Medicine and Health Sciences Commons^™

Common Living Situations With Older Patients: Balancing Support With Independence, Kelly A. Rabah

Obstetrics and Gynecology Faculty Publications

Objectives:

1. Understand and discuss common challenges with aging patients that impact safety, independence and quality of life.

2. Describe how to assess for safety in living environment as well as what resources are available to support patient/family.

3. Know how to identify caregiver challenges, stress, and risk.

4. Understand the importance of addressing and documenting concerns and challenges, while being supportive and offering resources to promote QOL and Independence.

Residency And Fellow Participation In Root Cause And Intensive Analysis 2015-16, Kelly A. Rabah

Obstetrics and Gynecology Faculty Publications

The purpose of this document is to familiarize you with two processes that help with quality improvement known as a root cause analysis and an intensive analysis. Further, to explain your role in the process and the importance of your active participation.

Objectives:

• To understand the difference between a root cause and intensive analysis and be able to articulate when each would be appropriate.

• To learn about the importance of patient safety and quality through participation in these processes.

• To gain appreciation and insight into the importance of your role in examining medical and system errors as …

Medical Professionalism And Enculturation Of The Millennial Physician: Meeting Of The Minds, Steven R. Lindheim, Parvaneh K. Nouri, Kelly A. Rabah, Jerome L. Yaklic

Obstetrics and Gynecology Faculty Publications

The conceptualization of medicine as a profession that was held to ethical and practical standards was first formalized through the writings of 18^th century British physician-ethicists Gregory and Percival. This was in response to the lack of standardization in both training and practice that existed within medicine at the time. Percival’s Medical Ethics subsequently served as reference for the first Code of Medical Ethics issued by the American Medical Association (AMA) in 1847. Today, it is universally accepted that an important aspect of becoming a physician is the learning and implementing of high standards of medical professionalism into practice. …

2015-2016 Pediatric Subspecialty Trainees, Children's Mercy Hospital

Residents and Fellows Portraits

Photo composite of the graduate pediatric trainees in allergy/immunology, child abuse pediatrics, child neurology, clinical child psychology, clinical cytogenetics, clinical pharmacology, developmental-behavioral pediatrics, neonatal-perinatal medicine, pediatric adolescent gynecology, pediatric & congenital cardiac perfusion, pediatric cardiology, pediatric critical care, pediatric dentistry, pediatric dermatology, pediatric emergency medicine, pediatric endocrinology, pediatric gastroenterology, pediatric hematology/oncology, pediatric hospital medicine, pediatric infectious diseases, pediatric nephrology, pediatric ophthalmology, pediatric optometry, pediatric otolaryngology, pediatric ophthalmology/optometry, pediatric otolaryngology, pediatric radiology, pediatric rehabilitation, pediatric surgery, pediatric residency and med/peds residency

Design Of Drug-Induced Diseases Elective Utilizing Active Learning, Alison M. Walton, Alex N. Isaacs, Annette T. Mcfarland, Lauren M. Czosnowski, Sarah A. Nisly

Scholarship and Professional Work – COPHS

Objectives

To describe active learning utilized in a drug-induced diseases (DID) elective and determine inter-rater reliability of the assessment rubric for oral case-based presentations.

Methods

The design of this DID elective focuses on problem-based learning to enhance students’ critical thinking and problem-solving skills pertaining to the treatment of inducible diseases and general medicine. Each class incorporates active learning, utilization of drug information resources, and group work. The primary course assessment is student developed oral case-based presentations evaluated with a standard rubric.

Results

The intra-class correlation coefficient (ICC) was calculated amongst evaluators to assess the inter-rater reliability of the DID rubric …

Graduate Medical Education 2015-2016 Annual Report, Children's Mercy Hospital

GME Annual Reports

Annual report of the Children's Mercy Hospital Graduate Medical Education department, including pediatric residency, internal medicine/pediatrics residency, fellowship programs, medical students, continuing medical education, and library services.

Art And Medicine: A Collaborative Project Between Virginia Commonwealth University In Qatar And Weill Cornell Medicine In Qatar, Amy J. Andres, Thomas R. Himsworth, Alan Weber, Stephen Scott

VCU Libraries Faculty and Staff Publications

Four faculty researchers, two from Virginia Commonwealth University in Qatar, and two from Weill Cornell Medicine in Qatar developed a one semester workshop-based course in Qatar exploring the connections between art and medicine in a contemporary context. Students (6 art / 6 medicine) were enrolled in the course. The course included presentations by clinicians, medical engineers, artists, computing engineers, an art historian, a graphic designer, a painter, and other experts from the fields of art, design, and medicine. To measure the student experience of interdisciplinarity, the faculty researchers employed a mixed methods approach involving psychometric tests and observational ethnography. Data …

2015-2016 Department Of Learning Resources Scholarly Activity Report, Quillen College Of Medicine, East Tennessee State University

Quillen College of Medicine Scholarly Activity Reports

No abstract provided.

