Medical Education Commons^™

Vascular Responses During Steady-State Exercise In Adults With Type 1 Diabetes, Ruby A. Nyarko, Ashlesha D. Dalve, Justo Perez Iii, Pratima V. Kumar, Jasdeep Kaur

International Journal of Exercise Science: Conference Proceedings

Type 1 diabetes (T1D) is associated with widespread hyperglycemia-induced vascular damage, which affects both conduit and resistance arteries. This damage has been demonstrated by impaired vasodilatory responses to a 5-minute ischemic stimulus (flow-mediated dilation) and infusion of pharmacological vasodilators in patients with T1D. However, whether this vascular impairment affects blood flow regulation during steady-state exercise in T1D remains unclear. PURPOSE: Herein, we tested the hypothesis that adults with T1D would exhibit blunted forearm blood flow (FBF) and forearm vascular conductance (FVC) during steady-state rhythmic handgrip exercise (RHG), compared to age-matched healthy controls. METHODS: We studied 27 adults (15 …

Examining The Relationship Of E-Cigarette Vapor Exposure And Exercise Performance In Aerobically Trained Rats, Miranda N. Farrar, Nancy Morales

International Journal of Exercise Science: Conference Proceedings

Electronic cigarettes, or e-cigarettes, are alternatives to traditional cigarettes and they are rapidly growing in popularity. These electronic nicotine delivery systems heat up nicotine and vehicle liquids to deliver nicotine to the user via vapor rather than smoke. Although they are touted as a “healthier” alternative to smoking, vape use is associated with changes in heart rate and blood pressure, increased lung inflammation, and reduced mucociliary clearance. Such physiological changes may have an effect on exercise performance and athletic ability. PURPOSE: This study’s purpose was twofold: to train rats to successfully run on a treadmill, and to evaluate the …

Low-Energy Cooling Strategies To Mitigate Thermal Strain Of Older Adults Exposed To Very Hot-Dry Heat, Isa A. Farooqi, Zachary J. Mckenna, Whitley C. Atkins, Elizabeth A. Gideon, Craig G. Crandall

International Journal of Exercise Science: Conference Proceedings

Extreme heat causes morbidity and mortality, particularly among older adults. Although air conditioning can mitigate heat strain, it may be inaccessible due to limited resources, high costs, or power outages. Consequently, cooling strategies other than air-conditioning are needed to mitigate excessive elevations in core temperature and cardiovascular strain in this population. While electric fans offer a low-cost and widely available intervention, their effectiveness in very hot conditions is minimized due to potential increases in heat gain and dehydration. In contrast, skin wetting is a promising low-cost and energy-free cooling strategy that enhances evaporative heat loss. PURPOSE: We tested the hypotheses …

Reliability Of Handgrip Strength Measurements And Their Relationship With Physical Performance Outcomes In Older Women, Alexandra Khartabil, Ty B. Palmer

International Journal of Exercise Science: Conference Proceedings

Handgrip strength measurements, such as peak force and rate of force development (RFD), are effective parameters at characterizing the strength capacities of numerous muscle groups in the upper and lower extremities. Previous studies have determined the reliability of handgrip peak force and RFD in young, college-aged adults. However, the reliability of these measurements in older adults remains unclear. It is also unclear if these measurements are associated with performance during sit-to-stand and medicine ball throw tests. PURPOSE: The primary aim of this study was to examine the reliability of handgrip peak force and RFD measurements in older women. A secondary …

Music Enhances Motor Cortex Excitability In Physically Active Individuals, Anupama Thapa, Ana Carolina Panhan, Erin Lally, Joosung Kim

International Journal of Exercise Science: Conference Proceedings

Music is often used by exercisers and benefits physical performance. The positive effects of music on physical function are induced by the changes in motor cortex excitability while listening to music. Recent studies reveal that modulation of brain excitability in the hand is increased by music but is likely dependent on the characteristics of music tempo, preference, and the individual’s motivational state. No study has explicitly investigated whether music perceived as motivating for exercise creates changes in motor cortex excitability of the quadriceps. PURPOSE: This randomized crossover study examines the effect of the preferred music on motor cortex excitability …

Changes In Gait Patterns: Indicators Of Increased Fall Risk Across Diverse Age Groups, Diego Diaz-Vega, Heontae Kim, Ho Han, Jungyu Lee, Fatima Siddiqua

