Medicine and Health Sciences Commons^™

Diet And Addiction: Interview With A Former Food, Pornography, And Alcohol Addict, Tro Kalayjian, Brian Lenzkes

Dignity: A Journal of Analysis of Exploitation and Violence

Drs. Tro Kalayjian (Tapan, New York) and Brian Lenzkes (Santee, California) talk to Matt about his struggles with food, pornography, and alcohol addiction, and how changing his diet contributed to his recovery from his addictions. This report is excerpted from the audio podcast LowCarbMD, Episode 13 (https://itunes.apple.com/us/podcast/low-carb-md-podcast/ ), January 30, 2019). This podcast has filled us with immense hope for those struggling with addiction.

Assessing The Use Of Social Media In Physician Assistant Education., Gregory K. Wanner, Andrew W. Phillips, Dimitrios Papanagnou, Md

Department of Emergency Medicine Faculty Papers

Objectives: This study aims to assess physician assistant (PA) students' experiences with social media (SM) as a part of their medical education.

Methods: The study is split into two phases: Phase 1- A cross-sectional survey emailed to all PA students at four PA school campuses to assess students' prior SM experiences (226 responses, 71.1% response rate); and Phase 2- Inclusion of SM educational resources, via Twitter, within lectures performed at two PA schools. A phase-2 survey assessed students' opinions of educational SM (50 responses, 59.5% response rate) and SM usage was tracked.

Results: The phase-1 survey respondents indicated that 97.3% …

Week Of January 28, 2019, New York Medical College

InTouch

• Heart Transplant Specialist to Address 23rd Annual Medical Student Research Forum
• HSL Pilots Critical Appraisal Institute for Librarians

Development Of The Resident Wellness Scale For Measuring Resident Wellness, R. Brent Stansfield, Dan Giang, Tsveti Markova

Journal of Patient-Centered Research and Reviews

Purpose: Graduate medical education programs have a responsibility to monitor resident wellness. Residents are at risk of burnout, depression, and suicide. Burnout and depression are associated with poor patient care. Many existing tools measure burnout, depression, and general human well-being, but resident wellness is a distinct construct. We aimed to develop an instrument to measure resident wellness directly.

Methods: An expert panel from two purposefully different graduate medical education institutions generated a behavior- and experience-based model of resident wellness. The panel and resident leaders from both institutions generated 92 items, which were tested alongside anchor scales measuring burnout, depression, personality, …

Use Of Technology To Identify And Cover Underweighted Topics In Resident Conference Curriculum., Asit Misra, Charlotte Lawson

Medical Education Articles

Emergency medicine training programs face many challenges in creating and maintaining high quality didactic and asynchronous learning experiences. To address these challenges, our team created two tools. First, we designed the Emergency Medicine Curriculum Assessment Tool (EMCAT) to help program leaders compare their didactic program to the Model of Clinical Practice established by the American Board of Emergency Medicine (ABEM). Second, we created a catalog of free, open-access medical education (FOAMed) resources based on the ABEM Model subcategory. Residency leaders can use EMCAT to identify the underweighted topics in their conference program and then access the resource catalog to find …

Week Of January 22, 2019, New York Medical College

InTouch

• Celia S. Freeman, M.B.A., Is Named Assistant Dean for Continuous Quality Improvement and Strategic Planning
• Center for Disaster Medicine Symposium Addresses Current State and Future Direction of Disaster Medicine and Preparedness
• NYMC Welcomes Senator Peter Harckham to Campus
• NYMC and TouroCOM Forge New Agreement for Admissions Interviews

Cancer Screening For Transgender Patients: An Online Case-Based Module, Devin Oller

Internal Medicine Faculty Publications

Introduction: Guidelines recommend that primary care providers complete organ-based routine cancer screening for all transgender patients. Training on critical transgender health topics like cancer screening, as well as residents' confidence in addressing issues their transgender patients may face, remains limited among graduate medical education (GME) programs. Online case-based modules are an effective tool for skills improvement in GME, but their application to transgender health topics has not been assessed.