Knowledge, Attitudes, And Practices Of Florida Physicians Regarding Dengue Before And After An Educational Intervention., Susanne Doblecki-Lewis, Aileen Chang, Renee Jiddou-Yaldoo, Kay M Tomashek, Danielle Stanek, Leena Anil, Paola Lichtenberger

Medicine Faculty Publications

BACKGROUND: Failure to recognize and appropriately manage dengue early in the clinical course may result in late initiation of supportive treatment for severe disease. In Florida, travel-related and autochthonous dengue occur and are likely under-recognized. The objective of this study was to evaluate physician knowledge of dengue and its management before and after an educational intervention in Florida.

METHODS: From 2012-13 we conducted 14 grand-rounds style lectures on dengue clinical management attended by 413 physicians, and analyzed data from the pre- and post-tests.

RESULTS: Of those attending, 231 and 220 completed the pre-and post-tests, respectively. Overall, the mean pre-test score …

Knowledge, Attitudes, And Practices Of Florida Physicians Regarding Dengue Before And After An Educational Intervention., Susanne Doblecki-Lewis, Aileen Chang, Renee Jiddou-Yaldoo, Kay M Tomashek, Danielle Stanek, Leena Anil, Paola Lichtenberger

Medicine Faculty Publications

BACKGROUND: Failure to recognize and appropriately manage dengue early in the clinical course may result in late initiation of supportive treatment for severe disease. In Florida, travel-related and autochthonous dengue occur and are likely under-recognized. The objective of this study was to evaluate physician knowledge of dengue and its management before and after an educational intervention in Florida.

METHODS: From 2012-13 we conducted 14 grand-rounds style lectures on dengue clinical management attended by 413 physicians, and analyzed data from the pre- and post-tests.

RESULTS: Of those attending, 231 and 220 completed the pre-and post-tests, respectively. Overall, the mean pre-test score …

Bedside Teaching: An Underutilized Tool In Medical Education, Mohammed Garout, Abudelah Nuqali, Ahmad Alhazmi, Hani Almoallim

Medicine Faculty Publications

No abstract provided.

Building Capacity In Implementation Science Research Training At The University Of Nairobi., George O Osanjo, Julius O Oyugi, Isaac O Kibwage, Walter O Mwanda, Elizabeth N Ngugi, Fredrick C Otieno, Wycliffe Ndege, Mara Child, Carey Farquhar, Jeremy Penner, Zohray Talib, James N Kiarie

Health Policy and Management Faculty Publications

BACKGROUND: Health care systems in sub-Saharan Africa, and globally, grapple with the problem of closing the gap between evidence-based health interventions and actual practice in health service settings. It is essential for health care systems, especially in low-resource settings, to increase capacity to implement evidence-based practices, by training professionals in implementation science. With support from the Medical Education Partnership Initiative, the University of Nairobi has developed a training program to build local capacity for implementation science.

METHODS: This paper describes how the University of Nairobi leveraged resources from the Medical Education Partnership to develop an institutional program that provides training …

Lung Functions Among Patients With Pulmonary Tuberculosis In Dar Es Salaam – A Cross-Sectional Study, Mohamed Manji, Grace Shayo, Simon Mamuya, Rose Mpembeni, Ahmed Jusabani, Ferdinand Mugusi

Faculty of Health Sciences, East Africa

Background

Approximately 40–60 % of patients remain sufferers of sequela of obstructive, restrictive or mixed patterns of lung disease despite treatment for pulmonary tuberculosis (PTB). The prevalence of these abnormalities in Tanzania remains unknown.

Methods

A descriptive cross-sectional study was carried out among 501 patients with PTB who had completed at least 20 weeks of treatment. These underwent spirometry and their lung functions were classified as normal or abnormal (obstructive, restrictive or mixed). Logistic regression models were used to explore factors associated with abnormal lung functions.

