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Download Entire Issue: Collaborative Healthcare: Interprofessional Practice, Education And Evaluation (Jcipe), Volume 8, Number 1, 2017

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Download Entire Issue: Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE), Volume 8, Number 1, 2017

Inside Out, Spring 2015

Inside Out

Contents:

Checkmate, Joshua Cannon, 1

Contort, Michael Natter, 2

For Vastness’ Sake, Marc McShane, 3

Old Country Road, Jonathan Elias, 4

Dippers, Ethan Sellers, 5

A Liberated Caravan, Tanziyah Muqeem, 6

To be, or Not to be, Danylo I. Holubnyk, 7

San Francisco, 2009, Sina Vahedi, 8

Tranquil Days, David Chou, 9

Living, Marc McShane, 10

Never Too Early for a Nap, Tuc To, 11

Reclining Nude, Chen Zhou,12

Peace Crane, Lauren Burgoon, 13

Untitled Hand, Amanda Joseph, 14

Japan Memorial, Lauren Burgoon, 15

The Clearing Storm, Eric W. Kostuk, 16

Wild Flowers, Amanda Joseph, 17

Female Nudes, Elise Campbell, …

Inside Out, Spring 2013

Inside Out

Contents:

Imp of the Perverse, Evan J. Slagle

Mom, Ethan Sellers

Curves of the Albatross, Christina Nguyen

Colors, Sarah Drejet

Rajasthan, India, Nishi Dedania

Heights that I Remember, Daniel Gealy

Girl in Transit, Michela Mickler

Chemo, Emily Fay

Energy, Dierdre Axell-House

African Dreaming, Michela Mickler

Flight, Michela Mickler Rittenhouse

Reflections, Kami L. McManus

Lovers in Washington Square, Wendy Diao

No Agenda, Laura Steel

I’ve Come to Know Sepia, Ethan Sellers

Re-imagine-d, Jonathan Elias

Glee, Rebecca Julian

A Creature Void of Form, Daniel Gealy

The Column, Emily Fay

Bold, Bald, Black & White, Dierdre Axell-House

Salar de Uyuni, Bolivia Nicholas Bishop …

Inside Out, Spring 2012

Inside Out

Contents

Limbless, Desmond Wilson, Cover

The Daily Grind, Dave Miller, Inside Cover

The Sea Conqueror, Jonathan Elias, 5

Fear, Yuliya Baratt, 5

Dreamer Mosaic, Huong Le, 6

The Colored White Desert of Egypt, MIranda Law, 6

The Hands of My First Autopsy, Nathan Fried, 7

Esperar, Neil Flannery Haidorfer, 8

Retrograde Frequency, Evan Slagle, 9

Childhood, Yuliya Baratt, 9

Flying South for the Winter, Nishi Dedania, 10

Barn in Winter, Michael Minckler, 10

Mountain Goat, Alissa Herman, 11

Tree Burr, Nate Jordan, 11

Wake, Andrea Frankenburger, 12

Mt. Rainier Viewed from Seattle, WA, Michael Minckler, 12

Sisterhood, Sharon Li, 13 …

Inside Out, Spring 2011

Inside Out

Contents:

Winter Boardwalk, Heather Tattersall, 1

Boundaries, Kanani Titchen, 2

Nightline, To Dung Nguyen, 4

Blue Jeans, Bonnie Bennet, 5

After the Genocide, Rwanda, Christine Chen, 6

Trails, Matt Richards, 7

Various Facades, Subhasree Basu, 8

On Our Mistakes, and Physics, Khalid Mohamood, 9

Valle Sagrado, Lara Murphy, 11

Pink Study, Han Koon Ooi, 12

Passage, Rites, Jennifer Lewis, 13

Layers, Mara Modest, 15

Heather Tattersall, Aivi Nguyen, 16

Pulse, Christina Furia, 17

Penmanship, Christina Nguyen, 18

Small Jeffersonians, Francina Girard, 19

Growing Up In Guatemala, Christine Chen, Front Cover

Lady Watering, Aimee J. Lee, Inside Front Cover

Singed, Matt …

Download Entire Issue- Jefferson Interprofessional Education And Care Newsletter, Fall, 2014, Volume 5, Issue 2

