Higher Education Commons^™

Endovascular Management For Refractory Hepatic Encephalopathy After Transjugular Intrahepatic Portosystemic Shunt (Tips) Creation, Jacob Schneider

Graduate Medical Education Research Journal

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Ventricular Tachycardia Ablation In Patients With Valvular Heart Disease, Fouad Khalil

Graduate Medical Education Research Journal

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Chronic Immunosuppression May Increase The Risk Of Coronary Artery Perforation In Patients Undergoing Cto-Pci, Mina Bhatnagar

Graduate Medical Education Research Journal

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Health Disparities Among Patients Referred To Multidisciplinary Heart Failure Clinic: A Retrospective Analysis, Garima Bhandari

Graduate Medical Education Research Journal

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Improving Diagnostic Precision In Thyroid Pathology By Synergistic Use Of Ai And Molecular Markers, Sarah Azad

Graduate Medical Education Research Journal

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Double Trouble: Coexistence Of Hodgkin And Non-Hodgkin Lymphoma With Chronic Itp And Cryptic Brain Metastasis, Durva Masih

Graduate Medical Education Research Journal

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Characterizing Prostate Cancer Stage Migration And Subsequent Treatment Implications In The Psma Pet Era, Joseph Carmicheal

Graduate Medical Education Research Journal

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Red Blood Cell Transfusion Causes Brain Inflammation In Murine Pups With Phlebotomy Induced Anemia, Pramod Shrestha

Graduate Medical Education Research Journal

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Surgical Outcomes And Decision Making For Bicuspid Aortic Valve, Adam Larsen

Graduate Medical Education Research Journal

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Langerhans Cell Histiocytosis Masquerading As Refractory Intertriginous Rash, Nicole Wozny

Graduate Medical Education Research Journal

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Survey Of Current Clinical And Imaging Practices Amongst Regional Obstetric Providers In Nebraska: A Discussion Of Future Application Of Artificial Intelligence In Fetal Echocardiography, Farhath Sulthana

Graduate Medical Education Research Journal

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An Educational Interventional Study To Compare The Effectiveness Of Small Group Discussion Versus Role Play As A Teaching Learning Method In The Subject Of Pharmacology, Akanksha B. Prajapati, Alay Patel, Rupal Shah, Vipul Chaudhari

Graduate Medical Education Research Journal

BACKGROUND: Teaching-learning methods include lectures, discussions, and small group activities. Small group discussions and role-plays enhance adult learning by promoting participation, reflection, communication, and teamwork. These methods improve knowledge retention and prepare students for real-life scenarios and professional challenges through experiential, interactive learning. Aim of the study was to compare the effectiveness of Small Group Discussion (SGD) vs Role play as a teaching learning (T/L) method among Phase II medical students.

METHODS. Out of 140 Phase II MBBS students, 88 participated in the pharmacology schedule and were included in the study. After randomization, 42 students (Group A) underwent SGD, and …

Immune Thrombocytopenic Purpura Association With Epstein-Barr Virus, Amer Aldamouk, Bachr Masri, Ali Khan, Pulkita Uppal

Graduate Medical Education Research Journal

Immune thrombocytopenia (ITP), also referred to as idiopathic thrombocytopenic purpura, is an acquired form of thrombocytopenia caused by antibodies directed against platelet glycoproteins, particularly anti-GpIIb/IIIa antibodies. Epstein-Barr virus (EBV), a herpes virus infecting a large majority of the population before adulthood, has been implicated in various immune-mediated disorders, including ITP. In this report, we present a case of a young adult female with a history of thrombocytopenia who was found to have severe thrombocytopenia attributed to chronic EBV infection. Despite initial treatment with corticosteroids and intravenous immunoglobulin (IVIG), the patient's condition necessitated second-line therapies, including rituximab and thrombopoietin receptor agonists. …

A Rare Delayed Neuropsychiatric Encephalopathy After Hyperbaric Oxygen Treatment For Carbon Monoxide Poisoning: A Couple’S Case Report, Sabrina Kasha, William J. Naber Ii, Michael Reimer

