Higher Education and Teaching Commons^™

Educational Impact Of Supervising Fellow Visits In The Emergency Department, Grace E. Arends Md

Research Days

Problem Statement/Question: After meeting certain criteria, pediatric emergency medicine (PEM) fellows were previously permitted to independently manage and discharge patients. These encounters anecdotally fostered autonomy but missed educational opportunities. We have previously reported that fellow positive perception of education and autonomy was low (22% and 11%). Additionally, the absence of an attending’s attestation on these patient charts prevented the collection of a professional service fee, an average potential billed amount of $125.67 per unit of service or total of $620,307 in 2019.

Background/Project Intent (Aim Statement): After key stakeholder involvement, we recognized attending supervision for all fellow patients as an …

Smart Rounding: Development Of A Nurse-Driven Rounding Checklist As A Sustainable Intervention For Improved Care Communication, Charles I. Maloy

Research Days

Background/Project Intent: Use of checklists in the healthcare setting is increasingly common and is important to the development of high reliability and standard avenues for communication. At our tertiary care freestanding pediatric hospital, there was no widely used rounding checklist that discussed items important to quality care and patient safety outside of the intensive care unit. The development and implementation of medical checklists for the standard patient floor are inadequately described. We will develop and implement a rounding checklist with at least 80% daily checklist use sustained over 6 months. Team members will report improved multidisciplinary discussion of patient safety …

Educating Providers: Timely Post-Operative Pain Management In A Level Iv Neonatal Intensive Care Unit (Nicu), Jamesia Donato, Jamesia Donato

Research Days

Background/Project Intent (Aim Statement): NICU patients often encounter painful procedures and can have significant short and long-term consequences from inadequately treated pain. Ensuring adequate pharmacological and nonpharmacological pain management while minimizing associated risks is paramount. Our NICU is part of the Children’s Hospitals Neonatal Consortium “Erase Pain” collaborative to improve management of postop pain in neonates. SMART Aim: Increase the percentage of patients receiving acetaminophen within one hour after surgery to greater than 70% by July 2020.

Methods (include PDSA cycles): A multidisciplinary team developed pain treatment algorithms and postop order plans to standardize the approach to postop pain management. …

Improving The Approach To Fellowship Trainee Feedback, Katie A. Vandervelde

Research Days

Problem Statement/Question: Giving and receiving feedback are difficult but necessary skills in medical training. We identified a need for improved feedback based on decreased learner satisfaction on our annual ACGME survey. In an anonymous survey, 2018-19 infectious disease fellows reported receiving formal feedback from 52.4% of their inpatient clinical experiences with faculty.

Background/Project Intent (Aim Statement): Increase the occurrence of feedback to fellows by faculty during clinical service rotations from 52.4% to >90.0% in 6 months utilizing a standardized method.

Methods (include PDSA cycles): A Feedback Card (Figure 1), was developed by fellows and faculty. Both parties were instructed to …

Does Access To Care Influence A Child’S Presentation With Appendicitis?, Neal Talukdar

Research Days

Background + Objectives/Goal: Racial demographic and health care coverage impact how and when patients seek care. Previous studies have documented that minority children present with higher rates of perforated appendicitis. We aimed to identify if racial and coverage disparities were associated with the timing and mechanism of appendicitis presentation.

Methods/Design: We performed a prospective study of children (≤ 18 years old) who underwent laparoscopic appendectomy from May 2018 - September 2020. Prior to discharge, the patient’s parent/guardian completed a survey focused on health care encounters within the past year. Surveys were collected using RedCap®; data were analyzed using STATA®.

Results: …

Standardization Of Fertility Preservation Discussion Amongst Pediatric Oncology And Bone Marrow Transplant Patients: A Single Institution Experience, Chandni Dargan, Sarah E. Mc Dermott, Shelby Chesbro

Research Days

Background/Project Intent (Aim Statement): As treatment for pediatric malignancies improves long term survival, physicians are shifting focus to late effects of therapy such as infertility. Currently, options for fertility preservation include cryopreservation of mature oocytes, sperm, and gonadal tissue, although barriers remain present. Within our division, we lacked a standard approach to discussing fertility preservation options prior to initiation of treatment.

