Medicine and Health Sciences Commons^™

Promoting Resident Emotional Health Meaningful Connections: An Evaluation Of A Wellness Game, Bruce St. Amour, William B. Dehart

Journal of Wellness

Introduction

Physician wellness is a topic of significant national interest. Physician burnout is at its highest point during residency and is linked to many negative outcomes. The Core Emotional Needs are a useful framework to guide thinking toward wellness in residents: connection and acceptance, healthy autonomy and performance, reasonable limits, and healthy responsibility and standards. We examined the efficacy of a game (“Well, For Me…”) designed to improve social connection and acceptance among residents to reduce social isolation. We hypothesized that this activity would be viewed positively by the residents as an intervention to improve resident wellness.

Methods

Participants …

Eliciting Information During A Standardized Patient History, Sydney E Greene, Laura Weingartner, Emily Noonan

Undergraduate Research Events

ELICITING INFORMATION DURING A STANDARDIZED PATIENT HISTORY

AUTHORS

Sydney Greene, BA Candidate; Emily J Noonan, PhD, MA; Laura A. Weingartner, PhD, MS

BACKGROUND

Learning how to take a detailed patient history is a fundamental skill that is essential for all medical students to master. Understanding the amount of information elicited in various categories of a patient history may reveal areas where many students struggle to engage the patient, gaps in medical education that could be addressed, or possible predictors of patient satisfaction.

METHODS

I coded videos of rising third year medical students as they took a patient history and counted …

Dean's Update, September 2020, Jerry L. Nadler

SOM Dean's Research Newsletter

No abstract provided.

Utilizing On-Line, Interactive, Adaptive Technology In Nursing Education, Zilola Khashimova

Physician Assistant Studies | Faculty Conference Presentations

The COVID-19 pandemic is affecting health care institutions and is disrupting the training of future nurses. It is more important than ever to ensure that the educators and students have access to high-quality educational materials and technologies to ensure trainee preparedness for clinical and global health challenges. To help meet this challenge, online tools have become a viable option with the recent development of information technology. E-learning can be used to enhance a classroom course, or as a stand-alone course. These online tools include online labs, videos, high resolution images (X-ray, CT-scan, histology), cadaver labs and adaptive, interactive technology such …

Impact Of Humanities And Social Sciences Curriculum In An Undergraduate Medical Education Programme, Kulsoom Ghias, Kausar S. Khan, Rukhsana Ali, Shireen Azfar, Rashida Ahmed

Department of Biological & Biomedical Sciences

Objective: To evaluate the impact of humanities and social sciences curriculum in an undergraduate medical education programme.
Methods: The qualitative study was conducted from May 2016 to May 2017 at a private medical college in Karachi where humanities and social sciences subject is an art of the undergraduate curriculum as a 6-week module at the start of Year 1 of the five-year programme. Focus group discussions were held with students from all the five years as well as with faculty related to humanities and social sciences, basic sciences and their clinical counterparts. The views of alumni of the undergraduate programme …

Developing Role Models In Clinical Settings: A Qualitative Study Of Medical Students, Residents And Clinical Teachers, Sonia Ijaz Haider, Roger Christopher Gill, Qamar Riaz

Department for Educational Development

Objective: To explore how positive role modelling attributes can be developed in students, residents and clinical teachers.
Methods: The qualitative study using focus group discussions was held at Aga Khan University, Karachi from March to May 2018, and comprised medical students, residents and clinical teachers. Overall 11 focus group discussions were conducted till data saturation was achieved. Content analysis was used to analyse the data which was transcribed verbatim.
Results: Of the 116 subjects, 60(51.7%) were medical students, 35(30.2%) were residents and 21(18%) were clinical teachers. Of the 11 focus group discussions, 4(36.5%) each were held with the students and …

Prevalence Of Hormone Prescription And Education For Cis And Trans Women By Medical Trainees, Madison T Meister, Laura A. Weingartner, Emily J. Noonan