Graduate Medical Education Research Journal

Background: Carbon monoxide (CO) poisoning is caused when carbon monoxide builds up in the blood, most specifically due to its high binding affinity for the heme structure in hemoglobin. This can lead to serious tissue damage and even be fatal. CO poisoning is primarily the result of incomplete combustion of fuels, with common sources domestically and internationally including furnaces, gas heaters, generators, and motor vehicles.2 Symptoms tend to present as neuropsychiatric symptoms, such as dementia, psychosis, parkinsonism, and incontinence. There are few well-researched CO poisoning specific treatments, which suggest supplemental oxygen and hyperbaric oxygen are most effective. We present a …

Characteristics And Educational Background Of Current Deans Of Medicine, Joseph T. Mcgrath, Calla M. Sullivan, Divya Sharma, Evelyn Fagan, Erin X. Wei

Graduate Medical Education Research Journal

Background. Medical school leadership demographics have been examined previously, but there has not been a study investigating the educational background of the current Deans of Medicine (DOMs). The purpose of this report is to examine the demographics, as well as the educational and training background, of the current DOMs to determine how medical school leadership can continue to be diversified across various attributes, such as gender and specialty type.

Methods. The current DOMs at 159 Doctor of Medicine (MD) and 41 Doctor of Osteopathic (DO) programs were identified using medical school websites. Information about the DOM’s background, including pronouns used …

A Novel Interactive Video Module For Providers Improves Knowledge Of Best-Practices For Treating Alcohol Use Disorder, Patrick Twohig, Zachary P. Slocum, Alena Balasanova, Nathalie Khoury, Allison Ashford, Kyle Scholten, Josh Warner, John Gallagher, Thoetchai Peeraphatdit

Graduate Medical Education Research Journal

Background: Despite the availability of efficacious treatment for alcohol use disorder (AUD), providers and patients are often unaware of available treatment options and how to pursue them. Prior studies have found that providers desire more training to effectively treat AUD. Our aim was to develop a standardized video to educate providers about AUD treatment.

Methods: Prospective single-center cohort study evaluating the impact of a novel, interactive educational video module (EVM) for providers about AUD treatment. The EVM discusses treatment, motivational interviewing (MI) and harm reduction strategies, and case examples. The EVM was hosted on our hospital’s website, and available to …

Factors Associated With Healthcare Students’ Cognitive Levels Measured By The Classroom Test Of Scientific Reasoning., Alberto J. De Armendi, Amir L. Butt, Kathryn M.L Konrad, Mohanad Shukry, Edmund A. Marek Ii

Graduate Medical Education Research Journal

Introduction: Healthcare student acceptance into graduate and professional school is based on Grade Point Average (GPA), Graduate Record Examination (GRE) scores, interviews, and letters of recommendation, but not on cognition levels. However, educators need to understand students’ cognitive levels to facilitate constructivist learning theory and inquiry-based learning. The aim of this study is to understand the influence of cognition in healthcare students through the administration of the Classroom Test of Scientific Reasoning (CTSR).

Methods: Medical and baccalaureate nursing students were enrolled to answer demographic questions and complete the CTSR. The CTSR rubric score were used to define four operational cognitive …

Daddy Goggles, Mason J. Rohr

Graduate Medical Education Research Journal

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Prosthetic Valve Endocarditis With Cardiobacterium Hominis: A Case Report, Kaci Griffin, Timothy Jang, Rees Adomako, Jasmine R. Marcelin, Jonathan H. Ryder

Graduate Medical Education Research Journal

Background: Cardiobacterium hominis (C. hominis) is an uncommon cause of infective endocarditis and often presents sub-acutely with fevers, cardiac murmurs, or embolic phenomena. We present a rare case of C. hominis infective prosthetic valve endocarditis that presented with new-onset atrial flutter and systemic emboli.

