Medicine and Health Sciences Commons^™

Effectiveness Of Enrichment Programs Such As Step Up In Increasing The Matriculation Of Urim Students To Medical Schools, Jessica Amoako, Traci Trice, Md

Phase 1

Introduction: Diversity in healthcare can improve access to healthcare for racial/ethnic minorities. However, barriers such as lack of educational opportunities have hindered URiM (underrepresented in medicine) students from matriculation to medical school. Enrichment programs such as STEP UP Medicine seek to break down these barriers. It provides its participants with MCAT preparation, advising, medical skills sessions, clinical shadowing experiences, and networking opportunities. Thus, the goal of this project is to assess if this program is effective in improving the medical school matriculation rates of URiM students.

Methods: Data was collected through a self-administered online survey using Google forms. The link …

Primary Care Obstructive Sleep Apnea Screening, Grant Gillan, Ben Espenhorst, Cynthia Cheng

Phase 1

Obstructive Sleep Apnea (OSA) is a common sleep disorder characterized by long pauses in breathing over the course of a night’s sleep, leading to significant daytime fatigue and long-term pathologies if left untreated. While a sleep study is the diagnostic tool of choice for OSA, this test is costly. To maximize cost effectiveness, we developed a screening protocol to identify patients at high risk for OSA for referral for a sleep study.

To identify high risk individuals, we screen patients identified in the EMR with pre-existing risk factors of OSA. We contact them to complete the full screening test: the …

Assessing Sentiment Towards Opioid Use Disorder At Jefferson: Characterizing Non-Clinical Emergency Department Staff, Joseph Arciprete, Benjamin Finard, Madalene Zale, Mph, Benjamin Slovis, Md, Hannah Smith

Phase 1

Purpose: To characterize emergency department (ED) staff regard toward opioid use disorder (OUD) and analyze variation based on job category. The closure of Hahnemann Hospital, in combination with the increasing prevalence of OUD, is exacerbating the previously inadequate network of resources for these patients. Jefferson is strategically positioned to improve the care provided to this patient population, especially in an ED setting, and ultimately increase linkage to long-term recovery programs.

Methods: Sentiment toward this patient population was measured utilizing the Medical Condition Regard Survey (MCRS). This questionnaire was previously validated to subjectively, but quantitatively, assess regard toward a defined patient …

Improving Response To Non-Traumatic Dental Pain In The Ed Through A Novel Task Trainer For Dental Blocks, Dylan Selbst, Alanna O'Connell, Tracy Brader

Phase 1

Purpose:

Dental nerve blocks are a vital skill for physicians to have when treating non-traumatic dental pain; however, there is yet to be a simple, practical, and effective way to educate residents in performing this task. The purpose of this project is to explore the efficacy of a low-fidelity dental model task-trainer in teaching emergency medicine residents to perform dental blocks.

Methods:

In this study, 29 EM residents at TJUH were surveyed regarding their knowledge and attitudes regarding performing dental blocks using a brief Likert-scale questionnaire. Next, they were given 15 minutes to practice performing dental blocks on a low-fidelity …

Analyzing The Effect Of Interview Time And Day On Emergency Medicine Residency Interview Scores, Sean Greco, Alanna O'Connell, Do, Tingting Zhan, Phd, Tracy Brader, Md, Megan Crossman, Do, Megan Stobart Gallagher, Do, Anthony Sielicki, Md, Peter Tomaselli, Md, Robin Naples, Md, Dimitrios Papanagnou, Md, Mph

Phase 1

Purpose: Each year, medical students go through the residency application process and are faced with the decision of where to apply. If they receive an interview offer at an institution, they are faced with another decision, when to schedule their interview. Studies have examined the possible effect of interview date on matching and on match rank. However, other variables such as examination scores, letters of recommendation, and class rank also effect match outcome. There have been no studies investigating the possible role the time of day in which the interview takes place can affect the residency interview process. The purpose …

