Medicine and Health Sciences Commons^™

Enhancing Clinical Judgment In Nursing Students, Mark Tanner

Health Sciences Education Symposium

Background/Objectives: Nurses need to be able to think critically and to use clinical judgment in order to competently do their work required of them in the clinical environment. The National Council of State Boards of Nursing (NCSBN) recognized this and developed the NCSBN Clinical Judgment Measurement Model (CJMM) in order to assess and measure clinical judgment on the NCLEX exams. This model was designed to give guidance to faculty so that they can help students develop the desired skills in critical thinking and clinical judgment. The faculty in a senior-level Adult Medical-Surgical Nursing used the CJMM to redesign the clinical …

Implementation Of A Required Professional Development Course Series In The Doctor Of Pharmacy Program, Nicole E. Omecene

Health Sciences Education Symposium

Purpose/Background: The assessment of professionalism is a challenging and evolving field. The pharmacy education literature describes approaches to assessing professionalism over time; however, an integrated professionalism course series spanning the duration of the program has not been described.1,2 Co-curricular experiences present an opportunity for students to apply content learned in the classroom to real-world experiences where professionalism is expected. These activities include leadership positions, career seminars and health outreach events. Previously described processes for tracking the co-curricular activities differ in the accuracy of data collected and the connection to a professional development course.3,4 The purpose of this educational project is …

An Interprofessional Active-Learning Laboratory On Urinary Incontinence, Krista L. Donohoe

Health Sciences Education Symposium

Background/Objectives:Urinary incontinence (UI) is a common syndrome with peak prevalence in older adulthood. Involuntary loss of urine from the bladder may be due to physical abnormalities, pelvic floor dysfunction, or reversible causes, like medication or infection.1 UI is an underreported and underdiagnosed geriatric syndrome that significantly impacts quality of life, increases risk of institutionalization, and contributes to significant patient- and system-level healthcare expenditures.1 Healthcare practitioners require knowledge and skills necessary to provide quality care to older adults with UI. The National Institute of Diabetes and Digestive and Kidney Diseases, National Institute on Aging, and American Geriatrics Society recommend the healthcare …

Interprofessional Development And Evaluation Of A Virtual Reality Haptic Surgical Training System For Retropubic Midurethral Slings, Lauren Siff

Health Sciences Education Symposium

Purpose and background: Procedures like the midurethral sling, performed without open visual or camera access rely on the surgeon’s spatial orientation of anatomical landmarks and haptic sensation. The “Blind” nature of this technique can results in serious complications^1–4. Surgeons are typically trained via an apprenticeship on live patients, static models, or, cadaver labs. These methods carry higher potential risks for patient safety, significant expense, often require travel, and are limited by distortion of anatomy after multiple uses. Adding haptics and AI to VR simulators has been shown to improve fidelity, realism, and educational value^ 5–10.We formed a transdisciplinary team to …

Virtual, Non-Clinical “Bootcamp” To Prepare For The Nbme Subject Matter (Shelf) Exam During The Pediatric Clerkship, Clifton Lee

Health Sciences Education Symposium

Background: Medical education changed due to the COVID-19 pandemic. Educational sessions were offered virtually. There are published education innovations for pre-clinical curricula (1). However, providing virtual education during the clinical clerkship was a daunting challenge. In addition to the delay in patient care exposure, students’ performance in the NBME Subject Matter (Shelf) Exam scores have declined during the pandemic (2). VCU School of Medicine also needed to provide continued instructions to students whose clinical clerkships were delayed.

Description of the Innovation: Due to the COVID-19 pandemic, the clinical start for the class of 2022 was delayed by 3 months. During …

The Value Of Positive Feedback: An Underutilized Tool In Ophthalmology Resident Education, Meagan Shinbashi

Health Sciences Education Symposium

Purpose/Background/Objectives: Little research has been performed on the use of positive feedback as a teaching tool in ophthalmology postgraduate medical education settings. Additionally, there is a paucity of research assessing the effectiveness of feedback from trainees’ perspectives. To address these gaps, we explored the effects of positive feedback on resident professional identity formation, performance, and wellness through a pilot program within the ophthalmology residency program’s wellness curriculum at Virginia Commonwealth University.

