Medicine and Health Sciences Commons^™

The Creation Of A Sdot And Its Implementation In The 4th Year Em Clerkship, Lauren Wendell, Evan Gill, Sara Nelson

Costas T. Lambrew Research Retreat 2022

Background •Clinical assessments of EM clerkship students are variable and institution specific. •Direct observation is used in residencies •EM clerkship instituted a student SDOT using a modified National Clinical Assessment Tool for Medical Students in EM (NCAT-EM)

Us-Guided Regional Anesthesia (Ugra) In The Ed- A Qi Project, Joshua Rehberg

Costas T. Lambrew Research Retreat 2022

Introduction-

Between 01/2021-09/2021 there were 95 people diagnosed with hip fractures in the emergency department. •56% (n= 53) got a fascia iliacacompartment block. •9% of notes had a comment on reevaluation of effectiveness or re-evaluation post-block, only ~50% had a neurovascular exam commenting on both motor function and pulses, and 7% of all blocks (n= 4) had no procedure note. •Goal: The purpose of was to improve the quality of care given to patients receiving US-guided regional anesthesia, provide a way to track the number of ultrasound-guided regional blocks performed in the emergency department, and improve resident education and documentation

Adolescent And Young Adult (Aya) Cancer Survivorship Survey, Amy Haskins, Christina Holt, Lauren Boehm, Ashley Speckhart

Costas T. Lambrew Research Retreat 2022

Introduction •AYA cancer survivors face unique healthcare challenges following curative therapy •High loss to follow up rate despite importance of survivorship care

Improving Car-Bed Discharge Process And Follow Up, Haley Pelletier, Gina Trachimowicz

Costas T. Lambrew Research Retreat 2022

The car seat challenge test is most commonly performed on premature infants prior to discharge home from the hospital. Infants who fail the car seat test twice at MMC are discharged home in a carbed. The process of discharging an infant home in a car-bed and the subsequent re-testing prior to transitioning safely to a rear-facing car seat is neither widely understood or standardized among Maine Health providers.

Maine Medical Center Experience With Left Ventricular Device Explantation, Laura Onderko, Lauren Vickerson, Andrew Schwartzman

Costas T. Lambrew Research Retreat 2022

Introduction •Left ventricular assist device (LVAD) is an implantable heart pump that helps support the heart in patients with end stage heart failure with reduced ejection fraction •LVAD therapy is now approved for use as a bridge to transplantation (BTT) and as a destination therapy (DT) in patients who are not candidates for heart transplantation. •The existing literature suggests that close to 10% of patients implanted with LVAD could be explanted for recovery, but the actual rate of explant is significantly lower •Need to examine the clinical course of explanted patients to provide better guidance for the decision to explant …

Implementing Trauma-Informed Developmental Care In Nicu/Ccn: Findings From A Pre-Intervention Care Team Survey, Megan Flynn

Costas T. Lambrew Research Retreat 2022

Priorities Identified by Care Team in NICU/CCN Provide Path to Improving Patient Care

Takotsubo’Scardiomyopathy: Clinical Characteristics And Outcomes In The Rural State Of Maine, Laura Onderko, Bhavini Prajapati, Wendy Craig, Roisin Morgan

Costas T. Lambrew Research Retreat 2022

Pre-existing psychiatric diagnosis linked to developing Takotsubo’sCardiomyopathy. Patients from rural areas less likely to be on psychiatric medications and had higher Takotsubo’srecurrence rate.

The Shifting Role And Expectations Of Physical Therapy In The Pediatric Cystic Fibrosis Clinic During A Global Pandemic, Ana Cairns, Colby Wyatt, C Chaloner, J Takatsuki-Jordan, A Williams

Costas T. Lambrew Research Retreat 2022

In January 2020, a CFF supported quality improvement study to optimize physical therapy (PT) services in our pediatric CF clinic was underway. •An initial survey had been completed in 2019 to assess family satisfaction with the current provision of PT services. •In March 2020 the COVID-19 pandemic caused a major shift in clinical care in the midst of our project. •Care was changed to telehealth and “hybrid” clinic visits, thereby altering the context of our study, necessitating a change in the focus.

