Medicine and Health Sciences Commons^™

Do I Add Value? A Mixed Methods Study Comparing Medical Students’ Experiences With Patient Documentation, Shannon Haines, Kari Nelson, Kaeli Samson, Nathan Gollehon

Child Health Research Institute Pediatric Research Forum

Background

Clinical documentation is an essential skill for practicing physicians, yet many medical students are not prepared for the documentation demands required during residency.^1,2 Recent CMS rule changes now allow medical students’ notes to be used for billing.³ Previous studies have shown positive perceptions of medical students whose notes were used in an outpatient setting.⁴ We utilized Constructivist Learning Theory to frame our work, where students construct their knowledge as faculty and residents facilitate the process.⁵

Objectives

To explore if using student documentation for billing impacts student perceptions and experiences during the pediatric clerkship.

Methods

Pediatric …

To Addend Or Not To Addend? Exploring Pediatric Residents' Perceptions Of Using Medical Students’ Notes For Documentation, A Mixed Methods Approach, Shannon Haines, Kari Nelson, Kaeli Samson, Nathan Gollehon

Child Health Research Institute Pediatric Research Forum

Background

Clinical documentation is an essential skill for practicing physicians, yet many medical students are not prepared for documentation required during residency.^1,2 CMS rule changes now allow medical students’ notes to be used for billing.³ Residents are often the primary authors of notes and provide medical student supervision and instruction. However, little is known about how the use of medical student notes in patient documentation would impact residents. We utilized Constructivist Learning Theory to frame our work, where students construct their knowledge as residents and subsequently faculty facilitate the process.⁴

Objectives

To evaluate how utilizing clerkship medical …

Unsolicited Advice, Kara Arnold

Child Health Research Institute Pediatric Research Forum

This piece was written with the phrases that have been said to me or to other female colleagues throughout my year of clinical rotations. Although women in medicine have come a long way, I want this to illustrate the pain that is still inflicted towards female professionals through words like these.

Comparison Of Third Year Medical Student Wellness Before And During The Sars-Cov2 Pandemic, Jenna Scholl, Oladapo Akinmoladun, Amissabah Kanley, Nathan Gollehon, Jason Burrows

Child Health Research Institute Pediatric Research Forum

Introduction

Depression and suicidal ideation have a higher prevalence in medical students when compared to other age-matched populations.^1,2 The SARS-CoV2 pandemic has further threatened medical trainee well-being with increased stress and risk of mental illness.^3,4

Objective

To compare medical student well-being at a single institution before and during the SARS-CoV2 pandemic.

Methods

Third year medical students at a single institution voluntarily completed a survey during pediatric clerkship orientation as part of an ongoing, non-pandemic longitudinal wellness study. The survey instrument includes basic demographic information, the validated World Health Organization (WHO) (FIVE) Well-Being Index (WHO-5), and questions about physical …

Life As Medical Student On Rotation, Amanda Goodwin

Child Health Research Institute Pediatric Research Forum

A reflection of the stress and wonder surrounding M3 year

Differences In Pain, Happiness, And Global Functioning Scores In Patients With Oi Between Pamidronate And Zoledronate, Tinotenda Sekeramayi, Elizabeth Strudthoff, Kaeli Samson, Maegen Wallace

EMET Projects

No abstract provided.

Constructing A Learning Community: One Medical Schools Needs Assessment, Kelsey Woods, Brian P. Boerner, Jenenne A. Geske

EMET Projects

No abstract provided.

Maintaining My Humanity In Medical School, Max Lydiatt

EMET Projects

No abstract provided.

Virtual Reality For Therapeutic Recreation In Dementia Hospice Care: A Feasibility Study, Claire Ferguson, Natalie Manley, Elizabeth Lyden, Julie Blaskewicz Boron, Marcia Shade

EMET Projects

Purpose

• Feasibility study to explore virtual reality (VR) via wireless goggles as a therapeutic recreation for people with dementia on hospice (hPWD)
• To explore the acceptability of VR to hPWD
• To identify any problems and/or benefits associated with using VR as a form of therapeutic recreation in hPWD on hospice

Malondialdehyde Acetaldehyde Adducts (Maa-Adducts) Direct Distinctive Pro-Inflammatory Responses In Endothelial And Macrophage Cell Lines, Patrick J. Opperman, Michael J. Duryee, Ted R. Mikuls, Geoffrey M. Thiele, Dahn L. Clemens, Daniel R. Anderson