International Journal of Exercise Science: Conference Proceedings

Gait patterns, including measures such as velocity, step length differential, and various temporal aspects of the gait cycle, are essential indicators of an individual's mobility and balance. With aging, changes in these gait metrics are commonly observed and are closely linked to an increased risk of falls. However, detailed evidence on gait changes across different age groups remains limited, particularly in healthy adults. PURPOSE: The primary aim of this study is to identify key gait metrics and evaluate their potential as indicators of increased fall risk across diverse age groups. METHODS: A total of 252 healthy adults aged …

Accumulated Seasonal Effects Of External Training Load On Performance, Sydnei Mooring, Harsh Buddhadev, Mayrena I. Hernandez, Jennifer Bunn

International Journal of Exercise Science: Conference Proceedings

External training load (ETL), which characterizes the mechanical stress sustained during physical activity, is a key determinant of athletic performance. Understanding seasonal variations in ETL provides valuable insight for optimizing performance and reducing overuse injury risk in volleyball, a sport heavily reliant on vertical jumping actions. PURPOSE: To examine seasonal variations in ETL and performance metrics in high school volleyball athletes, with a specific focus on jump-related mechanical variables. METHODS: This study involved secondary analysis of data collected during a prospective observational study of a 6A high school volleyball team competing in the 2021 Texas University Interscholastic League. Data from …

The Effect Of Menstrual Cycle Phase On Igf-1 And Myostatin After An Acute Bout Of Anaerobic Exercise: A Preliminary Analysis, Kelsi R. Lambright, Cayla Clark, Ashley Latchford, Edwin J. Davila, Dan E. Newmire

International Journal of Exercise Science: Conference Proceedings

Hormonal fluctuations throughout the menstrual cycle influence various physiological processes, including skeletal muscle metabolism. Understanding how anabolic and catabolic pathways respond to anaerobic exercise in females is crucial for uncovering the mechanisms behind muscle adaptations. The limited research on the influence of menstrual cycle fluctuations on muscle metabolism underscores the need for this study and further exploration of exercise physiology in females. PURPOSE: The purpose of this study is to investigate the effects of menstrual cycle phases on the anabolic hormone-insulin-like growth factor-1 (IGF-1) and the catabolic regulator myostatin (GDF-8) in response to a bout of anaerobic exercise in eumenorrheic …

Body Composition Impacts Jump Performance In D1 Athletes, Veronika Kramarenko, Vipa Bernhardt, Michael D. Oldham, Brian Jones, Ouays Bakcha, Chaehyun Byun, Cheyenne Martinez, Joseph Mcclain, Marshall Tousant

International Journal of Exercise Science: Conference Proceedings

INTRODUCTION: Body composition is critical in athletic performance, influencing metrics such as jump height and force production. Variations in body composition, such as increased lean tissue mass and reduced fat mass, have been identified as strong predictors of superior jump performance due to their positive effects on power-to-weight ratios and reduced injury risk (MacDonald et al., 2013). Lean mass is strongly correlated with improved jump performance, as greater lean mass enhances muscle cross-sectional area and, consequently, the force and power generated during physical activities like countermovement jumps (CMJ) (Stephenson et al., 2015). Low body fat percentages are generally associated with …

Developing An Evidence-Based Model For Healthy Stride Length Prediction, Jungyu Lee, Ho Han, Heontae Kim, Diego Diaz-Vega

International Journal of Exercise Science: Conference Proceedings

Stride length is a vital health indicator, reflecting physical fitness and mobility status. Although several existing formulas aim to estimate stride length, many are limited by a lack of scientific validation, especially among healthy, active adults. This study addresses these limitations by developing a validated model based on healthy adults without known mobility impairments, aiming to establish a more accurate, clinically useful standard for stride length estimation. The model provides a reference range for healthy stride length, usable as a tool to identify individuals at risk of mobility issues. PURPOSE: To develop an evidence-based model for predicting stride length …

Pre- To Post-Season Changes In Body Composition And Movement Quality And Quantity In D1 Football Players, Brian Jones, Ouays Bakcha, Chaehyun Byun, Veronika Kramarenko, Cheyenne Martinez, Joseph Mcclain, Marshall Tousant, Vipa Bernhardt, Michael D. Oldham

International Journal of Exercise Science: Conference Proceedings

INTRODUCTION: Body composition may influence an individual's movement efficiency and performance outcomes. Lower body fat percentage may enable individuals, either sedentary or athletic, to perform movements more efficiently, while greater total lean mass may enhance performance in strength and power-related activities. PURPOSE: The purpose of this study was to analyze the changes in collegiate football players’ total lean mass and body fat percentage, as well as movement quantity and quality measures from preseason to postseason. METHODS: Data from a larger study were analyzed for this project. Division 1 male football players (n= 72, 19.6 ± 1.4 yrs) …

