Medicine and Health Sciences Commons^™

Acute Pain Management Of Hospitalized Patients On Medication-Assisted Therapies (Mat) For Opioid Use Disorder (Oud), Ryan Bower, Roland Mikkaeil, Emily H. Hsu, Tracee Mock

Books, Presentations, Posters, Etc.

Abstract: Buprenorphine has been an instrumental tool in Medication Assisted Therapies (MAT) for opioid use disorder (OUD). For hospitalized patients on MAT, the management of acute pain presents a unique challenge to health care providers. A previous study examining buprenorphine discontinuation patterns on medical/surgical floors found that 11.8% of patients had their buprenorphine discontinued due to inadequate analgesia. Furthermore, none of these patients had their buprenorphine restarted prior to discharge. Discontinuation of buprenorphine in hospitalized patients has the potential for wide-reaching implications ranging from risk of withdrawal to relapse secondary to patient loss during the transition from inpatient to outpatient …

Don’T Poke The Bear: Pheochromocytoma Unmasked By Covid-10, Taylor Virtue, Andrea Roast

Books, Presentations, Posters, Etc.

Introduction: Pheochromocytomas are tumors of the adrenal gland which produce excess catecholamines. The classic clinical triad is paroxysmal headache, diaphoresis, and tachycardia. The rare incidence makes this a challenging diagnosis which is even more challenging in the environment of the COVID-19 pandemic. Case Presentation: Setting: Establishing care visit at a primary care office Demographic: 42 year old male Medical history: Previously well-controlled hypertension, prediabetes HPI: • Weeks of profound, persistent fatigue and lightheadedness after the resolution of acute symptoms (fever, chills) from COVID-19 infection. Denies any headaches or palpitations. • Meticulously measuring vital signs at home. He has noticed that …

Tobacco Cessation Email Outreach In A Primary Care Setting, Katie Berry, Md, Meera Jain

Books, Presentations, Posters, Etc.

Background: . • Tobacco use remains the #1 cause of preventable death in the United States • Providence Health and Patient Education Program offers resources for tobacco cessation (eg. Virtual classes), but few patients access these services • Xealth® is a digital healthcare technology company contracted with Providence that aims to provide digital content to improve patient care and resources to analyze data • Study purpose: Assess if digital outreach to patients helps engagement in tobacco cessation services • Our clinic was a pilot clinic to develop the intervention and assess efficacy prior to roll out to all Providence Medical …

Mastering The Ite With Em Mastermind: A Board Game For Board Review, Taylor Cesarz, Stephanie Cohen, Shayne Gue

North Florida Division GME Research Day 2024

No abstract provided.

Intouch Week Of January 1, 2024, New York Medical College

InTouch

• NYMC Looks Back at 2023
• Office of Student Mental Health and Wellness Kickstarts the Wellness Ambassador Program
• NYMC Transforms Workout Experience with Upgrades to Asprinio Fitness Center
• Dr. Daohong Lin Awarded $2,050,000 NIH Grant
• WISE to Empower Women in Science Entrepreneurship
• Notable Speakers Slated to Address the Class of 2024

Parental Perception Of Improvement In Prelinguistic Skills In Kids With Autism In Two Months Of Goal Directed Cognitive Approach, Ratnapriya Chowdhry, Santosh Kondekar, Surbhi Rathi, Abhinaya V, Tasneem Motiwala

Digital Journal of Clinical Medicine

The study aimed to assess the parental perception of improvement in prelinguistic skills in children with Autism Spectrum disorder [ASD] after 1 and 2 months of Goal Directed Cognitive Approach. This was assessed by a questionnaire filled by parents of 26 consecutive ASD kids at a neurodevelopmental center. Parents were asked to rate these skills on a Likert scale of 1-5 before and after 1 month and 2 months of GDCA to check for any improvement. 69% of ASD kids were boys. Mean age at presentation was 2.6 years. The children were subjected to GDCA for an average duration of …

Evaluation Of The Role Of Prolactin To Prevent Diabetic Retinopathy, Suliman A. Suliman

Digital Journal of Clinical Medicine

Abstract:

Introduction: Diabetic retinopathy (DR) is a one of the long-term complications of DM and constitutes the leading cause of blindness in working-age individuals and affects a majority of diabetic patients by 20 years after disease onset.