EMET Projects

Chronic inflammation plays a critical role in the pathogenesis of atherosclerosis. At present, the mechanism(s) by which inflammation contributes to this disease isnot entirely understood. Inflammation is known to induce oxidative stress, of which one consequence is lipid peroxidation. This process leads to the production of malondialdehyde (MDA), which can subsequently break down to form acetaldehyde (AA). These two aldehyde by-products can covalently interact with the ε-amino group of lysineswithin proteins and lipoproteins leading to the formation of highly immunogenic malondialdehyde-acetaldehyde adducts (MAA-adducts). The aim of this study was to determine the in-vitro cytokine response of endothelial cells and macrophages …

The Induction Of Autoimmune Arthritis And Sex Differences In Mice Impact The Lung Inflammatory Response To Repetitive Inhalant Organic Dust Extract Exposures, Kathryn Rentfro, Geoffrey M. Thiele, Katherine Janike, Amy J. Nelson, Michael J. Duryee, Bryant R. England, Debra J. Romberger, Joseph Carrington, Dong Wang, Benjamin J. Swanson, Lynell W. Klassen, Ted R. Mikuls, Jill A. Poole

EMET Projects

Asthma, chronic bronchitis and COPD are common adverse respiratory health effects among persons exposed to agriculture organic dust work environments.

• Occupational inhalant exposures have been increasingly associated with the risk of rheumatoid arthritis (RA) disease development, particularly among males. Agriculture workers have increased risk of RA and generalized bone disease.
• Chronic lung disease is associated with production of characteristic autoantibodies associated with RA (e.g.anti-citrullinated antibodies), even in absence of RA disease.
• The mechanistic link between pulmonary inflammation and arthritis (and vice versa) remains poorly understood. Animal models are lacking.

Differential Microglial Responses Induced By N-A-Synuclein-Specific Effector T Cell Clones, Sean C. Selko, Rebecca A. Wilshusen, Katherine E. Olson, R. Lee Mosley

EMET Projects

Parkinson's disease (PD) is a neurodegenerative movement disorder in which symptoms derive from deficits in dopamine neurotransmitter levels secondary to loss of dopaminergic neurons in the substantia nigra pars compacta (SNpc) associated with misfolding and accumulation of α−synuclein. Neuroinflammation via microglia and T effector cells (Teffs) contribute to dopaminergic neuronal cell death. Recognition of cytokine profiles of pro-inflammatory microglia is not well understood and serve as potential therapeutic targets to reduce neuroinflammation. Recent studies demonstrated a novel Th17.1 Teff clonotype increases neurotoxicity. The aim of this study was to demonstrate in vitro cytokine responses by BV-2 microglia induced by Th1, …

Effects Of Neuraxial Anesthesia On Post Operative Pain Scores In Children With Osteogenesis Imperfecta, Lauren Greufe, Nick Bohannon, Amy Beethe, Maegen Wallace, Paul Esposito, Jenenne A. Geske, Susan Evans, Jessica Goeller

EMET Projects

No abstract provided.

Effects Of Smoking On Healthcare Resource Utilization After Panniculectomy: Analysis Of An Institutional Registry, Kaitlin Hehnke, Jenenne A. Geske, Bradley R. Hall, Emily Zurbuchen, Jason Miller, Ronald R. Hollins, Perry Johnson, Shannon L. Wong, Debra Reilly, Susan Evans

EMET Projects

No abstract provided.

Gendered Differences In Consent And Brochures For Permanent Birth Control, Caleb Ayers, Arika L. Hoffman, Jenenne A. Geske

EMET Projects

Background

Gendered differences have been documented for many healthcare outcomes. One cause of such differences is gendered differences in language, which has been documented in many fields. The difference in language used to describe permanent birth control to women (tubal ligation) versus men (vasectomy) has not been studied.

Objectives

To analyze consent forms and brochures for female and male permanent sterilization for gendered differences in language.

Methods

A convenience sample of consent forms and brochures was obtained and analyzed for differences in the emphasis on various subject matter.

Results

Physiologic explanations and insurance and/or cost was discussed more in documents …

Assessing Patients’ Awareness And Perception Of The Unmc Sharing Clinic Among Patients Visiting Nebraska Medicine’S Emergency Department, Ann K. Pearson, Lauren E. Timm, Aaron Barksdale, Melanie Menning

EMET Projects

No abstract provided.

Frequency Of Aortic Miscannulation During Fluoroscopy-Free Endovascular Navigation, Sruti Prathivadhi-Bhay

EMET Projects

No abstract provided.

Covid-19 Vaccinations: Information For Providers, Kevin Hanna

EMET Projects

No abstract provided.

Effect Of Targeted Transcranial Magnetic Stimulation On Hippocampal-Dependent Declarative Memory In Older Adults, Carly Faller, Ran Jing, Nicholas Christopher-Hayes, Anthony Rangel, Connor J. Phipps, Vaishali Phatak, Daniel L. Murman, David E. Warren

EMET Projects

No abstract provided.