A Period Seroprevalence(Sars-Cov-2) Survey In Mhccn Cancer Healthcare Workers (Hcws) Providing Patient Care During The Height Of The Outbreak: A Registry Study (Second Year Progress), Caroline Knight, Jill Prescott, Jill Hobart, Jamie Saunders, Kimberly Caron, Sandra Neptune, Patty Brown, Kyla Sturtevant, Sean Eller, Lisa Lemire, Anne Breggia, Susan L. Guerin-Staples, Lee Lucas, Paul Han, Rachit Kumar, Johnson Liu, Robert Carlson, Scot Remick

Costas T. Lambrew Research Retreat 2022

In December 2019, emergence of a new coronavirus in Wuhan, China heralded the onset of a global pandemic (aka Covid-19) that is well into its third year. At the outset, the initial first wave of the alpha variant in 2020 had less impact on our state and HCWs. In December 2020, Covid-19 vaccinations became available. By fall and winter 2021-2022, the delta and subsequent omicron variants nearly overwhelmed Maine healthcare systems and work force. In June 2020, we embarked on a period seroprevalencestudy in the MaineHealthCancer Network (MHCCN) to document Covid-19 exposure in our rural cancer care workforce. Enrollment continues …

A Multicenter Pilot Study To Evaluate The Effect Of Evoo On Lipid Parameters, Caroline Knight, Ralph Hamill, Katherine Brady, Stacia Kozidis

Costas T. Lambrew Research Retreat 2022

Purpose:

The purpose of this multi-center, double-blinded pilot study was to determine if EVOO has a positive effect on HDL cholesterol levels and anti-inflammatory markers for subjects diagnosed with CVD and to determine if the polyphenol concentration is proportional to those effects. Subjects completed consecutive 28-day periods (with a 14- day washout between) in which they will either consume the low polyphenol EVOO daily or the high polyphenol EVOO. In a double-blinded manner, each subject was his or her own control with a 14-day washout between study periods. HDL levels and other parameters were be measured after each period of …

Behavioral Support Checklist Making Mmc More Autism Friendly, Rachel Coffey, Sarah Reynolds

Costas T. Lambrew Research Retreat 2022

Introduction • Patients with Autism Spectrum Disorder and their families report suboptimal medical experiences. • Boston Medical Center championed the “Autism Friendlieness Initiative” through ● Autism Support Checklist ● Provider Training ● Visit Preparation ● Sensory Accommodations

Pediatric Dermatology Econsult Program With Dermoscopy: Sub Analysis Of Infantile Hemangiomas, Peggy R. Cyr, Madeline Prentiss, Laura Houk, Elizabeth Seiverling

Costas T. Lambrew Research Retreat 2022

There are no pediatric dermatologists in Maine. Greater distance from a dermatologist is associated with delays in care and nonadherence to treatment. Timely care is especially crucial for patients with infantile hemangiomas (IH) due to a narrow “window of opportunity” for optimal treatment. A store and forward electronic consultation eConsult ) platform was implemented within our electronic medical record (Epic) to triage referrals from primary care providers ( PCPs). Here we present an analysis of the program outcomes in respect to pediatric eConsults with emphasis on treatment for IH.

Intouch April 25, 2022, New York Medical College

InTouch

• D.P.T. Class of 2024 Marks the Transition to Clinical Education with White Coat Ceremony
• Sangmi Chung, Ph.D., Receives Bridge Funding Grant
• Erica Pratt, M.P.H. Class of 2022, Envisions Herself as a Public Health Leader
• The Office of Research Administration Supports NYMC’s Research Endeavors
• Kin Lazzaro Brings 15 Years of Fundraising Expertise to NYMC’s Office of Development and Alumni Relations

Cross-Sectional Survey Regarding Marijuana Use In Pregnancy, Kathleen S. Carlson

Costas T. Lambrew Research Retreat 2022

Introduction • There is a paucity of data regarding extent and patterns of marijuana use in pregnancy. • Nausea, sleep problems, anxiety are commonly reported reasons for use (Kaarid, 2021) • Marijuana use in pregnancy is associated with increased risk for neonates of preterm delivery, NICU admission, small for gestational age, and lower 1min APGAR scores (Marchand, 2022) • Knowledge of reasons and patterns of marijuana use is important to properly counsel patients, identify patients at risk for use during pregnancy and to offer alternative therapies that are safer during pregnancy.