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Download entire issue- Jefferson Interprofessional Education and Care Newsletter, Fall, 2014, Volume 5, Issue 2

Jefferson Teamwork Observation Guide (Jtog): A Pilot Project, David George, Md, Elizabeth Speakman, Edd, Rn, Anef, Fnap, Kellie Smith, Edd, Rn, Kevin Lyons, Phd, Carolyn Giordano, Phd

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

The critical need for students to learn to be effective members of interprofessional teams in preparation for collaborative practice-ready care provision now and in the future has been well documented1. There are increasing opportunities for students to observe interprofessional events to assist them in doing so, but often their role is passive and the teams may not demonstrate the highest level of patient-centered care, minimizing the student learning.

Developing An Open Educational Resource For Interprofessional Education (Ipe), Susanne P. Boyle, Bsc, Msc, Phd, Fhea, Matthew Ramirez, Lynn Sheridan

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

A recent review of pre-qualifying interprofessional education in the UK reported the practical challenges of synchronising interprofessional education1. Whilst it was noted that online interprofessional courses were developed primarily to overcome timetabling conflicts of students and clinicians from various health professions, it was recognised that a blended learning approach with appropriate student support could enable an effective interprofessional education experience with lower running costs and reduced disruption. It was found, however, that despite the ubiquity of e-learning in interprofessional education there seemed to be less sharing than expected1.

Ipe Grand Rounds: A Student-Led Initiative, Claire Sokas, Chelsea Gorman

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Interprofessional Education (IPE) Grand Rounds is an innovative student-run initiative designed specifically to increase the clinical relevance of IPE for all health professions students. By creating new opportunities for students from medicine, nursing, physical therapy, occupational therapy, couple and family therapy, physician assistant and pharmacy to interact with health professionals who are actively participating in interprofessional work environments, the IPE Grand Rounds program allows students to develop a more complete picture of what it means to be a member of a collaborative practice team. During these sessions, students and panelists discuss both the benefits of working with team members from …

Successful Implementation Of The Abcdef Bundle In The Micu Through Interprofessional Collaboration And Teamwork, Julie Rogan, Rn, Msn, Accns-Ag, Aocns, Ccrn, Steven W. Gudowski, Rrt, Cara Mcdaniel, Pharmd, Bcps

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Earlier this year, members of the medical intensive care unit (MICU) attended an interprofessional workshop that utilized Awakening/Breathing/Choice of Sedation/Delirium/Early Mobility (ABCDE) bundle simulation combined with TeamSTEPPS training to empower care givers to advocate for patient safety while optimizing patient care. The ABCDE bundle is an evidence-based tool designed to implement pain, agitation, and delirium guideline recommendations into routine practice. To further improve patient safety and outcomes and build upon the ABCDE concept, the MICU team developed an interprofession-al practice project by adding routine assessment of need for indwelling Foley catheters to their daily work list, creating the “ABCDEF” bundle.

From The Editors, Elizabeth Speakman, Edd, Rn, Anef, Fnap, Christine Arenson, Md, Lauren Collins, Md, Shoshana Sicks, Edm

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Welcome to the Fall 2014 edition of the Jefferson Interprofessional Education and Care Newsletter. It has been a busy Fall at Jefferson and we are excited to share several new developments which have been pushing the envelope in IPE. In October, we hosted our 4th biennial conference, Interprofessional Care for the 21st Century: Redefining Education and Practice. This year we had a record number of conference participants and presenters joining us from a variety of national and international academic and service organizations. Our keynote speakers, Dr. George Thibault, President, Josiah Macy Jr Foundation; Dr. Barbara Brandt, Director, National Center for …

Download Entire The Medicine Forum, Volume 14, 2012.

The Medicine Forum

Download entire The Medicine Forum, Volume 14, 2012.

Smartphone App Reviews, Jonathan A. Dunn, Md, Jacqueline V. Kraft, Md, Mitul Kanzaria, Md

The Medicine Forum

Smartphone App Reviews for Doximity, ECG Source, Heart Failure Trails, QX Calculate.

