Higher Education Commons^™

Development And Implementation Of A Scholarly Curriculum For Internal Medicine Residents And Subspecialty Fellows, Yuri Matusov, Hawas Kaderi, Liza Raffi, Louie Cao, Jacqueline Lee, Mariko Ishimori, Odelia Cooper

Graduate Medical Education Research Journal

Background. To create and assess the efficacy of a standardized curriculum for trainees in the core competency of critical appraisal of medical literature.

Methods. We implemented a 10-hour scholarly lecture curriculum, in 1-hour blocks, over 1 academic year for postgraduate trainees in internal medicine (IM) and IM subspecialties at a single major academic medical center. The aims of the curriculum were to increase trainee comfort with clinical research methodology, to place this methodology in the context of historical and current ethical challenges, to provide trainees with guidance on how to conduct clinical research at the institutional level, and to provide …

Asteroid Hyalosis Mimicking Vitreous Hemorrhage On Point-Of-Care Ultrasound Following Blunt Ocular Trauma: A Case Report, Obiaara Ukah, Jared Marx

Graduate Medical Education Research Journal

Background. Ocular complaints account for approximately 1.5% of emergency department (ED) visits, and point-of-care ultrasound (POCUS) is a valuable tool for evaluating posterior chamber pathology, including vitreous hemorrhage (VH), retinal detachment, and vitreous detachment. However, benign conditions may mimic these pathologies and create diagnostic uncertainty. We describe a case of asteroid hyalosis (AH), a benign vitreous condition that was initially mistaken for vitreous hemorrhage on ocular POCUS following blunt ocular trauma. This case highlights an uncommon sonographic mimic of VH and contributes to the emergency medicine literature by emphasizing ultrasound features that may help distinguish AH from true posterior chamber …

Kaposi Sarcoma And Hhv-8-Associated Multicentric Castleman Disease: A Case Report, Kari Shad, Avry Logeman, Trevor C. Van Schooneveld, Emily Dyer

Graduate Medical Education Research Journal

Background. Multicentric Castleman disease (MCD) is a rare lymphoproliferative disorder characterized by generalized lymphadenopathy, systemic inflammatory symptoms, and distinctive histopathologic findings. HHV-8-associated MCD is typically observed in patients with human immunodeficiency virus (HIV) infection or other states of profound immunosuppression. In contrast, HHV-8-associated disease in immunocompetent individuals is uncommon and associated with higher mortality rates.

Case. This is a case of a patient who presented with progressive fatigue, weakness, anorexia, and a chronic cough for four months following a trip to Mexico. Initial workup revealed anemia and thrombocytopenia, negative HIV status, and prominent bilateral axillary and mediastinal lymphadenopathy, which was …

Emergent Endovascular Therapy For Malignant Superior Vena Cava Syndrome Complicated By Extensive Central Venous Thrombosis: A Case Report, Austin Johnson, Andrew Mezher, Ehab Saad Aldin, Lei Yu

Graduate Medical Education Research Journal

Background. Superior vena cava (SVC) syndrome is a potentially life-threatening condition caused by obstruction of venous return through the SVC, most commonly due to malignancy. Although endovascular therapy (ET) has emerged as an effective treatment for rapid symptom relief, malignant SVC syndrome complicated by extensive central venous thrombosis and respiratory failure remains a high-acuity presentation requiring urgent intervention. This case highlights the role of emergent ET as a life-saving bridge to definitive oncologic treatment in critically ill patients.

Case. A 58-year-old male with squamous cell carcinoma of the lung presented with acute respiratory failure, facial and upper extremity swelling, and …

Battle Of The Bots: Comparison Of Artificial Intelligence Chatbots In A Literature Review Of Randomized Controlled Trials In Urology, Linda M. Huynh, Madeline Helm, Nick Staab, Anthony Fadel, Jordan Walsh, John Glassman, Christopher M. Deibert

Graduate Medical Education Research Journal

Background. Use of language-learning model-based artificial intelligence (AI) chatbots in literature reviews has not been explored. The present study seeks to evaluate and compare the quality of reference lists and scientific discussion provided by ChatGPT (Chat Generative Pre-Trained Transformer) (4o vs. 4) and Google Gemini.

Methods. ChatGPT (4o-mini, paid vs. 4o, free) and Google Gemini were given prompts to identify, discuss results of, and provide related references to nine specific randomized controlled trials in urologic practice. Reference lists and associated discussion were graded using modified DISCERN criteria. Hallucination rates for unverifiable references were calculated; GPT-2 Output Detector and Sapling AI …

Learning By Peer Teaching Basic Life Support: A Prospective Randomized Controlled Study In Medical Students, Tushar Kumar, Dewesh Kumar, Vandana Sharma, Shio Priye

Graduate Medical Education Research Journal

Background. Cardiopulmonary Resuscitation (CPR) is a vital emergency procedure performed in case of cardiac arrest or respiratory insufficiency. However, this basic yet important skill is lacking in many undergraduate students. We aim to evaluate the impact of a teaching-learning method, “learning by teaching,” among medical undergraduate students for cardiopulmonary resuscitation.

