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Full-Text Articles in Medical Education

Imaging In Acute Neurovascular Emergencies: Optimizing Outcomes In Large Vessel Occlusion Stroke, Chandu Goli, Rohit Patel, Elliott Beard, Anna Liles, Saeed Saleh, Aleeza Namit, Alissa Ongaco, Kevin Steed Ph.D. Feb 2026

Imaging In Acute Neurovascular Emergencies: Optimizing Outcomes In Large Vessel Occlusion Stroke, Chandu Goli, Rohit Patel, Elliott Beard, Anna Liles, Saeed Saleh, Aleeza Namit, Alissa Ongaco, Kevin Steed Ph.D.

Annual Research Symposium

Purpose:

Large vessel occlusion (LVO) stroke is associated with high rates of morbidity and mortality, and patient outcomes are strongly influenced by rapid identification and timely reperfusion. Advances in acute neurovascular imaging have transformed stroke care by enabling precise patient selection, extending treatment windows, and accelerating clinical workflows. The purpose of this project is to evaluate how modern neurovascular imaging strategies influence treatment selection, workflow efficiency, and clinical outcomes in patients with acute LVO stroke.

Methods:

A narrative review of peer-reviewed literature published within the past decade was conducted. The review focused on CT-based imaging (non-contrast CT, CT angiography, CT …


The Need For Accessible Cpr Training, Madilyn Cataloni Feb 2026

The Need For Accessible Cpr Training, Madilyn Cataloni

CAFE Symposium 2026

For my project, I researched how CPR certification can affect an emergency response. From this, I researched Gettysburg College's CPR certification requirements for different departments. I then brainstormed different plans to make CPR certification more accessible to students and employees.


Assessing Social Determinants Of Health Training In Graduate Medical Education: A Narrative Review Using Kirkpatrick’S Model, Surya Namboodiri, Bharathi Gadad, Juan Lopez-Alvarenga, Chelsea Chang Feb 2026

Assessing Social Determinants Of Health Training In Graduate Medical Education: A Narrative Review Using Kirkpatrick’S Model, Surya Namboodiri, Bharathi Gadad, Juan Lopez-Alvarenga, Chelsea Chang

School of Medicine Publications

Social determinants of health (SDOH) training is a critical component of medical education, equipping physicians to address factors such as economic stability, education, and health care access. Despite its importance, the evaluation of SDOH training often focuses on lower-level outcomes, such as learner satisfaction and knowledge assessment, with limited emphasis on behavioral change and patient outcomes. Kirkpatrick’s model offers a validated framework for addressing this gap by categorizing training outcomes into four levels: Reaction, Learning, Behavior, and Results.

By applying Kirkpatrick’s model in combination with Grading of Recommendations Assessment, Development and Evaluation (GRADE) quality assessment and bibliometric network analysis, this …


Jefferson Heart Health (Jhh): A Successful Student-Delivered Motivational Interviewing Pilot Program To Lower Cardiovascular Disease (Cvd) Risk, Nicholas Tomasko, Bs, Cindy Cheng, Md, Phd, Rafael Hernandez, Bs, Alessandra Sapon, Bs Feb 2026

Jefferson Heart Health (Jhh): A Successful Student-Delivered Motivational Interviewing Pilot Program To Lower Cardiovascular Disease (Cvd) Risk, Nicholas Tomasko, Bs, Cindy Cheng, Md, Phd, Rafael Hernandez, Bs, Alessandra Sapon, Bs

Alpha Omega Alpha Research Symposium Posters

Purpose: The Jefferson Heart Health (JHH) program utilizes student health coaching by trained undergraduate and medical students supporting patients to sustain lifestyle changes and subsequently determine: how can we effectively educate patients by improving adherence to lifestyle recommendations? Also, what is the effectiveness of student-delivered health coaching for reducing patient cardiovascular risk? With our unique student-delivered program, we promote cost-effective lifestyle interventions for lowering overall cardiovascular disease (CVD) burden.

