Medical Education Commons^™

Improving Access To Cardiac Catheterization, Sunitha Dharman

Student Scholarly Projects

The American Heart Association lists cardiovascular disease as the underlying cause of death for 874,613 people who lost their lives in 2019 (Tsao et al., 2022). On average, someone in the United States has a myocardial infarction every 40 seconds, and someone dies of a stroke every 3 minutes and 30 seconds. Studies support coronary artery disease as a significant contributor to cardiac arrest in a non-hospital setting (Yannopoulos et al., 2019). The authors provide evidence supporting the importance of early cardiac catheterization. There is a 10-15% survival rate with a higher level of functioning compared to delayed or no …

Secondary Transition Resources Across New England, Mackayla O’Meara, Hannah Loverdi, Morgan Bassett, Olivia Hand

CAIEP Fall Showcase 2023

Our website focuses on creating an accessible resource for individuals approaching the transition out of secondary education who have intellectual and developmental disabilities. Within the site, there are a variety of resources for every state in New England to provide the user with a single place to find the help and resources they need instead of having to search for them on their own.

Dietary Analysis For Hashimoto’S Thyroiditis: An Integrative Review, Evan Thompson, Alison Hultquist

Master of Science in Nursing Final Projects

Abstract

Hashimoto’s Thyroiditis (HT) is the leading cause of primary hypothyroidism in the United States. In HT, there is an infiltration by lymphocytes which leads to the production of autoantibodies against the thyroid gland. Throughout this integrative review, the aim was to evaluate the effectiveness of micronutrient supplementation and dietary management as adjunct treatments in HT. The purpose was to assist primary care providers in the development of a more holistic plan of care. Literature published within the past seven years was gathered and reviewed from PubMed, CINAHL, and Cochrane Library. Findings indicate that many patients with HT may benefit …

Charting And Checking For Suicidality In A Family Medicine Residency Clinic, Bridget Murphy, Stacy Ogbeide

Journal of Human Services Scholarship and Interprofessional Collaboration

Suicide is a leading cause of death in the United States, and many individuals who die by suicide are likely to have seen a primary care physician (PCP) within the month of their death. Thus, the goal of this quality improvement (QI) project was to examine suicidality documentation practices of interprofessional clinicians within a Family Medicine residency clinic, thus providing rationale for continued research and a template for other clinics to emulate. The QI project used the Plan-Do-Study-Act cycle to survey 28 Family Medicine residents, faculty, and trainees for the Plan stage of the cycle in 2022 and assessed their …

Does Community Of Practice Theory Apply To Virtual Postgraduate Surgical Training?, Sherif Elnikety, Eman Badr

Health Professions Education

Postgraduate surgical training has evolved over centuries as a result of changes in the community, advances in medicine, technological innovations, and the theoretical basis of training and education. The recent pandemic has had a significant effect on postgraduate surgical training. Training has been provided virtually, which has negatively affected the relationship between trainers and trainees. While virtual training has provided a solution for geographical barriers, it did not provide a similar training experience compared to face-to-face interactions. Technical skills, in particular, were extremely difficult to teach virtually. Although the COVID-19 pandemic is over, and daily life is returning to normality, …

Implementing A Nurse-Driven Checklist To Reduce The Incidence Of Hospital Onset Clostridium Difficile Infection, Rebecca Zamora

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Continuous Capnography Monitoring Policy And Implementation For Patients On Continuous Narcotics, Leslie Farrington, Cecille Lamorena Bsn, Rn, Ccrn, Sheta Chan, Richard Urgel, Bsn, Rn, Cmsrn, Elizabeth Winokur

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Fall Prevention In The Emergency Care Center (Ecc), Laura Derr

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Improving Door To Ct Time, Christiane Pepitone

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Proactive High Risk Rounding, Michael Grinenko

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

An Evidence-Based Clabsi Prevention Improvement Project, Susan Hampton-Ash

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Implementing Breastfeeding Education To Improve Breastfeeding Rates, Angela Maietta

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

“Keep Moving Campaign”, Jacqueline Kimani

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

An Evidence-Based Skin Management Improvement Project In The Intensive Care Unit, Chelsea Lannoo

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Miscarriage Awareness In Ecc, Jo Zarnegar

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Use Of Agitation Scale Decision Scoring Grid To Improve Care Of Agitated/Anxious Patients In Dsu, Angelica Taneca, Carmyle Seville

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Triage Re-Education: Impact On Accuracy Of Acuity And Care Provision, Alexandra Rowen

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Utilization Of A Discard Tube For Initial Specimen Diversion During Blood Culture Collection: A Pilot Study On Reduction Of Contaminations, C.J. Pfeiffer, Elizabeth Winokur, Belinda N. Leos

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Guidelines For Maternal Stability For Nicu Visitation, Katrina Munoz

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Handling Delays In Cv Pre-Op, Kristyn Gonzaga

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Early Detection Of Maternal Sepsis, Nicole Evaro

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Music Reduces Procedural Anxiety, Marijoyce Dimatulac

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Contrast Induced Nephropathy, Tessa Cicchella

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Validation Of The Factor Structure Of The Health Professionals’ Attitudes Toward The Homeless Inventory (Hpathi), Susan Toth-Cohen, Maria Brucato, Kerry Dinardo, Richard Hass

JCIPE Posters

Background

- Considerable stigma exists toward persons experiencing homelessness (PEH)—a vulnerable population at greater risk for health disparities.^{1, 2}

- Many healthcare students begin their programs without interacting with PEH and with preconceived notions influenced by societal stigma.

