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Full-Text Articles in Medicine and Health Sciences

Prevalence Of Mental Health History Intake By Medical Trainees, Raymond H. Wen, Laura A. Weingartner, Emily J. Noonan Apr 2020

Prevalence Of Mental Health History Intake By Medical Trainees, Raymond H. Wen, Laura A. Weingartner, Emily J. Noonan

Undergraduate Arts and Research Showcase

BACKGROUND:

In the US, 1 in 5 adults experiences a mental illness. Over 9.8 million adults and youths have serious suicidal thoughts, and LGBTQ+ communities experience an even greater burden of mental health disparities. Mental illness is often recognized late by providers, which prevents timely and effective treatment.

METHODS:

We estimated the frequency and response of healthcare trainees asking about mental health using video-recorded standardized patient interviews conducted by third-year medical students (M3s). Standardized patients are trained to give out specific health history information only when prompted by the student. Students had 30 minutes to complete new patient interviews in …


Seen In Science: Lgbtq+ Inclusivity In Anatomy & Physiology Texts, Harshini Sirvisetty, Kat Ray King, Linda Catherine Fuselier Jan 2020

Seen In Science: Lgbtq+ Inclusivity In Anatomy & Physiology Texts, Harshini Sirvisetty, Kat Ray King, Linda Catherine Fuselier

Undergraduate Arts and Research Showcase

Biology is unique from other science disciplines in that concepts taught in core classes can inform our student’s understanding of sex and gender. A biology major encounters lessons on sex determination, sexual reproduction, and sex characteristics in their courses. The language used in these units matters. It is imperative that educators consider how the language, examples, and content that we use in classrooms drive (or not) inclusivity for gender- and sexuality-diverse (GSD) (aka LGBTQ+) individuals. We chose to analyze four college-level human anatomy/physiology (AP) textbooks for GSD population inclusivity. We adopted a queer theory framework to critically examine how sex, …


Communicative Function And Diversity In Provider, Deaf And Hard-Of-Hearing Child, And Caregiver Speech During Telepractice, Rebekah G. O'Bryan, Jessica M. Julian, Maria V. Kondaurova Jan 2020

Communicative Function And Diversity In Provider, Deaf And Hard-Of-Hearing Child, And Caregiver Speech During Telepractice, Rebekah G. O'Bryan, Jessica M. Julian, Maria V. Kondaurova

Undergraduate Arts and Research Showcase

How does the use of telepractice during speech language therapy affect the communicative function and communicative diversity of provider, deaf and hard-of-hearing (DHH) pediatric patient, and caregiver speech? This study examined communicative functions and diversity in the provider, DHH children with cochlear implants (n = 7, mean age = 4.9 years, range = 3.5-6.75 years), and caregiver utterances during one 30-minute in-person and one sequential tele session, order counterbalanced. To measure communicative function, each utterance was classified into 16 mutually exclusive categories for the child and into 15 categories for the adults. Communicative diversity was calculated as the number of …


Frequency And Perceived Authenticity Of Social Determinants Of Health Discussion By Medical Trainees, Priyadarshini Chandrashekhar, Emily J. Noonan, Laura A. Weingartner Jan 2020

Frequency And Perceived Authenticity Of Social Determinants Of Health Discussion By Medical Trainees, Priyadarshini Chandrashekhar, Emily J. Noonan, Laura A. Weingartner

Undergraduate Arts and Research Showcase

Introduction

Social determinants of health (SDOH)—the conditions in which people live, learn, and work—play a vital, but often neglected role in shaping a community’s health. SDOH influence risk factors for disease and access to healthcare, consequently promoting health inequities among different populations. Examining how providers discuss SDOH with patients can identify opportunities to better integrate social context into care.

Methods

We analyzed standardized patient (SP) encounters of rising UofL M3 trainees to 1) determine whether SDOH are integrated into healthcare conversations, and 2) investigate what constitutes an authentic conversation to identify how trainees can better express interest in a patient. …


A Qualitative Descriptive Analysis Of Erowid Gabapentinoid Forum Posts, Haylee E Figg Rn Bsn Student, Rachel Vickers-Smith Phd, Mph Jan 2020

A Qualitative Descriptive Analysis Of Erowid Gabapentinoid Forum Posts, Haylee E Figg Rn Bsn Student, Rachel Vickers-Smith Phd, Mph

Undergraduate Arts and Research Showcase

Purpose/Background: With increased controls on opioid prescribing, the CDC has suggested prescribing gabapentinoids as a first-line alternative to opioids for pain. However, there have been an increasing number of reports of gabapentinoid misuse. Drug use forums are online spaces where individuals can anonymously post about their drug use experiences and may provide insight on gabapentinoid misuse. The purpose of this study was to extract and analyze posts from the drug use forum, Erowid, to examine reports of gabapentinoid misuse.

Methods: Data for the study was drawn from 53 pregabalin forum posts and 89 gabapentin forum posts by unique usernames. In …


Screening For E-Cigarette And Tobacco Use In Standardized Patient Encounters, Michael A. Schmidt, Emily J. Noonan, Laura A. Weingartner Jan 2020

Screening For E-Cigarette And Tobacco Use In Standardized Patient Encounters, Michael A. Schmidt, Emily J. Noonan, Laura A. Weingartner

Undergraduate Arts and Research Showcase

E-cigarette usage has grown significantly in recent years, with over 5 million US middle and high school students reporting recent usage. The long-term health consequences of these devices are still being investigated, but it is known that e-cigarette aerosol could contain harmful substances including nicotine, heavy metals, and carcinogens. Therefore, it is important for physicians to ask patients about e-cigarette usage specifically, as this may contribute to future health problems. The goal of this study was to investigate if and how medical students screen for e-cigarette usage. Screening language was reviewed in standardized patient encounters, which are a type of …