Medicine and Health Sciences Commons^™

Patient Education On Sweetened Beverages: An Interactive And Module-Based Approach, Matt Tsai

Family Medicine Clerkship Student Projects

As sugary beverages continue to contribute to negative health outcomes, there remains a need for efficient, effective patient education in this area. A custom, interactive and reflective web-based module on sugary beverages for adult participants (n=42) was introduced at a rural Vermont outpatient clinic. Built-in quizzes evaluated learning through a pre and post-intervention design. On average, participants improved significantly from a pre-module mean score of 3.00 to a post-module score of 4.33 (p<0.0001). Additionally, participants' average rating of the module's effectiveness was 8.3 out of 10. A module-based approach may be one efficacious solution to improve patient education on sugary beverage consumption.

Initiating Healthcare Agent Education In Time Limited Settings, Alan Su

Family Medicine Clerkship Student Projects

Most patients are willing to have advanced care planning (ACP) discussions with their medical team, even if they may be young and healthy. Yet, time constraints, perceived stigma of conversations surrounding death, and the educational requirement of documentation are known barriers for care providers to have these discussions. Identifying a health care agent (HCA) can be an important first step to continued ACP in the primary care setting. The purpose of this project is to propose a systemic approach to having HCA discussions in a time-efficient manner that can be easily implemented as part of a routine medical interview.

Counting Sheep & Counting Zzzs: A Therapeutic Approach To Better Sleep Hygiene, Cameron Burke

Family Medicine Clerkship Student Projects

Many adults present to primary care clinics with concerns that they are not getting sufficient sleep. In an effort to address this problem, I created an informational brochure educating patients on current sleep recommendations, instructing them on how to improve sleep hygiene, as well as describing how to keep a sleep diary to improve sleep efficiency.

Real-Time Flu Tracking At South End Community Health Center, Brian Muchmore, Jacob Shaw M.D.

Family Medicine Clerkship Student Projects

There is no real-time tracking of influenza or influenza vaccination in the United States. This project is to prototype and grow a real-time flu and flu vaccination tracking system for the state of the Vermont. This will help providers be more aware of the vaccination status of their patients and will allow for important real-time analysis of a burgeoning epidemic was it to occur.

Increasing Healthcare Providers’ Awareness And Utilization Of Vermont’S Universal Developmental Screening Online Registry, Collin Love

Family Medicine Clerkship Student Projects

No abstract provided.

Emergency Medical Services In Hinesburg, Vt, William Tyler Prince

Family Medicine Clerkship Student Projects

Ambulance transport in Hinesburg, VT is currently provided by a service over 20 minutes away and will cease in June 2020. Town officials are currently trying to decide whether to expand local first response to include ambulance transport or to contract with Richmond Rescue, which is a well-established 911 transport service in a nearby town. Through literature/budget reviews and interviews with involved community members, it is apparent that although an independent Hinesburg EMS may have shorter response times, its volunteer corps is insufficient to sustain a transport service. Richmond Rescue can provide a higher level of medical care at a …

Development Of A Desktop Reference For Medication Assisted Treatment (Mat), Andrew L. Darling

Family Medicine Clerkship Student Projects

This project was to develop a physician desktop reference to assist with medication assisted treatment (MAT) for opioid use disorder. It was developed in conjunction with MAT team members and family medicine physicians to serve as a reference of both commonly needed medical information and local contact information for community resources.

Caregiver Burnout, Elizabeth Anne Lynch

Family Medicine Clerkship Student Projects

Caring for someone with advanced health care needs, dementia, or a difficult diagnosis can take a mental, physical and financial toll on the caregiver. It is important for providers to recognize, address and assist caregivers in as many ways as possible. Providing physicians with a readily available patient-education template in Epic may improve outreach and communication with increasingly isolated patients and caregivers and improve care for all without burdening physicians more.

Tobacco Cessation Support In New Milford, Ct, Laura R. Nelson

Family Medicine Clerkship Student Projects

Smoking tobacco is one of the most significant risk factors for several deadly diseases; nevertheless, roughly 13% of Connecticut residents smoke cigarettes. Most people who smoke cigarettes realize that it is bad for their health, but many don't understand why it is unhealthy, or just how unhealthy it truly is. Furthermore, quitting smoking is often extraordinarily difficult, due to the addictive nature of nicotine, and the increasing content of nicotine inside cigarettes over time. This project created supportive and educational pamphlets about tobacco use and cessation, and proposes that primary care doctors can help their patients quit smoking by providing …

Disseminating Bipolar Disorder Guidelines, Vincent Nocera

Family Medicine Clerkship Student Projects

No abstract provided.