Too Tall For Guatemala, Evan M. Lapinsky, Md

The Medicine Forum

I was clearly out of place. I came to the highlands of Guatemala during my fourth year of medical school to study Spanish, work in a rural clinic, and experience a different way of life. For a month, I lived with a Guatemalan family, ate plantains with every meal, and generally tried to immerse myself in the rich Mayan culture surrounding me. Almost a year later, my Spanish is fading fast. The handful of days I spent in volunteer clinic is a distant memory at this point. Why did I go there again?

I was the epitome of an outsider. …

Discharge Summaries: How Long Is Too Long?, Kevin M. Curl, Md

The Medicine Forum

The Graduate Medical Education (GME) committee is composed of all Jefferson residency and fellowship program directors, as well as ten selected housestaff members. The committee meets monthly to discuss a wide array of topics, including Accreditation Council for Graduate Medical Education compliance, duty hours violations, and program reviews. One recently covered topic was the timeliness of discharge summary dictations. Implementing changes to improve transitions of care remains a focus of all healthcare systems. Jefferson is attempting to take an innovative approach to this issue, and discharge summaries are only one of the areas being examined.

The current policy requires house …

Easing The Pain: An Argument For Prescribing Opiates In Continuity Clinic, Lindsay Wilde, Md

The Medicine Forum

Continuity clinic can be painful. The patients are often non-adherent, the no-show rate is high, and the paperelectronic records hybrid system is less than ideal. Added to that is the stress of caring for patients with a variety of medical issues and the burden of being expected to prescribe opiates for them. Given all of the difficulties associated with opiate prescribing, including the potential for abuse, limited continuity with providers, and poor overall adherence to medical advice, it has been proposed that these medications should no longer be prescribed at our resident clinic, and many residents support this plan. However, …

An Argument Against Prescribing Opiates In Continuity Clinic, Hasan Bayat, Md

The Medicine Forum

Chronic pain is one of the most common complaints a primary care physician faces while in practice. As resident physicians at Jefferson Hospital Ambulatory Practice (JHAP), it is a frequently addressed concern, which ultimately leads to the question of whether or not opiates should be prescribed at JHAP to those patients who have failed non-narcotic alternatives.

The hesitation most physicians have in prescribing such medications is the potential for abuse, addiction and diversion. The Drug Enforcement Administration (DEA) shares these concerns and consequently monitors and restricts the prescription of opioids, stimulants and anxiolytics by requiring a separate license. Most resident …

Metastatic Uveal Malignant Melanoma: A Case Report, James W. Walter, Md, Rebecca Matro, Md, Daniel M. Quirk, Md, Mph

The Medicine Forum

Case Report

A 77-year-old woman presented with a chief complaint of one day history of severe, acute abdominal pain. The patient described the pain as "intense," non-radiating, and located primarily in the left upper abdominal quadrant.The pain was associated with nausea and multiple episodes of non-bilious, non-bloody emesis. She denied melena and hematochezia. On physical examination, her abdomen was soft and exquisitely tender in the left upper quadrant and epigastric regions. Aside from trace lower extremity edema.the remainder of her physical examination was unremarkable. Laboratory results at the time of admission were notable for:hemoglobin 10.8 g/dL, alkaline phosphatase 459 U/L, …

A Young Female Who Develops Tachycardia And Orthostatic Intolerance Following A Recent Infection, Michael A. Valentino, Md, Phd

The Medicine Forum

Case Presentation

The patient is a 20-year-old female with a history of asthma and anxiety with panic attacks who presented with palpitations and lightheadedness/pre-syncope. The morning of admission, she was attending a seminar and experienced an acute onset of palpitations. The palpitations started while she was seated and worsened upon standing. They were associated with lightheadedness, shortness of breath, and chest tightness. A nurse attending the seminar recommended that she go to the emergency room.

On presentation to the emergency department (ED) her vital signs were: Temperature: 99.2°F, Blood pressure (BP): 140/98; Heart rate (HR): 140; Respiratory rate (RR): 16; …

A 73-Year-Old Female With Palpitations, Kevin M. Curl, Md, Jacqueline V. Kraft, Md, Malinda Wu, Msiii, Carlos Fernandez-Ortega, Msiii

The Medicine Forum

Background

Atrial fibrillation is a commonly encountered clinical problem. Although a large percentage of patients have no dearly identifiable precipitant, secondary atrial fibrillation is a well-documented clinical entity.'