Assessing The Educational Impact Of 3d Printed Models On Fellow, Resident, And Patient Education For Partial Nephrectomies, E. Reilly Scott, Samuel Morano, Andrea Quinn, Erica Mann, Kaitlyn Boyd, Michelle Ho, Alice Karp, Abhay Singh, Thenappan Chandrasekar, Mark Mann, Edouard Trabulsi, Vishal Desai, Costas Lallas

Phase 1

Purpose:

3D printing is a growing tool in surgical education with the ability to visualize and teach complex procedures from multiple angles. Previous studies demonstrated 3D models as useful teaching tools for partial nephrectomy for patient and trainee education. We aim to create a cheaper and simpler 3D model to encourage these learning opportunities.

Methods:

Patient-specific, cost-effective ($35) 3D models of the affected urologic structures were created using preoperative imaging of 17 patients undergoing partial nephrectomies at Thomas Jefferson University Hospital between July and December 2020.

Patients receiving the surgery filled out two surveys about their understanding of …

Understanding Clinical Staff Attitudes Towards Patients Presenting To The Emergency Department With Opioid Use Disorder, Benjamin Finard, Joseph Arciprete, Madalene Zale, Mph, Carissa Walkosak, Benjamin Slovis, Md, Ma, Dimitrios Papanagnou, Md, Hannah Smith, Phd

Phase 1

Purpose: Significant stigma surrounds patients with opioid use disorder (OUD). This stigma repeatedly follows patients into the ED and negatively influences care. All ED staff impact the patient journey in the ED and the success with which OUD patients receive a warm handoff to a recovery organization. What is the current attitude of Jefferson’s clinical staff towards patients with OUD?

Methods: The authors developed and deployed a survey to Jefferson’s ED clinical staff members through Qualtrics. The survey was informed by the validated Medical Condition Regard Scale (MCRS) to capture staff sentiments towards patients with OUD. Respondents job category, job …

Dean's Research Newsletter, February 2021, Jerry L. Nadler

SOM Dean's Research Newsletter

No abstract provided.

Week Of February 1, 2021, New York Medical College

InTouch

• NYMC Unveils 2021-2026 Strategic Plan
• Humayun Islam, M.D., Ph.D., Appointed Chair to Lead Newly Combined Pathology, Microbiology and Immunology Departments
• Amy Razukiewicz, M.P.H., CPH, RBP, is Named Director of Environmental Health and Safety
• Center for Disaster Medicine Offers Free On-Demand Webinar, "The COVID-19 Vaccine: What to Tell Your Patients"

A Game Of Triage: Developing A Game To Teach Medical Students Triage Tagging In The Setting Of A Mass Casualty Event, Luke Egan, Alanna O'Connell

Phase 1

Purpose: Triage tagging during a mass casualty event (MCE) is an essential skill when it comes to being able to distribute limited resources to those most critical out in the field. Medical students do not receive any formal training on this. This project set out to design a game that would effectively teach students how to use the Simple Triage and Rapid Treatment (START) algorithm in the event they ever find themselves assisting in an MCE.

Methods: This project was aimed towards MS-4’s during their EM rotation. Due to COVID-19, the game design was adjusted to an online platform for …

Lgbtq-Related Material In Undergraduate Medical Education In The Mid-Atlantic Region Of The United States, Margaret Pearce, Bernard Lopez, Md

Phase 1

Purpose

This study describes the current state of formal lesbian, gay, bisexual, transgender and queer (LGBTQ)-related education at undergraduate medical schools in the Mid-Atlantic region of the United States. A review of literature shows the last time a similar study was conducted was in 2011 by Obedin-Maliver et al and was a survey that included all medical schools of the United States and Canada. Given the changes over time for both the LGBTQ and medical community , it is likely that the state of LGBTQ-related education in undergraduate medical education has changed greatly.

