Medical Education Commons^™

Early Integration Of Palliative Care With Curative Oncology Treatment For Patients With Advanced Cancer: Implications For Clinical Nursing Practice, Rhea Rughani

Honors Projects

Palliative care, though clinically established to improve health-related quality of life measures for patients with advanced illness, remains underutilized and largely limited to end of life care. This project aims to inform oncology nursing practice through the analysis of literature supporting the early integration of palliative care with standard curative oncology treatment for patients with clinically advanced cancer. Informed by relevant research, clinical practice guidelines, and improved specialty palliative care training, oncology nurses and nurse practitioners are ideally situated to advocate for and initiate early palliative care integration, to holistically improve the standard approach to complex cancer care.

Medical Student Program To Learn From Families Experiencing Developmental Disabilities, Brigid Jacob, Ragda Izar, Hanna Tran, Katherine Akers, Anil N. F Aranha, Omar Afify, Elizabeth Janks, Jennifer Mendez

Internal Medicine Faculty Publications

Patients and families experiencing developmental disabilities (DDs) may lack trust in physicians due to negative experiences in healthcare. DDs include conditions impairing physical, learning, language, or behavior areas, beginning during the developmental period and impacting daily functioning ('Developmental Disabilities'). Medical students generally do not receive standard training to effectively communicate with and diagnose patients with DDs. ARIE is a program for medical students to meet and learn from these patients and their families. Students learn about these families’ experiences during home visits, guided by standardized interview questions and surveys about families’ trust in physicians. Families did not appear to strongly …

Interrogating Race And Place-Based Inequities In Hiv And Covid-19, Rohan Khazanchi

MD Honors Theses

Over the last four years, I have developed a research focus examining the intersections of race, place, and health. My M.D. Honors Thesis reflects a snapshot of these efforts. In this collection of brief research reports, I leverage area-based measures to investigate structural inequities in three contexts: the HIV epidemic in our hyperlocal community, the early stages of the COVID-19 pandemic, and clinical trials for novel COVID-19 therapeutics. I apply novel social epidemiologic tools to measure and explore disparate outcomes. And, in reflecting upon my findings, I discuss concrete implications for clinicians, researchers, and policymakers alike.

Chapter 1: Neighborhood-Level Deprivation …

Challenging The Stigma Of Sex Work: Creating The Framework To Train Student Doctors In Providing Affirming Care, Noelle De Marco, Trishauna Bennett, Oghenerukevwe Inweh, Ali Harb

Rowan-Virtua Research Day

The intention of this proposed intervention is to provide a foundation for medical students to include affirming care for sex workers in their future practice by understanding the complex institutional violence & discrimination experienced by this community. Additionally, dispelling misconceptions surrounding sex work is another of the foci of the service project. Future physicians can combat the stigma by providing patient care that centers sex worker agency, harm reduction, & judgement free strategies. Making the workshop guide open access allows other medical schools and special interests groups to incorporate a social justice framework into their medical practice.

Giving Feedback [To Residents And Students], Alan Lucerna, James Espinosa, Andrew Vasta

Rowan-Virtua Research Day

Advice for giving effective, constructive feedback to residents and students. Part of a Faculty Development Series.

The Value Of Peer Mentoring In A Service Learning Program, Ali Harb, Archana Salek

Rowan-Virtua Research Day

Peer mentorship is a critical component of service learning programs (SLPs) at several medical institutions. The objectives of this project were:

• To explore the value of peer mentorship in SLPs within the setting of medical education
• To describe an effective mentorship structure that can be utilized in SLPs by employing reverse mentorship and a near-peer mentorship structure to positively impact participants

Sources Of Patient Information For Type 2 Diabetes Self-Care In Northern Mississippi, Minh-Sang La

Honors Theses

Given the prevalence of Type 2 Diabetes Mellitus in the United States and the continuous rise of cases, especially within Mississippi, there is an increasing need to identify if, and how, patients with Type 2 Diabetes receive information about self-care. While there is data available on the topic of where patients receive their information and the influence it has on their health in other countries of the world, the research on the source of Type 2 Diabetes education in the United States is scarce. Therefore, this study aims to bridge the gap of understanding where patients with Type 2 Diabetes …

A Geographically Targeted Approach For A Preceptor Tax Incentive Using Primary Care Health Professional Shortage Areas (Hpsas), Julia Mattingly, Sarah Belcher, Samuel C. Kessler

Commonwealth Policy Papers

Years before the COVID-19 pandemic brought on a health care shortage in Kentucky, its rural areas were already struggling to obtain and attract primary care medical practitioners. