Medicine and Health Sciences Commons^™

Converting Serious Safety Events Into Educational Opportunities, Michael Joseph Vitto

Health Sciences Education Symposium

Over the past year, the Associate Director of the Simulation Center worked with the EM Quality and Safety Director to identify serious safety events (SSE) and critical incidents. As part of the case review, an informal root cause analysis (RCA) was conducted and root causes related to safety risks or breakdowns were identified. These system vulnerabilities were woven into simulation cases for hospital code team training. The cases focused on skills and attitudes that would help prevent, capture, or mitigate similar vulnerabilities while providing clinical care. The objective of this educational innovation was to intentionally translate lessons learned from SSE …

Ability Of Critical Care Medics To Confirm Endotracheal Tube Placement By Ultrasound, Michael Joyce

Health Sciences Education Symposium

Point of care ultrasound is rapidly becoming the standard of care for many different clinical applications. The ACLS guidelines were recently updated to include ultrasound confirmation of endotracheal tube placement. While physicians sometimes utilize this in hospital, it is not commonly used in a pre-hospital setting. We proposed teaching this skill using a simulation approach including hands on teaching combined with simulation of pathology.

Family Centered Rounds Simulation And Medical Students' Perceptions, Clifton Lee

Health Sciences Education Symposium

Background: Studies show that family centered rounds (FCR) improve family satisfaction by involving the families in their children’s care. Medical students consistently find FCR beneficial to families but have differing attitudes regarding benefits to the medical team. Some concerns raised by the students include longer rounds, decreased bedside teaching, and lack of opportunities to improve FCR skills. We developed a FCR simulation to aid medical students in FCR presentation.

Methods: On the first day of the clerkship, medical students presented a patient admission to two evaluators playing a parent and an attending physician. The patient admission note was emailed to …

Diabetes Immersion In A Pre-Clinical Endocrine Course, Diane M. Biskobing

Health Sciences Education Symposium

We describe a 2-day experience in the pre-clinical Endocrine course during which the students experience the complexities of living with diabetes mellitus. During this time they are asked to follow a carbohydrate controlled diet, monitor blood glucose and injection insulin (saline). They then wrote a reflection about the experience.

Changes In Pt And Ot Students’ Self-Efficacy Using An Interprofessional Case Based Experience, Dixie H. Bowman

Health Sciences Education Symposium

This poster describes an interprofessional simulation activity for physical therapy and occupational therapy students and a research study exploring the impact of the learning experience.

The Technicom Challenge: Low Fidelity Simulation With High Yield Potential, Susan Haynes

Health Sciences Education Symposium

Participants work in teams of two. One member of the team serves as the “communicator”, the other serves as the “surgeon”. The “communicator” is given a picture of the design and instructs the surgeon how to use the materials inside the box trainer to replicate the design. The “communicator” cannot look inside the box trainer nor share with the “surgeon” the picture of the design.

Several designs may be incorporated into the exercise. Pairs are given a maximum time of five minutes to complete each design. A debriefing is conducted to discuss the challenges in completing the simulation.

The Dynamics Of Power And Psychological Safety On Team Cohesion During Interprofessional Simulation-Based Education, Nital Appelbaum

Health Sciences Education Symposium

Healthcare team functioning requires coordination and collaboration between multiple practitioners towards a common goal of delivering safe and quality patient care (Lemieux-Charles & McGuire, 2006). Communication patterns, leadership, mutual support, and situation monitoring are all processes of effective teams (Weaver et al, 2010). However, despite the growing focus on developing interprofessional teams, minimal focus is given to the contextual and cultural forces influencing healthcare team functioning. Negative relationships amongst providers can affect teams in clinical settings, which in turn can undermine patient safety (Carpenter, 1995). Sources of poor team cohesion can be rooted in unequal distributions of power and the …

The First Five Minutes: Enhancing Simulation Education For First-Year Pediatric Residents, Megan E. Coe

Health Sciences Education Symposium

We are looking at the feasibility of redesigning the existing simulation education for first-year residents within the Children’s Hospital of Richmond at VCU’s pediatric residency program to increase learning opportunities and to enhance exposure to pediatric medical emergencies. Novel simulation scenarios were designed to provide an introduction to managing the first five minutes of commonly encountered emergencies on the inpatient wards. These shortened simulations allow for educational objectives to be tailored to the expected knowledge and responsibilities of first-year residents.

Speaking Up: Using Ostes To Understand How Medical Students Address Professionalism Lapses, Constance R. Tucker, Beth A. Choby, Andrew Moore, Robert Scott Parker Ii, Benjamin R. Zambetti, Sarah Naids, Jillian Scott, Jennifer Loome, Sierra Gaffney

Publications from the Office of the Dean

Background: Objective-structured teaching encounters (OSTEs) are used across many disciplines to assess teaching ability. The OSTE detailed in this paper assesses 191 fourth-year medical students’ (M4) ability to identify and address lapses in professionalism based on Association of American Medical Colleges’ professionalism competencies. The research questions addressed are:

• How frequently do M4s address professionalism lapses observed during an OSTE?
• What factors influence whether M4s provide feedback when they observe professionalism lapses in an OSTE?

Methods: Standardized patients (SPs) and standardized learners (SLs) were recruited and trained to participate in a standardized encounter with specific cognitive, social, and behavioral …

Evaluation Of The Performance Of Smoothing Functions In Generalized Additive Models For Spatial Variation In Disease, Umaporn Siangphoe, David C. Wheeler

Biostatistics Publications

Generalized additive models (GAMs) with bivariate smoothing functions have been applied to estimate spatial variation in risk for many types of cancers. Only a handful of studies have evaluated the performance of smoothing functions applied in GAMs with regard to different geographical areas of elevated risk and different risk levels. This study evaluates the ability of different smoothing functions to detect overall spatial variation of risk and elevated risk in diverse geographical areas at various risk levels using a simulation study. We created five scenarios with different true risk area shapes (circle, triangle, linear) in a square study region. We …

Challenges And Benefits Of Using A Virtual Community To Explore Nursing Concepts Among Baccalaureate Nursing Students, Linnea L. Carlson-Sabelli, Jean F. Giddens, Louis Fogg, Ruth A. Fiedler

School of Nursing Publications

This research study examines learner perceptions of benefits and challenges associated with the Neighborhood (NBH), an innovative pedagogy that fosters learner engagement and integration of nursing concepts using a “virtual community” as an alternative to lecture. First-semester students from five baccalaureate nursing programs that used the NBH intervention were divided into high (N = 78) and low faculty use (N = 203) groups. Qualitative analysis revealed that the NBH intervention promoted application of concepts to real life situation was engaging and “eye-opening,” allowing students to understand health care issues from a variety of perspectives. A major challenge was busy work …