Methods

This was a cross-sectional Internet-based survey, …

Capturing Initial Understanding And Impressions Of Surgical Therapy For Parkinson’S Disease To Enhance Patient Education, Samantha Katz, Julie Barbera, Chengyuan Wu, Tsao-Wei Liang

Phase 1

Purpose: Deep Brain Stimulation (DBS) is an underutilized surgical therapy for Parkinson’s Disease (PD). Both physician and patient hesitancies have been described as barriers to DBS, but specific perceptions of DBS have not been well characterized. To better understand DBS hesitancy, our objective is to pinpoint what specific concerns and fears our patient population have and use this information to enhance education for those contemplating DBS.

Methods: A 30-question survey assessing impressions of surgical therapy for PD was administered to PD patients seen at an urban movement-disorders clinic. Patients had not yet undergone DBS implantation or neurosurgeon consultation. Questions were …

Cbl Facilitation: A Survey Of Facilitators And Students With A Particular Interests In Team Building And Facilitation Improvement, Cecelia Sagona, Susan Truong, Md, Nethra Ankam, Md

Phase 1

Purpose: As the CBL cases have become more refined, there is a desire to continually improve the way cases are being facilitated, understand the methods that are working well, learn if there are practices that are detrimental to learning, and better understand how students are transitioning to teams. This project gathered information from both the from the Class of 2023 during their first year in the SKMC program and their CBL facilitators in order to improve the CBL facilitation. With the information gathered, there were two aims. First, to generate suggestions which were discussed at the CBL facilitators’ back to …

Medical Student Interest In Loan Forgiveness Programs, Ricky Burns, Brianna Kunes, Allison Casola, Phd, Mph

Phase 1

Purpose: Student debt from medical school rises every year and there is limited research on how early financial education affects career placement. Our purpose is to investigate the prevalence, demographics and motivations of 3^rd year medical students who intend to enter loan forgiveness programs (LFPs). The question we aim to answer is, what are the demographics of 3^rd-year students who intend to take part in LFPs and how can it be used to create better financial education for future students?

Methods: Data from a 31-item cross-sectional quality improvement and health disparities assessment was given to third year …

The Effect Of 3d Printed Models On Surgical Planning And Outcomes For Partial Nephrectomies, Samuel Morano, E. Reilly Scott, Andrea Quinn, Erica Mann, Adam Schneider, Connor Mcpartland, Kaitlyn Boyd, Alice Karp, Abhay Singh, Md, Thenappan Chandrasekar, Md, Mark Mann, Md, Edouard Trabulsi, Md, Vishal Desai, Md, Costas Lallas, Md

Phase 1

Purpose:

Partial nephrectomies to remove renal masses are kidney-sparing procedures that rely on anatomical comprehension. Prior research demonstrates complex and expensive 3D models (~$1000) increased surgeons’ confidence in selecting their operative plan. We aim to use simpler and cheaper 3D models to improve preoperative surgeon confidence and support operative management.

Methods:

3D printed models (~$35) of the affected kidney, mass, and renal vasculature were created using preoperative CT or MRI imaging of 17 patients presenting for partial nephrectomies at Thomas Jefferson University (TJU) between July and December 2020. The models were created at TJU using Ultimaker technology.

Surgeons filled …

Implementation And Sustainment Strategies For Open Visitation In The Intensive Care Unit: A Multicentre Qualitative Study, Kerry A. Milner, Suzanne Marmo, Susan A. Goncalves

Nursing Faculty Publications

Objective

Open visitation in adult intensive care units has been associated with improved family and patient outcomes. However, worldwide adoption of this practice has been slow and reasons for this are unclear. This study documents barriers and strategies for implementing and sustaining open visitation in adult intensive care units in the United States experienced by nursing leadership.

Research design

Qualitative approach using grounded theory.

Participants

Nurse leaders in adult intensive care units with open visitation.

Setting

Magnet® or Pathway to Excellence® designated hospitals in the United States.

