Medicine and Health Sciences Commons^™

February/March 2020, Randy Curry, Cindy Brooks

RURAL ROCKS

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

Us Guided Management Of Undifferentiated Dyspneic Patient In The Ed, Kaleigh Miller

Longitudinal Scholar's Project

Intro: Undifferentiated dyspnea can be a complicated presentation muddled by patient comorbidities and similar symptomology shared among etiologies. Some studies have shown increased mortality and length of stay in the hospital when incorrectly initially diagnosed in the ED. US has been shown more effective at differentiating these causes and improves diagnostic accuracy. This study will implement US exam upon initial exam of patient and chart time to diagnosis/treatment, length of stay in ED, length of stay in hospital admissions versus discharge rates, and 30 day mortality. ADHF and COPD/asthma patient differentiation will be the focus.

Methods: Prospective cohort study of …

2020 March 10 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

Two Resident Wellness Exercises And Their Impact, Nick J. Mccauley

Emergency Medicine

How program leaders in the CORD community are implementing innovations to improve residency wellness and resident resilience.

• Define resilience and describe how it can prevent burnout.
• Discuss ways that residency programs can work to promote resilience amongst residents COURSE DESCRIPTIONS #CORDAA20 35
• Introduce ‘Resilience Rounds’ as a didactic intervention, and the literature upon which this innovation is based
• Introduce art as a tool to overcome trauma and prevent burnout
• Demonstrate how conference/didactic time can help residents combat the perceived “culture of perfection” by sharing meaningful or successful moments with each other to improve one’s general outlook on their own practice

Week Of March 9, 2020, New York Medical College

InTouch

• NYMC Monitors Coronavirus Disease 2019 (COVID-19)
• GHHS Celebrates Solidarity for Compassionate Care Week

Scheduling Like A Pro, Joseph Gibney

Emergency Medicine

Scheduling is difficult, but believe it or not, it can also be rewarding. This is one chief’s take on three years of scheduling and the highs, lows, do’s, don’ts, and novel ways to help your fellow residents live their best residency life.

• Show that resident wellness is impacted by scheduling
• Demonstrate our scheduling process, some errors we made over time, and how we learned from them
• Discuss some novel scheduling tactics, how other residencies may apply what we’ve learned, and how to adapt it to fit their needs

A Novel Case Based Approach To Icf Education For Pm&R Residents, Nick Freedman, Do, Michael Mallow, Md, Nethra S. Ankam, Md

Department of Rehabilitation Medicine Posters

Little exists in the literature on reliable methods of ICF education. Our goal was to increase knowledge of the ICF and encourage residents to use the ICF framework to inform their clinical thinking through a case-based exercise.

How One Library’S Location Change Impacted Health Information Requests: Comparing Zip Codes And Health Disparities To Inform Library Services: Data Files, David Petersen, Martha Earl, Cameron Watson, Kelsey Grabeel

Faculty Publications

No abstract provided.

Behind The Scenes Of Starting A New Residency Program, Traci Wooden, Krystal D. Hernandez, Elizabeth Rashid

Medical Education

During this workshop, we will split up the stages of building a new program into the following- Stage 1, Stage 2 and Stage 3. Stage 1 will focus on applying for initial accreditation, gathering faculty and sites, the first recruitment season, building/creating a curriculum, program planning and the first full cycle of GME including match, onboarding, orientation, CCC/PEC, wellness and more. Stage 2 will focus on more program planning, including building a new clinic, building electives, adding faculty, faculty development, continued accreditation site visit, building a senior curriculum and chief resident selection. Stage 3 will discuss board prep and board …

The Impact Of Advanced Cardiac Life Support Simulation Training On Medical Student Self-Reported Outcomes., Kaitlin M Bowers, Jacob Smith, Matthew Robinson, Andrew Kalnow, Rich Latham, Andrew Little

Medical Education Articles

INTRODUCTION: Simulation has become a well-recognized and innovative tool in medical education. While there has been tremendous growth of simulation curricula at the level of graduate medical education, there have been few studies looking at simulation as a learning tool for undergraduate medical education. The goal of this study was to determine if high-fidelity simulation training impacts medical student perception of knowledge and confidence regarding comprehension and application of advanced cardiac life support (ACLS) algorithms.