Social Determinants Of Care In The Mmc Cardiology Fellow’S Clinic, Bhavini Prajapati, Laura Onderko, Darcy Chandler, Sanjeev Francis

Costas T. Lambrew Research Retreat 2022

Introduction • Social determinants of health are upstream risk factors for cardiovascular disease. • Patients seen in the Cardiology Fellow’s Clinic at MMC are a diverse group that are burdened by many socioeconomic issues. • Addressing these disparities has the potential to prevent the development of other comorbidities known to increase the risk of a cardiovascular event. • The aim of this project was to identify the prevalence of these factors in the cardiology fellow’s clinic

Development Of A Codebook For A Prospective Mixed Methods Study Focusing On Experiences Of Mindfulness Intervention In Patients Undergoing Colorectal Surgery, Laura Nicolais, Rebecca Brown, Julie Fitzgibbons, Rachel Farrington

Costas T. Lambrew Research Retreat 2022

Mindfulness is a state of being present with one's thoughts without judgment • Relaxation is a technique to help achieve a state of rest (i.e., physical relaxation) and inner calm (i.e., mental relaxation). • Prior research has shown the many benefits of mindfulness and relaxation practice including improved psychological well-being, stress relief, reduced pain perception, improved sleep, relief of headaches, vomiting; all of which could prove beneficial in the postoperative phase.1 • Measuring the mental and emotional response to a mindfulness intervention in a quantitative manner can be challenging and therefore, a qualitative approach is justified.

Early Warning: Exploring Risk Factors For Hospital Acquired Pressure Injuries Using The Electronic Medical Record, Tricia Foley, Nicole M T Radmore

Costas T. Lambrew Research Retreat 2022

Introduction -Severe Hospital Acquired Pressure Injuries (HAPIs) are, by law, reported to the State of Maine and present a financial burden, as Medicare will not cover costs for these injuries.

Sleep Patterns & Sleep Problems Vary By Age In Children With Autism, Charles F Reynolds, Matthew Siegel, Briana Taylor

Costas T. Lambrew Research Retreat 2022

Adolescence is a time of increased vulnerability for youth with autism spectrum disorder (ASD).1 • In non-ASD youth, sleep and circadian rhythms demonstrate marked changes during adolescence that delay the biological propensity for sleep.2 • In combination with early school start times, these agerelated changes in sleep and circadian rhythms result in insufficient sleep duration, circadian misalignment, daytime sleepiness, and numerous behavioral and psychiatric problems.3 • Age-related changes in sleep and circadian rhythms, and their relevance for behavioral and psychiatric health have not been examined in youth with ASD.

Academic Integrity In Health Science Education, Camille Hondromaras, Nicole Macko

Student Research Poster Presentations 2022

Academic misconduct in the United States has been on the rise and there are a variety of factors playing into the reason. Academic misconduct has persisted in postsecondary education, with rates of serious cheating in the United States increasing from 75% to 82% among students, over a thirty-year time frame (Medina). The present research was conducted to evaluate the prevalence of academic misconduct, the variety of modes used to break academic integrity, the rationale behind it per individual, and how these answers could influence future careers. A study was conducted with 39 participants ranging from high school sophomores to master's …

Mainehealth As A Partner In The National Covid Cohort Collaborative (N3c), Susan Santangelo, Kimberly Murray, Kathleen M. Fairfield, John Dipalazzo, Ivette Emery, Cliff Rosen

Costas T. Lambrew Research Retreat 2022

N3C is a secure clinical data analytics platform hosted at the NIH that includes vast amounts of data from a large network of he alth care organizations, including MaineHealth , to accelerate advances in COVID 19 research and clinical care.

Recover: Researching Covid To Enhance Recovery, Theresa Roelke, Anne Breggia, Kathryn Brouillette, Ivette Emery, Lauren Moore, Theresa Roelke, Marc Flore, Jacquieline Lapointe, Abigail Arruda, Lyndsey Gower, Teresa Martel, Darlene Peterson, Clifford Rosen

Costas T. Lambrew Research Retreat 2022

HOW WILL RECOVER ACHIEVE ITS GOALS? NIH has selected health care institutions across the nation, including MaineHealth , to conduct this study, which is anticipated to enroll a total of 15,000 participants who have or had SARS CoV 2 infection and 2,680 control participants without a SARS CoV 2 infection.

Covid-19 Newsletter (Vol. 115), Center For Disaster Medicine, New York Medical College

COVID-19 Newsletter

No abstract provided.

