Medicine and Health Sciences Commons^™

Wise-Family Medicine: A Statewide Faculty Development Collaborative, Deborah Simpson, Kjersti Knox, Anne Getzin, John R. Brill, Melissa M. Stiles, Jeffrey A. Morzinski

Deborah Simpson, PhD

Background: In many states, family medicine residencies and medical schools compete clinically for patients, educationally for trainees and, more recently, for community preceptors (CPs). As Wisconsin’s medical schools and health care systems have expanded their geographic footprints, our CPs now teach trainees from competing institutions. Yet residency and medical student accrediting bodies require faculty and preceptor development.

Purpose: To evaluate the impact of a statewide collaborative of family medicine educators on meeting faculty development needs of our CPs and collaborative members.

Methods: Faculty development leaders representing the three largest family medicine residency training sponsors in the state created the Wisconsin …

Week Of December 19, 2016, New York Medical College

InTouch

• Department of Surgery Hosts Thirteenth Annual Louis R.M. DelGuercio, M.D., Distinguished Visiting Professorship and Research Day
• Student Leadership Groups Take Action
• The First Snowman Project Is a Success
• P2P Committee Recognizes Role Models at NYMC

Doctoring Undercover: Updating The Educational Tradition Of Shadowing, Claire D. Clark

Behavioral Science Faculty Publications

Background: Premedical students are educated in basic biological and health sciences. As a complement to traditional premedical coursework, medical school applicants are encouraged to shadow practitioners, with the hope that observation will introduce students to the culture and practice of healthcare. Yet the shadowing experience varies widely across practitioners and institutions; resources that guide students’ critical reflection and structure the experience are scarce.

Development: A pilot experiential learning course, Doctoring Undercover: Shadowing and the Culture of Medicine, was developed to fill this gap. The course consisted of three parts: an introduction to medical culture through the disciplines of medical sociology, …

Wise-Family Medicine: A Statewide Faculty Development Collaborative, Deborah Simpson, Kjersti Knox, Anne Getzin, John R. Brill, Melissa M. Stiles, Jeffrey A. Morzinski

Anne Getzin, MD

Background: In many states, family medicine residencies and medical schools compete clinically for patients, educationally for trainees and, more recently, for community preceptors (CPs). As Wisconsin’s medical schools and health care systems have expanded their geographic footprints, our CPs now teach trainees from competing institutions. Yet residency and medical student accrediting bodies require faculty and preceptor development.

Purpose: To evaluate the impact of a statewide collaborative of family medicine educators on meeting faculty development needs of our CPs and collaborative members.

Methods: Faculty development leaders representing the three largest family medicine residency training sponsors in the state created the Wisconsin …

Physiological And Psychological Responses Of Surgeons And Trainees, Sarantis Abatzoglou

Electronic Thesis and Dissertation Repository

Performing surgical procedures can increase the physiological stress and mental strain experienced by practicing surgeons and their trainees. This may negatively affect work and learning capacity and quality of patient care by increasing the incidence of burnout, sleep disorders, fatigue and other negative behaviours such as substance abuse. This study aimed to compare the physiological and psychological responses of similar clinical situations between orthopaedic surgeons and their clinical fellows. An observational prospective cohort study was performed in that matter. Our results showed overall increased physiological responses of the fellows during surgery days compared to the clinic days. On the contrary, …

Quality Improvement Of Procedural Services In Family Medicine Residency Clinics, Keisha Rogers, Nora Guschwan, Lisa Sullivan Vedder

Aurora Family Medicine Residents

Background: Performing common procedures in our family medicine residency clinics is often a difficult and inefficient process. A 2008 Society of Teachers of Family Medicine consensus statement on procedural training found higher job satisfaction and better financial compensation for family practitioners who performed procedures. Patient satisfaction is likely increased when minor procedures are able to be performed by their primary clinician. This would suggest a disconnect between the known benefits of providing procedural services and the ability of our residency clinics to provide those services in an efficient manner. Purpose: To assess clinician and staff comfort with performance of common …

Aligning Asthma Education Across The Continuum Of Physician Education: Impact On Clinical Metrics, Lisa Sullivan Vedder, Deborah Simpson, Jacob L. Bidwell, John R. Brill, Theresa Frederick