Methods

Semi structured interviews were conducted with 19 nurse leaders from 15 geographically …

Rising Trend Of Women In Gastroenterology: A Paradigm Shift, Lubna Kamani, Jeanin E Van Hooft

Section of Gastroenterology

No abstract provided.

Professional Coaching In Residency: A Novel Approach To Decrease Resident Burnout, Matthew Silbergleit, Shibandri Das, Mark S. Juzych, Pradeepa Yoganathan

Medical Student Research Symposium

Purpose: To implement and analyze an organizational level coaching program for ophthalmology residents at the Kresge Eye Institute (KEI) as the front-line method for prevention and management of physician burnout.

Background: Burnout is a well-documented stressor in medicine and has been shown to significantly increase unprofessional conduct and medical errors. A recent, promising model to tackle burnout in the medical field is coaching. The Harvard Business Review and American Medical Association have demonstrated the positive effects of coaching on professional performance and well-being.

Methods: We plan on utilizing the Kern Method to develop a resident wellness curriculum addressing resident burnout. …

Complication Rates In Resident Cataract Surgery After Elective Operating Room Shutdown During The Covid-19 Pandemic, Michael Schneider, Christian Mehregan Md, Collin Richards, Shibandri Das Md, Xihui Lin Md

Medical Student Research Symposium

Purpose: To assess the types of cataract surgeries being performed at one large eye institute from before and after the COVID-19 induced shutdown of elective surgeries in Spring 2020.

Methods: This is a retrospective chart review study of operative reports from resident performed cataract surgeries from January 1st, 2020 through July 31st, 2020. Cataract surgeries were categorized into Pre-COVID (Jan – Mar 2020) if they occurred prior to operating room (OR) shutdown on March 18th, 2020 and Post COVID for all cases which occurred after the shutdown orders were lifted (May – July 2020). A resident survey was also used …

Dermatology Technique: Mohs Micrographic Surgery, Michelle J. Volis

Mako: NSU Undergraduate Student Journal

This paper aims to educate the readers about a novel surgery approach that is becoming popular among dermatologists. This technique, Mohs surgery, is implemented in order to treat malignant skin cancer types. This paper incorporates the history of Mohs micrographic surgery, the advantages and disadvantages of the procedure, and alternatives to this approach. The main advantage is healthy tissue preservation while disadvantages include holes in fragmented tissue margins and tissue orientation complications.

A Closer Look Into Empathy Among Medical Students: The Career Eulogy As A Lens, William Crump, R. Steve Fricker, Craig Ziegler

Marshall Journal of Medicine

Introduction

Empathy is widely considered to be key to being an effective physician. The measurement of empathy is important to those designing medical education. The majority of the literature on empathy is based on survey scales that ask the learner to express their degree of agreement with a series of statements. We have previously studied and published an entirely projective measure that we term a career eulogy.

Methods

We had 65 students based at a regional rural medical school campus complete measures of a career eulogy (CE) and the Jefferson Scale of Empathy (JSE) over their four years in medical …

Mobile Phones Facilitation Of Health Promotion And Disease Prevention Initiatives: Health Students Initial Perspectives, Kwaku Anhwere Barfi Mr., Christiana Nsiah-Asamoah Dr, Rosemary Twum Dr, Daniel Kweku Ainooson – Noonoo Mr

Library Philosophy and Practice (e-journal)

Students are regarded as frequent users of mobile phones which has proven to be a convenient and acceptable method to promote healthy lifestyle. Students usually engage in relatively high levels of risky behavior and make unhealthy lifestyle choices, a study that investigates how health students access health information is necessary. The study adopted a descriptive cross-sectional study which was undertaken among third-year nursing students from three nurses training institutions in Ghana. A total of 270 students participated in the study. Most of the respondents who were currently subscribers of the health messages reported that they usually received health information on …

The Motivation And Confidence In Choosing Dentistry As A Career Amongst Dental Students: A Mixed-Methods Study, Mai E. Khalaf, Neamat H. Abubakr, Hanadi Alenezi, Hassan Ziada