Methods: I developed a brief online module on cancer screening for transgender patients using Google Forms and offered it to first-year internal medicine residents. The module was optional and asynchronous with …

January 2019, Randy Curry, Cindy Brooks

RURAL ROCKS

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

Week Of January 14, 2019, New York Medical College

InTouch

• Salomon Amar, D.D.S., Ph.D., Is Appointed Vice President for Research
• Movie Highlights the Importance of Open Access

A Writing Assignment To Address Gaps In The Nursing Curriculum Regarding Health Issues Of Lgbt+ Populations., Bridget Maley, Randy Gross

Publications and Research

Background: LGBT+ populations account for 4% of the US population, yet health disparities persist, which are considered a priority in health care systems. In nursing education programs, the allotment in time to cover LGBT+ health content is not mandated thus ranges from zero to several hours total in nursing curricula. Therefore, nursing students’ education regarding LGBT+ health issues remains minimal and inconsistent throughout the nation’s nursing programs.

Aim: To provide associate degree nursing students with exposure to the health disparities in LGBT+ populations through a reflective writing assignment.

Methods: The essays were culled from both sections of an established core …

Developing Clinical Reasoning Skills Through Argumentation With The Concept Map Method In Medical Problem-Based Learning, Jihyun Si, Hyun-Hee Kong, Sang-Hwa Lee

Interdisciplinary Journal of Problem-Based Learning

This study aims to explore the effects of argumentation with the concept map method during medical problem-based learning (PBL) on individual clinical reasoning. Individual clinical reasoning ability was assessed through problem-solving performance and arguments that students constructed during individual clinical reasoning processes. Toulmin’s model of argument was utilized as a structure for arguments. The study also explored whether there would be any differences between the firstand second-year medical students. Ninety-five medical students participated in this study, and they took two PBL modules. During PBL, they were asked as a group to construct concept maps based on their argumentation about a …

2019 January 8 - Medical Student Education Committee Retreat Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

Week Of January 7, 2019, New York Medical College

InTouch

• Center for Disaster Medicine Hosts Mass Casualty Triage Training at Local Hospital
• Touro College of Dental Medicine Names Howard Israel, D.D.S., Vice Dean for Academic Affairs
• Touro College of Dental Medicine and the Westchester Institute for Human Development Sign Academic Affiliation Agreement

A 10-Year Review Of Opioid-Related Deaths At West Tennessee Regional Forensic Center: 2007-2017, Haley M. St John, Juliette Scantlebury Md

Longitudinal Scholar's Project

Prescription opioid deaths have tripled since 1999, and currently opioid overdose kills 115 Americans per day on average (1). Prior to 2014, prescription opioids have been the primary driver of opioid-related mortality. In recent years, the United States has seen a steady decline in the rate of opioid prescription. At the same time, there has been a significant increase in the number of deaths attributed to non-prescription opioids such as heroin, illicitly manufactured fentanyl, and fentanyl analogues. In 2017, among 70,237 drug overdose deaths nationally, 47,600 (67.8%) involved opioids, with increases across age groups, racial/ethnic groups, and county urbanization levels …

Teaching Primer For Future Interns, Nina Mingioni, Md

Medical Education Teaching Tools

This session was designed for senior medical students who will soon be interns and will be expected to teach medical students. Knowles’ Adult Learning Theory principles is used to explain principles of effective teaching principles. RIME model is introduced as a way to define students’ clinical performance expectations. A discussion of teaching tools provides concrete examples to help new interns become better educators.

Learning Objectives

• Describe core tenets of adult learning theory
• Reflect on own educational experiences through the prism of adult learning
• Identify characteristics of “great teachers”
• Use RIME model to describe learner performance expectations
• Develop a list of …

Patients Don't Come With Multiple Choice Options: Essay-Based Assessment In Ume, J. B. Bird, D. M. Olvet, J. M. Willey, J. Brenner

Journal Articles

No abstract provided.