Undergraduate Research Events

PREVALENCE OF HORMONE PRESCRIPTION AND EDUCATION FOR CIS AND TRANS WOMEN BY MEDICAL TRAINEES

AUTHORS

Madison Meister, BA Candidate; Emily J Noonan, PhD, MA; Laura A. Weingartner, PhD, MS

BACKGROUND

Hormone replacement therapy is a common healthcare practice for contraception, hormone control, and menopause treatment. Transgender patients may also take hormones to affirm their gender identity, such as feminizing hormones (estrogen), for transgender women. Studying how trainees discuss hormone risks for both cis and trans women can demonstrate if disparities exist and how we may address them to overcome healthcare barriers.

METHODS

Fifty videos were analyzed of third-year medical students …

An Inexpensive Adult Lumbar Puncture Task-Trainer With Simulated Cerebrospinal Fluid, Steven Warrington, Anne Marie Warrington

HCA Healthcare Journal of Medicine

Background: Simulation is beneficial in achieving competence and success in the performance of procedures. Unfortunately, costs associated with purchasing simulation equipment is a significant barrier to implement this training. The objective was to create a model for lumbar puncture that allowed performance of the procedure using anatomic landmarks, ability to obtain cerebrospinal fluid, and measure opening pressure.

Methods: A model was built using several readily available and low-cost items and was iterated based on feedback. The task trainer was used as part of multiple educational sessions and simulations with different groups of learners, including residents and medical students.

Results: A …

Cosmetovigilance: A New Concept For Residency Curriculum, Jennifer Jones, Hale Z. Toklu

HCA Healthcare Journal of Medicine

Primary care physicians need to incorporate “cosmetovigilance” into their post-graduate curriculum to increase their residents’ awareness of the adverse reactions induced by the use of cosmetic products, as well as promoting good reporting behavior.

Week Of August 31, 2020, New York Medical College

InTouch

• NYMC Creates Intergenerational Community Around New Benjamin Rush Institute Chapter

Evaluating Medical Students' Satisfaction Towards Library Resources And Services Offered At Saudi Universities Using Six Sigma Approach, Ahmed Al Kuwaiti Phd

Library Philosophy and Practice (e-journal)

Higher education institutions (HEIs) are utilizing a user satisfaction survey to assess user satisfaction and reveal the strengths and weaknesses of their libraries. This feedback aids their policymakers to improve the quality of library resources and services offered. However, no studies have been conducted using a Six Sigma approach to assess the medical students’ satisfaction towards the library resources and services offered in the Saudi Arabian context. As an attempt, this study evaluated the medical students’ satisfaction towards the library resources and services offered at the selected Saudi universities using a Six Sigma approach. A total of 1000 medical students …

Indonesian Health Professions Students’ Perceptions Toward An Interprofessional Education Program: Findings After Five Years Of Implementation, Santi Purna Sari, Diantha Soemantri, Dian Ayubi, Evi Martha, Hanny Handiyani, Ardi Findyartini

Makara Journal of Health Research

Background: The Interprofessional Education (IPE) program is important for preparing health professions students to provide future interprofessional collaborative practice. The Universitas Indonesia Health Sciences Cluster has been implementing the IPE program since 2013. A comprehensive evaluation is required following the implementation of the IPE program. The aim of the study was to evaluate the IPE course based on perceptions of undergraduate students at the Universitas Indonesia from 2013 to 2017.

Methods: A mixed-methods study utilizing a semi-structured questionnaire was conducted with first year students following the completion of the first stage of the IPE course. A total of …

Incorporating Reflective Activities Into Medical Education: The Learner’S Perspective, Cecilia E. Zemanek Bs, Andrew Shenoi Md, Yoonjie Chung Md, Yasir Abunamous Md, Katerina C. Valavanis Md, Veronica Brohm Do

Department of Family Medicine

No abstract provided.

