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Jcipe Update

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

JCIPE Update

From The Editors

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Welcome to the fall 2020/winter 2021 issue of the JCIPE newsletter. 2020 was a year like no other. We witnessed and weathered the impact of the COVID pandemic in a variety of ways, and felt it on nearly every aspect of our professional and personal lives. We also collectively witnessed atrocities too numerous to count, resulting from the deep-seated systemic racism that is intrinsically tied to health disparities and inequities in this country.

The pain and adversity has made this a dark time in our history, yet, has enabled us, individually and communally, to heed and recognized historically marginalized voices, …

Collaborative Healthcare: Interprofessional Practice, Education And Evaluation (Jcipe), Volume 11, Number 2, Fall 2020/Winter 2021

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

In this Issue

1 - From the Editors

2 - JCIPE Update

2 - Interprofessional Practice and Education During the Pandemic

4 - PEOPLE Building a Better World Together

6 - Collaborative Interprofessional Work as Means to Prepare Better Healthcare Professionals

7 - Meet an IPE Student Champion from Thomas Jefferson University

8 - Striving for Consistency Among Change and Uncertainty: A Year of Interprofessional Student Hotspotting

11 - Infusing Interprofessional Education Core Competencies and Collaborative Practice Into Standards-Driven Curricula

14 - Meet an IPE Faculty Champion from Thomas Jefferson University

The Integration Of Transgender Health Into Jeffmd, Jacob Nair, Bernard Lopez, Md

Phase 1

Purpose: One way to address healthcare disparities experienced by the transgender community is by educating medical students on trans health. Currently, there is not a universal LGBTQ+ curriculum in medical schools, which has resulted in students feeling incompetent and uncomfortable when treating transgender patients. The purpose of this study was to evaluate the current trans health content in JeffMD and remedy any curricular gaps with trans specific content.

Methods: The trans content in JeffMD was identified using a Keyword Search tool, One45 and lecture notes. A survey distributed to all Thomas Jefferson healthcare students regarding their attitudes and knowledge surrounding …

Needs Analysis For Breastfeeding Education At Thomas Jefferson University Hospital, Michal Norry, Julia Switzer, Md

Phase 1

Purpose: There are currently gaps in breastfeeding education for OB/GYN and Family Medicine residents, consequently affecting their confidence in this area of patient care. To address this issue, we are conducting an analysis of the efficacy of the current curriculum to highlight areas for future improvement.

Methods: PGY1-4 residents in the departments of Family Medicine (FM) and Obstetrics and Gynecology (OB/GYN) completed a pre-test before their required annual breastfeeding education on August 6, 2020. We used a validated pre-test from the American Academy of Pediatrics (AAP) which included items assessing the training. Learners self-selected one of two didactic sessions: in …

Assessing Sentiment Towards Opioid Use Disorder At Jefferson: Characterizing Non-Clinical Emergency Department Staff, Joseph Arciprete, Benjamin Finard, Madalene Zale, Mph, Benjamin Slovis, Md, Hannah Smith

Phase 1

Purpose: To characterize emergency department (ED) staff regard toward opioid use disorder (OUD) and analyze variation based on job category. The closure of Hahnemann Hospital, in combination with the increasing prevalence of OUD, is exacerbating the previously inadequate network of resources for these patients. Jefferson is strategically positioned to improve the care provided to this patient population, especially in an ED setting, and ultimately increase linkage to long-term recovery programs.

Methods: Sentiment toward this patient population was measured utilizing the Medical Condition Regard Survey (MCRS). This questionnaire was previously validated to subjectively, but quantitatively, assess regard toward a defined patient …

Efficacy Of Articulate Module: Tracheostomy And Laryngectomy Pearls For The Health Care Providers, Sruti Tekumalla, Andrew Piacitelli, Vanessa Christopher, Dimitri Papanagnou, David Cognetti

Phase 1

Purpose: Anatomy, general care and emergency management knowledge of tracheostomies and laryngectomies is crucial in preventing significant morbidity and mortality within the surgical airway population. An Articulate module was made to address and refresh learners on pertinent surgical airway knowledge. Our goal was to assess the efficacy of the new Articulate module, measuring airway knowledge and attitude treating the surgical airway population.

