exposed Human Cells By Rt-Qpcr, Lillian Fleisher, Tricia Domingo, Christopher So, Stephen Lee

Annual Research Symposium

The HIPPO signaling pathway plays a key role in cell proliferation and tumor suppression. It consists of serine/threonine kinase cascades, including MST1/2, LATS1/2, YAP, and TAZ. When the HIPPO pathway is activated, gene expression is altered. Dysfunction of the activity of this cascade may contribute to cancer development and chemoresistance. FAT4 is an intracellular protein that may regulate the HIPPO signaling. The purpose of this study is to determine the relative changes of mRNA of the HIPPO pathway members and FAT4 in doxorubicin-treated and vehicle-treated in vitro cell lines.

Dentofacial Effects Of Radiotherapy On Pediatric Population With Retinoblastoma, Kristi Truong

Annual Research Symposium

This literature review investigates the dentofacial consequences of radiotherapy in young patients with retinoblastoma by referencing current research. In addition, the management and rehabilitation of the dentofacial abnormalities, highlighting orthodontic, surgical, and prosthetic approaches, is examined. By understanding the changes of dentofacial development due to retinoblastoma treatment, effective management techniques can be implemented to resolve significant issues, relating to dental and skeletal relationship and facial appearance.

Referral Patterns Of Neonatal Healthcare Professionals For Cleft Lip And Palate Patients, Alyssa Morrow

Annual Research Symposium

Cleft Lip and Palate patients are some of the most vulnerable and complex orthodontic patients. They face a myriad of health challenges including psychological, nutritional, auditory, speech, airway, skeletal, and dental. Ideal comprehensive treatment for CLP patients is provided via multidisciplinary teams of healthcare providers. However, there is currently limited access to proper multidisciplinary care for CLP patients in the US, partly due to lack of education regarding available resources. For the most effective treatment and optimal outcomes, it is essential that coordinated care starts at birth and that parental education begins as soon as CLP is detected in utero. …

A Pilot Study On Implementing An Interprofessional Education Model For Developing Rehabilitative Science Student Core Competencies, Maureen Ellen Johnson, Norman Cadiz Belleza, Mohan Ganesan

Journal of Innovation in Health Sciences Education

Introduction: Inclusion of interprofessional education (IPE) in academia is required by education accreditation agencies for occupational therapy (OT) and physical therapy (PT) in the United States. Limited information is available on models of IPE to guide faculty. The purpose of this pilot study was to determine the feasibility of implementing a recently designed IPE model with OT and PT graduate students. This IPE model aligned Interprofessional Education Collaborative core competency domains with novel learning activities, such as an escape room, simulated medical chart, and two simulations.

Methods: Data were retrieved from 52 auto-enrolled students (n=14 OT) and (n=38 PT) …

Creating Community: First-Gen Sense Of Belonging, Lisa Cardello, Amina Mostafa

First-Generation Symposium

First-generation college students are the first in their families to pursue higher education degrees, and as such are piloting new undertakings in many respects. Research on a sense of belonging has demonstrated that higher rates of belonging are correlated with greater academic success and graduation outcomes (Gopalan & Brady, 2020). Estimates display first-generation college students, make up around a quarter to one third of total enrollment in post-secondary institutions in the United States, however graduate at a significantly lower rate than the national average. And first-generation college students are a particularly vulnerable population and have been found to have several …

Research, Planning, And Development Of A University Retirement Community (Urc): A Strategic Lodging Opportunity, Tevfik Demirciftci, Britt Mathwich, Fred Demicco

ICHRIE Research Reports

University Retirement Communities (URCs) are a growing trend among universities and senior living. URCs are an intriguing concept that benefits retirees and universities as they bring alums back to campus for their residences. This study investigates the interest level and preferences of Colorado Mesa University's alums and retired professors for an on-campus URC. This research is the first phase of the planning process for developing and operating a successful URC.

Keywords: University-Based Retirement Communities (UBRC), Continuing Care Retirement Communities, Senior Living Communities, Active Adult Communities

Quantifying Community-Based Pharmacy Student Operational And Clinical Rotation (Ippe) Activities., Kenneth Kunke, Phillip Lawrence, C. Leiana Oswald, Erin Johanson, Michelle Hon

Annual Research Symposium

The purpose of this study is to identify and describe trends in the quantity and proportion of operational and clinical activities performed by students on introductory (IPPE) rotations.

Visibility Of Entry-Level Doctor Of Physical Therapy Program's Mission, Vision, And Value Statement And Alignment With Professional Values, Matthew Vraa, Coral Crew-Noble, Orquidia Frausto, Rada Kerimova

Journal of Innovation in Health Sciences Education

Introduction. This study aimed to assess the accessibility and alignment of core statements (mission, vision, and values) in entry-level Doctor of Physical Therapy (DPT) programs across the United States with the core beliefs of the American Physical Therapy Association (APTA).

