Medicine and Health Sciences Commons^™

End Of Life Symptom Management In The Emergency Department, Alice Chang, James Espinosa, Alan Lucerna

Rowan-Virtua Research Day

The Emergency Department is at times the only place patients can turn to for symptom relief. In an aging population, this means that more patients are presenting to the ED towards the end of life (EOL). Emergency medicine (EM) prides itself as a specialty that handles disease-directed treatment for a variety of acute conditions. In contrast, palliative care (PC) is focused on improving the quality of life (QOL). It has become essential for EM physicians to care for patients who are not seeking life-sustaining measures, but instead quality of life interventions. Patients with serious illness, even hospice patients, present to …

Assessing Correlation Between Manual Dexterity, Specialty Choice And Desire To Practice Omt In Newly Admitted Osteopathic Medical Students, Valerie Rome, Nils Brolis

Rowan-Virtua Research Day

Is there any relationship between manual dexterity, specialty choice, and the use of osteopathic manipulative treatment (OMT) in newly-admitted osteopathic medical students? Hand dexterity has previously been associated with surgical skill development in medical residents. There is currently a gap in the scientific literature in regards to the use of one’s hands and the career choice they ultimately pursue, in addition to interest in performing OMT in their respective fields. To help elucidate the answer this question, this SMRF project aimed to evaluate the relationship between manual dexterity, specialty choice, and use of osteopathic manipulative treatment (OMT) in newly admitted …

Lecture Transcripts And Closed-Captioning: Addressing Ada And Udl At Rowan-Virtua Som, Steve Garwood, Dawn Shell, Jackie Giacobbe

Rowan-Virtua Research Day

At the Rowan-Virtua School of Osteopathic Medicine (SOM), recordings of all live lectures are available to students via the Echo360 Lecture Capture system. To improve the accessibility, usability, and usefulness of the recordings, beginning in the 2022-2023 Academic Year, we incorporated automated speech recognition (ASR) to create a transcript and closed-captioning for lecture recordings in the Synergistic Guided Learning (SGL) curriculum. For quality control, work-study medical students and volunteers reviewed and edited the transcripts and released updated versions for student use. Use and perceived impact were measured using a survey administered via Qualtrics. Eighty-eight percent of respondents indicated that adding …

Outcomes From An Addiction Medicine Elective For 2nd Year Pcom Do Students, Rachel Caulkins, Anna Klunk, Christopher Suttera, Kayleigh Vanduzer, Frederick J. Goldstein

Research Day

Introduction: According to the 2020 National Survey on Drug Use and Health, 40.3 million people aged 12 or older had a past-year substance use disorder (SUD). However, the median number of hours of content discussing this clinical issue in medical schools is seven hours. At the PCOM Philadelphia campus, 50 Second Year students (allowable limit) participated in the first Addiction Medicine Elective course in Winter 2022. This was a 6-week long program with one 2-hour session at night (6–8 pm) per week. Classes consisted of sessions with physicians having experience with SUD patients, testimony from those with SUD, Narcan training, …

Cadaveric Dissection And Prosection Of The Nervous System, Devin W. Kolmetzky, Evan S. Polly, Dillon B. Gooder, Alec R. Dickson, Alayna S. Nelson, Daria Harlamova, Christopher J. Harvey, Jonathan T. Luciani, Samantha A. Allen, Miriah F. Dwyer, Justin M. George, Chase C. Mckevitt, Isabella Benitez-Enriquez, Kayla M. Davenport, Katherine Van Winkle, Kerin M. Claeson

Research Day

Introduction: Physical involvement in cadaveric dissections has been correlated with higher written and practical test scores and improvements in visual-spatial aptitude in medical students. In addition to technical dissections skills, cadaveric dissection also promotes habits of inquiry and improvement, and further formation of personal and professional identities. In 2014, a survey of medical school anatomy course directors revealed that 100% utilize cadavers in their anatomy curriculum, with nearly 85% following regionally organized approaches, rather than systems-based approaches. Regional-based approaches focus on teaching the anatomy and function of a specific region of the body in isolation from other regions, whereas system-based …

Bibliometric Analysis Of Academic Journal Recommendations And Requirements For Surgical And Anesthesiologic Adverse Events Reporting, Tamir N. Sholklapper, Jorge Ballon, Aref S. Sayegh, Anibal La Riva, Laura C. Perez, Sherry Huang, Michael Eppler, Gregg Nelson, Giovanni Marchegiani, Robert Hinchliffe, Luca Gordini, Marc Furrer, Michael J. Brenner, Salome Dell-Kuster, Chandra Shekhar Biyani, Nader Francis, Haytham M.A. Kaafarani, Matthias Siepe, Des Winter, Julie A. Sosa, Francesco Bandello, Robert Siemens, Jochen Walz, Alberto Briganti, Christian Gratzke, Andre L. Abreu, Mihir M. Desai, Rene Sotelo, Riaz Agha, Keith D. Lillemoe, Steven Wexner, Gary S. Collins, Inderbir Gill, Giovanni E. Cacciamani

Einstein Health Papers

BACKGROUND: Standards for reporting surgical adverse events (AEs) vary widely within the scientific literature. Failure to adequately capture AEs hinders efforts to measure the safety of healthcare delivery and improve the quality of care. The aim of the present study is to assess the prevalence and typology of perioperative AE reporting guidelines among surgery and anesthesiology journals.