Methods: We successfully completed a four-week pilot with consistent patient attendance. Certified student JHH coaches, supervised by the certified obesity-management specialist and principal investigator, met weekly with 23 patients: 82.6% female/17.4% …


Patient Wait Time And Throughput Interventions In The Cardiology Outpatient Setting, Chioma Ohiri Tawose Feb 2026

Patient Wait Time And Throughput Interventions In The Cardiology Outpatient Setting, Chioma Ohiri Tawose

Electronic Theses and Dissertations

Healthcare collaboration and patient care require effective communication. Poor communication impacts wait time. Inadequate communication in the outpatient cardiology clinic can lead to disruptive patient throughput, or workflow, and extend patient length of visit. The purpose of this project was to implement a means of communication for clinicians and healthcare assistants to improve patient flow and cut down idleness, ultimately reducing patient wait time. The project established the incorporation of a built-in electronic health record communication notification system, the Event Button, for asynchronous communication between staff. A quantitative quality improvement design was used to conduct this project. Inferential and descriptive …


Factors Influencing Match Success In Integrated Vascular Surgery Residency Programs From 2019 To 2023, Antony A. Fuleihan, Melissa C. Xu, Scott H. Koeneman, Paul J. Dimuzio, Babak Abai, Michael Nooromid Jan 2026

Factors Influencing Match Success In Integrated Vascular Surgery Residency Programs From 2019 To 2023, Antony A. Fuleihan, Melissa C. Xu, Scott H. Koeneman, Paul J. Dimuzio, Babak Abai, Michael Nooromid

Department of Surgery Faculty Papers

INTRODUCTION: Integrated vascular surgery residency (IVSR) programs have grown increasingly competitive. However, the factors influencing successful matching remain unclear. This study evaluates the impact of medical school and applicant characteristics on IVSR match outcomes.

METHODS: A list of ACGME-accredited IVSRs was obtained from the Society for Vascular Surgery, and resident data from the 2019-2023 match cycles were collected from publicly available sources. Applicant characteristics consisted of additional graduate degrees, Alpha Omega Alpha (AOA) status, and research productivity. Medical school characteristics consisted of ranking, research funding, vascular surgery interest group (VSIG) presence, and vascular surgery faculty size. Logistic regression models were …


Comparing Educational Pathways For Denturists To Become Maxillofacial Prosthetic Specialists In The Us And The Uk, Minseok Kim Jan 2026

Comparing Educational Pathways For Denturists To Become Maxillofacial Prosthetic Specialists In The Us And The Uk, Minseok Kim

Oral Health

Abstract

In the absence of formal training, licensure, and professionalism, this scientific literature review will seek to include denturists in the American maxillofacial prosthetics industry. Denturists are oral health professionals who perform oral examination, design, manufacture, and place removable oral prostheses. In other regions of the world, they are also known as clinical dental technologists and dental prosthetists. This practice is not widespread in the US. The review can also be assessed on the model mediated by PRISMA, which is concentrated on the experiences of international education in the United Kingdom, Canada, and Australia, where the concentration further revolves around …


Annals Journal Club: How Patients Value Visits, Taylor Drew, Michael E Johansen Jan 2026

Annals Journal Club: How Patients Value Visits, Taylor Drew, Michael E Johansen

Medical Education Articles

No abstract provided.


Late-Career Transitions From Private Practice To Academic Dermatology: Financial Drivers, Professional Rewards, And Practical Steps, Joshua R. Jennings, Thomas Helm, Jeremy D. Jackson, Robert T. Brodell, N A Jan 2026

Late-Career Transitions From Private Practice To Academic Dermatology: Financial Drivers, Professional Rewards, And Practical Steps, Joshua R. Jennings, Thomas Helm, Jeremy D. Jackson, Robert T. Brodell, N A

School of Medicine

Independent practice dermatology once promised near-total clinical autonomy and robust profit margins, yet more and more dermatologists have been leaving their “private” practices and contemplating a mid- or late-career move to academia [1]. Openings are available! Over the last 25 years, many academic health centers have evolved to engage clinician educators in support of their educational mission, which requires more clinical rotations for larger student bodies and to provide income to offset losses in research support [23, 39]. Leaving private practice is neither anecdotal nor sentimental; it reflects quantifiable changes in reimbursement, overhead, and the …


A Strategy For Surge Management: Senior Residents On The Admitting Frontlines, Hamza Saifuddin, Oliver Yockey, Rachelle Pichot, Gwendolyn Brainard, Samantha Labay, Michael S. Wang Jan 2026

A Strategy For Surge Management: Senior Residents On The Admitting Frontlines, Hamza Saifuddin, Oliver Yockey, Rachelle Pichot, Gwendolyn Brainard, Samantha Labay, Michael S. Wang