Aurora Family Medicine Residents

Background: All trainees entering family medicine residency training programs after June 1, 2012, must complete the same American Board of Family Medicine (ABFM) Maintenance of Certification (MOC) requirements as practicing physicians. These shared requirements provide an opportunity to align physician education initiatives across the continuum focused around a clinical care topic to improve health care system metrics. Purpose: To assess the initial effectiveness of an ABFM Asthma Part IV approved MOC module, aligned to meet residency and medical student program accreditation requirements, on health care system metrics. Methods: An ABFM Asthma Part IV MOC module was implemented for family medicine …

Impact Of A Family Medicine Resident Wellness Curriculum: A Feasibility Study, Christine Runyan, Judith A. Savageau, Stacy E. Potts, Linda F. Weinreb

Judith A. Savageau

BACKGROUND: Up to 60% of practicing physicians report symptoms of burnout, which often peak during residency. Residency is also a relevant time for habits of self-care and resiliency to be emphasized. A growing literature underscores the importance of this; however, evidence about effective burnout prevention curriculum during residency remains limited.

OBJECTIVES: The purpose of this project is to evaluate the impact of a new, 1-month wellness curriculum for 12 second-year family medicine residents on burnout, empathy, stress, and self-compassion.

METHODS: The pilot program, introduced during a new rotation emphasizing competencies around leadership, focused on teaching skills to cultivate mindfulness and …

December 2016, Randy Curry, Cindy Brooks

RURAL ROCKS

Rural Rocks, the Rural Health Network newsletter by the SWOSU College of Pharmacy

Week Of December 12, 2016, New York Medical College

InTouch

• BioInc@NYMC Welcomes Philips Healthcare Research
• D.P.T. Class of 2018 Shares the Impact of their Community Service Projects
• Thirteenth Annual Louis R.M. DelGuercio, M.D., Distinguished Visiting Professorship and Research Day Set for December 14
• Competitive HRSA Internship Provides Extraordinary Experience for SHSP Grad

Week Of December 5, 2016, New York Medical College

InTouch

• NYMC Earns MSCHE Full Accreditation
• Department of Pediatrics Hosts Sixth Annual Assistant Professor Pediatric Research Symposium
• Symposium Focuses on Pediatric Hematologic and Oncologic Problems

Improving Healthcare Provider Knowledge In Acute And Primary Transgender Health Needs: The Implementation Of A Clinical Education Program With Urgent Care And Emergency Room Staff And Providers, Tonia Lower

Doctor of Nursing Practice Scholarly Projects

The purpose of this project was to improve knowledge and identify personal bias and beliefs in the acute and primary healthcare needs of transgender persons, through the implementation of a clinical education program with healthcare providers and staff working within the urgent care and emergency department settings. The need for such a program exists due to the lack of suitable and accessible healthcare that may lead to misdiagnosis, delay of treatment and poor health outcomes. Including clinical education in the acute and primary healthcare needs of transgender persons that can be integrated into healthcare organizations may aid in the improvement …

Formulating A Pharmacy Collection Without A Prescription, Kristin Laughtin-Dunker, Linda Galloway

Library Articles and Research

Librarians without a background in the health sciences were tasked with building a collection to support a new pharmacy school at a traditionally liberal arts institution. Despite little subject expertise, the team assessed current holdings, conducted a review of recommended resources, and collaborated with faculty to prioritize acquisitions to support the developing program as funds became available. The hire of a health sciences librarian provided new opportunities for assessment and for continued collecting. Altogether, this process allowed for the creation of recommended best practices that can be adopted by any librarian procuring resources to support new health science programs.

Electronic Communication Among Anesthesia Providers, Joseph K. Wells

Doctoral Projects

Facilities in the United States are utilizing electronic communication devices (ECDs) for their nursing staff on intensive care units, general medical-surgical floors, and chemotherapy floors, but it is underutilized in the operating room where seconds truly matter (Wu et al., 2012). Situations arise daily within operating rooms that require quick and decisive communication to avoid poor patient outcomes. The ultimate goal is to prevent poor patient outcomes by enhancing communication among anesthesia providers.

This doctoral project evaluated an anesthesia group in southeast Mississippi regarding their satisfaction with current devices used for communication. This anesthesia group utilized smart phones and public …

Staying Current In Your Field Of Interest: Tips For Aspiring Students As Researchers, Dor D. Abelman

Health Studies Publications

Undergraduate students are becoming increasingly involved in research. They already posses the skills required to make meaningful contributions to their field of interest. Some important components of their success relates to a student's ability to stay up to date in the research of their field, and to learn practical skills pertaining to the publishing process. This article hopes to help with this through presenting easy-to-follow summary tables and short paragraphs on tips for success. Topics include staying up to date in a practical way, getting involved, reaching out for help, and publication. For students, by students, this report is relatable …