MATERIALS AND METHODS: In November 2021, three independent reviewers queried journal lists from the SCImago Journal & Country Rank (SJR) portal (www.scimagojr.com), a bibliometric indicator database for surgery and anesthesiology academic journals. Journal characteristics were summarized using SCImago, a bibliometric indicator database extracted …

Introduction Of Hiv Point-Of-Care Testing In Adolescent Primary Care: A Quality Improvement Project, Jennifer Quinn Belfry

Doctor of Nursing Practice Scholarly Projects

BACKGROUND: HIV, first identified in 1981, remains a persistent public health problem affecting 1.1 million Americans today. Detection is a critical first step to ending the HIV epidemic and the CDC recommends universal HIV screening for all patients 13-64 years of age regardless of risk factors. HIV screening rates are suboptimal especially in adolescent and young adult populations who face unique barriers to screening. The aim of this project was to improve HIV screening rates in adolescent and young adult patients at a large, urban FQHC.

LOCAL PROBLEM: In the state of Rhode Island, 1 in 10 persons living with …

Examining The Utility Of The Canadian Occupational Performance Measure (Copm) Vs. Cognitive Mapping And Motivational Interviewing (Cm/Mi) To Provide Person-Centered Care (Pcc) For People With Parkinson’S Disease (Pwpd), Mary Lagasca, Karen Aranha

Spring 2023 Virtual OTD Capstone Symposium

Background: Parkinson’s disease (PD) limits occupational engagement and quality of life. Clinicians need tools to help understand the lived experiences of people with PD to provide more person-centered care (PCC). The Canadian Occupational Performance Model (COPM) is one tool used with this population, but its predetermined categories may be limiting. In contrast, Cognitive Mapping and Motivational Interviewing (CM/MI) is a non-standardized method that may provide more insight. Objective: To identify the benefits of the COPM to CM/MI in delivering more person-centered care (PCC). Methodology: A qualitative phenomenological self-study was used. Data collection compared the assessments and reflected on determining if …

How To Collaborate And Not Just Coexist: An Explanatory Sequential Mixed Methods Study On The Impact Of A Physician And Nurse Interprofessional Education Program On The Development Of Early Career Pediatrician Communication Skills And Collaborative Behaviors Once In Practice, Elizabeth L. Wueste

Theses & Dissertations

Healthcare organizations are challenged to build and develop interprofessional (IP) teams capable of delivering effective patient care (Tang et al., 2018). Historically, these multiple professional roles are not formally educated together but are all expected to work in unison once they enter practice (El-Hanafy, 2018). This lack of relational foundation has led to age-old conflict between the physician and nurse roles on the care team (Stein et al., 1990). This conflict has been attributed to a lack of role definition or an overemphasis on hierarchical structures, poor communication, and the inability of physicians to collaboratively work with their nurse counterparts …

Nutrition Needs Assessment For Women Of Childbearing Age With Polycystic Ovarian Syndrome, Callie Coleman, Whitney Bignell

Undergraduate Honors Theses

Polycystic Ovarian Syndrome (PCOS) is an endocrine disorder that affects women’s menstrual cycles, androgen (male hormones) levels, and cysts on the ovaries. This endocrine disorder has various symptoms, with insulin resistance as a hallmark symptom. Approximately 65-70% of women with PCOS have insulin resistance and hyperinsulinemia, whether or not they are overweight, obese, or lean (Marshall & Dunaif, 2012). Many women with PCOS struggle to lose weight because their excess weight is related to nutrition, lifestyle factors, and imbalanced hormones. Understanding PCOS as a metabolic disorder with nutritional implications led to investigating the potential benefit of having registered dietitian nutritionists …

The Impact Of Pharmacy Led Education On The Management Of Heart Failure With Preserved Ejection Fraction In The Primary Care Setting, Laura Kays, Ben Rosati, Trevor Laursen, Maurice N. Tran

Providence Pharmacy PGY2 Program at Providence Medical Group 2023

No abstract provided.