Case presentation

A 73-year-old female with a history of obstructive sleep apnea, hypertension, and chronic obstructive pulmonary disease presents with complaints of intermittent palpitations, substernal squeezing chest pressure, and shortness ofbreath for two weeks. Her most recent episode occurred on the bus, prompting her to come to the emergency room for evaluation. Further questioning revealed mild weight loss and diarrhea over the prior few weeks. Home medications included amlodipine, baby aspirin, albuterol …

Uncommon Hepatic Sequelae From An Acute Sickle Cell Crisis, Kimberly Lim, Md, James W. Walter, Md

The Medicine Forum

Background

Sickle cell crises are commonly treated at our institution given its large sickle cell patient population and well-established hematology department. While pain management is a crucial aspect to these patients' care, it is important to remember that a vasa-occlusive crisis can be life threatening. Many organs can be at risk, including the lungs (acute chest syndrome), brain (stroke), eyes (retinopathy) and as in our case, the liver. We hope this case report can become incorporated in future differential diagnoses pertaining to sickle cell crises.

Case Presentation

A 48-year-old black female with a past medical history of sickle cell anemia, …

A Case Study Of Pseudo-Neuropathic Pseudogout, Christina Cress Lindenmeyer, Md, Adam C. Sobel, Md, Levon N. Nazarian, Md, Steven Mandel, Md, Steven M. Raikin, Md, Homyar N. Karanjia, Dpm

The Medicine Forum

Background

This interesting case highlights the clinical progression of a rare disease process and the important role of a multi-disciplinary team in achieving a diagnosis and successful management plan.

Case Presentation

A 76-year-old male with a history of coronary artery disease, hypertension and hyperlipidemia presented as an outpatient with left foot pain and swelling. He had spent a week bicycling in Colorado one month prior to presentation. The pain was initially localized to the plantar surface of his foot and progressed to involve the lateral and dorsal aspects of the foot, as well as his great toe. The pain was …

Paraneoplastic Acral Vascular Syndrome, Daniel M. Kopolovich, Msiii, Dean D. Lagonosky, Msiii, Allison A. Greco, Msiv, Emma Weaver, Md, Rahul Malhotra, Md, Phoebe Holmes, Md, John R. Stewart, Md

The Medicine Forum

Introduction

Cases of rheumatologic phenomena coinciding with malignancy have been well-documented in the medical literature. These syndromes may be associated with common autoimmune markers, potentially masking the underlying diagnosis of malignancy. The association between malignancy and its coinciding rheumatologic manifestations is poorly understood. These paraneoplastic symptoms are more prevalent in high-stage adenocarcinomas of the lung, breast, and ovary. Possible mechanisms may include cytokine derangements, blood hyperviscosity, and circulatory disruption. While some evidence suggests that control of the primary tumor alleviates its associated paraneoplastic symptoms, other proposed therapies include heparin, prednisone, aspirin, and vasodilatory agents. Efficacy is limited due to association …

A 47-Year Old Female With Muscular Rigidity, New-Onset Diabetes And Hypothyroidism, Michael A. Valentino, Md, Phd

The Medicine Forum

Background

This case highlights a rare but devastating neurologic condition, Stiff Person Syndrome (SPS). While symptoms of muscular rigidity andspasms areassocia ted with numerous neuromuscular conditions, the association between SPS, autoimmune diabetes, and other autoimmune disorders such as thyroiditis, pernicious anemia, and vitiligo, could aid in the early diagnosis of this debilitating condition.