Journal of Community Hospital Internal Medicine Perspectives

Hospitals adapt to surges in a variety of ways, including expediting admitting and discharge procedures, hiring temporary staff and locums to meet increased demand, and temporarily expanding or creating facilities. To mitigate negative effects associated with surges, a small community-based hospital’s Internal Medicine (IM) residency program and hospitalist program collaborated by shifting senior residents into admitting physician roles with indirect supervision to meet increased surge needs. This shift allowed an admitting attending physician to shift to a newly created rounding service and, on average, the number of rounding services was increased from seven to nine. Over a fifteen-month period (five …


Embedding Interprofessional Education In Pediatric Clerkships: Lessons From Nebraska’S Tracking Infant Progress Statewide (Tips) Program, Grace E. Berentson, Liliana Bronner, Paige Hardy, Neil Kalsi, Brianna Brei, Kerry Miller Jan 2026

Embedding Interprofessional Education In Pediatric Clerkships: Lessons From Nebraska’S Tracking Infant Progress Statewide (Tips) Program, Grace E. Berentson, Liliana Bronner, Paige Hardy, Neil Kalsi, Brianna Brei, Kerry Miller

Posters and Presentations: Munroe-Meyer Institute

Background: NICU graduates experience disproportionate developmental and health challenges. Their families face barriers to equitable care including access to coordinated follow-up services. Traditional medical education rarely exposes students to authentic interprofessional models of care that address these inequities. The Tracking Infant Progress Statewide (TIPS) program provides developmental, social, and medical follow-up for NICU graduates across Nebraska, bringing together physicians, nurse practitioners, child developmental specialists, and nurses in a single family-centered visit. Embedding third-year medical students into this setting models collaborative practice, builds understanding of interprofessional competencies, and fosters awareness of systemic inequities affecting NICU families. This innovative curricular approach differs …


The Efficacy And Safety Of Laparoscopic Cholecystectomy For Acute Cholecystitis: A Descriptive Study, Michael Lawenko, Marie Abigail Dumlao Jan 2026

The Efficacy And Safety Of Laparoscopic Cholecystectomy For Acute Cholecystitis: A Descriptive Study, Michael Lawenko, Marie Abigail Dumlao

The Lasallian Journal of Health

Objectives: Laparoscopic Cholecystectomy (LC) is gaining traction to become a safe and effective surgical option for Acute Cholecystitis (AC). In our institution, the trend toward laparoscopic management of AC has only recently gained traction. The objective of this study is to describe the early experience of our institu tion utilizing LC. Methods: This descriptive study involved a retrospec tive analysis of early institutional cases of LC. Included were cases with both pre- and post-operative diagnoses of AC, as well as cases admitted for non-AC conditions but found to have incidental AC postoperatively. Cases were further categorized into severe (SAC) and …


The Five-Step Teaching Method Vs Demo-Return Demo Of Laparoscopic Camera Manipulation On Medical Students: A Randomized Controlled Trial In A Philippine Medical School Curriculum, Michael Lawenko Jan 2026

The Five-Step Teaching Method Vs Demo-Return Demo Of Laparoscopic Camera Manipulation On Medical Students: A Randomized Controlled Trial In A Philippine Medical School Curriculum, Michael Lawenko

The Lasallian Journal of Health

Objectives: This study aims to examine if laparoscopic camera manipulation, using the five-step teaching method, is more effective than the traditional demoreturn demo method in developing psychomotor and visuospatial skills in fourth year medical students. Methods: Randomization was done to create two groups (n = 129). One group, (n = 70), received training using the five-step method: (1) conceptualization, (2) visualization, (3) verbalization by the preceptor, (4) verbalization by the student, and (5) practice. The other group, (n = 59), followed the traditional demo-return demo method. Psychomotor and visuospatial skills of the students were assessed using a rubric. The subjective …


Assessment Of Non-Clinical Time Expenditures By Academic Emergency Medicine Faculty, Barry J. Knapp, Charles S. Graffeo, Francis L. Counselman, Donald V. Byars, Martin D. Klinkhammer, Jondavid D. Landon Jan 2026

Assessment Of Non-Clinical Time Expenditures By Academic Emergency Medicine Faculty, Barry J. Knapp, Charles S. Graffeo, Francis L. Counselman, Donald V. Byars, Martin D. Klinkhammer, Jondavid D. Landon