Intouch Week Of May 1, 2023, New York Medical College

InTouch

• Academic Excellence Recognized During Alpha Omega Alpha Iota Chapter 2023 Induction Ceremony
• The Department of Environmental Health and Safety Welcomes New Director
• Department of Physical Therapy Hosts 19th Annual Doctoral Project Presentation Day
• NYMC Hosts Ninth Annual Drs. Gabor and Harriette Kaley Endowed Lecture
• GSBMS Grad Aspires to Treat Neurodegenerative Diseases

Exploring Physician Assistant Students' Perceptions Of Stress And Help Seeking Behavior, Kayla Cetrone

Educational Studies Dissertations

Physician Assistant (PA) students, similar to other students enrolled in medical education, experience a variety of stressors throughout their education and training that can inhibit their academic and clinical success and affect patient care outcomes. The purpose of this mixed-methods research study was to explore PA students' and alumni's perceived stressors, their experiences of the stressors, and the help-seeking behaviors they employ and perceive as useful to address them. Following an explanatory sequential design, all PA students and alumni (n = 288) from one program in the northeast were invited to complete an anonymous online survey assessing their perceptions and …

The Effects Of Mental Health And Burnout In Medicine In Relation To The Wilson Model Of Leadership, Kevin Beck

Senior Honors Projects

The purpose of this project is to determine the effects that burnout and poor mental health can have on the ability of health care professionals to effectively do their job and lead others in medicine. Burnout, as defined by Merriam Webster, is “the exhaustion of physical or emotional strength or motivation usually as a result of prolonged stress or frustration.” This is a self-reported quantitative study analyzing information acquired via a survey to determine if there is a relation to burnout and poor mental health in medicine and the ability to effectively lead others and complete work tasks and this …

Integration Into Professional Practice: Emergency Medical Services, Eva Finkelstein

Senior Honors Projects

No abstract provided.

Nutrition Education In U.S. Medical Schools: An Analysis And Discussion Of Its Necessity, Marie G. Fam

Senior Honors Projects

MARIE FAM

(Dietetics)

Nutrition Education in U.S. Medical Schools: An Analysis and Discussion of its Necessity

Sponsor: Sarah Amin (Nutrition and Food Sciences)

Although approximately 80% of chronic diseases across all ages can be treated, prevented, or even cured with proper nutrition therapies, preliminary evidence suggests that medical schools in the United States deemphasize its importance by not allotting appropriate time and resources to nutrition education. The Liaison Committee on Medical Education, the accrediting organization for U.S. medical schools, recommends no less than 25 hours of nutrition education. The objective of this study was to evaluate how nutrition education content …

Importance Of Pelvic Floor Education And Rehabilitation Techniques For Adolescents And Young Adults: A Review, Katherine Laura Schmidt

Honors Program: Senior Projects (Public)

The pelvic floor is the collection of many muscles forming what is often called the pelvic girdle. Understanding the different muscles and their roles is an important part of pelvic floor education. Although both males and females have pelvic floors, there is a lack of knowledge of basic anatomy seen in adolescents and young adults. This review analyzes the importance of providing more education for students about the pelvic floor, gives examples of common pelvic disorders for young adults, and provides details on the physical therapy rehabilitation techniques offered today to treat these conditions.

Is Sepsis Hiding In Plain Sight? Implementation Of An Interprofessional (Ip) Sepsis Simulation To Detect Early Sepsis, Sarah Chang, Amanda Bennett, Anne Dean, Meaghan Anderson, Micheline Chipman

Costas T. Lambrew Research Retreat 2023

Early detection of hospital-acquired sepsis can be challenging. With highly effective IP teams and efficient healthcare systems, sepsis treated quickly can influence morbidity and mortality. This project is aimed at training IP teams in early recognition of sepsis using simulation. Nurses and providers rarely have opportunities to learn together. Simulation followed by an IP debrief is an excellent tool to collaborate for safe patient care.

Simulation-Based Resuscitative Transesophageal Echocardiography Training For Emergency Medicine Residents, August Felix, Andrew Fried, Jessica Hathaway, Tania D. Strout

Costas T. Lambrew Research Retreat 2023

Introduction: Resuscitative TEE is an emerging tool in the cardiac arrest tool-box, and can improve outcomes in OHCA.

• Identifies reversible causes

• Decreases time off chest

• Evaluates compression efficacy

• Improves assessment during pulse-checks

• Simulation training can prepare EM residents to obtain and interpret TEE views on a live patient.

Access To Pediatric Type 1 Diabetes Care In Montana, James C. Bohnhoff, Michael Kohut Phd, Chelsea Bodnar, Elizabeth A. Jacobs

Costas T. Lambrew Research Retreat 2023

Introduction: Management of Type 1 Diabetes (T1D) requires significant family effort and specialty support. We aimed to understand how living in a rural state impacts families’ experiences during and after diagnosis.