Methods: This study employed quantitative data collection through surveys before and after a positive feedback exercise activity of ophthalmology residents at the Virginia Commonwealth University Health System. Participants were …

Research4life (R4l) Scholar Program: New Initiative To Promote Diversity, Equity, And Inclusion In Medicine Through A Bottom-Up Approach, Somaya Albhaisi

Health Sciences Education Symposium

Purpose and background: According to the Pew Research Center, Hispanics are 17% of the workforce but only represent 8% of people in a science, technology, engineering and math (STEM) position. African Americans are 11% of the workforce but hold 9% of STEM jobs. The Research4Life (R4L) program is designed to increase the number of minority students who pursue medical education and careers in Medicine and research. A formalized mentorship and clinical research program is one pipeline to increase representation of underrepresented groups in medicine and academic medical careers.(1)

Description of Innovative Practice: The R4L scholar program is a structured summer …

The Neoresident Curriculum: A Combined Learning Experience For Pediatric Residents, Kelly Stanley

Health Sciences Education Symposium

Purpose and background, including relevant citations: All pediatric residents are required to rotate through the neonatal intensive care unit (NICU). The NICU is a unique unit that provides care for premature and ill neonates. At Children’s Hospital of Richmond at VCU (CHOR VCU), pediatric residents complete 12 weeks in the NICU, 4 weeks each year. As a part of this rotation, these residents are responsible for attending high risk deliveries. At birth about 10% of neonates will require resuscitation (1). Before starting residency, each resident is required to complete the neonatal resuscitation program (NRP). This certification requires renewal every two …

Pilot Test Of A Large-Scale, First-Hand Research Opportunity For Medical Students, Brian Cassel

Health Sciences Education Symposium

Purpose and background: While VCU is an R1 university, many students graduate without first-hand research experience. We sought to create a new learning opportunity for second year medical students (M2s) through access to real-world clinical data from a federated research network of healthcare organizations, TriNetX. TriNetX gives users access to millions of de-identified patient records for a wide variety of purposes: cohort discovery; determining possible enrollment rates for clinical trials; evaluating outcomes; and evaluating disparities. Several VCU researchers have published studies using TriNetX data [i]. Prior to our project, TriNetX access and instruction had not been pushed out to medical …

Standardized Patient Simulations: A Pilot Program In The Ophthalmology Residency Curriculum, Yusrah Hasan

Health Sciences Education Symposium

Background: Patient simulations are being used to provide a safe environment for learners to practice giving bad news to patients.

Methods: This series of simulations was implemented at Virginia Commonwealth University Ophthalmology Residency program among three cohorts of residents in 2019, 2020 and 2021. Each simulation involves a case scenario in which the learner must synthesize clinical information to recognize a patient’s diagnoses and deliver bad news to the patient in a tactful manner.

Results: Post-simulation surveys were completed by the 2020 and 2021 cohort of residents. All learners felt that the experience improved their communication skills with patients. 44% …

Strength In Caring: An Interprofessional Innovation To Cultivate Organizational Wellness, Kelly Lockeman

Health Sciences Education Symposium

Background. The impact of COVID-19 on the physical and mental health of individual providers and entire health care systems has had a devastating blow to already fragile networks.[1] It is imperative to identify strategies that heal, repair, and build capacity in health care providers and fix the system in which they practice. Building resilience through self-care is only a part of the solution.[2,3] Health care organizations are striving for solutions that target issues such as psychological safety, interprofessional teamwork, and wellness-centered leadership, which are more likely to reduce burnout than individualized self-care programs.[4,5] The purpose of the Strength in Caring …

Multimodal Needs Assessments For Curricular Refinement – Learner, Expert, Emr, Catherine Grossman

Health Sciences Education Symposium

OBJECTIVES •Explore the educational formats and resource preferences of house staff •Identify ICU topics thought to be important by experts in the field •Identify clinically relevant ICU topics •Build an interactive, standardized cognitive aid that serves both as an instructional resource for house staff and a prompt for those teaching

A Guide To Prescribing Sufficient Post Surgical Quantities Of Opiate Pain Medications, Adam Pflugrath

Health Sciences Education Symposium

Purpose: To examine opiate pain medication prescription and consumption after surgical procedures at VCU Medical Center.

Mistreatment Of Providers By Patients In Emergency Medicine, Cyrus Massouleh

Health Sciences Education Symposium

Background: •Mistreatment and disrespect of healthcare providers including verbal harassment, sexual harassment, and physical harassment is relatively commonplace in the clinical setting. •Per Bureau of Labor Statistics, healthcare professionals are at a 16x greater risk of violence than professionals in other service fields1. •Much of this mistreatment is from colleagues and superiors2, but a significant portion is from patients and their families with prior studies showing anywhere from 6-67% percent of the mistreatment done by patients or their families2,4,5,6. •Providers may feel that being mistreated is an expected part of the job7,8. •Many resources have been dedicated to understanding and …

Using A Mixed Methods Approach To Explore Perceptions Of Early Learners In Classroom-Based Interprofessional Education Experiences, Abigale Matulewicz

Health Sciences Education Symposium

Background:

- Interprofessional education (IPE) is a global imperative

- Health profession education programs, motivated by accreditation requirements, have added IPE activities into their required curricula.