Methods (include PDSA cycles): Records from 474 pediatric patients with new oncologic diagnoses at CMH from 2014- 2020 were retrospectively reviewed. We evaluated the frequency that reproductive health discussions were documented in pubertal males and females requiring chemotherapy or …

Esophageal, Gastric, And Duodenal Histologic Findings In Patients With Feeding Difficulties, Amy Issa

Research Days

Background: The etiology of feeding difficulties in children is often multifactorial including medical, oral motor, and behavioral. Gastrointestinal etiologies have been identified as the primary medical component in children with feeding difficulties, however, there is not substantial information to predict which children will have a particular gastrointestinal disorder. The general consensus has been that children with feeding difficulties should have symptoms such as vomiting or abdominal pain to warrant performing esophagogastroduodenoscopy (EGD), but the validity of this approach has not been established.

Objectives/Goal: The aims of the current study were to describe EGD findings of patients presenting to a large …

Efficacy Of Pediatric Surgery Mobile Application For General Surgery Residents, James Fraser

Research Days

Background/Objectives/Goal: Integration of pediatric surgery content into the general surgery curriculum poses unique challenges as the patient population, pathophysiology, and management of surgical disease is distinctive from other subspecialties. Pediatric surgery represents approximately 2% of content on the in-training exam for residents (ABSITE) and is often underemphasized in didactic material, contributing to difficulty with preparation for these clinical rotations. We hypothesize that implementation of a mobile-based application with pertinent clinical algorithms and resources for pediatric surgical education will improve resident performance and enhance learning experiences in the management of pediatric surgery patients.

Methods/Design: Seventeen residents rotating on the pediatric surgery …

Learning From The Past: A Novel Approach To Reducing Unplanned Extubations In The Neonatal Icu, Yonatan Kurland

Research Days

Background/Project Intent (Aim Statement): The objective of this quality improvement project is to decrease unplanned extubations in a Level IV NICU to an annual rate of2020.

Methods (include PDSA cycles): We hypothesized that increased awareness of historical ETT position would both prevent unnecessary ETT position adjustments and encourage prophylactic adjustments to adjust for significant weight gain or loss. In December 2019, we implemented a novel intervention to provide readily accessible graphs of historical ETT tube position in each neonate with corrected gestational agecycles, we provided education to all members of the multidisciplinary team, we enlisted the Information Technologies Department to …

Improving The Rate Of Ppsv-23 Vaccination In Children With Type I Diabetes, Henry S. Jeng Dr

Research Days

Background/Project Intent (Aim Statement): The routine use of PCV-13 has resulted in a dramatic reduction in the incidence of pneumococcal infections among young children. However, serious pneumococcal infections caused by additional vaccine serotypes continue to occur in older children with high-risk conditions.1 As per the CDC, children with Diabetes should receive the PPSV-23 vaccine beginning at 2 years of age and at least 8 weeks after their last indicated dose of PCV-13.2 A review of division data from March 2016 to November 2018 revealed that only 2.6% of the eligible patient population with Diabetes have received the PPSV-23 vaccine. More …

Instagram As A Tool To Enhance Virtual Recruitment In The Era Of Covid-19, Sophia Hackman, Zuri Hudson, Christian Oliveros, Kyra Mccarty

Research Days

Problem Statement/Question: Due to the COVID-19 pandemic, resident recruitment will be virtual for the first time. Interviewees will be unable to visit Children’s Mercy for a tour, will spend less time engaging with current residents, and will be unable to visit Kansas City. The Recruitment Committee sought to understand if social media could be utilized to spread awareness of our pediatric residency program and provide insight into the culture of Children’s Mercy and Kansas City.

