Medical Education Commons^™

A Multi-Wave Study Of Factors Associated With Resident Engagement, Depression, Burnout, And Stay Intent, Anne M. Brafford, Brendon Ellis, Greg Guldner, Gabrielle Riazi, Xitao Liu, Jessica C. Wells, Jason T. Siegel

HCA Healthcare Journal of Medicine

Background

Many studies have documented the epidemic of mental ill-being among resident physicians, but fewer have focused on mental well-being or on guiding intervention design to make progress toward positive change in residency programs to support resident thriving. Informed by the job demands-resources model (JD-R) and positive psychology, the current study examines 4 potential predictors of residents’ ill-being (burnout, depression) and well-being (engagement, stay intent) that are malleable and thus capable of change through intervention: psychological capital (PsyCap), supervising physicians’ autonomy-supportive leadership style (ASL), social support, and meaningful work.

Methods

Three waves of data were collected between November 2017 and …

A Qualitative Follow-Up To A Survey Of Program Directors On Wellness Programming At A Large Healthcare Organization: Interviews Of High- And Low-Exemplar Programs, Sabrina Menezes, Kelsey M. Carpenter, Alexander W. Marshburn, Stephanie Ramirez, Gregory Guldner, Jessica C. Wells, Jason T. Siegel

HCA Healthcare Journal of Medicine

Background

The current research used a qualitative approach to understand which factors facilitate and hinder wellness programming in residency programs.

Methods

Program directors identified from a previous quantitative study as having residency programs with notably more or less resident wellness programming than others (ie, high- and low-exemplars, respectively) were contacted. In total, semi-structured interviews were conducted over Zoom with 7 low-exemplars and 9 high-exemplars.

Results

The results of this qualitative examination suggest common themes across the 2 exemplar groups, such as wanting more resources for resident wellness with fewer barriers to implementation, viewing wellness as purpose-driven, and seeing wellness as …

A Nation-Wide Survey Of Program Directors At A Large Health Care Organization: Prevalence And Perceptions Of Resident Wellness Activities, Alexander W. Marshburn, Gabrielle Riazi, Sabrina Menezes, Stephanie Ramirez, Gregory Guldner, Jessica C. Wells, Jason T. Siegel

HCA Healthcare Journal of Medicine

Background

This study evaluated wellness programs in a large hospital network to determine residency program directors’ (PDs) perspectives on their wellness programs' state, including wellness prioritization, frequency of wellness activities, and wellness’ influence on decision-making across organizational levels.

Methods

In 2021, 211 PDs were sent surveys on program policies, program implementation frequency, perceptions of the administration’s ability to prioritize wellness, funding sources, and perceptions of resident wellness’ impact on decision-making.

Results

Among 211 contacted programs, 148 surveys were completed (70.1%). The majority reported having wellness programs, committees, and funding. Fewer than 25% reported having a chief wellness officer. PDs perceived …

Autonomy Versus Independence: Implications For Resident And Faculty Engagement, Performance, And Well-Being, Adam P. Neufeld, C. Scott Rigby

HCA Healthcare Journal of Medicine

Research shows that when educational leaders support their learners’ autonomy, it positively impacts both parties. This is particularly important in graduate medical education (GME), given that there is a strong emphasis on resident performance, evaluation, and development. Unfortunately, GME faculty often misunderstand autonomy as the resident’s desire for independence or “freedom,” when in fact it refers to the core psychological need to feel volitional and agentic. The distinction is important because volition is not synonymous with independence, and providing freedom can be at odds with strategies that provide true autonomy support. This, in turn, can contribute to the stress, maladjustment, …

Doctor Who?: Norms, Care, And Autonomy In The Attitudes Of Medical Students Towards Ai Pre And Post Chatgpt, Andrew Prahl, Kevin Tong Weng Jin

Human-Machine Communication

This study adopts the combined TAM-TPB model to investigate attitudes and expectations of machines at a pre-career stage. We study how future doctors (medical students) expect to interact with future AI machinery, what AI usage norms will develop, and beliefs about human and machine autonomy. Semi-structured interviews were conducted. Wave one occurred six-months prior to the public release of ChatGPT; wave two occurred in the 6 months following. Three themes emerged: AI is tomorrow, wishing for the AI ouvrier, and human contrasts. Two differences were noted pre- versus post-ChatGPT: (1) participants began to view machinery instead of themselves as the …

Rethinking Medical Quality Training During Residency, Salih Selek

Teaching in Clinics

A brief editorial on medical quality training

2024 Uthealth & Memorial Hermann Quality Symposium Abstracts, Salih Selek

Teaching in Clinics

Every year, the UTHealth McGovern Medical School and Memorial Hermann-Texas Medical Center jointly organize a Quality Symposium, where oral and poster presentations spotlight the outstanding efforts in quality improvement initiatives ongoing at both institutions. Sixty-three teams dedicated to Quality Improvement were chosen to present their projects during the afternoon Poster Session. The abstracts included in this compilation offer a glimpse into the remarkable Quality Improvement endeavors showcased at the 2024 Quality Symposium.