Reducing Benzodiazepine Use For The Treatment Of Insomnia And Supporting Nonpharmacological Therapies, Unchan Pyon

Family Medicine Clerkship Student Projects

Most medical organizations recommend against the use of benzodiazepine use for the treatment of insomnia, especially in the elderly. However, the percentage of the adult population on benzos increase with age: 7.5% in adults ages 51-64; 9% in adults over 65. Alternative therapies for insomnia, including online CBT, require more commitment than taking a medication so many patients opt for medication. This project aims to increase awareness of benzodiazepine use for insomnia and provide support for nonpharmacological therapies.

Assessing The Impact Of Interprofessional Education On The Attitudes And Interprofessional Competencies Of Health Care Professionals: A Mixed Methods Study, Jessica L. Stadick

Electronic Theses and Dissertations

Purpose. The purpose of this study was to assess health care professional’s interprofessional collaborative competencies and attitudes towards working in teams and to examine if differences exist between professionals who have completed formal interprofessional education (IPE) and those who have not. This study was guided by the Interprofessional Learning Continuum Model.
Background. IPE is the foundation of interprofessional collaboration. Research has shown that IPE is an effective strategy to prepare health care professionals for collaborative practice; however, preventable medical errors that result from poor collaboration continues to plague the health care system. Thus, more research is needed to better …

Department Of Education: Fy2019 Annual Report, Lehigh Valley Health Network

Department of Education

No abstract provided.

A Correlational Analysis Of Length And Nature Of Relationships Between Applicant And Reference And Strength Of Recommendation For Caspa Letters Of Recommendation, Ty Troxell, John E. Lopes Jr

Internet Journal of Allied Health Sciences and Practice

Background: The Central Application Service for Physician Assistants (CASPA) application includes a standardized rating form in addition to the ability to submit letters of recommendation. This exploratory study examines the standardized portion of the CASPA letter of recommendation to determine whether there is a correlation between the ratings given and the relationship and length of time the writer knew the applicant. Method: Four-hundred and thirty recommendation forms were evaluated. Variables included length and nature of the relationship between the letter writer and the overall recommendation given by the writer for the applicant. Results: Almost 95% of writers highly recommended the …

High-Fidelity Simulations Offer A Paradigm To Develop Personal And Interprofessional Competencies Of Health Students: A Review Article, Nava Livne

Internet Journal of Allied Health Sciences and Practice

Purpose: Simulation instruction is an effective method to help health professional students develop personal and interprofessional competencies. The purpose of this review was to summarize the literature on high-fidelity mannequin simulation using methods that develop various personal and interprofessional competencies of health students in profession-specific and interprofessional health settings.

Method: This review was conducted using 10 databases, and articles published in English from January 2008 through January 2018 were reviewed. Keywords and terms from the Medical Subject Headings [MeSH] thesaurus were used to create keyword combinations. Of 95 articles that resulted from this search, 44 research studies were chosen for …

Elbow Injury Prevention In Youth Dominican Baseball Players: A Training Intervention Pilot Study, Chelsey Erbaugh Franz, Dawn Hall-Bibb, Myra Stockdale, Aliya Thompson, Bailey Biggs

Internet Journal of Allied Health Sciences and Practice

Background: Research suggests deficits in shoulder and elbow strength and flexibility may explain the role of elbow injuries in overhead athletes, specifically ulnar collateral ligament (UCL) injury in baseball players. Significant damage to this ligament typically requires operative care for continued activity in the sport. Several studies have demonstrated the success of rehabilitation programs post-surgery; however, few studies have examined the role of UCL injury prevention programs. A recognized upper extremity (UE) injury prevention method is the Thrower’s Ten Program. This program may create elbow stability when pitching and throwing, theoretically reducing the risk of UCL injury. Purpose: The purpose …

Interprofessional Role Clarity, Case-Based Learning, And Perceptions Of Group Effectiveness Among Athletic Training And Physical Therapy Students In A Shared Professional Course, Katie Sniffen, Erick Briggs, Leslie Hinyard, Anthony P. Breitbach