Results

Abnormal lung functions were present in 371 (74 %) patients. There were …

Medical Interns', Residents' And Attending Physicians' Attitudes Towards Integrative Medicine And Recommended Treatments For Patients With Psoriasis, Jennifer L. Pacyon

PCOM Psychology Dissertations

Background: Psoriasis is a multifactorial disease that effect approximately 7.5 million Americans. There are a variety of traditional treatments for psoriasis (e.g. topical medications, biologics) that for many, are effective in combating the disease. However, traditional treatments often have aversive side effects and may not be appropriate for every patient (e.g. pregnant women). Additionally, the efficacy of these medications are variable leaving some looking for adjunctive treatment options. There is increasing evidence to support the use of adjunctive treatments for psoriatic patients (e.g. psychotherapy, mindfulness). However, research is variable in regards to medical professionals’ attitudes towards integrative medicine (IM) as …

Nutrition Resources For Football Players In Division I Institutions: The Athletic Trainer's Perspective And Role, Giovanna Marie Giannini

Honors Undergraduate Theses

Background: The importance of nutrition on athletic performance is evident. Athletic trainers (ATs), nutritionists/RDs, strength and conditioning specialists (SCSs), and other athletic department personnel may be available to student-athletes and can be solicited for nutrition advice. Multiple studies have found that although some universities have a sports nutritionist on staff, student-athletes approached an AT most often for nutrition advice rather than an SCS, nutritionist or other person. ATs have the necessary education to provide proper nutrition information to student-athletes; however, it is not the primary role of an AT.

Objective: The purpose of this study was to examine the quantity, …

Therapy Options For Winged Scapula Patients: A Literature Review, Samantha L. Normand

Honors Undergraduate Theses

Winged scapula is a condition characterized by lateral or medial protrusion of the scapula caused by nerve damage leading to muscular paralysis. The purpose of this systematic review of literature is to evaluate the current research literature related to the effectiveness of therapy options for winged scapula. Eleven peer reviewed English language research articles published from 1998 to present were included for evaluation. Study results revealed positive therapeutic outcomes for physical therapy and scapular bracing. Results also showed positive outcomes for the use of transcutaneous electrical nerve stimulation and acupuncture for the treatment of nerve related conditions similar to winged …

Application Of The Many Facet Rasch Model To Validate A Survey For The Selection Of Chief Residents, Kadriye O. Lewis, Haiqin Chen

Posters

The literature does not show any established guidelines, methods, or psychometric instruments for selecting Chief Residents in academic programs. This study validates a newly designed instrument based on the characteristics and leadership qualities from the residents' perspectives. Our newly developed survey can differentiate Chief Resident candidates' performance as well as identify why a specific candidate is selected or not through MFRM. This tool can be applied to other residency programs.

Investigating Program Directors' Milestones Assessment Practices In Graduate Medical Education: Preliminary Results, Kadriye O. Lewis, Susan B. Hathaway, J F. Knapp, Denise Bratcher, Douglas Blowey

Posters

ACGME's Milestones assessment requirement placed new demands on Program Directors. This study investigates current assessment practices as well as identifies the needs and challenges of the program directors in implement Milestones for assessment in Graduate Medical Education at Children's Mercy Kansas City.

Institutionalized Training Of Research Editors, Saba Sohail, Jamshed Akhtar

Department of Radiology

No abstract provided.

Food/Drug Interactions: Assessing Student Knowledge Before And After Viewing An Interactive Educational Website, Cole Smith

Undergraduate Honors Thesis Collection

Background: Knowledge of food and drug interactions is important and may greatly impact compliance and success of drug therapy. Patients are required to be educated about food and drug interactions at the point of care by the Joint Commission on Accreditation of Healthcare Organizations’ standards; and, in both the institutional and community settings, quality of patient care is improved if the patient understands the importance of food and drug interactions. Methods: This study was conducted online via a web-based survey using Survey Monkey. Students in their second year of pre-pharmacy classes were asked to complete a pre-survey, review a website …

Exposing Second Year Medical Students To The Clinical Reasoning Process Prior To High Fidelity Simulation Learning, Phondie Simelane Simelane

Theses and Dissertations

Clinical reasoning is a highly complex process that is both difficult to impart and acquire (Bowen 2006, Custers 2005, Merriënboer 2010, Schmidt 2015). Second year medical learners appear to lack strategy to effectively step through the presented scenarios (Allen, personal communication, March 2, 2015). Though possessing a degree of background knowledge, immature clinical reasoning skills make data collection (focused history, focused review of systems and focused physical assessments) a challenge to efficiently navigate. As oppose to discriminating their line of questions, learners sweep through a wide range of information. Consequently, problem solving takes on a shot gun approach resulting in …

Patient-Reported Variables Associated With The Success Of Behavioral Intervention For Patients With Chronic Cough, Bridget Loomis

Graduate Student Theses, Dissertations, & Professional Papers

Purpose: To determine if patient-related variables exist that can potentially discriminate patients with refractory chronic cough (RCC) that are reasonable candidates for behavioral cough therapy (BCT). This study is a small sub-set of a larger, ongoing study, which aims to create and validate a screening tool that primary care physicians can use in order to refer patients early and appropriately for medical or behavioral intervention.