The Maine Obstetric Medical Simulation (Momsim) Program Identifies And Categorizes Latent Safety Threats Across Rural Hospitals, Jeffrey Holmes, Leah Mallory, Micheline Chipman, Becky Hunt, Sarah Austin, Tracey E. Mcmillan, Emily Watson, Mainehealth

Costas T. Lambrew Research Retreat 2023

Objective: Combine in-situ simulation with an HFMEA framework to identify and categorize common system wide LST and opportunities to improve patient safety

Dean's Research Newsletter, May 2023, Jerry L. Nadler

SOM Dean's Research Newsletter

No abstract provided.

Befast Assessment In A Rural Community Hospital – The Birch Study, Caroline Knight, Eileen Hawkins, Hilary Merrifield, Laura Stein, Robert Stein

Costas T. Lambrew Research Retreat 2023

Background: There are known regional disparities in treatment rates with thrombolysis and thrombectomy for acute ischemic stroke. BEFAST has been implemented in acute stroke protocols to aid in recognition of signs of stroke, but its utility in a rural ED is not well known.

How To Address Health Misinformation? Using Focus Groups To Understand The Experience And Needs Of Interprofessional Undergraduate Health Professionals, Leah Mallory, Jennifer Hayman, Shelley Cohen Konrad, Linda H. Chaudron, Christine Mallar, Grace Price, Brendan Prast, Julia Safarik

Costas T. Lambrew Research Retreat 2023

The Problem of Health Misinformation Students from six different health professions share ideas

Optimizing Collaboration Among Clinical Pharmacy Specialists And Behavioral Health Providers In The Primary Care Setting To Increase Mental Health Access, Ryan Ferris, Christine Doran, Bonnie Jiron, Dara L. Johnson

Providence Pharmacy PGY2 Program at Providence Medical Group 2023

No abstract provided.

Improving Traumatic Brain Injury Outcomes: Early Identification And Management Of Paroxysmal Sympathetic Hyperactivity, Randi Rockwell

Doctor of Nursing Practice Projects

Abstract

Background: Paroxysmal sympathetic hyperactivity (PSH) can occur in patients with acutely acquired brain injury and is associated with mortality, poor clinical outcomes, prolonged hospitalizations, physical disability, and increased healthcare costs. The most common cause of PSH syndrome is traumatic brain injury (TBI). Symptoms consist of hyperthermia, diaphoresis, arterial hypertension, tachycardia, tachypnea, and extremity motor dystonic posturing, often in response to evoked stimuli and occurs in 8% to 33% of TBI patients. Critical care nurses are at the forefront of providing direct patient care to TBI patients and are often the first to identify PSH.

Purpose: The objective of this …

Improving Pubmed For The Novice At The Expense Of The Expert: Surveying Librarians 3 Years Post-New Pubmed, Tim Kenny Mls, Heather Kemp Mlis

MaineHealth Maine Medical Center

Background: In 2019 PubMed, the publically accessible search interface for the MEDLINE database underwent a user interface update and overhaul. MEDLINE is the primary component of PubMed, a literature database developed and maintained by the NLM National Center for Biotechnology Information (NCBI)” (National Library of Medicine, 2022).

Methods: Using a brief web-based survey, comprised of both closed-ended and open-ended questions, health science library professionals provided feedback on the new PubMed.

May 2023, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

Your Bulldog Wellness Committee is declaring May as “Movement and Mental Health” month. We encourage you to select a way in which you enjoy moving your body (walking, swimming, bicycling, dancing, yoga, etc.) and move for a combined 20 minutes at least five days a week. Physical activity impacts our mental health, sleep habits, stress levels, and mood.

Lesbian, Gay, Bisexual, Transgender, Queer (Lgbtqia+) Health Disparities In Sexual Health And Sexual Education, Cole T. Mcbride

Curriculum and Instruction Undergraduate Honors Theses

Background: Comprehensive sex education instills knowledge and promotes the health of all youth, however, most sex education remains heteronormative. School-based programs in the United States (US) emphasize monogamous, heterosexual relationships. In 2021, only 7.4% of students received sex education that included positive representations of both LGB and transgender people and nonbinary topics, while 72% of programs across the US omit LGBTQ+ topics. Most new HIV diagnoses occur in gay and bisexual men aged 13-34, but the sex education environment for this group is increasingly hostile as more states prohibit addressing these topics in public schools.

Purpose: The purpose …

Transforming Monterey Counties Food Environment, Geovanni Miron Solis

Capstone Projects and Master's Theses

The Blue Zones project was brought to Monterey County due to the high prevalence of type 2 diabetes. Nearly fifty percent of Monterey county are pre-diabetic or diabetic. The Blue Zones Project of Monterey County is a well being improvement initiative that works with local schools, worksites, restaurants and organizations to educate and promote healthier habits. The food sector of the project consists of individuals who work with restaurants and grocery stores here in Monterey County. The project serves Marina, Seaside, Monterey, Salinas, Pacific Grove, Gonzalez, King City, Soledad, Castroville, and Chular. A major issue the project wants to address …