Week Of August 24, 2020, New York Medical College

InTouch

• Fifth COVID-19 Symposium Addresses "What Have We Learned? How Can We Use What We Have Learned?"
• NYMC Set to Host MSCHE Virtual Campus Visit
• NYMC Administers USMLE Step 1
• NYMC Hosts Writing Workshop to Empower Students to Use Their Written Voice

How Medical Students Screen For Hiv With Standardized Patients Establishing Care., Christopher J. Brown, Emily J. Noonan, Laura A. Weingartner

Undergraduate Research Events

How Medical Students Screen for HIV with Standardized Patients Establishing Care

AUTHORS

Christopher J. Brown, B.S., B.A. Candidate; Emily J Noonan, PhD, MA; Laura A. Weingartner, PhD, MS

BACKGROUND

Approximately 1.1 million people in the U.S. are living with HIV. The US Preventive Services Task Force (USPSTF) recommends HIV testing for everyone 15-65 years old at least once regardless of sexual activity, with more frequent testing for those considered at risk.

METHODS

Rising third-year medical students were recorded taking health histories from standardized patients. These recordings were coded for HIV screening, including: risk factors such as unprotected sex, intravenous drug …

Wellness Review 2020, Part 1, Jacob Shreffler, Brian A. Ferguson, Martin Huecker

Journal of Wellness

Introduction: Welcome to Part 1 of the bi-annual Journal of Wellness review of 2020 wellness literature (January – June). In this review, JWellness editors continue the goal of bringing a cohesive awareness of recent publications within the wellness domain, encompassing wellness leaders from all disciplines in healthcare. We provide insight into unique perspectives and new science published outside of JWellness, dealing with burnout prevention and wellness initiative implementation.

Methods: PubMed was searched for empirical research studies, review articles, and editorials using keywords such as “wellness,” “well-being,” “burnout” and “healthcare professionals.” We have included 26 articles in this review.

Literature in …

Week Of August 17, 2020, New York Medical College

InTouch

• NYMC Students Distribute Masks and Good Will with the Mask Transit Project
• NYMC Receives $594K NIH Shared Instrumentation Grant
• Chancellor Hosts Town Hall Meeting

A Curriculum Framework At Glsm, A Canadian Medical School, Jeff Bachiu

The Dissertation in Practice at Western University

Medical education has seen minor changes over the decades, but a dynamic movement towards competency-based medical education (CBME) has swept across the field in recent years. Organizing medical education curriculum to respond to these changes can be challenging due to many factors, in both content and context. The public rightly expects that graduating medical students be competent physicians, ready to deliver effective health care. This Organizational Improvement Plan (OIP) looks at a relatively new medical school’s lack of an outcomes-based curriculum framework. The Problem of Practice (PoP) is focused on the difficulty of moving the school toward the development of …

Building A Co-Curricular Wellness Program For Medical Students At A Canadian Medical School, Renea D. Leskie

The Dissertation in Practice at Western University

The increasing number of medical students who present with mental illness and burnout is becoming a very real challenge among medical schools nationally and globally, prompting a need for medical schools to address this very real problem. This Organizational Improvement Plan (OIP) seeks to help solve this problem by means of a co-curricular wellness program aimed at preventing mental illness and burnout from happening. Rather than being reactive as students self-identify as having a mental illness, this OIP argues for preventative measures that help to prevent mental illness and burnout from occurring at all.

Using a three-pronged leadership approach of …

Decreasing Bias And Improving Education On Non-Invasive Colorectal Screening Methods, Sara H. Hughes

MSN Capstone Projects

It is estimated that in 2020, nearly 148,000 Americans will be diagnosed with colorectal cancer and 53,200 Americans will die from colorectal cancer (Siegel et al., 2020). One- half of all cases and deaths are due to modifiable risk factors such as diet and smoking and it has been shown that early screening and detection can greatly decrease the morbidity and mortality of colorectal cancer yet colorectal cancer related deaths still ranks among the leading causes of cancer-related deaths in the United States and the world. Early detection of colorectal cancer is crucial to reducing mortality and although this is …