Background/Project Intent (Aim Statement): Prior to COVID-19, in person interviews would consist of dinner with current residents the day before the interview and a tour …

Physician Advocacy: Defining And Implementing Into Practice, Laura Kantor

Research Days

Background: Physicians are perceived by society to have a duty to both improve the health of their individual patients and the wellbeing of society as a whole. The perceived social and professional obligation of physicians to engage in advocacy work is often implied yet illdefined with little formal training or official supports. Many physicians feel their training and practice environment do not support increased engagement in advocacy. In order to promote the idea that advocacy is an integral aspect of modern practice, it is necessary to further characterize its definition and scope.

Objectives/Goal: We aim to gain insight into the …

Addressing Hpv And Hbv Immunizations In Pediatric Acute Sexual Assault Care, Katie A. Vandervelde

Research Days

Problem Statement/Question: Victims of sexual assault are at increased risk for acquiring sexually transmitted infections (STIs), including Hepatitis B virus (HBV) and Human papillomavirus (HPV). These immunizations are not curative, but each are >95% effective at preventing infections by the included viruses. The Center for Disease Control and Prevention recommends that children who are victims of sexual abuse/assault, receive the HPV and HBV immunizations at the time of their initial medical evaluation for sexual abuse/assault. Knowing that child sexual assault victims are at increased risk for repeat assault, number of lifetime sex partners, and of being lostto-follow-up, in addition to …

Comparison Of Nasal Swab And Saliva Specimen For Detection Of Sars-Cov-2 In Children, Aaron Shaw

Research Days

Background: Stemming from the rapid need for COVID-19 testing when supplies were limited, we investigated alternate sample processing methods and sample types for SARS-CoV-2 detection. Respiratory specimen processing using an automated nucleic acid extraction system (easyMAG) provides highly quality of nucleic acid for amplification. Reagents and supplies for easyMAG were on short supply during the pandemic, so alternative sample processing methods were investigated. Due to COVID-19 quarantine and isolation, a home kit for specimen collection was desired, particularly one that was less invasive than nasopharyngeal swabs. We investigated the sensitivity and parent/ child satisfaction of home collection kits evaluating saliva …

Faculty Job Satisfaction Related To Online Course Design, April Marie Hixson

School of Education Doctoral Projects - Higher Education

Online education has expanded and evolved slowly through the decades, but the COVID-19 pandemic of 2020-2021 put online education at the forefront of teaching and learning worldwide and sped up the design and delivery of online courses. This study sought to examine faculty attitudes and opinions (amid a global pandemic) toward online course design that may affect their job satisfaction levels. Specifically, it explored factors that could inhibit or contribute to faculty job satisfaction during their engagement in online instructional design. Further, the study was designed to gain an understanding of how pedagogical and technological changes influence the degree of …

X-Ray Spectral Components Of The Blazar And Binary Black Hole Candidate Oj 287 (2005–2020), Dirk Grupe

Faculty Research at Morehead State University

We present a comprehensive analysis of all XMM-Newton spectra of OJ 287 spanning 15 years of X-ray spectroscopy of this bright blazar. We also report the latest results from our dedicated Swift UVOT and XRT monitoring of OJ 287 which started in 2015, along with all earlier public Swift data since 2005. During this time interval, OJ 287 was caught in extreme minima and outburst states. Its X-ray spectrum is highly variable and encompasses all states seen in blazars from very flat to exceptionally steep. The spectrum can be decomposed into three spectral components: Inverse Compton (IC) emission dominant at …

Sjsu Erfa Board Minutes, May 3, 2021, San Jose State University, Emeritus And Retired Faculty Association

SJSU ERFA Minutes

SJSU ERFA Executive Board Minutes

May 3, 2021

Investigating The Longer-Term Impact Of A Professional Development Program: A Five-Year Follow-Up Qualitative Study, Susan Kerwin-Boudreau