The Impact Of Short Papers On Clinical Decision Making Skills Of Nursing Students, Tara R. Hayes

Nursing Theses and Capstone Projects

Clinical decision making and critical thinking are fundamental skills to ensuring the success of undergraduate nursing students. Nursing faculty, and specifically clinical nursing faculty, are responsible for encouraging the development of these types of skills as students work in direct patient care. Traditional methods of clinical evaluation include lengthy case studies, concept mapping, and discussion board participation. While these methods have been in effect for some time, clinical short paper assignments are a fresh, innovative way to challenge students as they refine their critical thinking and clinical decision making abilities. No statistically significant difference was found between the perceived level …

Impact Of Conflict On Medical Education: A Cross-Sectional Survey Of Students And Institutions In Iraq, Ashton Barnett-Vanes, Sondus Hassounah, Marwan Shawki, Omar Abdulkadir Ismail, Chi Fung, Tara Kedia, Salman Rawaf, Azeem Majeed

Dartmouth Scholarship

Objective: This study surveyed all Iraqi medical schools and a cross-section of Iraqi medical students regarding their institutional and student experiences of medical education amidst ongoing conflict. The objective was to better understand the current resources and challenges facing medical schools, and the impacts of conflict on the training landscape and student experience, to provide evidence for further research and policy development. Setting: Deans of all Iraqi medical schools registered in the World Directory of Medical Schools were invited to participate in a survey electronically. Medical students from three Iraqi medical schools were invited to participate in a survey electronically. …

Directly Comparing Handoff Protocols For Pediatric Hospitalists, Elizabeth H. Lazzara, Robert Riss, Brady Patzer, Dustin C. Smith, Y. Raymond Chan, Joseph R. Keebler, Sarah D. Fouquet, Evan M. Palmer

Publications

BACKGROUND AND OBJECTIVES: Handoff protocols are often developed by brainstorming and consensus, and few are directly compared. We hypothesized that a handoff protocol (Flex 11) developed using a rigorous methodology would be more favorable in terms of clinicians’ attitudes, behaviors, cognitions, or time-on-task when performing handoffs compared with a prevalent protocol (Situation Background Assessment Recommendation [SBAR]).

METHODS: Using a between-groups, randomized control trial design (Flex 11 versus SBAR) during a pilot study in a simulated environment, 20 clinicians (13 attending physicians and 7 residents) received 3 patient handoffs from a standardized physician, managed the patients, and handed off the patients …

Using The Assessment Process To Improve Evidence-Based Information Gathering Skills For Future Audiologists, Mickel Paris, Jiong Hu, Veronica Koo, Susanna Marshall, Gabriella Musacchia

University Libraries Librarian and Staff Articles and Papers

Success of students in Doctor of Audiology programs depends on the ability of the learner to find and evaluate scholarly evidence. The objective of this study is to determine if an information literacy training session on evidence-based information gathering will increase four student measures: (1) Attitudes toward gathering and evaluating scholarly evidence, (2) Knowledge about evidence-base information gathering practices, (3) Perceived value of the training regarding evidence-based searching methods, and (4) Ability to gather evidence for clinical research questions. 23 first-year audiology doctoral students (AuD) at the University of the Pacific in San Francisco participated in this study. Pre- and …

Quality Management: A Global Case Study In Organ Transplantation, Cassie L. Rodriguez

Master's Projects and Capstones

Every year the US and European countries face an epidemic of organ failure from a multitude of reasons: cancer, genetic predisposition, exposure to harmful chemicals in home or surrounding areas or through drinking, drugs and smoking. Another problem faced, is the ratio of organ donors to organ recipients. Over 121,000 patients are on the waiting for an organ transplant, and a fraction of those waiting will die because of time. The Hanover Medical school and department of quality management, have created an integrated approach to organ transplant avenues. Quality management is a systematic guide for organ transplantation that allows all …

Ebm Resources Decision Tree, Donna O'Malley, Alice Stokes, Gary S. Atwood, Lynda M. Howell

University Libraries Faculty and Staff Publications

The EBM Resources Decision Tree is a mobile-friendly website designed for for a month-long problem-based learning (PBL) course for pre-clinical medical students. The website sought to improve the range and quality of sources used by students in the PBL course. A secondary objective was to offer a website to encourage the use of evidence-based medicine tools in clinical care.

Educating Clinician Scientists Once Again—A Societal Need, James Peter Meza

Clinical Research in Practice: The Journal of Team Hippocrates

The Faculty Editor advocates for the training of clinician scientists again, using the body of clinical research as the laboratory.