The Relationship Between Handgrip Strength And Cardiovascular Risk Factors In Older Women, Adriana N. Guerrero, Emily Sauers

International Journal of Exercise Science: Conference Proceedings

Cardiovascular disease is the leading causes of death in the world. Several clinical trials have found that handgrip strength is associated with lower cardiovascular risk and related death. PURPOSE: The purpose of this study was to explore the relationship between cardiovascular risk factors and handgrip strength. METHODS: Subjects for this study included 8 women from the Congregation of Devine Providence (78.13+7.79 yrs) at Our Lady of the Lake University. Preliminary measures included a medical history questionnaire and the CHAMPS physical activity questionnaire. On the first day of testing, subjects arrived fasted between 7-9am. After a 5-minute rest, blood pressure and …

Does Swearing Improve Exercise Performance And Pain Tolerance?: Cultural Perspective, Jide Yinka Adebiyi, Christos Kyrillou, Elijah Martinez, Anika Patel, Emily Payne, Linsheng Chen, Daroonwan Suksom, Hirofumi Tanaka

International Journal of Exercise Science: Conference Proceedings

Swearing is often generated by self or received from others (e.g., coaches) during physical exertion for various reasons including punctuating the passion, releasing frustration, and resetting the mind. However, the effects of swearing and yelling on exercise performance and pain tolerance remain largely unexplored. Additionally, it is unknown whether individuals from different cultures experience varying degrees of impact of yelling and swearing. PURPOSE: We determined the impact of self-generated and observer-generated swearing and yelling on exercise performance and pain tolerance in individuals living in the US where swearing is often used and heard and in Thailand where such occurrence is …

2025 February 18 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

Improving Vitamin B12 Monitoring In Metformin-Treated Patients: A Quality Improvement Project, Himal Kharel, Zeni Kharel, Abdullah A. Orakzai, Aditya Sanjeevi, Prajjwol D. Bhatta, Ali S. Mohamed, Tripti Jain, Aniket-Vijay Rao, Daniel Idoate Domench, Mouna Reghis, Hassan Saeed

Advances in Clinical Medical Research and Healthcare Delivery

Background: Although periodic vitamin B12 monitoring is recommended for patients on chronic metformin therapy, the recommendation is not adequately followed. Similar quality improvement project in the past had failed due to ongoing COVID-19 pandemic.

Objectives: The main objective of this study is to evaluate the impact of focused educational lectures on vitamin B12 screening rates. Our target study population included diabetics and prediabetics on chronic metformin therapy.

Design: Quality improvement pre-post design

Participants: Internal Medicine residents

Intervention: Educational sessions on the importance of vitamin B12 screening in this population

Outcomes: Proportion of patients undergoing vitamin B12 screening pre and post-intervention …

The Implementation Of Faculty Development In Providing Effective Feedback Utilizing Simulation, Mark Gustafson, Jessica Amos, Lisa Calderwood

Marshall Journal of Medicine

Background

Feedback is important in medical education, but various factors can impact its effectiveness. Feedback frameworks have been created to address these challenges, but simulation-based instruction of these frameworks has not been studied. This study aims to evaluate the effectiveness of instruction utilizing simulation to teach faculty how to deliver feedback.

Methods

Faculty development feedback workshops were held from October 2022 through May 2023 at Charleston Area Medical Center Institute for Academic Medicine. Each workshop consisted of a didactic session and 3 simulated scenarios during which the faculty learner gave feedback to a resident. Surveys were conducted before the workshop, …

Introducing A Point-Of-Care Tool To Teach Health Science Students About Social Determinants Of Health, Cassandra Simpkins, Alexandra Bowman, Kathleen Bors, Meghan Allwes, Lisa Calderwood

Marshall Journal of Medicine

Background

Social determinants of health (SDoH) are recognized as modifiable drivers of optimal health and an opportunity to achieve health equity, yet many clinicians still experience barriers to addressing their patients’ social needs. To help connect patients to supportive resources, the American Academy of Family Physicians developed the Neighborhood Navigator (NN) tool. This study examined the impact of incorporating the NN tool into SDoH education for medical and pharmacy students and examined their perceptions of the tool.