Case Presentation

A 47-year-old African American female presented with six months of progressively worsening rigidity and spasticity of her axial muscles and extremities. The patient was in good health until one and a half years prior to admission when she lost consciousness while driving and was subsequently …

Palpable Purpura In A Vietnamese Teenage Girl, Akram Mustafa, Md, Edward K. Len, Md, Alan Chiu, Msiii

The Medicine Forum

A 19-year-old Vietnamese female with no significant past medical history presented to the emergency department (ED) with fevers, sore throat, generalized myalgias, arthralgias, and a worsening lower extremity rash for the past two weeks. Approximately one week after the onset of constitutional symptoms, the patient noticed a rash developing on the anterior surface of her legs. Three days prior to hospitalization, her primary care physician prescribed cephalexin for her, but she didn’t recall what it was for. When her symptoms continued to worsen the next few days, she presented to the ED. In the ED, she also complained of abdominal …

A Devastating Storm, Eve Merrill, Md

The Medicine Forum

Case Report

A 26-year-old female with no significant medical history presented with palpitations and shortness of breath. Two weeks prior, she experienced rhinorrhea and congestion.Vital signs on admission were temperature 96.6°F, heart rate 252 beats per minute, blood pressure 127/74 mmHg, respiratory rate 24 breaths per minute, oxygen saturation 98% on room air. On exam, the patient was tachycardic and had a large, homogenous thyroid without any palpable nodules. The rest of her physical exam was unremarkable.

Laboratory data revealed total bilirubin 4.4 mg/dL, aspartate aminotransferase 245 units/L, alanine aminotransferase 263 units/L, thyroid stimulating hormone (TSH) 0.02 miU/L, free thyroxine …

A 19 Year Old Male With Hiv Presents With Diffuse Lymphadenopathy, Brian R. Curtis, Md, Subhashini Appulingam Sellers, Md, Jay Sellers, Md, Jackrapong Bruminhent, Md

The Medicine Forum

Background

In 1872, Moritz Kaposi first described "an idiopathic multiple pigmented sarcoma of the skin;'' now identified as Kaposi's sarcoma (KS).' While multiple forms ofKSexist, over9S% of the cases diagnosed in the US since 1981 are of the AIDS associated variety.2 Kaposi originally described KS as skin lesions that can progress to visceral involvement. However, in a small number of cases, KS can appear in the viscera without skin involvement. These alternate presentations of KS are difficult to diagnose; therefore, it is critical to recognize them when considering differential diagnoses, particularly in patients with HIV.

Case Presentation

An 18-year-old African …

Sudden Onset Blindness In A Patient With Mixed Connective Tissue Disease, Chris Terry, Msiii, Prachi Thanawala, Md, Erika Villanueva, Md

The Medicine Forum

Case Presentation

A 66-year-old Caucasian female recently diagnosed with mixed connective tissue disease presented with acute onset vision loss in the left eye. The patient first noted a “hazy-shower” that caused blurry vision with loss of peripheral vision. Her vision progressively worsened over a four-day period, resulting in complete blindness in the left eye and the onset of blurry vision in her right eye. She denied any eye pain, discharge, photophobia or similar symptoms in the past. The patient did note a very mild headache for four days but denied any other symptoms.

Metastatic Lip Cancer Of Unknown Primary, Jonathan A. Dunn, Md, Jerry Hsieh, Md

The Medicine Forum

Background

As housestaff, we seldom have the chance to admit a patient with cancer of unknown primary. Even if a patient presents with metastatic cancer, it is frequently evident what the primary cancer is based on epidemiology and imaging. However, in this case we have the unique opportunity of describing a metastatic cancer that presented as a lip carcinoma with several possible primary sources. Our goal is to guide the reader through the thought process involved with determining the primary malignancy in patients presenting with metastatic disease.

Case Presentation

A 54-year-old female with a 30-pack-year smoking history presented to the …

A Benign Cause Of Widened Mediastinum: A Case Of Mediastinal Lipomatosis, Natasha Fonseka, Md, Ewa Ruel, Md

The Medicine Forum

Introduction

We report a patient with a widened mediastinum secondary to a rare and benign condition known as mediastinal lipomatosis (ML). ML is caused by accumulation of adipose tissue within the mediastinum. Case reports associate JvlL with obesity, diabetes, Cushing's syndrome, steroid use while other cases remain idiopathic.'.. We report a patient with Glioblastoma Multiforma (GBM) on chronic steroids, who was found to have ML on imaging despite lack of obesity or Cushing's syndrome. This case provides significant educational benefit in approaching a patient with a widened mediastinum.

Case Presentation

A 59-year-old male with a history of recurrent GBM status …