Internet Journal of Allied Health Sciences and Practice

Purpose: Health professions students experience professional socialization during their program of study. Institutions have turned to interprofessional education as a means of preparing students for their role as collaborative health care professionals. This study examines the effect of case-based learning experiences in a shared professional Therapeutic Modalities course on student’s interprofessional role clarity as well as the relationship between interprofessional role clarity and measure of group effectiveness. Methods: 112 students (22 Athletic Training and 90 Physical Therapy) were assigned to one of 18 interprofessional and 18 uniprofessional teams and asked to complete four case-based learning activities. All students completed …

Comprehensive Knowledge Assessment For Athletic Trainers: Part I, Lindsey E. Eberman, Jessica R. Edler, Kenneth E. Games

Internet Journal of Allied Health Sciences and Practice

Purpose: Continuing education (CE) is intended to help clinicians maintain competence, develop and advance knowledge and skills, and enhance knowledge, skills, and abilities beyond the levels required for entry-level practice. Based on previous literature, the current mode of CE in athletic training does not appear to be helping clinicians maintain competence. The purpose of this research was to validate a comprehensive assessment based on the Role Delineation Study/Practice Analysis (6^th ed.) through item analysis and estimates of reliability to be used to assess athletic trainers’ actual knowledge. Method: We conducted an instrumentation validation study using Qualtrics^® web-based platform. …

Global Health Experience In Botswana, Sarah Bieser

Posters

Describes experience providing care at the Botswana-Baylor Children's Center of Excellence in Gabarone, Botswana and the Princess Marina Hospital.

Sawubona From Swaziland! A Global Health View Of The Hiv/Aids Epidemic In Swaziland, Abby Hardin

Posters

Describes a global health learning experience with Baylor International Pediatric AIDS Initiative in Swaziland.

Global Health Elective, Philippine Children's Medical Center, Keith J. Martin

Posters

Describes a global health learning experience working in the Philippine Children's Medical Center in Quezon City, Metro Manila, Philippines.

Global Health Rotation Caring For Children With Medical Complexity In Russia, Irina G. Trifonova

Posters

Describes a global health learning experience in which a Russian-trained pediatrician completed a fellowship at Children's Mercy Kansas City and spent time at the City Children's Hospital #3 in Cheboksary, Russia to compare care models for children with medical complexity in Russia and the USA.

Chapter: “Health Law And Ethics”, Allison K. Hoffman, I. Glenn Cohen, William M. Sage

All Faculty Scholarship

Law and ethics are both essential attributes of a high-functioning health care system and powerful explainers of why the existing system is so difficult to improve. U.S. health law is not seamless; rather, it derives from multiple sources and is based on various theories that may be in tension with one another. There are state laws and federal laws, laws setting standards and laws providing funding, laws reinforcing professional prerogatives, laws furthering social goals, and laws promoting market competition. Complying with law is important, but health professionals also should understand that the legal and ethical constraints under which health systems …

Curricula For Empathy And Compassion Training In Medical Education: A Systematic Review., Sundip Patel, Alexis Pelletier-Bui, Stephanie Smith, Michael B. Roberts, Hope Kilgannon, Stephen Trzeciak, Brian W Roberts

PCOM Scholarly Papers

BACKGROUND: Empathy and compassion are vital components of health care quality; however, physicians frequently miss opportunities for empathy and compassion in patient care. Despite evidence that empathy and compassion training can be effective, the specific behaviors that should be taught remain unclear. We synthesized the biomedical literature on empathy and compassion training in medical education to find the specific curricula components (skills and behaviors) demonstrated to be effective.

METHODS: We searched CENTRAL, MEDLINE, EMBASE, and CINAHL using a previously published comprehensive search strategy. We screened reference lists of the articles meeting inclusion criteria to identify additional studies for potential inclusion. …

Survey Of Osteopathic Medical Students Regarding Physician Shadowing Experiences Before And During Medical School Training., Erik E. Langenau, Sarah B Frank, Sarah J Calardo, Michael B. Roberts

PCOM Scholarly Papers

Introduction: Shadowing a physician is an observational experience which includes a student observing a licensed healthcare provider caring for patients. Shadowing is commonly done by students before and during medical school, but little is known about the nature or extent of these extra-curricular observational experiences.

Objective: We hypothesized that shadowing experiences were common yet variable. We investigated the prevalence, nature, and perceived value of medical student experiences with shadowing physicians (both before and during medical school).

Methods: This survey-based study was non-experimental with a cross-sectional convenience sample of osteopathic medical students about their shadowing experiences before and during medical school. …