Methods

This prospective study of third- and fourth-year medical and PharmD students included assessments before and after an SDoH learning activity. The survey …

2025 January 21 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

Evaluation Of A Guide To Accessing Accommodations During Medical School Created By And For Students With Disabilities, Nora Newcomb, Emily Coughlin, Zainub Dhanani, Kie Fujii, Lily Upp, Harika Kottakota, Rahul Mhaskar, Andrew Galligan

Journal of Science Education for Students with Disabilities

Medical students with disabilities constitute 7.6% of allopathic (MD) and 4.3% of osteopathic (DO) programs, and they are entitled to reasonable accommodation, per the Americans with Disabilities Act. However, research has demonstrated that disabled medical students often encounter barriers when accessing accommodations. In response to these barriers, Medical Students with Chronic Illness and Disability (MSDCI) National created the MSDCI Guide to Accessing Disability Accommodations During Undergraduate Medical Education (the Guide). We conducted a program evaluation to evaluate the efficacy of the Guide as a resource to the members of MSDCI, a program evaluation was conducted. A Qualtrics survey was distributed …

A Practical Guide To Grade Adjustment Or Curving For Pharmacy And Other Professional Health Programs, Reza Mehvar

Pharmacy Faculty Articles and Research

The peer-reviewed literature on the adjustment or curving of assessments in health profession programs is almost non-existent. This communication aims to present potential methods of grade adjustment for individual questions or entire assessments. Simulated data for a 25-item assessment were used as an example to analyze the effects of different methods of grade adjustment on students’ scores. Grade adjustments were made by adjusting the points for individual questions or the scores for the entire assessment. Adjustment for the individual questions was carried out by dropping the question, adding points to those who missed the question, or adding a bonus point …

From Classroom To Career: The Need For Healthcare Mentorship Programs For Black Female Students, Kayla A. Reed, Daija C. Gibson

CSU Tower Day

Despite growing diversity in the U.S. population, Black women remain underrepresented in healthcare leadership roles. Barriers including limited access to mentorship, systemic bias, and financial constraints, contribute to disparities in career advancement. This research examines the role of culturally competent mentorship programs in addressing these barriers and fostering a diverse healthcare workforce. Drawing from peer-reviewed literature, workforce development models, and Critical Race Theory, this review highlights the impact of mentorship on professional retention, leadership development, and the quality of healthcare delivery in marginalized communities. Findings indicate that mentorship programs designed with cultural awareness improve confidence, networking opportunities, and career trajectory …

Improving Health Literacy Related To Hypertension In A Minority Faith-Based Population, Kasaundra M. Beverly-Marshall, Kasaundra M. Beverly-Marshall

Doctor of Nursing Practice Scholarly Projects

Background: Insufficient research on health literacy related to cardiovascular disease highlights a gap in healthcare. Healthy People 2030 and local community health programs acknowledge gaps in research with future goals to improve health literacy.

Local Problem: The health literacy rate for Winnebago County, IL (41%) is higher than both the State of Illinois and national health literacy rates, which aligns with the results of a community needs assessment survey.

Methods: A community-based health promotion project using a pre-post study design uses the health promotion model to engage participants in advancing cardiovascular health outcomes.

Interventions: DNP student assisted participants in creating …

Graduate Students In Medical School: Navigating Their Roles As Students And Parents, Laura Rafaj

Dissertations of Practice

This narrative inquiry examines the stories of medical students with children and how they manage and balance the demands of their roles as students and parents. Participant stories were used to illustrate the daily lives of medical student parents, highlighting some of the challenges and choices student parents face. Major themes that emerged relating to the needs of medical student parents include: the tools they use to balance their roles, how family status influences their academic and professional choices, how the structure of medical education impacts their experiences, and stigmas they face as a parenting and/or non-traditional student. This study …

Strategies To Enhance Gme Program Coordinator Job Satisfaction And Well-Being, Stuart Slavin, Julie Beckerdale, April L. Mcguire, Linda Ortiz Morrison, Melanie Pigott, Carrie L. Racsumberger, Evangelina Rangel, Bret Stevens, Ramona Tirado, Cynthia D. Thompson, Latoya Wright

Department Dermatology Faculty Publications

[Introduction] Program and institutional coordinators in graduate medical education (GME) have very complex jobs that are often highly pressured and demanding, requiring a diverse skill set to manage effectively. While these positions can be immensely gratifying, the demands and pressures inherent in the roles pose threats to job satisfaction as well as risks to mental health and well-being. A national survey of 6372 coordinators found that 20.4% reported being dissatisfied or very dissatisfied with work, and 27.9% reported being likely or very likely to leave their job in the next year. ¹ Of the coordinators surveyed 36.3% screened positive for …

Awareness Of The Physiological Changes Occurring In Older Adults Can Reduce Dehydration And Electrolyte Imbalances, Lisa Isley