Investigation Into Electronic Resources Utilization And Evidence-Based Medicine Practice Among Resident Doctors In Nigeria, Oluwatoyin Obinyan

Library Philosophy and Practice (e-journal)

This paper explored electronic resources utilization and evidence-based medicine practice of resident doctors in teaching hospitals in South-East Nigeria. Survey research design was adopted in the study and the population for the study was 1031 resident doctors in three teaching hospitals in south-East, Nigeria. Proportionate sampling technique was used and data were collected with the aid of questionnaire and key informal interviews. The reliability test of the variables ranged from α = 0.81 - 0.99. A response rate of 90.6% was obtained. Data collected were analysed using descriptive statistics. The findings revealed that standard EBM is been practiced to a …

Impact Of Librarian-Mediated Literature Search Services, Frances Chu

2024 Swedish Learning and Celebration Day

No abstract provided.

Plagiarism, Richard Alweis, Nagesh Jadhav

Rochester Regional Health authored publications and proceedings

Learning objectives:

• Plagiarism overview
• A special case: large language models (LLM) and academic writing

Use Of Internet Resources Among Mbbs/Bds Students: The Case Of Clinical Students In A Medical School In Nigeria, Samuel Bello

Library Philosophy and Practice (e-journal)

Background: The Internet has been identified as a multipurpose technology that has become the world’s biggest library where information resources can be accessed with a simple mouse click away. The immense contributions of the tool in academia necessitated the efforts of some universities and Colleges to create an enabling environment, such as low or no-cost Internet access, for new students who need an Internet connection to survive on campus. This study investigated the Use of Internet Resources among MBBS/BDS Students: The Case of Clinical Students in a Medical School in Nigeria

Objectives: This study aimed to investigate the use of …

A Qualitative Exploration Of Well-Being In Cancer Survivorship: Implications For Counselors, Hallie M. Sylvestro, Lindsey K. Umstead, Heather Delgado, Christopher Lawrence, Keith Mobley, Kelly L. Wester, Andrew Wood

Adultspan Journal

Adult cancer survivors represent an important–and growing–population that could benefit from counseling services. This study employed consensual qualitative research to examine the well-being experiences of eight cancer survivors. Findings suggest a broad range of changes to individual well-being following cancer diagnosis and treatment, and indicate counseling can provide an ideal setting for processing such changes. Recommendations for counseling practice and future research are provided.

Librarian Support For Graduate Medical Education: 5-Year Check-In, Abby L. Adamczyk, Mlis, Ahip, Gary Kaplan, Mslis, Ahip, John Caruso, Md

Academic Commons and Scott Memorial Library Staff Papers and Presentations

Background

The SKMC Office of the Dean through its Graduate Medical Education (GME) Section identified a need for more comprehensive support for GME research efforts. This was intensified as the residency program requirements began to formalize the expectations and quantification of scholarly output for both trainees and core GME faculty.1 In consultation with the Director of the Academic Commons, this GME-focused position was conceptualized to better meet the needs of our residents and faculty, and thus enhance the scholarly projects of our GME constituency. This would build on existing scholarly support2 including professional writing services.3 As part of the Information …

Making The Most Of Artificial Intelligence And Large Language Models: A Novel Approach For Book Recommendation And Discovery In Medical Libraries, Ivan Portillo, David Carson

Library Presentations, Posters, and Audiovisual Materials

This poster presentation evaluates the use of Artificial Intelligence and large language models (LLMs) to assist health science libraries in recommending and discovering book titles as part of their collection development. Using pre-determined prompts, the researchers evaluated ChatGPT 4.0, Bing Chat, and Google Bard as recommender systems for book discovery and ranking existing titles.

Highlighting Health And Diversity: Curating Digital Exhibits To Promote Online Resources Across Cultural Months, Ivan Portillo, David Carson

Library Presentations, Posters, and Audiovisual Materials

This poster presentation demonstrates how digital exhibits can be leveraged to promote health literacy and enhance health education by creating awareness of resources to benefit diverse cultural and ethnic groups. It showcases examples of online exhibits that highlight health-related information, history, and resources to address health disparities and promote health equity among different populations.

Transition Skills Lab: A Telehealth Intervention For Improving Healthcare Transition In Youth With Special Health Care Needs, Angela Combs, Alaina Linafelter, Jordan Sevart, Michele H. Maddux

Research Days

The goal of this abstract is to evaluate youth skill-building and confidence across health care tasks through the virtual Transition Skills Lab.