Objective: The aim of this study it investigation of the potential role of prolactin in the prevention of Diabetic retinopathy.

Methods: The study was conducted on 90 diabetic patients who were divided into a group that included 37 patients without retinopathy and a group that included 27 patients with non-proliferative retinopathy and 26 patients with proliferative retinopathy who attended the Endocrinology clinic and …

The Crucial Role Of Community Medicine In Improving Public Health, Malik Maaz Ahmad, Imran Ahmed Khan, Neha Priyanka

Digital Journal of Clinical Medicine

Community medicine, also known as Social and Preventive Medicine, is a specialized field of medicine that focuses on promoting and protecting the health and well-being of communities and populations. Unlike other medical specialties that primarily focus on individual patients, community medicine takes a broader approach, addressing the health needs of entire populations. The specialty of community medicine plays a vital role in clinical practice and public health. Its focus on prevention, population health, and evidence-based medicine makes it an essential discipline in improving the health and well-being of communities. Community-based medical education is of vital relevance in the modern change …

Magel2 And Oca2 Dual Mutation In A Case Of Prader-Willi Syndrome, Anisha Jain, Gulrej Shaikh, Santosh Kondekar, Surbhi Rathi

Digital Journal of Clinical Medicine

Prader-Willi Syndrome (PWS) is an epigenetic disorder caused by the absence of paternal gene expression on chromosome 15q11-q13. It typically presents with hypotonia, hyperphagia, obesity, and short stature. Oculocutaneous Albinism (OCA) is an autosomal recessive disorder characterized by hypopigmentation of the skin and hair, resulting from mutations in the OCA genes. Mutations in MAGEL2, a member of the melanoma-associated antigen gene (MAGE) protein family, often present with features of autism spectrum disorder and arthrogryposis. This case is notable for its presentation of dual OCA2 and MAGEL2 mutations, with an atypical phenotype of Prader-Willi Syndrome. We present a 9-year-old boy of …

Umbrella Review As A Data Collection Tool: Towards Observation, Analysis, And Empirical Transformation Of Qualitative Drivers Describing Healthcare Workforce Shortage Factors Into Quantitative Data To Support Medical Education Interventions In A Global Challenge., Fabio Galli, Marco Grech

Digital Journal of Clinical Medicine

A healthcare workforce shortage of 18 million is expected by 2030, against a global demand of 80 million, and it is difficult to analyse and monitor the real drivers driving this personnel shortage on a global level. The transformation of qualitative data into quantitative data can be a strategy in this global challenge, that can implement the medical education intervention strategies.

Atypical Immune Response: Acquired Hemolytic Anemia In A Non-Hodgkin Lymphoma Patient With Unusual Findings, Mannan Mangal

Digital Journal of Clinical Medicine

Acquired hemolytic anemia, caused by external factors like autoimmune disorders or infections, includes rare cases of Cold Agglutinin Syndrome (CAS), a cold-antibody-mediated condition affecting 1 in 1 million annually. This report highlights a unique case of CAS in a patient with Non-Hodgkin lymphoma and polyclonal gammopathy, contrasting with the typical presentation of warm-reactive autoantibodies and monoclonal antibodies. The patient presented with weakness, breathlessness, and splenomegaly, with laboratory findings showing a hemoglobin level of 5.8 g/dL and elevated ferritin. Imaging revealed mesenteric lymphadenopathy and thickening of the cecum, suggesting possible lymphomatous involvement. Non-Hodgkin lymphoma was confirmed via lymph node biopsy. This …

Group Approach: Inter-Institute Interactive Sessions For Psychiatry Postgraduate Residents On Mastering The Art Of Prioritization In Everyday Learning., Abhay Koul, Murali M R, Kishor M, Narendra Kumar M S

Digital Journal of Clinical Medicine

Collaboration and knowedge-sharing are essential in Psychiatry as complex mental health challenges require innovative solutions. Inter-institute interactive sessions are important platforms, providing psychiatry postgraduate residents with opportunities to connect, exchange ideas, and advance their understanding of the field collectively. Inter-institution sessions help break the geographic barriers between institutions and build bridges that foster collaboration, networking, and professional growth. There is hardly any literature available on these aspects. The Department of Psychiatry, JSS Medical College, Myusru organized an interactive session between psychiatry post-graduates of JSS Medical College and Mysore Medical College. Students were informed about the rules of the group approach …