Brief Compression-Only Cardiopulmonary Resuscitation Training Video And Simulation With Homemade Mannequin Improves Cpr Skills., Gregory K Wanner, Arayel Osborne, Charlotte H. Greene Phd

PCOM Scholarly Papers

BACKGROUND: Cardiopulmonary resuscitation (CPR) training has traditionally involved classroom-based courses or, more recently, home-based video self-instruction. These methods typically require preparation and purchase fee; which can dissuade many potential bystanders from receiving training. This study aimed to evaluate the effectiveness of teaching compression-only CPR to previously untrained individuals using our 6-min online CPR training video and skills practice on a homemade mannequin, reproduced by viewers with commonly available items (towel, toilet paper roll, t-shirt).

METHODS: Participants viewed the training video and practiced with the homemade mannequin. This was a parallel-design study with pre and post training evaluations of CPR skills …

The Future Of Global Health Education: Training For Equity In Global Health, Lisa V. Adams, Claire M. Wagner, Cameron T. Nutt, Agnes Binagwaho

Dartmouth Scholarship

Background:

Among academic institutions in the United States, interest in global health has grown substantially: by the number of students seeking global health opportunities at all stages of training, and by the increase in institutional partnerships and newly established centers, institutes, and initiatives to house global health programs at undergraduate, public health and medical schools. Witnessing this remarkable growth should compel health educators to question whether the training and guidance that we provide to students today is appropriate, and whether it will be applicable in the next decade and beyond. Given that “global health” did not exist as an academic …

Mindfulness And Mothering: Reclaiming Feminine Voice, Lisa L. Mccorquodale

Electronic Thesis and Dissertation Repository

Little is known about working mothers who practice mindfulness. This dissertation is a phenomenological investigation using body mapping as a way to understand how mindfulness works in the lives of six women who work in health and social care while parenting young children.

This dissertation is comprised of five integrated articles. Chapter 1 and 7 are included as an Introduction and Discussion/Conclusion to the five separate though related manuscript chapters. The main research questions that framed this research include, ‘What is the work of mindfulness in the lives of working professional mothers?’ and ‘In what ways might a mindfulness practice …

Week Of November 21, 2016, New York Medical College

InTouch

• Music and Medicine Event Pays Homage to Mozart
• NYMC Celebrates Westchester's Top Doctors
• StuHE Hosts Seventh Annual Career Mentor Session
• NYMC Radiation Oncology Interest Club Selected as an ASCO-Sponsored Cancer Interest Group

Week Of November 14, 2016, New York Medical College

InTouch

• School of Medicine Announces New Chairmen
• Four Members of the NYMC Community Are Selected for NYAM Fellowship
• NYMC and NYC Health + Hospitals/Metropolitan Honor Doctor and War Hero Mathew Francis Olstein, M.D.
• Gary P. Wormser, M.D., Lauded for 30+ Years of Micro Lectures

Effects Of Heart Disease, Autumn Brown

Scholars Week

I did my paper on the effects of heart disease in Calloway County and the two photos attached in my paper include a pro and a con of how to help prevent heart disease in Calloway County.

Helmets Vs. No Helmets, Marcy Marie Turner Ms.

Scholars Week

Motorcycle helmet safety. Here in KY there is no helmet law in place at this time. It is completely up to each individual to decide if they choose to wear a helmet or not. Yes the helmets look simple and like they don't look like they could do much for your protection or make much of a difference, but according to the CDC helmets saved over 1,630 lives and over $2.8 billion in economic costs in 2013. Helmets reduce risk of death by 37% and risk of head injury by 69% also mentioned by the CDC.

So by wearing a …

Wise-Family Medicine: A Statewide Faculty Development Collaborative, Deborah Simpson, Kjersti Knox, Anne Getzin, John R. Brill, Melissa M. Stiles, Jeffrey A. Morzinski

Journal of Patient-Centered Research and Reviews

Background: In many states, family medicine residencies and medical schools compete clinically for patients, educationally for trainees and, more recently, for community preceptors (CPs). As Wisconsin’s medical schools and health care systems have expanded their geographic footprints, our CPs now teach trainees from competing institutions. Yet residency and medical student accrediting bodies require faculty and preceptor development.

Purpose: To evaluate the impact of a statewide collaborative of family medicine educators on meeting faculty development needs of our CPs and collaborative members.

Methods: Faculty development leaders representing the three largest family medicine residency training sponsors in the state created the Wisconsin …