The Qualitative Report

Do changes in perspectives on teaching and learning that teachers experience in a professional development (PD) program persist over time? How might they evolve? In this article the author first summarizes the results of her original two-year qualitative study of Quebec CEGEP (college) teachers’ perspectives on teaching and learning within a PD program. She then describes the results of a follow-up qualitative study that she conducted with the same teachers five years later. Teacher interviews were coded using the constant comparative method (Maykut & Morehouse, 1994). Three major conceptual themes emerged: teachers reported engaging (outside of teaching), innovating (within teaching) …

Institutional Changes In Western Michigan University For Incorporation Of Education For Sustainability, Saman Khan

Dissertations

Higher Education institutions (HEIs) have the potential to be significant contributors in the pursuit of a sustainable world through the incorporation of Education for Sustainability (EFS). However, HEIs are entrenched with structures and values that are often resistant to change. The literature reveals that instructors’ beliefs and institutional contexts are the two main factors that impact the implementation of institutional change for sustainability education. Western Michigan University (WMU) has created new required curriculum “WMU Essential Studies” (WES) for undergraduate students and they have targeted sustainability as an essential learning outcome, by integrating and applying it in content courses. Using a …

Using Scrum To Teach Standards-Based K-12 Computer Science: A Prosepectus For A Master’S Level Methods Class At Buffalo State, Noah M. Pierce

Career & Technical Education Theses

Computer Science has been increasingly prevalent in K-12 education in recent decades. Most Americans believe that Computer Science is as important as other skills taught in school; further, parents are putting pressure on districts to offer Computer Science programs (1.1). To meet this demand, many teacher preparation programs are adding Computer Science Education to their offering of degrees. This thesis investigates Agile and Scrum product development as a potential method of Computer Science instruction, explores the standards relevant to a Computer Science teacher, and offers a prospectus for a new Graduate Level Methods class to prepare Computer Science teachers to …

Creative Confidence, Marjolein Hutting

Creativity and Change Leadership Graduate Student Master's Projects

This project is about increasing creative confidence. Creative confidence is the natural human ability to come up with breakthrough ideas and the courage to act on them. In this project the focus is on using your body as an instrument in order to develop a larger confidence. The foundation of this idea comes from improv theater. Improv theater is the process and product of creativity occurring simultaneously. I order to do so you have to have a large creative confidence. There is a proved correlation between creative thinking skills and improv theater. This project provides information on this topic, provides …

Into The College Classroom, Another Tour Of Duty: A Guide For Instructors Of Veteran Students In Higher Education, Steven Dewalden

Electronic Theses, Projects, and Dissertations

Concepts found in organizational socialization and culturally responsive pedagogy, were used in this project. The focus was on the veteran population who are leaving the unique organizations of the military to transition into higher education. Differences in socialization techniques used by the military and higher education are vastly different and contribute to unique outcomes for the new members. In this project, veterans were represented as a unique culture to consider in the classrooms of higher education as instructors prepare to use a culturally responsive approach to teaching. This project was created using an autoethnographic process using self-reflection through a narrative …

A Mixed Methods Study Of Impostor Phenomenon In A Hispanic Serving Institution, Olympia Caudillo

Open Access Theses & Dissertations

Impostor phenomenon is a psychological experience where a highly talented individual doubts innate skills and accomplishments. Instead, success is attributed to factors other than intellectual ability, so the individual fears exposure as a fraud. Experiences of impostor phenomenon among students enrolled in Hispanic Serving Institutions (HSI) remains under-researched. This mixed-methods study aims to explore impostor phenomenon between doctoral students enrolled in a Hispanic Serving Institution based on existing research on impostor phenomenon, conducted in predominantly White institutions. The first phase of the study focuses on exploring impostor phenomenon in relation to doctoral studentsâ?? gender, type of program and generational status; …

Affinity-Seeking: Student Desirability And Motivation In The Classroom, Taylor D. Corlee

Graduate Theses/Dissertations

Affinity-seeking research once provided teachers with effective strategies to create an overall better classroom environment. Over the last twenty years there has been no continuation of this research and the effectiveness of these strategies seemed to be agreed upon. The purpose of this study is to bring affinity-seeking research back into the modern era and see how motivation is affected for both in-person and online classes. This study is a contribution that adds to these strategies for effectiveness in both in-person and online classrooms.