Long-Term Physical And Emotional Functioning In Children Following Intensive Interdisciplinary Pain Treatment For Amplified Pain Syndrome, Sabrina Ung, Jacqueline Pabis Phd, Jenny Scheurich Phd, Dustin Wallace Phd

Research Days

The current study aimed to examine the efficacy of pediatric interdisciplinary pain treatment (IIPT) several years after treatment completion by exploring mean-level changes of physical and mental health functioning pre-intervention, post-intervention, and at follow-up 2 to 6 years after IIPT completion.

Casar Auc Community Only Lecture: Men, Women’S Body Autonomy & Gbv Crimes In Egypt, Us & Canada: Why Men Need To Step Up For The Education Of Women's Body Autonomy, The Prince Alwaleed Center For American Studies And Research Casar

Performances, Events, and Presentations

This was a hybrid CASAR AUC community only lecture titled: ‘Men, Women’s Body Autonomy & GBV crimes in Egypt, US & Canada’: Why men need to step up for the education of women’s body autonomy.

This lecture featured Tadwein from Egypt, Women’s Advocates from the US & London Abused Women's Counseling Center from Canada (via Zoom). This lecture was part of course AMST 1091 ‘Exploring Feminist Perspectives in Egypt & the US’ (core curriculum pathways two- American studies) taught by Yasmeen El-Ghazaly, CASAR Assistant to Director & Adjunct Faculty - Wednesday May 15th, 2024

The lecture pondered on the following …

Exploring Social Workers Potential Role In Mitigating Maternal Mortality Through Coordinated Care, Jena Brown-Talib

Honors Theses

Maternal health disparities persist as a significant challenge in Mississippi, particularly for African American women. This thesis explores the intersection of coordinated care models and social work interventions in addressing maternal mortality. Coordinated care involves collaboration among physicians, nurses, practitioners, social workers, community health workers, and other support services, aiming to maximize pregnant patients' overall health outcomes.

Analyzing strategies of social workers within coordinated care models is important for improving maternal health outcomes within this study. A qualitative approach was chosen to delve beyond statistics and illuminate the reality of maternal health disparities and the efforts to resolve them. Data …

Emotion Regulation Strategies And Perceived Emotional Intelligence: The Effect Of Age., Iwanna Sepiadou

Adultspan Journal

The aim of this study was to investigate the relationship between perceived emotional intelligence and the reported use of cognitive reappraisal and expressive suppression. We also investigated the possible effects of age on the aforementioned variables. The total sample consisted of 379 people (158 men, 220 women, 1 unreported). Across participants, 273 were young (20-39 years old) and 106 were middle-aged (40-65 years old). We found statistically significant positive correlations between the dimensions of perceived emotional intelligence and the reported use of cognitive reappraisal and negative primarily correlations between the dimensions of perceived emotional intelligence and the reported use of …

Mortality In Medicine, Maren Dougherty

Honors Projects

Practitioners in the medical field attend to health issues across one’s lifespan from birth to death and everything in between. A common conflict in today’s practice of medicine is establishing the true function of medicine. The complete reliance on medicine to ward off death proliferates the biomedicalization of natural life processes, like death. Biomedicalization is the process in which medical authority and its accompanying technology begin to control other aspects of daily life. With medicine’s ultimate goal being to cure disease and fight death, it interferes with the inevitability of human mortality. End-of-life treatment can be taken too far without …

Facilitators And Barriers To Implementing Effective Interprofessional Education: A Mixed Methods Study Of Academic Health Institutions With Centralized Interprofessional Education Administrative Structures, Liliana Bronner

Theses & Dissertations

Interprofessional education (IPE) is pivotal in preparing future healthcare professionals for collaborative practice, yet its effective implementation remains challenging. The purpose of this mixed methods study of multiple academic health institution cases was to explore and understand how early and late IPE adopters perceive effective IPE implementation in academic health institutions. Combining frameworks for complex innovation implementation and curriculum development with surveys and interviews reveals the facilitators and barriers of effective IPE implementation. Consistent with the framework for complex innovation implementation, leadership and administrative support, resource allocation, logistical planning, and program evaluation emerged as key facilitators of effective IPE implementation. …

Does Medical School Prepare Doctors To Treat Sexual Health?, Sonjia Kenya, Breanne Young, Fabiola Joseph, Olveen Carrasquillo

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

Does Medical School Prepare Doctors to Treat Sexual Health?

Abstract

Introduction: Sexual function is a normative process warranting the equal attention of preventive and treatment services throughout the lifespan. Despite growing recognition of the value of human sexuality in clinical settings, there is no standardized sexual wellness curriculum universally administered in medical schools. Accordingly, many current and future physicians feel underprepared when taking care of patients’ sexual health needs.