A Practical Guide To Scholarly Activity For Health Sciences Librarians, Terri Gotschall, Shalu Gillum, Nadine Dexter

Faculty Scholarship and Creative Works

This guide to scholarly activities provides early- and mid-career health sciences librarians with a path to immersing in scholarly activities. The four levels walk librarians through increasing stages of scholarship. Early-career librarians will begin at the first level, navigating from discovering mentors and areas of research interest to level two, publishing a resource or book review and finding their first public speaking opportunity. More experienced librarians will find where they are on the path and continue to build their scholarship all the way to conducting and publishing original research and becoming leaders in their field.

Medical Cannabis: Knowledge, Beliefs And Attitudes Of Certified Registered Nurse Anesthetists, Adam Conlon

Grace Peterson Nursing Research Colloquium

Medical Cannabis: Knowledge, Beliefs and Attitudes of Certified Registered Nurse Anesthetists

Student:Adam Conlon RN, BSN

Faculty Sponsor: Kathryn Coletto DNP, CRNA, APN

Abstract Patients who require anesthesia may have a history of using medical cannabis (MC). Illinois has had a MC program since 2013 and legalized recreational use on January 1, 2020. Certified Registered Nurse Anesthetists (CRNA) and Student Registered Nurse Anesthetists (SRNAs) in Illinois need to be adept at discussing MC with their patients and understand how this class of medication affects anesthesia. Multi-modal approaches to control pain are becoming the standard of care inside and outside of the …

Agreement Of Program Directors With Clinical Competency Committees For Fellow Entrustment., Richard Mink, Bruce E. Herman, Carol Carraccio, Tandy Aye, Jeanne M. Baffa, Patricia R. Chess, Jill J. Fussell, Cary G. Sauer, Diane E J Stafford, Pnina Weiss, Megan L. Curran, Christiane E L Dammann, Pamela C. High, Deborah Hsu, Jennifer C. Kesselheim, John D. Mahan, Kathleen A. Mcgann, Angela Myers, Sarah Pitts, David A. Turner, Alan Schwartz

Manuscripts, Articles, Book Chapters and Other Papers

Objectives: Fellowship program directors (FPD) and Clinical Competency Committees (CCCs) both assess fellow performance. We examined the association of entrustment levels determined by the FPD with those of the CCC for 6 common pediatric subspecialty entrustable professional activities (EPAs), hypothesizing there would be strong correlation and minimal bias between these raters.

Methods: The FPDs and CCCs separately assigned a level of supervision to each of their fellows for 6 common pediatric subspecialty EPAs. For each EPA, we determined the correlation between FPD and CCC assessments and calculated bias as CCC minus FPD values for when the FPD was or was …

Week Of August 3, 2020, New York Medical College

InTouch

• NYMC Welcomes Newest Cohort of Medical Students
• eCampus Offers Affordable Course Materials for NYMC

Intratracheal Lidocaine And Postoperative Sore Throat At Providence Sacred Heart Medical Center And Providence Holy Family Hospital, Jennifer Cowgill, Scot Pettey, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background Postoperative sore throat (POST) is a common side effect from general anesthesia (GA) and has a prevalence of 14.4-50%.1 The experience of POST contributes to patient discomfort during recovery from surgery. The etiology of this is thought to be from tracheal mucosal erosion from the cuff of the endotracheal tube (ETT), trauma from intubation, coughing and bucking, and friction between the ETT and the tracheal mucosa during general anesthesia.2 Risk factors shown to contribute to the development of POST include, but are not limited to, elderly age, smoking history, patient positioning, ETT cuff pressure, and movement of ETT during …