Eastern Virginia Medical Journal

Introduction: In 2020, the Accreditation Council for Graduate Medical Education (ACGME) approved the Residency Review Committee for Emergency Medicine (RRC-EM) revisions to the program requirements. Revisions mandated that Program Directors (PDs) receive 50% full-time equivalent (FTE) non-clinical time, and Associate Program Directors (APDs) receive 35% FTE non-clinical time for administrative and teaching responsibilities for a program our size at the Department of Emergency Medicine, Macon & Joan Brock Virginia Health Sciences Eastern Virginia Medical School at Old Dominion University. Objective: To quantify the actual administrative time our residency leadership team— including the PD, APD, Department Chair, and core faculty— used …


Enhancing Resilience And Reducing Burnout In Oncology Nurse Practitioners Through The “Three Good Things” Intervention, Ernestine A. Muanya Jan 2026

Enhancing Resilience And Reducing Burnout In Oncology Nurse Practitioners Through The “Three Good Things” Intervention, Ernestine A. Muanya

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Burnout among oncology nurse practitioners (NPs) threatens clinician well-being, care quality, and workforce retention. The World Health Organization (2019) defines burnout as a workplace condition caused by chronic unmanaged stress. Nationally, over half of healthcare professionals report burnout symptoms, with high rates in oncology (Deriglazov et al., 2025). In Texas, nearly 48% of advanced practice providers report emotional exhaustion and job-related stress (Patel et al., 2024). Objective: This single-group pre–post quality improvement project evaluated an eight-week, app-based Three Good Things (3GT) intervention to reduce burnout and enhance resilience among 19 breast medical oncology nurse practitioners at a comprehensive …


Gritty Residents: Starting Residency With Resiliency, R Levi Sundermeyer, Brock Cardon Jan 2026

Gritty Residents: Starting Residency With Resiliency, R Levi Sundermeyer, Brock Cardon

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.


Improving Sepsis Order Set Utilization Through Targeted Resident Education: A Lean Six Sigma Green Belt Quality Improvement Project, Sarah Sheikh, Puneeth Shridhar, Bushra Bangash, Valerie Chukelu, Tonya Meirhofer, Arunima Jose, Zainab Shakir, Shane Jenks, Augusto Sepulveda, Trung Nguyen, Rajeev Raghavan Jan 2026

Improving Sepsis Order Set Utilization Through Targeted Resident Education: A Lean Six Sigma Green Belt Quality Improvement Project, Sarah Sheikh, Puneeth Shridhar, Bushra Bangash, Valerie Chukelu, Tonya Meirhofer, Arunima Jose, Zainab Shakir, Shane Jenks, Augusto Sepulveda, Trung Nguyen, Rajeev Raghavan

Gulf Coast Division GME Research Day 2026

No abstract provided.


Echoes Of Murder: A Simulation Learning Experience, Cristina Lee, Amanda Dybedahl, Kristen Marshall, Greg Hicks, Mary Elizabeth Hicks Jan 2026

Echoes Of Murder: A Simulation Learning Experience, Cristina Lee, Amanda Dybedahl, Kristen Marshall, Greg Hicks, Mary Elizabeth Hicks

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.


Advancing Screening For Intimate Partner Violence In Pregnant Individuals Throughout The Perinatal Period To Prevent Adverse Pregnancy And Maternal Outcomes, Emilia R. Valdez Jan 2026

Advancing Screening For Intimate Partner Violence In Pregnant Individuals Throughout The Perinatal Period To Prevent Adverse Pregnancy And Maternal Outcomes, Emilia R. Valdez

Nursing | Senior Theses

Background: Intimate Partner Violence experienced by pregnant individuals contributes to adverse pregnancy outcomes and maternal health. A mother’s exposure to Intimate Partner Violence (IPV) can affect their ability to carry a healthy pregnancy to term (38 – 40 weeks gestational age) and places them at risk for comorbidities including; Preterm birth, Intrauterine Growth Restriction, Low Birth Weight/ Small for Gestational Age, Premature Rupture of Membranes and Miscarriage. The incidence of IPV screening is not accessible to all pregnant individuals due to healthcare providers lack of education, time constraints in the workplace, bias and discomfort towards IPV. The implementation of IPV …