- Curriculum development varies considerably across institutions and debate exists regarding appropriate timing for introducing learners to IPE in order to optimally improve health outcomes.

- Some evidence shows benefit of early learner IPE in professional identity development, interprofessional socialization and positive attitude development toward interprofessional practice.

- At Virginia Commonwealth University (VCU), IPE is integrated longitudinally through the curriculum for several of the health professions programs via IPEC courses.

Stress And Wellness Levels In Emergency Medicine Residents And Attendings Compared To Residents And Attendings From Other Specialty Training Programs, Grace Hickam

Health Sciences Education Symposium

Introduction:

Physicians are at high risk for burnout when compared to the general population. Burnout is a constellation of symptoms characterized by emotional exhaustion, depersonalization and decreased/low sense of personal accomplishment¹. Burnout affects health, relationships, motivation, and patient outcomes. Elements of emergency medicine (EM) may make EM residents/attendings more vulnerable to stress. Examining physician resilience and finding ways to implement change is essential to improving the culture of residency training. The objective of this study was to compare well-being and stress between EM residents and other residents and to compare EM residents and attendings.

Follow Up: Medical Rhetoric – Making The Case For Oral Presentations, Rabia Qaiser

Health Sciences Education Symposium

Goal: •Oral case presentation skill is fundamental in clinical communication •This skill is first developed in medical school pre-clinical training •Continued development is often by “Trial and Error” – often without a formal curriculum Purpose: Development of a new curriculum designed to acknowledge the importance of this skill development and create a method in building this skill mindfully

Medical Education Board Game: Interactive Learning, Ulysses Davila

Health Sciences Education Symposium

Background:

Researchers have been interested in promoting improved retention of medical knowledge through custom designed board games for a number of years (Bochennek, et al 2007, Karbownik et al, 2016, and Shaw et al 2013). Studies demonstrate at least a subjective medical student desire to continue to develop study methods like board games for routine use in medical education.

Use Of 360-Degree Assessment During Interprofessional Simulation To Enhance Formative Feedback, Kelly Lockeman

Health Sciences Education Symposium

Background: •Effective interprofessional teamwork is essential for quality patient care [1], and within-team feedback improves team performance [2]. •Learners trained to assess peers are more confident and skilled at evaluating others and better prepared to provide meaningful feedback to their colleagues when they enter the workforce [3,4]. •This is particularly important in interprofessional teams where tensions between professional groups can create unique challenges [5].

Implementation Of A Workplace-Based Assessment To Measure Performance Of The Core Entrustable Professional Activities In The Pediatric Clerkship, Clifton Lee

Health Sciences Education Symposium

Background: In 2013, the AAMC convened a panel of medical education experts to delineate the 13 Core Entrustable Professional Activities (Core EPAs) medical school graduates should be able to perform without direct supervision by day one of their residency. 1 Assessment of these EPAs requires direct observation to render entrustment decisions. 2 As part of our engagement in the AAMC Core EPA pilot,3 we created a workplace-based assessment (WBA) system to assist in measurement of student performance for the Core EPAs at the Virginia Commonwealth University School of Medicine.

For the Pediatrics clerkship, we identified 6 Core EPAs to assess …

Prioritizing Urinary Incontinence For Current And Future Healthcare Professionals, Leighton N. Thumm

Health Sciences Education Symposium

Introduction: •Urinary incontinence (UI) is a common syndrome that often goes unreported and undiagnosed •As calls to action from the National Institute on Aging and American Geriatrics Society suggest, the healthcare workforce must work interprofessionally to meet the needs of people with UI •Understanding the challenges of and opportunities for improving continence care in Virginia is a first step •The primary goal of this study was to assess changes in awareness of and confidence in providing interprofessional UI care after participating in an interactive workshop

Go Slow To Move Fast: Best Practices For Engaging Community Leaders In A Transformative Strategic Plan, Logan Vetrovec

Health Sciences Education Symposium

The purpose of this poster is to expose VCU faculty, staff, students and team members to content focused on health equity concepts, related data, and the VCU Health Equity initiative.