2022- The Twenty-Sixth Annual Symposium Of Student Scholars

Symposium of Student Scholars Program Books

The full program book from the Twenty-sixth Annual Symposium of Student Scholars, held on April 19, 2022. Includes abstracts from the presentations and posters.

Improvement Of Family Communication In The Perioperative Environment Utilizing Text Messaging, Sonja Orff, Kristiina Hyrkas

Costas T. Lambrew Research Retreat 2022

Text Messaging Technology Improves Patient Satisfaction for Communication with Nurses in Perioperative Care Unit

Thinking Inside Out: Using A Virtual Platform To Overcome Barriers To Interprofessional Education, Erin Siebers

Costas T. Lambrew Research Retreat 2022

Interprofessional education (IPE) leading to effective communication is critical for patient safety [1] • Barriers to IPE include lack of confidence and lack of experience and opportunities • Barriers are increased in rural states, due to travel and scheduling logistics[2,3] • The pandemic and social distancing restrictions forced rapid transition of an IPE OSCE from an in-person to a virtual event • Our objective was to provide students with an authentic experience similar in quality and value to prior in-person sessions

Barriers And Resources For Competitive Adaptive Rock Climbing, Amy Griswold, Susan Macdermott

Spring 2022 Virtual OTD Capstone Symposium

The purpose of this project was to (1) identify barriers to participation in competitive adaptive rock climbing for adults with a physical disability and (2) create and distribute virtual educational resources to meet identified barriers. The need for this project was highlighted by athlete and coach self-report of limited ability to engage in competitive adaptive rock climbing, also known as paraclimbing.

The sample consisted of 108 adaptive athletes, adaptive rock-climbing coaches, staff members in rock climbing gyms, and volunteers at adaptive rock climbing events. Participants anonymously completed a ten-minute mixed methods virtual survey using Microsoft Forms.

Statistical analyses suggest recurrent …

Supporting The Transition Out Of The Family Caregiver Role: An Occupation-Centered Approach, Whitney Wilbanks, Susan Macdermott

Spring 2022 Virtual OTD Capstone Symposium

Engagement in meaningful and valued occupations can be used as a means to help former family caregivers cope, heal, and grow following the loss of their loved one (Pickens, 2011). Occupational engagement can be used as a means to help former family caregivers reshape their personal identity, experience a sense of wholeness, and reestablish purpose and balance in their lives (Hocking, 2016). The purpose of this doctoral capstone project was to educate hospice care staff on ways to support individuals with transitioning out of the family caregiver role following the death of the care recipient. An educational resource was developed …

Implementation Of A Readiness Model For Kidney Transplant Patients, Shelby Mcdonnell, John Vella, Ardyce Peters

Costas T. Lambrew Research Retreat 2022

Increasing Access to Kidney Transplantation: How Decreasing Time in Transplant Evaluation Led to More Timely Eligibility for Organ Offers

Sensory Preference And Learning Preference In Children With Attention Deficit/Hyperactivity Disorder And Dyslexia, Jennifer Gomez, Hope Mccarroll, Lisa Griggs-Stapleton

Spring 2022 Virtual OTD Capstone Symposium

Is there a connection between a child’s sensory preferences and their learning preference? Sensory processing disorders are a heavily researched topic in current literature and many children with sensory differences present with learning disabilities, but research is lacking concerning any connection between sensory processing and learning. This research study examines children’s sensory preferences and learning preferences and denotes trends between these two variables. 15 participants were recruited from the Accommodated Learning Academy in Grapevine, Texas, a private school for students 1st-12th grade with learning delays. The sample of 15 participants consisted of 12 females and 3 males, aged 11-15 years …

Exploring The Occupational Impact Of Pregnancy And The Role Of Occupational Therapy During The Prenatal Period, Monica Wutzke, Karen Park, Susan Macdermott

Spring 2022 Virtual OTD Capstone Symposium

Background: Pregnancy is a major transitional period accompanied by different physiological changes that can impact performance and engagement in meaningful and needed daily occupations. There is currently limited research that examines the transition to parenthood during the prenatal period through an occupational therapy (OT) perspective.

Objective: The purpose of this study was to explore the impact pregnancy has on an individual’s roles, routines, and daily occupations. This study aimed to investigate this through an OT lens in order to better identify how the needs of pregnant individuals fall within the scope of OT.

Methods: Pregnant individuals participated in an online …