Nursing | Senior Theses

Background: Individuals over 65 years are at an increased risk of dehydration. The physiological changes that occur with age and medication consumption can cause fluid and electrolyte imbalances that can physically and mentally impair individuals over 65 years old. Objective: By providing education to individuals 65 years and older regarding the significance of drinking water and consuming electrolytes daily, older adults can reduce their dehydration symptoms and improve their quality of life. Method: The proposed research is a quasi experimental study geared towards individuals 65 years and older. The quasi-experimental study will include two pre-surveys and then two post-surveys. The …

Contemporary Pain Neuroscience Knowledge And Attitudes Among Students: A Cross-Sectional Study, Sue F. Curfman, William J. Best, Molly T. Williams, Kathryn Schmidt, Amy Rasmussen, Gary P. Austin

Funded Scholarship

Purpose: Healthcare education programs often provide limited training in contemporary pain neuroscience, leaving future professionals ill-prepared to address the pervasive and biopsychosocial problem of chronic pain. Exploration of the level of understanding of contemporary pain neuroscience and the attitudes toward people in pain among university students may help educators identify appropriate roles for students in pain-related interprofessional education. This study assessed and compared knowledge of contemporary pain neuroscience and attitudes and beliefs toward individuals experiencing pain among university students.  

Design: Cross-sectional observational study. Methods: 284 undergraduate and graduate, healthcare and non-healthcare students completed the revised Neurophysiology of Pain Questionnaire and …

Implementing Visual Supports Through Vocational Training Modules For Students Preparing To Exit School-Based Services, Kaitlynn Karthan

Occupational Therapy Doctorate Capstone Projects

Unemployment and underemployment remain persistent barriers for autistic and developmentally disabled individuals, with up to 75% of autistic adults in the United States experiencing difficulty obtaining or maintaining meaningful work. To address this disparity within school-based transition services, this capstone project evaluated the effectiveness of video modeling as an instructional method for vocational skill acquisition among seven young adults with autism spectrum disorder (ASD) and other developmental disabilities (DD). Grounded in the Occupational Justice framework, this study utilized a quantitative pretest–posttest–follow-up quasi-experimental design to measure accuracy and task completion time on two vocational tasks: rolling silverware and filling condiment cups. …

Otolaryngology Applicants' Preferences For Virtual Vs. In-Person Interviews During The 2023-2024 Application Cycle, Taylor S. Erickson, Robert Frederick, Steven D. Pletcher, Aileen Dowden, Dana Dunleavy, Eric J. Dobratz

Department of Otolaryngology (ENT) Faculty Publications

Background Since the shift to virtual residency interviews, applicants and programs have reported difficulty distinguishing themselves in a virtual format, reduced exposure to medical campuses, and limited opportunity to establish personal connections. The 2023-2024 application cycle was the first time virtual and in-person interview formats were available in otolaryngology–head and neck surgery (OHNS). Programs offered one or both formats, and in some cases, applicants were given the choice between the 2.

Objective To assess the perceptions of OHNS applicants regarding virtual versus in-person interviews during the 2023-2024 application cycle.

Methods A 20-question survey was distributed via email through the Association …

Evaluating Pulmonary Tuberculosis Knowledge Deficits Among Nursing Students In The United States, Jamie Lynn Woo

Nursing | Senior Theses

The healthcare field consistently faces patients with a wide range of diseases and illnesses. Pulmonary Tuberculosis is an infectious lung disease with established tools to prevent, detect, and treat it. Yet, there has been a significant rise in cases within the past year. Amidst this troubling situation, it is crucial that all healthcare workers, nursing students, and nurses in particular, are properly educated on caring for TB patients. This research proposal aims to determine if there are TB treatment knowledge gaps among nursing students in the United States by conducting a 20-question survey utilizing the Likert Scale. If results show …

Understanding The Challenges And Satisfaction Among The Medical Professional Preceptors, Cornelia Ko

West Chester University Doctoral Projects

This study evaluates the Penn Medicine Family Medicine Clerkship program through a mixed-methods approach, exploring the challenges and factors influencing the satisfaction of medical professional preceptors when precepting students. A quantitative survey with 54 preceptor participants reveals the top challenges preceptors face: workload, conflicts with patient care, and limited clinical space. Despite this, there is strong support for the program, with 89% of preceptors enjoying the role and 85% expressing willingness to continue to precept for the next three years. Finally, data analysis shows no statistical correlation between preceptor motivation with gender, ethnicity, age group, years of serving, or total …