Validity Of Various Bioelectrical Impedance Analysis Devices Vs The Bod Pod For Body Composition, Alivia Blakley

ETD Archive

Purpose: The purpose of this study was to determine the validity of various BIA devices compared to a criterion, the Bod Pod. It was hypothesized that (1) there would be no significant difference in the various BIA devices (Seca, Inbody, Tanita, Omron) as compared to the Bod Pod, for validity and reliability, (2) there would be no significant difference in total body water as measured by the Seca and Tanita, and (3) there would be significant differences in weight as measured by four of the five devices (Bod Pod, Seca, Tanita, Inbody). Methods: Forty participants, ages 18-31 years, 20 female …

Fusion, 2019, George Washington University, William H. Beaumont Medical Research Honor Society

Fusion

No abstract provided.

Pro-Con Debate: Nitrous Oxide For Labor Analgesia, Manuel C. Vallejo, Mark I. Zakowski

Faculty & Staff Scholarship

This Pro-Con debate will provide the practitioner with an evidence-based knowledge approach to assist the clinician in determining whether to employ (Pro) or not to employ (Con) this technique in the obstetrical suite for labor analgesia. Nitrous oxide has been used safely in dentistry and medicine for many centuries. However, accumulating preclinical and clinical evidence increasingly suggests previously unrecognized adverse maternal and fetal effects of nitrous oxide, which warrants reconsideration of its use in pregnant women and a more detailed informed consent. Nitrous oxide is associated with metabolic, oxidative, genotoxic, and transgenerational epigenetic effects in animals and humans that may …

Using A Problem/Case-Based Learning Program To Increase First And Second Year Medical Students’ Discussions Of Health Care Cost Topics, S. B. Ginzburg, J. Schwartz, S. Deutsch, D. E. Elkowitz, R. Lucito, J. E. Hirsch

Journal Articles

No abstract provided.

Medical Education Using Minimal Technology: Achieving Professional Development, K. A. Friedman, S. W. Herman, A. Fornari

Journal Articles

No abstract provided.

Assessing Cognitive Impairment In Sle: Examining Relationships Between Resting Glucose Metabolism And Anti-Nmdar Antibodies With Navigational Performance., E. Ploran, C. Tang, M. Mackay, E. Anderson, C. Aranow, C. Sartori, P. Watson, B. Volpe, B. Diamond, D. Eidelberg, +4 Additional Authors

Journal Articles

Objective: Resting Fluorine-18 fluorodeoxyglucose positron emission tomography (FDG-PET) brain imaging and neuropsychological testing were used to investigate the usefulness of a spatial navigation task (SNT) as a performance benchmark for cognitive impairment related to anti-N-methyl D-aspartate (anti-NMDA) receptor antibodies (DNRAb) in SLE.

Methods: Neuropsychological assessments, including a desktop 3-D virtual SNT, were performed on 19 SLE participants and 9 healthy control (HC) subjects. SLE participants had stable disease activity and medication doses and no history of neuropsychiatric illness or current use of mind-altering medications. Resting FDG-PET scans were obtained on all SLE participants and compared with a historical set from …

Building New Twenty-First Century Medical School Libraries From The Ground Up: Challenges, Experiences, And Lessons Learned, N. Dexter, J. M. Muellenbach, E. R. Lorbeer, D. Rand, M. E. Wilcox, B. A. Long

Journal Articles

No abstract provided.

Utilization Of High-Fidelity Simulation To Address Challenges With The Basic Science Immunology Education Of Preclinical Medical Students, M. C. Petrizzo, M. Barilla-Labarca, Y. S. Lim, A. M. Jongco, M. Cassara, J. Anglim, J. N. H. Stern

Journal Articles

No abstract provided.