Reverse Koebner Phenomenon In Linear Scalp Morphea Following Punch Biopsy: A Rare Therapeutic Response, Suhas C. Gowda, Akshay Samagani, Shreyas C. Gowda Jan 2026

Reverse Koebner Phenomenon In Linear Scalp Morphea Following Punch Biopsy: A Rare Therapeutic Response, Suhas C. Gowda, Akshay Samagani, Shreyas C. Gowda

Digital Journal of Clinical Medicine

Morphea is a chronic immune-mediated fibrosing disorder characterized by excessive collagen deposition in the skin. Linear morphea of the scalp (en coup de sabre) commonly demonstrates the Koebner phenomenon, wherein lesions develop at sites of trauma; however, the reverse Koebner phenomenon—trauma-induced regression—is exceptionally rare. We report an unusual case of linear scalp morphea showing early regression following a diagnostic punch biopsy. A 71-year-old male presented with an asymptomatic, indurated linear plaque on the scalp of two months’ duration. Histopathology from a 3.5-mm punch biopsy confirmed morphea, demonstrating dense collagen bundles with lymphoplasmacytic infiltrate. At follow-up eight days after …


Use Of Preference Signals In Family Medicine Residency Recruitment, John E. Snellings, Hanwen Miao, Daniel L. Meyer, Miranda A. Moore Jan 2026

Use Of Preference Signals In Family Medicine Residency Recruitment, John E. Snellings, Hanwen Miao, Daniel L. Meyer, Miranda A. Moore

Department of Family and Community Medicine Faculty Publications

Background and Objectives: Increases in graduate medical education application volume led to the introduction of preference signaling—a tool within the Electronic Residency Application Service that allows applicants to signal their sincere interest to a limited number of programs. This study aims to evaluate how family medicine program directors used preference signals during the 2023–2024 recruitment season, the first year this tool was available to family medicine programs. Understanding program director perspectives on preference signal utility is crucial for determining the tool’s impact on the residency selection process.

Methods: Data were collected through the Council of Academic Family Medicine Educational Research …


Determinants Of Successful Neurosurgery Match Among Do Graduates: A Retrospective Analysis Of 111 Matched Applicants, Ankush Chandra, Alexander Hayes, Cameron Ehsan, Laura Zima, James Trippett, Angel Bueno, Jun Kim, Walter R. Johnson, Manish Aghi Jan 2026

Determinants Of Successful Neurosurgery Match Among Do Graduates: A Retrospective Analysis Of 111 Matched Applicants, Ankush Chandra, Alexander Hayes, Cameron Ehsan, Laura Zima, James Trippett, Angel Bueno, Jun Kim, Walter R. Johnson, Manish Aghi

Gulf Coast Division GME Research Day 2026

No abstract provided.


Cultivating Humanity: A Scalable Blueprint For Celebrating Humanism In Graduate Medical Education, Edrianna Mae Ablola, Grace Desrochers, Shuchita Jhaveri, A Charales, L Tatineni, Marelle Montanez, Shane Jenks, Rajeev Raghavan Jan 2026

Cultivating Humanity: A Scalable Blueprint For Celebrating Humanism In Graduate Medical Education, Edrianna Mae Ablola, Grace Desrochers, Shuchita Jhaveri, A Charales, L Tatineni, Marelle Montanez, Shane Jenks, Rajeev Raghavan

Gulf Coast Division GME Research Day 2026

No abstract provided.


Education For Residents And Patients On Pain Management For Gyn Procedures, Claire Moen, Jeffrey Edwards, Dominique Rehl, Kenyon Weidle Jan 2026

Education For Residents And Patients On Pain Management For Gyn Procedures, Claire Moen, Jeffrey Edwards, Dominique Rehl, Kenyon Weidle

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.


Integration Of Ai Resources To Enhance Obstetric And Gynecology Resident Education, Victoria Ruggiero, Cameron Stokes, Nicole Tenzel Jan 2026

Integration Of Ai Resources To Enhance Obstetric And Gynecology Resident Education, Victoria Ruggiero, Cameron Stokes, Nicole Tenzel

North Texas GME Research Forum 2026

Background: Graduate medical education faculty, while responsible for overseeing the clinical training of their residents, are additionally tasked with providing effective resident education. AI offers a potential solution to enhance development and delivery of educational topics to their trainees, while decreasing the time needed to prepare formal education resources. This study aims to evaluate resident satisfaction for different learning tools generated by AI platforms while also assess their retention of clinical content.