Case: A 38-year-old male presented to the emergency department with palpitations, shortness of breath, and chest tightness and was found to be in atrial flutter. He underwent a transesophageal echocardiogram-guided cardioversion and was incidentally found to have a one-centimeter echodensity on the ventricular side of his prosthetic aortic valve. (Figure 1.) He …

Pumping Iron, Straining Hearts: Androgen Building Cardiomyopathy In A Middle Aged Bodybuilding Enthusiast, Milan Terzic, Yash B. Patel

Graduate Medical Education Research Journal

A 46-year-old bodybuilder presenting with new onset dyspnea found to have a new onset non-ischemic cardiomyopathy (CM) attributed to exogenous trenbolone and testosterone use. Steroid cessation and guideline-directed heart failure therapy led to notable recovery in left ventricular function supported by global longitudinal strain, ejection fraction and symptomatology.

Anabolic steroid-induced CM involves multiple mechanisms including lipid disturbances, hypertrophy, reduced receptor sensitivity, and cell damage. This case emphasizes the importance of recognizing anabolic steroid misuse as a potential cause of non-ischemic cardiomyopathy in middle aged men. With prompt discontinuation of steroids, remained abstinence and early initiation of guideline-directed medical therapy, myocardial …

Effective Strategies In Improving Internal Medicine In-Training Exam Performance - A Systematic Review, Derek Clar, Ryan Juneau, Valentina Mcneal, Dhara Patel, Prutha Patel, Amro Ilaiwy

Graduate Medical Education Research Journal

Background: The IM-ITE is administered annually to provide residents and program leadership with a measure of the residents' knowledge compared with that of their peers nationwide. Several approaches have been used to improve IM-ITE scores as a means of achieving higher first-time board examination pass rates. While these interventions helped improve outcomes in target programs, it remains unclear whether one approach was superior to another and how different program demographics may have played a role in the outcome of the intervention. Objective: To identify the most effective methods used to improve IM-ITE scores in the literature. Methods: We searched MEDLINE …

Wilson’S Disease Presenting As Acute Hepatitis In Pregnancy With Successful Maternal And Neonatal Outcomes: A Case Report, Paribesh Gyawali, Ranjan Regmi, Shambu Khanal, Rajan Bhandari, Shivani Gupta, Gunjan Arora

Graduate Medical Education Research Journal

Background: Wilson’s disease is a rare genetic disorder characterized by copper accumulation, leading to multi-organ symptoms. It affects between 1 in 30,000 to 1 in 100,000 individuals, with a mean age at diagnosis of 13.2 years. The diagnosis may be overlooked due to its numerous presentations, which can range from non-specific symptoms such as fever, fatigue, and behavioral changes to fulminant hepatic failure. Its clinical manifestations vary widely, making diagnosis during pregnancy particularly challenging. Wilson’s disease complicates pregnancy, as untreated cases can lead to significant morbidity and mortality; excess copper can disrupt metabolic processes and contribute to recurrent miscarriages.

Case: …

Incompatible Batteries With Potential Hazard In Mri Environment, Patrick Barone

Graduate Medical Education Research Journal

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The Role Of Intraoperative Computed Tomography Scanning In Facial Reconstructive Surgery, Steven Santarossa

Graduate Medical Education Research Journal

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Bilateral Submandibular Gland Atrophy Secondary To Chronic Sialolithiasis, Samuel Storey

Graduate Medical Education Research Journal

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Use Of Patient Specific (Custom) Plating In Complex Craniomaxillofacial Trauma Revision Surgery, Chad Sloan

Graduate Medical Education Research Journal

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Mandibular Reconstruction Using Custom Tmj Concepts Prosthesis After Resection Of Conventional Ameloblastoma From Left Mandible: A Case Report, Vivek Sharma

Graduate Medical Education Research Journal

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Sometimes Belly Pain Isn’T As It Seems: An Unusual Presentation Of Sbp, Kate Dusseault

Graduate Medical Education Research Journal

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Intimate Partner Violence (Ipv) Education For Medical Students And The Effect This Has On Comfort Caring For Ipv Patients In Future Clinical Practice — A Medical Student Survey, Morgan Mckinney

Graduate Medical Education Research Journal

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Rural Residency Rotations Effect On Future Emergency Physician Employment, Perspective From An Academic Emergency Medicine Residency 2007-2022, Ty Anderson

Graduate Medical Education Research Journal

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