METHODS: This is a prospective observational survey study of third and fourth year medical students who participated in an ACLS simulation training during their emergency …

Teaching "Shock Pathophysiology" By Flipped Classroom: Views And Perspectives, Rehana Rehman, Satwat Hashmi, Rozmeen Akbar, Syeda Sadia Fatima

Department of Biological & Biomedical Sciences

Flipped classroom (FCR) is an active learning pedagogical method in which the students prepare prior to class using different modalities, for example, reading materials and videos, and afterward spend the time in class discussing the content and reinforcing the concepts. We chose to replace one problem-based case on "Shock" with flipped-style teaching in the respiration circulation module of a private medical university. Our objective was to use the clinical presentation of "Shock" to open a window to interrelate basic science concepts of cardiovascular physiology and pathology. It aimed to merge the case-based discussion with small-group discussions in the form of …

Week Of March 2, 2020, New York Medical College

InTouch

• Dr. Mark Hasten, Philanthropist, Businessman and Touro College Chairman, Dies at 92
• Paul T. Diamond, M.D., Is Named the Catherine and Vladislav P. Hinterbuchner Professor and Chair of Rehabilitation Medicine
• Anesthesia Interest Group's Simulator Stations Workshop Provides Advanced Hands-On Training
• Mock Trial Experience as Part of a Joint Course with NYMC and Touro Law Center

Systematic Review Of The Literature On Professional Education Accreditation, Neville Chiavaroli, Kate Reid, Pru Mitchell, Jenny Trevitt

Higher education research

This report is critical and systematic review of the literature on professional education accreditation models, associated methods, and the effectiveness and impact of each model. The review was conducted to inform a review and update of the Royal College of Vetinerary Surgeons (RCVS) standards of accreditation for veterinary degrees. The purpose of the study was to rapidly appraise the evidence for the effectiveness, impact, and feasibility of different accreditation approaches, in order to inform best practices for the accreditation of professional education programs. The study focused on accreditation for programs which produce practice-ready graduates, including for veterinary programs. The authors …

Family Medicine In Tanzania: Seize The Moment, Riaz Ratansi, Bernhard M. Gaede

Faculty of Health Sciences, East Africa

In the context of addressing the pressing health needs for the global population, the World Health Organization has repeatedly called for universal health coverage (UHC) to be prioritised by its member countries. This is to be achieved through a high-quality primary health care (PHC) approach that provides comprehensive and integrated generalist care as close to where people live as well as links the clinical care to health promotion and disease prevention. In this paper, we argue for the introduction of family medicines as a critical player in the healthcare system of Tanzania to strengthen the strategies towards UHC. The paper …

New Dentist News (March 2020), Ada Committee On The New Dentist

New Dentist News

New Dentist News offers timely information on scientific, social, educational, political and economic developments affecting new dentists. This collection is historical and items may not reflect current standards. For up-to-date information contact the ADA. The New Dentist News was alternately titled ADA Lifeline, 1997-June 2001.

The Struggling Infectious Diseases Fellow: Remediation Challenges And Opportunities, Michael T Melia, Armando Paez, Gail Reid, Lisa M Chirch, Vera P Luther, Brian G Blackburn, Federico Perez, Emily Abdoler, Daniel R Kaul, Susan Rehm, Nada Harik, Alice Barsoumian, Anna K Person, Heather Yun, J David Beckham, Susan Boruchoff, Paloma F Cariello, James B Cutrell, Christopher J Graber, Dong Heun Lee, Eileen Maziarz, Molly L Paras, Raymund R Razonable, Roseanne Ressner, Anne Chen, Brian Chow, Gerome Escota, Erica Herc, Andrew Johnson, Ryan C Maves, Obinna Nnedu, Heather Clauss, Prathit Kulkarni, Paul S Pottinger, Jose A Serpa, Tanaya Bhowmick, Marvin Bittner, Darcy Wooten, Beata Casanas, Rachel Shnekendorf, Emily A Blumberg