Postoperative Length Of Stay Following Enhanced Recovery After Surgery Protocol Implementation For Scheduled Cesarean Deliveries, Hannah Zimmerman, Emily L. Mcquaid-Hanson, Amanda Affleck, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background Cesarean delivery is the most common major surgery worldwide. 1 In 2018, 1.2 million cesarean deliveries occurred in the United States, accounting for nearly 32% of all deliveries.2 Research has shown ERAS benefits include decreased length of stay, improved pain control, and improved patient satisfaction.2,3 Despite its use in numerous surgical specialties, ERAS implementation within obstetrics has been slow.2 The ERAS Society released a three-part guideline specific to cesarean deliveries in 2018 and 2019,4,5,6 yet few studies have assessed the impact of ERAS on cesarean postoperative outcomes.2 An improved perioperative course would be particularly beneficial for mothers undergoing cesarean …

Opioid Consumption After Scheduled Cesarean Delivery Following Implementation Of Enhanced Recovery After Surgery, Mindy Woodruff, Emily L. Mcquaid-Hanson, Amanda Affleck, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background With 47,600 opioid overdose related deaths in the U.S. in 2017, the opioid crisis is of national concern.1 Cesarean delivery is the most common surgery worldwide, with over 1.2 million in the U.S. in 2018 alone.2,3 As cesarean delivery is a highly prevalent surgery it has a large capacity to influence the opioid epidemic. Literature is showing that Enhanced Recovery after Surgery (ERAS) and multimodal analgesia are effective means of managing postoperative pain while minimizing opioid use.4,5,6,7,8 This project aims to help discover if introduction of ERAS, and more specifically it’s multimodal analgesia aspect, has helped decrease oral morphine …

Neostigmine Versus Sugammadex And The Relationship To Reintubation Rates In The Pacu, Delanie Urrutia, Scot Pettey, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background Findings Discussion Reintubation in the post-anesthesia care unit (PACU) is a complication that may be related to residual neuromuscular blockade. Neostigmine and sugammadex have different pharmacokinetics that effect speed and completeness of reversal of paralysis. According to Tillquist et al. (2016) reintubation following general anesthesia in the PACU is associated with a 50% increased risk of mortality. Few studies have investigated the incidence rate of PACU reintubation and its possible relationship and choice of reversal medication.

Methods • Retrospective Observational Research Study. • This project was approved by the PSHMC Clinical Innovation and Research Council and deemed human subjects …

Rate Of Unscheduled Administration Of An Epidural Bolus Among Pregnant Women Receiving Labor Epidurals, Aleksandr A. Lyakhov, Emily L. Mcquaid-Hanson, Amanda Affleck, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background The labor and delivery process is a painful experience that pregnant women undergo and while various medical options are available for managing labor pain, labor epidurals are the most common.1,3 Breakthrough pain, or inadequate analgesia, is a significant complication of labor epidurals that is typically managed with the administration of an unscheduled epidural bolus. The purpose of this evidence-based practice (EBP) project is to describe the rate of unscheduled epidural bolus administration in pregnant women receiving continuous labor epidurals (CLE) at Providence Sacred Heart Medical Center (PSHMC) and Providence Holy Family Hospital (PHFH).

Methods • Design: Retrospective, observational, EBP …

Correlation Of Ondansetron Timing In Postoperative Nausea And Vomiting: A Retrospective Evaluation Amongst Adult Patients Receiving General Anesthesia, Jeff Tanguay, Braden Hemingway, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background Addressed as a national quality initiative by the Centers for Medicare and Medicaid Services (CMS), postoperative nausea and vomiting (PONV) is a vexing complication requiring further attention by anesthesia providers.3 Medication optimization is an area of focus to address this complication.4 Ondansetron, a selective 5- hydroxytryptophan subtype 3 (5-HT3 ) receptor antagonist, is effective and considered the “gold standard” in the prevention of PONV.4 GlaxoSmithKline™ suggests administering Zofran® (ondansetron) before the induction of anesthesia.5 These directions are in contrast to the synthesis of the research evidence, which supports increased effectiveness of ondansetron when administered 30 minutes before emergence from …