Methods. A total of 49 undergraduate medical students in the 3rd-year Bachelor of Medicine and Bachelor of Surgery (MBBS) were divided into 2 groups in a 1:1 ratio, namely, the teaching group (Group T) and the non-teaching group (Group NT). The intervention was done after the hands-on workshop on Life …

Iatrogenic Popliteus Tendon Injury During Total Knee Arthroplasty, Saswat Samant, Bibhudutta Sahoo, Saurav Narayan Nanda, Suman Mishra, Satya Ranjan Patra, Himanshu Mishra

Graduate Medical Education Research Journal

Background. The popliteus tendon (PT) plays a role in knee unlocking and posterolateral stability, yet the clinical impact of its iatrogenic injury during total knee replacement (TKR) remains poorly defined. This study aimed to evaluate the outcomes of patients with documented intraoperative PT injury during posterior-stabilised TKR.

Methods. A retrospective review was conducted on 111 varus knees undergoing posterior-stabilised TKR. Among these, seven cases (6.3%) of intraoperative PT injury were identified. The cohort had a mean age of 71 years and an average preoperative varus deformity of 14°. PT repair was performed in two of the seven injured cases.

Results. …

Double Trouble: A Case Series Of Patients With Primary Lung And Esophageal Cancer, Srineil Vuthaluru

Graduate Medical Education Research Journal

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A Rhabdo Roller Coaster: Delayed Diagnosis Of Mcardle Disease In A Patient With Recurrent Non- Traumatic Rhabdomyolysis, Marilee Schaner

Graduate Medical Education Research Journal

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A Severe Presentation Of Sickle Cell Crisis, Marilee Schaner

Graduate Medical Education Research Journal

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Vaccination Attitudes Of Migrant And Seasonal Farm Workers In Iowa: Analysis Of A Clinical Survery, Jenna Mccoy

Graduate Medical Education Research Journal

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Loss Of Cd44 On Immunohistochemistry Shows Increased Likelihood Of Early Recurrence In Non- Invasive Low-Grade Papillary Urothelial Carcinoma With A Minor (< 5%) High-Grade Component, Holly Mitzel

Graduate Medical Education Research Journal

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Technical Validation Of Insulin Immunoassay For Cross-Reactivity Of Veterinary Insulins, Kristina Sevcik

Graduate Medical Education Research Journal

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Liberal Renal Sinus Sampling After Introduction Of Subspecialized Genitourinary Practice Leads To Upstaging And Optimal Management Of Renal Cell Carcinoma, Rory Li

Graduate Medical Education Research Journal

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Primary Cutaneous Marginal Zone Lymphoma With Admixed Hodgkin Lymphoma: A First Of Its Kind Of Collision, Pauline Xu

Graduate Medical Education Research Journal

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Ebv-Negative T-Cell Post-Transplant Lymphoproliferative Disorder Of The Skin With Ebv-Positive Diffuse Large B-Cell Lymphoma Of The Intestine In A Multi-Organ Transplant Recipient Child, Pauline Xu

Graduate Medical Education Research Journal

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Primary Cutaneous High-Grade Extra-Skeletal Osteosarcoma: A Rare Case Report, Pauline Xu

Graduate Medical Education Research Journal

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Dupilumab-Associated Mycosis Fungoides: Unmasked, Direct Effect, Or A Lymphoid Reaction?, Pauline Xu

Graduate Medical Education Research Journal

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Beyond Pituitary Neuroendocrine Tumors: Spectrum Of 1101 Sellar/Suprasellar Region Masses In A Tertiary Referral Center In 36 Years, Lili Guo

Graduate Medical Education Research Journal

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Characterization Of Chronic Intestinal Pseudo-Obstruction With Abnormal Cd117 Staining: A Distinct Clinical Phenotype?, Holly Mitzel

Graduate Medical Education Research Journal

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Calcific Emboli From Valvular Heart Disease: A Cause Of Retinal And Cerebral Ischemic Events – A Case Series, Praneeth Thadi

Graduate Medical Education Research Journal

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Fatal Hemorrhagic Transformation In Acute Thalamic Ischemic Stroke Following Dual Antiplatelet Therapy And Prophylactic Enoxaparin, Praneeth Thadi

Graduate Medical Education Research Journal

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If It Quacks Like A Duck, Brendan Hurley

Graduate Medical Education Research Journal

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A Purulent Surprise, Brendan Hurley

Graduate Medical Education Research Journal

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Cardio-Bariatrics In Advanced Heart Failure, Chukwuebuka Ubochi

Graduate Medical Education Research Journal

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Culture Negative Endocarditis Secondary To Neisseria Gonorrhoeae, Miranda Jangula

Graduate Medical Education Research Journal

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Practice Patterns Among Providers Regarding Amiodarone Use For Atrial Fibrillation In The Inpatient Setting, Kevan English

Graduate Medical Education Research Journal

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Lead I Sign In Ecg: An Underrecognized Truth Or A Myth?, Anis Abobaker

Graduate Medical Education Research Journal

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Tracheitis: A Rare Respiratory Manifestation Of Ulcerative Colitis, Carter Schulz

Graduate Medical Education Research Journal

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Non-English Speaking Patient Hospital Follow-Up Rates Within The Nebraska Medicine System, Simone Jacoby

Graduate Medical Education Research Journal

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