Faculty, Staff and Students Publications

Remediation of struggling learners is a challenge faced by all educators. In recognition of this reality, and in light of contemporary challenges facing infectious diseases (ID) fellowship program directors, the Infectious Diseases Society of America Training Program Directors' Committee focused the 2018 National Fellowship Program Directors' Meeting at IDWeek on "Remediation of the Struggling Fellow." Small group discussions addressed 7 core topics, including feedback and evaluations, performance management and remediation, knowledge deficits, fellow well-being, efficiency and time management, teaching skills, and career development. This manuscript synthesizes those discussions around a competency-based framework to provide program directors and other educators with …

March 2020, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

National Nutrition Month

National Nutrition Month® is a nutrition education and information campaign created annually in March by the Academy of Nutrition and Dietetics. The campaign focuses attention on the importance of making informed food choices and developing sound eating and physical activity habits.

Assessing For Gender Disparities In The Selection Of Chief Residents Of Emergency Medicine Residency Programs, Emilio G. Volz, Justin Steinberg, Tony Zitek

HCA Healthcare Journal of Medicine

Introduction: Although the number of women physicians has been increasing, there may be gender disparities in the assessment of female emergency medicine residents. This study sought to determine if female emergency medicine residents are less likely to become chief residents than males.

Methods: In July 2017, an anonymous survey was distributed to the program coordinators of all accredited emergency medicine residency programs in the United States. The survey requested the number of males and females in each graduating class from 2015 to 2017. The percentage of female residents who were chief residents was calculated and compared to that for males. …

The Great Imitator Strikes Again: A Case Of A Lupus Flare-Up Presenting Like An Acute Abdomen, Emmanouil Kiriakopoulos, Vanessa Perez, Robyn Hoelle

HCA Healthcare Journal of Medicine

Systemic lupus erythematosus (SLE) is an autoimmune disease affecting all age groups and can manifest in various forms, often making the initial or successive presentations difficult to diagnose. Peritonitis secondary to lupus is a rare manifestation of this disease and the prevalence is said to be much lower in children. We present a case report of an adolescent male with a known history of lupus who presented to the emergency department with a clinical picture consistent with an acute surgical abdomen and underwent an appendectomy. Subsequent workup identified the culprit as a lupus-related peritonitis requiring corticosteroids for resolution.

Preparing For Your First Job: A Resident’S Outline To Curriculum Vitae Writing, Marissa Bournique

HCA Healthcare Journal of Medicine

A curriculum vitae (CV) is a requirement for any physician seeking employment. Writing a job-winning CV requires preparation and discipline. This article presents useful guidelines for preparing and writing a CV aimed at residents seeking their first job as full-fledged physicians.

A Brief Tutorial On Manuscript Preparation: From Journal Selection To Manuscript Review, Christopher N. Ochner, Jocelyn N. Mineo

HCA Healthcare Journal of Medicine

This article is designed to introduce the novice researcher to the process of journal selection, manuscript submission and manuscript review. PubMed indexing, journal readership, scope, focus, impact factor, fees and acceptable manuscript types are discussed in the first section. The remainder of this article focuses on manuscript preparation, submission and review, including formatting, pre-submission inquiry, submission portals, and the manuscript review process. Specific recommendations are provided to assist the reader in navigating these stages.

A Shift In Reality: Virtual And Augmented Systems In Higher And Medical Education, Brian Meyer

Current Issues in Emerging eLearning

Virtual and augmented technologies provide a seamless solution for merging traditional, theoretical learning with practical application in context. Unlike traditional teaching pedagogies, in which lessons are restricted in terms of the use of additional apparatus, pedagogies that involve the use of virtual and augmented reality technologies enable educators to build upon taught concepts to demonstrate the application of those concepts in practice, and allow educators to generate multiple atypical scenarios in order to build competence in practical fields of endeavour. In medical education, virtual and augmented reality tools provide an especially important opportunity for preparation before treating patients in actual …

A Quality Intervention To Reduce Telemetry, Alina Polonsky Md, Abdullah Alcharif Md, Andrew Maiolo Md

Internal Medicine

No abstract provided.