Methods: Residents in anesthesia, emergency medicine, and internal medicine were eligible and consented to participate. Half of participants were given the Articulate module and half were not. All participants were asked to take a follow-up test. The test …

Demographic Backgrounds And Career Goals Of First-Generation Medical Students, Brianna Kunes, Ricky Burns, Allison Casola, Phd, Mph

Phase 1

Purpose: Little research is available on the demographics and career goals of first-generation medical students. Undergraduate research suggests first-generation students are more likely to come from lower-income households, speak English as a second language, and experience higher drop-out rates. These diverse experiences could make first-generation medical students valuable members of the healthcare team. However, without more information, it is difficult for medical schools to identify and support them. Therefore, the purpose of this study is to define the following inquiry statements: What are the demographic backgrounds and intended career goals of first-generation medical students; How do they differ from non-first-generation …

Capturing Initial Understanding And Impressions Of Surgical Therapy For Parkinson’S Disease To Enhance Patient Education, Samantha Katz, Julie Barbera, Chengyuan Wu, Tsao-Wei Liang

Phase 1

Purpose: Deep Brain Stimulation (DBS) is an underutilized surgical therapy for Parkinson’s Disease (PD). Both physician and patient hesitancies have been described as barriers to DBS, but specific perceptions of DBS have not been well characterized. To better understand DBS hesitancy, our objective is to pinpoint what specific concerns and fears our patient population have and use this information to enhance education for those contemplating DBS.

Methods: A 30-question survey assessing impressions of surgical therapy for PD was administered to PD patients seen at an urban movement-disorders clinic. Patients had not yet undergone DBS implantation or neurosurgeon consultation. Questions were …

Analyzing The Effect Of Interview Time And Day On Emergency Medicine Residency Interview Scores, Sean Greco, Alanna O'Connell, Do, Tingting Zhan, Phd, Tracy Brader, Md, Megan Crossman, Do, Megan Stobart Gallagher, Do, Anthony Sielicki, Md, Peter Tomaselli, Md, Robin Naples, Md, Dimitrios Papanagnou, Md, Mph

Phase 1

Purpose: Each year, medical students go through the residency application process and are faced with the decision of where to apply. If they receive an interview offer at an institution, they are faced with another decision, when to schedule their interview. Studies have examined the possible effect of interview date on matching and on match rank. However, other variables such as examination scores, letters of recommendation, and class rank also effect match outcome. There have been no studies investigating the possible role the time of day in which the interview takes place can affect the residency interview process. The purpose …

The Effect Of 3d Printed Models On Surgical Planning And Outcomes For Partial Nephrectomies, Samuel Morano, E. Reilly Scott, Andrea Quinn, Erica Mann, Adam Schneider, Connor Mcpartland, Kaitlyn Boyd, Alice Karp, Abhay Singh, Md, Thenappan Chandrasekar, Md, Mark Mann, Md, Edouard Trabulsi, Md, Vishal Desai, Md, Costas Lallas, Md

Phase 1

Purpose:

Partial nephrectomies to remove renal masses are kidney-sparing procedures that rely on anatomical comprehension. Prior research demonstrates complex and expensive 3D models (~$1000) increased surgeons’ confidence in selecting their operative plan. We aim to use simpler and cheaper 3D models to improve preoperative surgeon confidence and support operative management.

Methods:

3D printed models (~$35) of the affected kidney, mass, and renal vasculature were created using preoperative CT or MRI imaging of 17 patients presenting for partial nephrectomies at Thomas Jefferson University (TJU) between July and December 2020. The models were created at TJU using Ultimaker technology.

Surgeons filled …

Lgbtq-Related Material In Undergraduate Medical Education In The Mid-Atlantic Region Of The United States, Margaret Pearce, Bernard Lopez, Md

Phase 1

Purpose

This study describes the current state of formal lesbian, gay, bisexual, transgender and queer (LGBTQ)-related education at undergraduate medical schools in the Mid-Atlantic region of the United States. A review of literature shows the last time a similar study was conducted was in 2011 by Obedin-Maliver et al and was a survey that included all medical schools of the United States and Canada. Given the changes over time for both the LGBTQ and medical community , it is likely that the state of LGBTQ-related education in undergraduate medical education has changed greatly.