Guideline For Sbhc Provider Education To Start The Hpv Vaccine At Nine Years Old, Jasmine K. Serrano

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

It is estimated that 80% of people worldwide, regardless of gender, will contract human papillomavirus (HPV) at some point in their lives. The HPV vaccine series prevents high-risk strains that are known to cause cancer and genital warts (Osaghae et al., 2022). School-based health clinics (SBHC) can increase access to and completion of the HPV vaccine series, which remains low throughout the United States (Javaid et al., 2017; Rane et al., 2021; Shah et al., 2020). This guideline was created to increase SBH provider education to start the HPV vaccine at nine years old. The project lead conducted a systematic …

Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).

Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. A …

Instructional Practices To Foster The Development Of Autonomy: A Qualitative Phenomenological Study Of The Resident Experience, Rachelle Musgrave Aker

Theses and Dissertations--Education Sciences

A growing concern in graduate medical education (GME), research indicates that some graduating residents are unprepared to enter unsupervised practice. The aim of this qualitative phenomenological study is to illuminate the resident experience surrounding the development of autonomy in clinical decision making relative to teaching practices. Research questions include: (1) What is the dual role of learner/teacher like for residents as they attend to their own and others’ development of autonomy in clinical reasoning and decision making? (2) Which teaching methods do they commonly experience as the learner and practice as the teacher relative to this development, and which methods …

Racial And Geographic Disparities In The Management And Care Of Sepsis, Luke Dommaschk Burwell

Nursing | Senior Theses

Sepsis, a severe condition triggered by the body's response to infection, requires prompt treatment to prevent tissue damage and organ failure. The SEP-1 Sepsis bundle, developed by Center for Medicare and Medicaid Services (CMS), aims to standardize care, particularly in rural hospitals with limited resources. However, disparities in bundle adherence and mortality rates persist, with rural areas facing more significant challenges. Studies show racial differences in care quality, emphasizing the need for interventions to address systemic biases. While sepsis bundle adherence and simulation training are strong indicators of care improvement, the literature review underscores the need for targeted interventions in …

Dean's Update, January 2024, Neil W. Schluger

SOM Dean's Research Newsletter

No abstract provided.

Student Academic Success System, Brandi Castle

Doctor of Nursing Practice Projects

This project aimed to enhance academic success and retention rates in a practical nursing program through the implementation of a Student Academic Success System (SASS), utilizing evidence-based teaching strategies. A quality improvement design using both the Iowa Model of Evidence-Based Practice and the Plan, Do, Study, Act (PDSA) framework was guided by Kolb’s Model. Nurse faculty saw a need for increased student retention among practical nursing students; the student then proposed a plan, translated evidence, created a pre- and post-survey, and carried out SASS with the use of trained nurse faculty coaches. The goal of the project was to reduce …

Project-Based Learning And Student Outcomes In Health Professions Education: A Literature Review, Melanie Aley, Regina Lee, Jordana Wang, Joy Wang, Sophia Zheng

Health Professions Education

Purpose. Project-based learning (PjBL) is an instructional method designed to help students cultivate skills transferable beyond traditional education systems focused on didactic learning. This literature review aims to critically summarise existing literature on PjBL and its value in tertiary health professions curricula, especially with regards to cognitive, affective and behavioral student outcomes. In doing so, this study seeks to inform teaching and learning approaches that nurture skills desirable in professional settings.

Method. An electronic search for relevant English journal articles was conducted using four databases; EBSCOhost, Medline, Web of Science and Scopus. Studies which pre-date 2012, fail to …

Digital Storytelling As An Innovative Approach To Prehospital Education: The Experiences Of Teaching Academics., Andrew Van Noordenburg, Georgina Seaman

Health Professions Education

Purpose. To explore teaching academics' experiences of utilising digital storytelling as an innovative approach to prehospital education.

Method. This study describes an innovative learning activity, digital storytelling, developed for an undergraduate paramedicine program. The experiences of teaching academics were then explored through semi-structured interviews. Thematic analysis was used to evaluate the data.