The Role Of Mindset, Impostorism, And Irrational Beliefs In Resident Wellness: Results From The Hca Nationwide Longitudinal Resident Wellness Study, Gregory Guldner, Jason Siegel, Brendon Ellis, Anne Brafford

Medical Education

Background The significant proportion of residents reporting poor levels of well-being has appropriately fueled a call for interventions. Yet the specific constructs that impact well-being have not been well researched and validated in the resident population. Mindset (fixed versus growth), impostorism (the belief that one’s success is fraudulent) and irrational beliefs (dysfunctional beliefs that contribute to emotional pain and anguish) are among individual variables postulated to relate to well-being in a high-pressure educational environment. Each of these constructs is amenable to interventions should they have causal relationships to well-being.

Objectives Our prior research resulted in a statistically validated model of …

Week Of February 24, 2020, New York Medical College

InTouch

• Thirty-Second Annual Graduate Student Research Forum is Set for March 17
• Conference Addresses Current Topics in Pediatric Hematology and Oncology

Empathy As Related To Gender, Age, Race/Ethnicity, Academic Background, And Career Interest: A Nationwide Study Of Osteopathic Medical Students In The United States., Mohammadreza Hojat, Jennifer Desantis, Stephen Shannon, Mark Speicher, Lynn Bragan, Leonard H. Calabrese

Department of Psychiatry and Human Behavior Faculty Papers

CONTEXT: Research on associations between medical student empathy and demographics, academic background, and career interest is limited in number, lacks representative samples, and suffers from single institutional feature. This study was designed to fill the gap by examining associations between empathy in patient care, and gender, age, race/ethnicity, academic background, and career interest in nationwide, multi-institutional samples of medical students in the United States and to provide more definitive answers to the aforementioned associations with more confidence in the internal and external validity of the findings.

METHODS: Four nationwide samples participated in this study (n=10,751). Samples 1, 2, 3, and …

Program Evaluation In Women's Health Integration For Podiatric Residents, Nilin M. Rao Dpm, Carol A. Stamm Md, Elizabeth Ihler Md, Dustin Kruse Dpm, Paul A. Stone Dpm, Facfas

Podiatry

As the podiatric profession strives for professional and financial parity with allopathic and osteopathic colleagues, podiatric medical education has been transformed at both undergraduate and graduate levels to more closely align in important ways. The purpose of this program evaluation is to share the benefits of including a women’s health rotation into the required graduate medical training curriculum, share the initial experience of the first resident cohort receiving this training, and provide ideas to other programs that may be interested in providing similar program implementation for their residents.

Simulation-Based Mastery Learning Compared To Standard Education For Discussing Diagnostic Uncertainty With Patients In The Emergency Department: A Randomized Controlled Trial., Danielle M. Mccarthy, Rhea E. Powell, Kenzie A. Cameron, David H. Salzman, Dimitrios Papanagnou, Amanda Doty, Benjamin E. Leiby, Katherine Piserchia, Matthew R. Klein, Xiao C. Zhang, William C. Mcgaghie, Kristin L. Rising

Department of Pharmacology and Experimental Therapeutics Faculty Papers

BACKGROUND: Diagnostic uncertainty occurs frequently in emergency medical care, with more than one-third of patients leaving the emergency department (ED) without a clear diagnosis. Despite this frequency, ED providers are not adequately trained on how to discuss diagnostic uncertainty with these patients, who often leave the ED confused and concerned. To address this training need, we developed the Uncertainty Communication Education Module (UCEM) to teach physicians how to discuss diagnostic uncertainty. The purpose of the study is to evaluate the effectiveness of the UCEM in improving physician communications.

METHODS: The trial is a multicenter, two-arm randomized controlled trial designed to …

2020 February 18 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

Medical Faculty Engagement In Curricular Revisions: An Inquiry Into Individual And Organizational Factors That Support Participation, Tomoko Tanikawa

Dissertations and Theses

In efforts to facilitate the education of highly qualified and best-prepared medical professionals, many medical schools are either planning for or engaging in curriculum revisions including a complete overhaul of the curricular structure, academic and medical content, and pedagogical delivery modalities. To be effective, such changes require faculty buy-in, participation, engagement, and innovation. Unfortunately, despite medical schools' efforts to support faculty involvement in curricular revision, a range of reactions exist, including resistance. Thus, understanding the interactions between individual faculty attitudes and behaviors toward organizational initiatives and structural support is critical in advancing the educational mission of medical schools. Based on …