- Interprofessional education programs, such as the Enhancing Services for People Experiencing Homelessness program below, have incorporated experiential learning into curricula to address student biases and develop understanding and compassion.

• Educating students to understand issues that PEH face can help mitigate healthcare disparities.

- Evaluating the effectiveness of these interprofessional educational experiences requires valid assessment of the attitudes, interest, and confidence …

Well-Being And Resilience: A Survey Of Physician Needs During Covid-19, Delta, And Omicron, Melinda M. Wilding

Research Colloquium

Background: Physician moral distress during COVID-19, Delta, and Omicron has resulted in a decrease in self-care and a reduction in empathy for patients. Determining physician well-being and resilience assists clinicians in maintaining pliancy during times of uncertainty.

Methods: An IRB quantitative survey aims to illustrate levels of moral distress, self-care tactics, and physician fortitude during the three waves of the pandemic from 2020-2022. The questionnaire elicits responses regarding how physicians have pivoted to remain healthy during the pandemic, what measures physicians have engaged in maintaining empathy and ethics towards patients, and what physicians need in the future to retain self-care. …

Appropriateness Of Inpatient Transthoracic Echocardiography In A Community Hospital With A New Cardiology Fellowship Program, Christian D. Avalos, Y. Wady Aude

Research Colloquium

Background: The 2011 Appropriate Use Criteria (AUC) for echocardiography was developed to guide in the rational use of high quality cardiovascular imaging. Transthoracic echocardiography (TTE) orders with seemingly inappropriate indications were repeatedly identified at our hospital. Our goals were to identify the percentage of inappropriate TTEs, find a correlation between ordering physicians and appropriateness of TTEs, and reduce the inappropriate use of TTEs in the inpatient setting.

Methods: After implementing a required free-text indication for TTE orders, the indications of 100 random TTEs were retrospectively categorized as appropriate, inappropriate, and uncertain based on the AUC. TTEs for cardiac evaluation prior …

Making Decisions "In The Dark": Learning Through Uncertainty In Clinical Practice During Covid-19, Urvashi Vaid, Henriette Lundgren, Karen E. Watkins, Deborah Ziring, Grace A. Alcid, Victoria J. Marsick, Dimitrios Papanagnou

Division of Pulmonary, Allergy, and Critical Care Medicine Faculty Papers

PURPOSE: The purpose of this study was to explore how decision making and informal and incidental learning (IIL) emerged in the clinical learning environment (CLE) during the height of the Covid-19 pandemic. The authors' specific interest was to better understand the IIL that took place among frontline physicians who had to navigate a CLE replete with uncertainty and complexity with the future goal of creating experiences for medical students that would simulate IIL and use uncertainty as a catalyst for learning.

METHOD: Using a modified constructivist, grounded theory approach, we describe physicians' IIL while working during times of heightened uncertainty. …

Prescribing Protocol For Postoperative Opioids In An Orthopedic Spine Practice, Kelly M. Manda

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: The opioid epidemic is magnified by excessive post-surgery prescriptions. Over six months at an orthopedic spine practice, 50% of patients received two or more opioid refills beyond their first. This highlighted the absence of a clear prescribing policy and emphasized the need for a structured protocol and to promote patient safety.

Aim of the Project: The primary aim was to implement a prescribing protocol to lower opioid refills provided to post-surgical patients in this surgical practice. The desired result was to reduce the number of opioid refills provided to patients after surgery.

Review of the Evidence: Evidence highlighted …

How Risk Perceptions And Level Of Trust Of Information Influence Individuals’ Health Services Usage, Wan-Lin Chang

Research Symposium

Background: When facing health-related issues, decision-making is not an easy thing. Some people look for advice from health care professionals, and some people trust their family members' and friends’ experiences more. Previous studies in health communication have suggested differences across various demographic groups in information seeking access and skills, including variables related to the knowledge gap assumption and individuals' risk perceptions.

Methods: Multiple linear regression and logistic regression are used to examine how individuals’ health risk perceptions influence their health service usage by analyzing the Health Information National Trends Survey (HINTS) 5 Cycle 4. HINTS conducts national surveys to monitor …

Expanding Health Professional Education In The Rio Grande Valley During The Covid-19 Pandemic, Sabrina R. Orta, Samantha G. Alvarado, Shuchita Jhaveri

Research Symposium

Purpose: The COVID-19 Pandemic has prompted innovation in health professional education, such that learners are able to recognize and mitigate healthcare disparities in the outcomes of vulnerable populations. The objective of our project was to increase education on preventing, preparing for, and responding to COVID-19 and other locally prevalent infectious diseases that disproportionately affect RGV communities.

Description: This project had 3 goals: (1) provide learners with virtual patient-interaction simulations (2) provide interactive training modules on the identification, prevention, and treatment of infectious diseases affecting South TX and strategies to increase child vaccinations, and (3) provide learners an opportunity to coordinate …