Methods: Three topics related to menopause were identified: (1) Menopause Physiology and Diagnosis, (2) Hormonal Therapy for Treatment of Vasomotor Symptoms, and (3) Treatment of Genitourinary symptoms. Evidence-based …


The Scope Effect: A Quality Improvement Initiative To Enhance Communication, Awareness, And Connection In Family Medicine Residency, Shana-Kay Lambert-Johnson, Amy Nguyen-Pham, Tasaduq Mir Jan 2026

The Scope Effect: A Quality Improvement Initiative To Enhance Communication, Awareness, And Connection In Family Medicine Residency, Shana-Kay Lambert-Johnson, Amy Nguyen-Pham, Tasaduq Mir

North Texas GME Research Forum 2026

No abstract provided.


Beyond The Assumption: A Comparison Of Resident And Attending Prescribing Errors In Ambulatory Care, Shana-Kay Lambert-Johnson, Megan Wesling, Keneisha Houston, Isabel Vecino, Tasaduq Mir Jan 2026

Beyond The Assumption: A Comparison Of Resident And Attending Prescribing Errors In Ambulatory Care, Shana-Kay Lambert-Johnson, Megan Wesling, Keneisha Houston, Isabel Vecino, Tasaduq Mir

North Texas GME Research Forum 2026

BACKGROUND: Medication prescribing errors remain a leading cause of preventable patient harm in ambulatory care. This study examined whether the severity, frequency, and distribution of medication prescribing errors differ between residents and attendings in outpatient settings to inform graduate medical education (GME) and system-level medication safety strategies.

METHODS: This retrospective observational study was conducted across a multi-specialty ambulatory care network. Ambulatory medication-related events involving residents and attendings occurring between January 1 and December 31, 2025, were identified through voluntary reporting in a cloud-based risk management system. Events were categorized by prescriber role and classified using the National Coordinating Council for …


Bridging The Gap: A Review Of Gender Disparity In General Surgery, Christine Castillo, Rachael Wong, Mike Liang, Julie Holihan, Devi Bavishi, Kush Brahmbhatt, Rebecca Franks, Karla Bernardi, Michele Loor Jan 2026

Bridging The Gap: A Review Of Gender Disparity In General Surgery, Christine Castillo, Rachael Wong, Mike Liang, Julie Holihan, Devi Bavishi, Kush Brahmbhatt, Rebecca Franks, Karla Bernardi, Michele Loor

Gulf Coast Division GME Research Day 2026

No abstract provided.


Understanding Resiliency In Nrmp Match Applicants Pursuing Orthopaedic Surgery Residency, Sean Mcmillan, Shelby Ramsey, Brian Truong, Manuel Pontes, Charlie Yoo, Efstratios Papdelis, Elizabeth Ford, Robert Garner, William Diciurcio Jan 2026

Understanding Resiliency In Nrmp Match Applicants Pursuing Orthopaedic Surgery Residency, Sean Mcmillan, Shelby Ramsey, Brian Truong, Manuel Pontes, Charlie Yoo, Efstratios Papdelis, Elizabeth Ford, Robert Garner, William Diciurcio

MidAmerica Division GME Healthcare Symposium 2026

No abstract provided.


Introducing Education For Sensory Approaches In Mental Health-Related Emergency Department Visits: A Quality Improvement Project To Enhance Patient-Centered Care, Jesse O'Neill Jan 2026

Introducing Education For Sensory Approaches In Mental Health-Related Emergency Department Visits: A Quality Improvement Project To Enhance Patient-Centered Care, Jesse O'Neill

Master's Theses and Capstones

Background: Barriers to specialty care access have resulted in emergency departments (ED) operating as temporary psychiatric hold facilities for their communities. Patients boarding in the ED are demonstrated to use a disproportionate percentage of facility resources with minimal benefit to the patient. The Institute for Healthcare Improvement identifies the impact of the healthcare environment on patient outcomes and suggests staff training to foster trauma-informed practice culture (Schall et al., 2020).

Local Problem: High-stress healthcare environments can escalate maladaptive patient behaviors and the use of restrictive interventions. Traditional use of restrictive interventions lacks supportive evidence and contradicts person-centered care goals (Molloy …