Methods: In this prospective, exploratory study, 20 adult participants, aged 29-68 years of age, answered a bank of questions developed by an expert panel, and the Leicester Cough Questionnaire (LCQ), before and after BCT. Questions …

Digest Of The Philadelphia College Of Osteopathic Medicine (Winter 2015-2016), Philadelphia College Of Osteopathic Medicine

Digest

The Winter 2015/2016 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• Message from the President
• PCOM Updates
• Inauguration of the eighth President, Jay S. Feldstein, DO '81
• Trained for Trauma Care: PCOM Alumni Were Well Prepared to Treat the Mass Casualties of May's Amtrak Derailment
• Remembering Camille DiLullo, PhD, Professor of Anatomy
• Class Notes
• My Turn

Infant Loss & Bereavement: A Journey For Families And Health Care Professionals, Kelly A. Rabah

Obstetrics and Gynecology Faculty Publications

Loss…

• Perinatal loss includes infertility during the preconception period, fetal death during pregnancy and infant death in the first year of life.

• Losing a wished-for child is startling and unexpected.

• Responses to this loss range from disappointment to life-changing anguish.

The Impact Of Gamified Mobile Applications For Disease Management: Case Study Pre-Diabetic Adolescents, Obie Mcgowan

Dissertations, Master's Theses and Master's Reports

In 2014, diabetes was the seventh leading cause of death in the United States [1]. According to the Centers for Disease Control and Prevention (CDC), one third of all adults in the United State are pre-diabetic. Pre-diabetes is a condition in which blood glucose (sugar) is higher than normal, but not yet high enough to be diabetic. Persons who have an increased risk of developing pre-diabetes are: those who are not physically active, have a family history of diabetes, are within a minority group, are overweight/obese, and other factors. From 1999 to 2008, the occurrence of adolescents ages 12 to …

Justice And Care: Decision Making Of Medical School Student Promotions Committees, Emily Paige Green

Educational Studies Dissertations

Accreditation standards for allopathic medical schools in the United States require that each institution have in place a mechanism by which student progress through the curriculum is monitored. These entities, referred to here as promotions committees, make important decisions in a high stakes medical education environment. Yet little is currently known about how promotions committee members make decisions about students who experience academic failures and lapses in professional behavior. Using the work of Lawrence Kohlberg and Carol Gilligan on moral development as a theoretical basis, the purpose of this study was to elucidate committee members’ perceptions of the role of …

A Debriefing Technique In High-Fidelity Patient Simulation And Competent Decision-Making Abilities Among Nursing Students, Trena Seago

Theses and Dissertations--Curriculum and Instruction

Nursing faculty are utilizing high-fidelity patient simulation (HPS) with debriefing to help engage nursing students in making competent clinical decisions. This quasi-experimental study examined the use of HPS with debriefing and students’ ability to make nursing care decisions using standardized exams. The experimental group received debriefing after HPS and the control group did not receive debriefing after HPS. The pre- and post-test assessed participants’ ability to make clinical care decisions. The analysis of the pre-test and post-test HESI scores showed that there was no significant difference between the two groups.

Evaluating The Use Of Second LifeTm For Virtual Team-Based Learning In An Online Undergraduate Anatomy Course, Christena Gazave

Theses and Dissertations--Medical Sciences

Team-based learning (TBL) is one strategy for improving team-work and critical thinking skills. It has proven to be an engaging teaching pedagogy in face-to-face classes, however, to our knowledge, has never been implemented online in a 3-D virtual world. We implemented virtual TBLs in an online undergraduate anatomy course using Second Life^TM, and evaluated whether it engaged students. This study was conducted over 2 semesters with 39 total students. Surveys and content analysis of transcripts were used to evaluate student engagement. Our results indicate virtual TBLs were engaging for most students. The average engagement score was 7.8 out …

Premedical Programs Newsletter, January-February 2016, University Of Dayton

Pre-Health Resource Center Campus Communications

Newsletter for students, staff, and faculty in the premedical and predental programs.

The Write Stuff - Winter 2016 (Vol. 13, No. 1), Research Medical Library

Write Stuff 2016

• Publishing patient information in case reports
• Changes to NIH grant policies, grant application forms and instructions, and SF424 guidelines
• Microsoft Word 2013: Tips for using Comments, Change Tracking, and other features
• Citing unpublished material in a research paper
• Winter and spring schedule for the Research Medical Library webinar program
• Unusual terms used in scientific writing and publishing: Uniform requirements/ICMJE recommendations