• Health inequities exist and are defined by the World Health Organization as “systematic gaps in health outcomes between different groups of people that are judged to be avoidable and therefore are considered unfair and unjust.” Health inequities are exacerbated when socioeconomic factors are not considered as significant influencers of health.
• VCU and the VCU Health System share a vision that all faculty, staff, students and trainees are committed to improving …

Patients’ Perceptions Of Relative Importance Of Discharge Elements (Pride) Study, Nargiza Kurbanova

Health Sciences Education Symposium

Background:

• Almost 20% of patients experience potentially preventable adverse events within 30 days of hospital discharge (Forster, et al, 2003).
• The Agency for Healthcare Research and Quality recommends structured and patient-centered discharge communication to prevent adverse events post-discharge (2018).
• The Joint Commission mandates information that must be included in all discharge communication including reason for hospitalization, significant findings, procedures and treatment provided, patient's discharge condition, patient and family instructions, and attending physician signature (Horwitz, et al, 2013).
• There is limited data suggesting how healthcare providers believe discharge communication should be prioritized.
• Blaine, et al, 2018 cites "Discharge Education/Teach-back" and "Involve …

Engaging Ideas For Pathology Student Interest Group Meetings, Kimberley Sanford

Health Sciences Education Symposium

Pathology Student Interest Groups (PSIG) are a recruitment tool supported by VCU Department of Pathology to attract medical students into pathology residency. VCU PSIG wanted to increase student attendance and engagement by choosing an off-site venue and employing gamification to increase student interaction with pathology residents and faculty.

Immersion In Physiology Bolsters Bedside Mechanistic Thinking, Rebecca Miller

Health Sciences Education Symposium

Purpose and Background:

• Compression of education and training with other responsibilities into more limited work hours
• Shift towards algorithm-based teaching/practice
• Less time spent in practice of basic science
• Intellectual Curiosity/Mechanistic Thinking less emphasized
• Self-directed learning and intellectual curiosity a primary focus for improvement in 2017

Mission Statement:

Through science experimentation in applied physiology, housestaff will reconnect with basic physiology and apply learned principles to commonly encouraged clinical scenarios.

Housestaff will participate in experiments to stimulate intellectual curiosity among participants and encourage appreciate and incorporation of physiology into their clinical and teaching roles.

Nursing Students Behind Bars, Mary L. Falk

Health Sciences Education Symposium

Virginia Commonwealth University (VCU) School of Nursing and Virginia Commonwealth University Health System (VCUHS) have created a unique partnership in which brand new undergraduate baccalaureate nursing students are completing their first clinical rotation on VCUHS’s Secure Care Unit (SCU). The VCU School of Nursing has had a total of 50 beginner nursing students rotate through a semester long clinical on the SCU over the past three years.

Effect Of Suction Assisted Laryngoscopy Airway Decontamination (Salad) Training On Intubation Quality Metrics, Benjamin Barmaan

Health Sciences Education Symposium

Introduction:

• VCU Health Critical Care Transport Network paramedics and nurses provide emergency scene response and interfacility transport through Virginia
• Pre-hospital RSI is a high-risk procedure employed by these providers
• A quality assurance review of pre-hospital intubations determined issues with suction to be a key area for improvement
• SALAD technique has been shown to improve trainee’s confidence in managing airway of vomiting patient

Association Between Workplace-Based Assessments And Self-Assessment Of Entrustment, Lelia Brinegar

Health Sciences Education Symposium

Purpose:

Optimal implementation of Entrustable Professional Activities (EPA)-based curriculum requires direct observation using workplace-based assessments (WBA) coupled with a longitudinal coaching relationship between learners and faculty. Students should be engaged and considered an active participant in the entrustment decision. As part of our engagement with the AAMC Core EPA pilot, we implemented both a WBA using the Otawa Clinic Assessment Tool (OCAT) and a coaching program for our medical students in 2018-2019. We measured the association between WBAs collected during the clinical clerkships and student self-assessment.

Coaches were selected from currently designated small group advisors and trained on the EPAs …

Cardiac Arrest Simulation: Complementary Approaches For Undergraduate And Graduate Medical Education, Nathan Lewis

Health Sciences Education Symposium

Background:

• Cardiac arrests require critical thinking and leadership skills
• Two simulation models—medical student and resident—were designed to enhance training for cardiac arrest
• Medical students focused on the individual resuscitation components
• Residents focused on team-related tasks

• Enhance the understanding of team roles and dynamics for medical students
• Improve residents’ performance of components of a cardiac arrest simulation

How Does Usmle Step 1 Examination Performance Predict Short-Term Wellness And Perceived Stress?, Nicole Deiorio

Health Sciences Education Symposium

Purpose

Wellbeing and stress are areas of increasing concern in medicine. The three steps of the USMLE exam were originally developed as pass-fail requirements toward MD licensure, but their use has evolved to include eligibility for residency programs. There is increasing student distress around USMLE Step 1 performance, yet little is known about how Step 1 performance immediately impacts wellness. We examined the relationship between step 1 performance with perceived stress and wellbeing. We hypothesized that higher Step 1 scores would correlate with lower subsequent stress and improved wellbeing.