Methods

This was a cross-sectional Internet-based survey, …

A Game Of Triage: Developing A Game To Teach Medical Students Triage Tagging In The Setting Of A Mass Casualty Event, Luke Egan, Alanna O'Connell

Phase 1

Purpose: Triage tagging during a mass casualty event (MCE) is an essential skill when it comes to being able to distribute limited resources to those most critical out in the field. Medical students do not receive any formal training on this. This project set out to design a game that would effectively teach students how to use the Simple Triage and Rapid Treatment (START) algorithm in the event they ever find themselves assisting in an MCE.

Methods: This project was aimed towards MS-4’s during their EM rotation. Due to COVID-19, the game design was adjusted to an online platform for …

Effect Of Patient Perspectives In Teaching Medical Students About Postpartum Depression, Laura Fiorini, Julia Switzer, Md

Phase 1

Purpose: Postpartum Depression (PPD) is frequently undiagnosed in the clinical setting. Barriers to correctly recognizing and diagnosing PPD include lack of specific education during medical school and prioritization of physical health over psychosocial health. Further, to better understand psychologic disorders, medical education should incorporate patient perspectives so that students can fully appreciate the individual impact.

Methods: This study was designed on Qualtrics and circulated to preclinical medical students (MS 1/2) at Thomas Jefferson University. Participants completed a T/F pretest and viewed the included slide deck. Half of the participants were randomized to watch a patient perspective. As a posttest, objective …

Primary Care Obstructive Sleep Apnea Screening, Grant Gillan, Ben Espenhorst, Cynthia Cheng

Phase 1

Obstructive Sleep Apnea (OSA) is a common sleep disorder characterized by long pauses in breathing over the course of a night’s sleep, leading to significant daytime fatigue and long-term pathologies if left untreated. While a sleep study is the diagnostic tool of choice for OSA, this test is costly. To maximize cost effectiveness, we developed a screening protocol to identify patients at high risk for OSA for referral for a sleep study.

To identify high risk individuals, we screen patients identified in the EMR with pre-existing risk factors of OSA. We contact them to complete the full screening test: the …

Assessing The Educational Impact Of 3d Printed Models On Fellow, Resident, And Patient Education For Partial Nephrectomies, E. Reilly Scott, Samuel Morano, Andrea Quinn, Erica Mann, Kaitlyn Boyd, Michelle Ho, Alice Karp, Abhay Singh, Thenappan Chandrasekar, Mark Mann, Edouard Trabulsi, Vishal Desai, Costas Lallas

Phase 1

Purpose:

3D printing is a growing tool in surgical education with the ability to visualize and teach complex procedures from multiple angles. Previous studies demonstrated 3D models as useful teaching tools for partial nephrectomy for patient and trainee education. We aim to create a cheaper and simpler 3D model to encourage these learning opportunities.

Methods:

Patient-specific, cost-effective ($35) 3D models of the affected urologic structures were created using preoperative imaging of 17 patients undergoing partial nephrectomies at Thomas Jefferson University Hospital between July and December 2020.

Patients receiving the surgery filled out two surveys about their understanding of …

Assessment For Simulation Training For Prehospital Ems Providers In Bermuda, David Duperreault, Roger Band, Md, Amy Gutman, Md, Dimitri Papanagnou, Md

Phase 1

Introduction

The island of Bermuda is 21 sq miles and located approximately 650 miles east of North Carolina, US. ^[1] There is only one hospital to serve the population of approximately 65,000. There are approximately 95 registered EMTs (Emergency Medical Technician) and AEMTs (Advanced Emergency Medical Technician) currently serving the island. ^[2] It is hypothesized that due to the remote/isolated nature of the island, low ratio of 911 call volume to population, and limited access to continuing education, there is difficulties for EMTs and AEMTs to maintain their skill and knowledge base. ^{[3, 4, 5, 6]} The Goal of this …

Improving Response To Non-Traumatic Dental Pain In The Ed Through A Novel Task Trainer For Dental Blocks, Dylan Selbst, Alanna O'Connell, Tracy Brader

Phase 1

Purpose:

Dental nerve blocks are a vital skill for physicians to have when treating non-traumatic dental pain; however, there is yet to be a simple, practical, and effective way to educate residents in performing this task. The purpose of this project is to explore the efficacy of a low-fidelity dental model task-trainer in teaching emergency medicine residents to perform dental blocks.