Methods: To strengthen sexual health knowledge among medical students in Miami, we conducted a brief workshop in February 2020 and March 2021. The workshop provided an introductory overview of the physiology …

Improving Primary And Gynecological Care In Transmasculine Patients, Alison N. Mautner, Joanna Petrides

Rowan-Virtua Research Day

Introduction: This study aimed to assess the healthcare experiences of transmasculine individuals in primary and gynecological care settings. An online, anonymous survey was conducted to gather insights into positive and adverse encounters, factors influencing care-seeking behaviors, and strategies for improving care delivery in this population.

Methods: A survey was administered between June 1st and July 23rd, 2023, recruiting participants from three LGBTQ+ affirming healthcare offices in South Jersey and via Reddit. Data analysis involved SPSS to gain information from 499 valid responses.

Results: The majority of participants (55%) were aged 18-24, with 51% identifying as transgender men. Over two-thirds (68.5%) …

Incorporating Ai Tools To Enhance Information Literacy And Critical Thinking In First Year Medical Students, James Martin Ii, Mercedes Byrd

Rowan-Virtua Research Day

This study aims to evaluate the impact of an educational intervention incorporating medical databases, search engines, and generative artificial intelligence (GAI) tools on the critical thinking skills and confidence of first-year medical students at Rowan-Virtua School of Osteopathic Medicine (SOM). Approximately 125 students participating in a three-week pre-matriculation program will be subjects of the study. The intervention will consist of a curriculum focused on developing research questions, using search tools and GAI, evaluating sources, and writing a research paper. Pre- and post-tests, including a CARS assessment and a perceived knowledge and abilities questionnaire, will be administered to measure changes in …

Graphic Novels As Learning Tools, Leesha Coleman

CoTL 2024 Research Talks

Graphic novels are not just for kids! Graphic novels can be used in nearly every aspect of teaching and learning. This presentation focuses on providing attendees with research on using graphic medicine in the classroom for retention. While the presentation focuses on Graphic Medicine, the principles can be applied to other disciplines.

A Problem-Based Approach To Racial And Ethnic Inequities In The German Health System, Thomas C. Lane

German Studies Undergraduate Senior Theses

This work is the first comprehensive book-length survey of racial and ethnic inequities in Germany’s health system. It takes a novel approach to understanding health inequities by focusing on the overarching structures which shape them in the German context, using examples from various areas of the health system to clarify their nuances. The Introduction grounds the need for understanding and combating health inequities in Germany’s unique postwar constitutional commitment to human dignity. Next, Chapter 1 outlines the current methods by which inequities are measured in Germany and why they are problematic. Chapter 2 covers current inequities in the provision of …

Program Curricula For Preparing Medical Professionals On Early Childhood Mental Health, Socio-Emotional Development, And Adverse Childhood Experiences In Primary Care Settings: A Phenomenological Study, Jesutomilola O. Olayemi

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Primary care settings serve as the frontline for addressing the holistic well-being of individuals and particularly for children, they play a pivotal role in shaping early childhood experiences. Pediatric primary care physicians are pivotal in addressing the scarcity of mental health resources for children aged zero to five. There is limited knowledge regarding the competence of pediatric primary care providers in providing developmentally appropriate mental health care in early childhood. Therefore, this phenomenological study examined how early childhood mental health, social-emotional development, and adverse childhood experiences and their related screening practices were integrated into the curricula for preparing prospective pediatric …

Primary Care Employees' Knowledge And Self Efficacy About Human Trafficking, Mollie Zehmer

Graduate Theses and Dissertations

Human trafficking is a worldwide issue that is detrimental to individuals, families, and communities. However, it is a hidden issue, and without proper training, it goes unnoticed. Many primary care employees do not know much about trafficking or how to identify trafficked persons, but with proper training they could potentially help clients that are trafficked persons. The purpose of this quasi-experimental study was to determine if human trafficking training would increase primary care employees’ knowledge and self-efficacy about human trafficking. The training included topics such as general knowledge, risk factors, identifiers, and the role of healthcare employees. Participants in the …

Covid-19 Vaccine Perception And Hesitancy Among Uninsured Free Clinic Patients, Samin Panahi, Brenda Spearman, Justine Sundrud, Mason Lunceford, Akiko Kamimura

Patient Experience Journal

There are many complexities regarding the acceptance of COVID-19 vaccines, mainly because the COVID-19 vaccine had a fast track of development compared to vaccines developed in the past years. The purpose of this study is to understand COVID-19 vaccine perception and hesitancy among uninsured free clinic patients using the theory of planned behavior. This study had seven focus groups with 37 total participants, including 19 Spanish speakers. Free clinic adult patients (over the age of 18) participated in four focus groups during Summer of 2021. The average age of the participants was 44.7, and the majority of the participants self-identified …