Method. Two independent reviewers searched publicly available resources for the core statements of 271 Commission on Accreditation in Physical Therapy Education (CAPTE) accredited DPT programs. The statements were cross-referenced against APTA Standards of Practice and Core Values. Descriptive statistical analysis assessed the public availability of program statements and their alignment with APTA core beliefs.

Results. Among the programs, 95.6% had …

Impact Of Equine Interaction During Psychotherapy On Anxiety And Depression For Residential Treatment Program Patients Experiencing Substance Withdrawal, Molly M. Friend, Molly C. Nicodemus, Clay Cavinder, Caleb Lemley, Pauline Prince, Katherine A. Cagle-Holtcamp, Rebecca M. Swanson

People and Animals: The International Journal of Research and Practice

As incidences of substance use disorders (SUD) increase in the wake of the COVID-19 pandemic, there is a need for more effective treatment approaches. Further, treatment approaches currently available struggle to retain patients during the period of substance withdrawal in early treatment due to patients’ withdrawal symptoms including increased feelings of anxiety and depression. Withdrawal symptoms have been linked to dysregulated cortisol concentrations present in this period. Psychotherapy incorporating equine interaction (PIE) has emerged in other populations as a treatment that decreases cortisol concentrations and improves treatment retention. The present study investigated the impact of 4 weeks of PIE on …

“Here, Kitty, Kitty.” Community Perceptions Of Free-Roaming Cats: A Northern Canadian Case Study, Annie Booth, Ken Otter

People and Animals: The International Journal of Research and Practice

Free-roaming domestic cats (Felis catus) create controversy, due to their tendency to invade neighbors’ gardens, hunt wildlife, and create disturbances. Municipal governments are often under pressure to address concerns regarding free-roaming cats. As approximately 28% of the 8.8 million cats owned in Canada free-roam (are allowed outside unsupervised and unconstrained), understanding owner rationales for letting the cat out is important for officials tasked with addressing public concerns. In 2019, we studied attitudes toward cats within a north-central British Columbia, Canada, city. The rationales cat owners use to justify free-roaming, as well as their perceptions about the risks and …

Aperchamiento Norcturno Masivo De La Golondrina De Río Progne Tapera Asociado A Instalaciones Eléctricas En Mérida, Venezuela / Massive Nocturnal Perching Of The Brown-Chested Martin Progne Tapera Associated With Electrical Structures In Mérida, Venezuela, Marisela Angelino, Jaime E. Péfaur

Revista Venezolana de Ornitología

Un aperchamiento nocturno masivo de una especie migratoria, la Golondrina de Río Progne tapera, se reportó de mayo a octubre de cada año entre el 2010 y el 2017 en la Subestación Eléctrica El Vigía I de la empresa CORPOELEC, Municipio Alberto Adriani, Estado Mérida, Venezuela. En las visitas a la subestación se apreció el arribo diario de las golondrinas de río a aproximadamente las 18:30 h, posándose en cables y estructuras metálicas, culminando la actividad de apercharse a las 19:00 h. El despegue y alejamiento ocurría aproximadamente a las 06:00 h del día siguiente. La elección de este tipo …

Niveles De Cinco Metales Pesados En Diferentes Tejidos Del Periquito Australiano Melopsittacus Undulatus, Un Ave Exótica De Cautiverio En Venezuela / Levels Of Five Heavy Metals In Different Tissues Of The Budgerigar Melopsittacus Undulatus, An Exotic And Captivity Bird Of Venezuela, Patricia Vargas-Amundaray, Jorge Muñoz-Gil, Gedio Marín-Espinoza, Adrián Brito-Maestre, Roseline Zabala-Marcano

Revista Venezolana de Ornitología

In Venezuela, bird species of different natural environments have been used in heavy metals (HP) tests. Nevertheless, studies in captive birds are unexisting. Cadmium (Cd), zinc (Zn), lead (Pb), copper (Cu), and chromiun (Cr) levels were examined in liver, pectoral muscle and feathers of captive Budgerigars Melopsittacus undulatus. Concentrations of Cd, Zn and Cu showed highly signifi cant differences among analyzed tissues, following the patterns: liver> feathers> muscle for Cd; feathers> liver> muscle for Zn; and feathers> muscle> liver for Cu. The Cr showed the follow pattern: muscle> feathers> liver, but there were no difference . The Pb was only …

Pets In Practice: A Practical Guide To The Introduction Of Dogs To Mental Health Work Settings Derived From The Direct Experiences Of Staff, Tatiana (Tia) Urgasova, Donna Sloss, Mary Lavelle

People and Animals: The International Journal of Research and Practice

The aim of this study was to evaluate the introduction of dogs in mental health workplace settings: specifically, exploring staff perspectives on the acceptability of dogs in mental health teams; the impact of the dogs on themselves directly, their patients, and their team; and the challenges of implementing dogs in mental health settings. This qualitative study design used semi-structured interviews. Twelve participants were interviewed; six from a Crisis Assessment and Treatment team, five from a Recovery College team, and one from the Inpatient and Outreach Psychiatric Service. Interviews were transcribed and six key themes were identified: facilitating staff well-being, improving …