Reimagining Medical Education In The Age Of Ai, Steven A. Wartman, C. Donald Combs

Computational Modeling & Simulation Engineering Faculty Publications

Available medical knowledge exceeds the organizing capacity of the human mind, yet medical education remains based on information acquisition and application. Complicating this information overload crisis among learners is the fact that physicians' skill sets now must include collaborating with and managing artificial intelligence (AI) applications that aggregate big data, generate diagnostic and treatment recommendations, and assign confidence ratings to those recommendations. Thus, an overhaul of medical school curricula is due and should focus on knowledge management (rather than information acquisition), effective use of AI, improved communication, and empathy cultivation.

Emerging Roles Of Virtual Patients In The Age Of Ai, C. Donald Combs, P. Ford Combs

Computational Modeling & Simulation Engineering Faculty Publications

Today's web-enabled and virtual approach to medical education is different from the 20th century's Flexner-dominated approach. Now, lectures get less emphasis and more emphasis is placed on learning via early clinical exposure, standardized patients, and other simulations. This article reviews literature on virtual patients (VPs) and their underlying virtual reality technology, examines VPs' potential through the example of psychiatric intake teaching, and identifies promises and perils posed by VP use in medical education.

Informed About Informed Consent: A Qualitative Study Of Ethics Education, Rocksheng Zhong, John K. Northrop, Puneet K.C. Sahota, Henry B. Glick, Anthony L. Rostain

Journal of Health Ethics

Informed consent is a foundational concept in modern medicine. Despite physicians’ ethical and legal obligations to obtain informed consent, no standard curriculum exists to teach residents relevant knowledge and skills. This paper presents a qualitative study of residents at one academic medical center. The authors conducted focus groups with trainees in the Departments of Internal Medicine, Emergency Medicine, and Ob/Gyn and analyzed their responses using rigorous qualitative methods. Four themes emerged: First, participants agreed that informed consent and decision-making capacity were relevant in many clinical situations. Second, participants varied widely in their understandings of consent. Third, current resident training was …

Evaluation Of A Sexual Health Training For Child Welfare Workers, Katie Massey Comsb

Electronic Theses and Dissertations

Background: Elevated rates of early pregnancy and parenting among youth in foster care (YFC) are well documented. Training child welfare workers to provide sexual health information and resources is stated throughout the extant literature as a pressing need in efforts to prevent unintended pregnancy among YFC. However, few child welfare agencies offer such training to their workers, and little is known about the extent to which conversations about sexual and reproductive health already occur between child welfare workers and youth. Thus, this study aimed to: a) assess baseline attitudes, knowledge, and communication among child welfare workers regarding sexual health of …

The Relationship Between Advanced Degrees And Performance On Usmle Step 1, Martha E. Orozco Cortes

Scholarship in Medicine - All Papers

While previous studies have analyzed the relationship of pre-admission factors on USMLE Step 1 scores few studies have looked at the effects obtaining a graduate degree prior to medical school matriculation. Therefore, this study sought to determine if there was an advantage between obtaining a graduate degree before medical school when it came to step 1 board scores. This retrospective study analyzed step 1 scores and medical school application data from 718 students who matriculated at a public midwestern medical school between 2014 and 2016. A combination of analyzes of variance, chi-square tests, and multiple regression analyses were used. When …

Implementing A Discharge Navigator Reducing 30-Day Readmissions For Heart Failure And Sepsis Populations, Karen Weeks

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

A national focus for healthcare reform is preventing hospital readmissions. Thirty-day unplanned hospital readmissions impact patient outcomes and are costly to the healthcare system. This project explored the impact between the discharge navigator and 30-day unplanned readmissions for heart failure and sepsis populations in a 238-bed community hospital located in central Virginia. The primary aim of this discharge navigator project was to reduce 30-day readmissions for the heart failure and sepsis populations to meet the goals of the top quartile for like hospitals and the evaluation of cost avoidance for these readmissions. Heart failure and sepsis populations are high risks …