Results. Three themes were identified through thematic analysis. The first theme was ‘the impact of friction on learning’ which describes how a learning activity’s design can negatively impact learning. The second theme ‘connecting with the teaching resources’ outlines how having access to sufficient resources is necessary to facilitate …

Improving Medical Education Of Risks Of Ai Use In Healthcare, Stephanie Quon, Catherine Ha

Health Professions Education

Artificial intelligence (AI) offers transformative potential in healthcare, enhancing drug discovery, data processing, early detection, and clinical decision-making. However, its adoption poses significant risks, including client harm, misuse, automation bias, perpetuation of inequities, and security issues. Effective integration requires ongoing collaboration among healthcare professionals, developers, policymakers, and ethicists to ensure accountability and transparency. As AI becomes more prevalent, medical education must evolve to equip students with a deep understanding of AI technology, risk assessment, and mitigation strategies. Currently, medical curricula fall short in this area, necessitating educational reforms. We propose diverse and comprehensive teaching methods, including case studies, interdisciplinary projects, …

Measuring Awareness, Empowerment And Action Orientation: Validation Of The Health Professions Educators Diversity, Equity, And Inclusion Scale (Hpe Dei, Peggy Gesing, R. Jason Lynch, Amanda K. Burbage

Health Professions Education

Purpose. Educating students in health occupations about diversity, equity, and inclusion (DEI) can improve healthcare outcomes for the clients they serve, yet educators may lack training and readiness for incorporating DEI in course content. The purpose of this study was to develop and validate the psychometric properties of the Health Professions Educators DEI Scale (HPE DEI), which measures awareness, empowerment, and action orientation of educators.

Method. A 19-item literature-informed intrument was developed and reviewed for content validity by subject matter experts. Convenience and snowball sampling were used. The piloted instrument was distributed to seven institutions and received sufficient responses for …

Cloudy Consequences: Exploring Vaping-Induced Alveolar Proteinosis, Jennifer Wong, Do, Omar Pandhair, Md, Abby Lindseth, Md, Cameron Long, Md

Articles, Abstracts, and Reports

2024-2025 PGY1

Review Of Current Dual-Antiplatelet And Triple Therapy Prescribing Practices At Providence Medical Group, Gina Kim, Christine Doran, Lauren Powell

Books, Presentations, Posters, Etc.

Abstract: Approximately 10% of patients with recent percutaneous intervention (PCI) have concomitant atrial fibrillation (AF) and others may have concomitant venous thromboembolism (VTE). This makes choosing the optimal antithrombotic regimen challenging. The ACC published a 2020 decision pathway to guide safe and evidence-based use of antiplatelet and anticoagulant combinations for certain patients. These situations include patients with prior AF on anticoagulation and the need for PCI, patients with new-onset AF requiring anticoagulation in a patient already on antiplatelet therapy for coronary artery disease (CAD), patients with prior VTE on anticoagulation and the need for PCI, and patients with new or …

Pulmonary Pseudomyxoma Peritonei, Hannah Kirk, Do, Omar Pandhair, Md

Articles, Abstracts, and Reports

2024-2025 PGY1

Ecmo As A Bridge To Lung Transplant For Refractory Rapidly Progressive Interstitial Lung Disease, Matthew Moritz, Md, Omar Pandhair, Md

Articles, Abstracts, and Reports

2024-2025 PGY2

Increasing The Use Of Sglt-2 Inhibitors In Patients With Type 2 Diabetes And Chronic Kidney Disease, Amanda Tep, Do, Jason Heino, Do, Shelley Schoepflin Sanders, Md, Alyssa Nelson

Articles, Abstracts, and Reports

2024-2025 PGY3

Hydroxocobalamin In Septic Shock Management: Should It Be Introduced Sooner?, Linh Tang Taylor, Md, Cameron Miles Long, Md, Omar Pandhair, Md

Articles, Abstracts, and Reports

2024-2025 PGY2

Where Did The Oxygen Go? (Case Report On Acquired Methemoglobinemia), Julia Townsend, Md, Ryan Apathy, Md, Stephanie Griffith

Articles, Abstracts, and Reports

2024-2025 PGY2

Addressing The Prescribing Patterns And Environmental Impact Ofdry Powder Inhalers (Dpi) Versus Metered Dose Inhalers (Mdi), Abby Lindseth, Md, Claudia Leonard, Md, Facp, Michelle Sanders, Md, Facp

Articles, Abstracts, and Reports

2024-2025 PGY3