Dental Medicine Faculty Research

© 2021 The Authors. European Journal of Dental Education published by John Wiley & Sons Ltd. Objectives: An insight into students’ motivation and confidence in the choice of entering and remaining in dental education is essential. The understanding of how choices are made can help universities in the planning of admission policies. This study aimed to evaluate the career choice influences, motivation and confidence in the choices made into dental education. Methods: A mixed-method design was employed, using both quantitative and qualitative data. One hundred seventy-three questionnaires were distributed to all registered dental students, with a response rate of 85%. …

It Could Be So Much Worse, Alexandra Juhasz, Pato Hebert

Publications and Research

Conversation between longtime AIDS activists about longhauling with COVID-19, disclosure, shame, and the possibilities of COVID politics with photographs of the "COVID Body."

Associations Between Stress, Anxiety, Depression, And Emotional Intelligence Among Osteopathic Medical Students, Nicole A. Doyle, Robert E. Davis, Syed Siraj A. Quadri, Joshua R. Mann, Manoj Sharma, Richard M. Wardrop, Vinayak K. Nahar

Environmental & Global Health Faculty Research

Context: Stress, anxiety, and depression affect medical student populations at rates disproportionate to those of general student populations. Emotional intelligence (EI) has been suggested as a protective factor in association with psychological distress. Objective: To explore the relationships between EI and stress, anxiety, and depression among a sample of US osteopathic medical students. Methods: From February to March 2020, a convenience sample of medical students enrolled at an osteopathic medical school in the southeastern region of the United States were invited to complete a voluntary and anonymous 54-item online questionnaire that included sociodemo-graphic items as well as validated and reliable …

Covid-19 And Teleneurology In Sub-Saharan Africa: Leveraging The Current Exigency, Philip Adebayo, Olusegun John Oluwole, Funmilola Tolulope Taiwo

Faculty of Health Sciences, East Africa

tion residing in rural areas that have poor access to medical experts. Despite having a ridiculously huge, underserved population, very few African countries currently have any form of sustained and organized telemedicine practice, and even fewer have dedicated tele-neurology services. The ongoing COVID-19 pandemic has proved to be one of the most significant disruptors of vital sectors of human endeavor in modern times. In the healthcare sector, there is an increasing advocacy to deliver non-urgent care via telemedicine. This paper examined the current state of tele-neurology practice and infrastructural preparedness in sub-Saharan Africa. Currently, there is over 70% mobile phone …

Week Of January 25, 2021, New York Medical College

InTouch

• School of Medicine Faculty Recognized for Excellence with Inaugural Dean's Faculty Awards
• NYMC Unveils New Confocal Microscope
• NYMC Introduces Health System Science Intersession Series for First-Year Medical Students
• HSL Offers Workshop Advanced Pubmed: Taking Your Search to the Next Level

Impact Of Patient Load On The Quality Of Electronic Medical Record Documentation, Aasems Jacob, Rishi Raj, Sayee Alagusundaramoorthy, Jing Wei, Jianrong Wu, Margaret Eng

Internal Medicine Faculty Publications

Objective:

American College of Graduate Medical Education (ACGME) recommends ongoing care of 10 patients per resident however its implication is unclear. We hypothesized EMR quality to vary based on patient load and call status.

Methods:

We conducted a double-blind, single-center, retrospective observational study between 2017 and 2019 to investigate the quality and accuracy of resident documentation using the Responsible Electronic Documentation (RED) Checklist, a validated scoring system.

Results:

A total of 234 independent charts were analyzed and 80 met scoring criteria. Average patients per residents was 4, 9.1, 7.2, and 5.5 on “call” day (D0), “post-call” day (D1), “mid-call” day …

Dr. Butterworth In Her Own Words, Robyn Oro

Notes from the Archives

No abstract provided.

2021 January 19 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.