Methods:

In this study, 29 EM residents at TJUH were surveyed regarding their knowledge and attitudes regarding performing dental blocks using a brief Likert-scale questionnaire. Next, they were given 15 minutes to practice performing dental blocks on a low-fidelity …

Cbl Facilitation: A Survey Of Facilitators And Students With A Particular Interests In Team Building And Facilitation Improvement, Cecelia Sagona, Susan Truong, Md, Nethra Ankam, Md

Phase 1

Purpose: As the CBL cases have become more refined, there is a desire to continually improve the way cases are being facilitated, understand the methods that are working well, learn if there are practices that are detrimental to learning, and better understand how students are transitioning to teams. This project gathered information from both the from the Class of 2023 during their first year in the SKMC program and their CBL facilitators in order to improve the CBL facilitation. With the information gathered, there were two aims. First, to generate suggestions which were discussed at the CBL facilitators’ back to …

Understanding Clinical Staff Attitudes Towards Patients Presenting To The Emergency Department With Opioid Use Disorder, Benjamin Finard, Joseph Arciprete, Madalene Zale, Mph, Carissa Walkosak, Benjamin Slovis, Md, Ma, Dimitrios Papanagnou, Md, Hannah Smith, Phd

Phase 1

Purpose: Significant stigma surrounds patients with opioid use disorder (OUD). This stigma repeatedly follows patients into the ED and negatively influences care. All ED staff impact the patient journey in the ED and the success with which OUD patients receive a warm handoff to a recovery organization. What is the current attitude of Jefferson’s clinical staff towards patients with OUD?

Methods: The authors developed and deployed a survey to Jefferson’s ED clinical staff members through Qualtrics. The survey was informed by the validated Medical Condition Regard Scale (MCRS) to capture staff sentiments towards patients with OUD. Respondents job category, job …

Medical Student Interest In Loan Forgiveness Programs, Ricky Burns, Brianna Kunes, Allison Casola, Phd, Mph

Phase 1

Purpose: Student debt from medical school rises every year and there is limited research on how early financial education affects career placement. Our purpose is to investigate the prevalence, demographics and motivations of 3^rd year medical students who intend to enter loan forgiveness programs (LFPs). The question we aim to answer is, what are the demographics of 3^rd-year students who intend to take part in LFPs and how can it be used to create better financial education for future students?

Methods: Data from a 31-item cross-sectional quality improvement and health disparities assessment was given to third year …

Effectiveness Of Enrichment Programs Such As Step Up In Increasing The Matriculation Of Urim Students To Medical Schools, Jessica Amoako, Traci Trice, Md

Phase 1

Introduction: Diversity in healthcare can improve access to healthcare for racial/ethnic minorities. However, barriers such as lack of educational opportunities have hindered URiM (underrepresented in medicine) students from matriculation to medical school. Enrichment programs such as STEP UP Medicine seek to break down these barriers. It provides its participants with MCAT preparation, advising, medical skills sessions, clinical shadowing experiences, and networking opportunities. Thus, the goal of this project is to assess if this program is effective in improving the medical school matriculation rates of URiM students.

Methods: Data was collected through a self-administered online survey using Google forms. The link …

Jefferson Digital Commons Quarterly Report: October-December 2020, Kelsey Duinkerken, Msi, Larissa Gordon, Mslis, Med, Ma

Jefferson Digital Commons Reports

This quarterly report includes:

• Articles
• Departmental Reports
• Dissertations
• Doctorate of Occupational Therapy (OTD) Capstones
• Educational Materials
• Grand Rounds and Lectures
• JCPH Capstone Presentations
• Journals and Newsletters
• Library Presentations
• Posters
• The Big in Big Data Symposium
• What People are Saying About the Jefferson Digital Commons