Integrating Interprofessional Education Into Teacher Preparation Curriculum: Reimagining Partnerships From The Inside Out, Jennifer Lauren Rogers Edd

Electronic Theses and Dissertations

This mixed-methods program evaluation sought to identify elements of collaboration within interprofessional education experiences and provide suggestions regarding the future implementation of interprofessional education experiences into the identified teacher preparation program. Program suggestions were informed by the perspectives of current teacher preparation faculty, recent teacher preparation graduates, and other professional stakeholders. Other professional stakeholders are those who have a vested interest in a program. Quantitative data, in the form of descriptive statistics, was collected through a needs assessment tool completed by teacher preparation faculty participants and the Texas Education Agency Principal Survey completed by administrators overseeing first-year teachers who were …

Chronic Codeswitching: A Phenomenological Study Examining Multiracial Student Sense Of Belonging In A Predominantly White Institution., Nicholas Lamar Wright

Electronic Theses and Dissertations

Constantly feeling a lack of acceptance and getting the comment “You are too Black” or “You are too White” is a challenging, common occurrence for multiracial students, but especially those in predominantly White institutions. This is just one of the barriers that stand between multiracial students and forming a sense of belonging at a predominantly White institution. The majority of research examining sense of belonging focuses on either Black or White students, but neglect multiracial students and their experiences. This dissertation examines sense of belonging for multiracial (Black/White) students in a predominantly White institution, by interviewing 11 multiracial students at …

Review Of Schooling Of Learners With Disabilities And The Manifestation Of The Hidden Curriculum Of Time, Theodoto Ressa

Journal of Educational Research and Practice

Postsecondary outcomes remain difficult to attain despite their significance to learners with disabilities. This qualitative study investigated the impact of a hidden curriculum of time on the education of five undergraduate students with disabilities at a Carnegie Research One institution in the midwestern U.S. Participants in their quest for an education experienced a hidden curriculum of time in the form of physical impairments, educational costs of ill-health, and disability discrimination. The academic barriers participants encountered in reaching their educational goals suggest that addressing the hidden curriculum of time is essential for authentic inclusion and achievement of postsecondary education outcomes.

Overview Of The Proceedings Of The 2020 Inclusion In Science, Learning A New Direction, Conference On Disability (Island), Cary Supalo, Jasodhara Bhattacharya, Daniel Steinberg

Journal of Science Education for Students with Disabilities

No abstract provided.

Elevating The Voices For All Learners Through Shared Stories Of Science Learning, Lauren Madden, Stuart Z. Carroll, Amy K. Schuler

Journal of Science Education for Students with Disabilities

This study examines the science learning experiences across the lifespan of two groups of college students: adults with intellectual and/or developmental disabilities in a post-secondary inclusive program, and adults in a preservice secondary education teacher candidate program. Data, in the form of personal narrative science stories were collected using a paired-interview approach in which students from each group interviewed one another about their science learning across their lifespans, and recorded responses using an online form. Across the stories, several clear themes emerged. Similarities and differences were found across and within the groups and are shared in a narrative format. Trends …

Publishing Successful Practitioner (Teaching Techniques) Manuscripts For The Journal Of Science Education For Students With Disabilities, Jonte C. Taylor

Journal of Science Education for Students with Disabilities

The Journal of Science Education for Students with Disabilities (JSESD)d is the premier journal focusing on the intersections of science education for students with disabilities. JSESD provides valuable content and context for teachers and researchers on what works in advancing science access, practices, and knowledge for all students across settings, grades, ages, and exceptionality. One way in which JSESD supports teachers and researchers is through publication of practitioner manuscripts also referred to as Teaching Techniques. These manuscripts focus on the how-to portion of science education. That is, JSESD practitioner publications give detailed information on how-to provide science instruction or how-to …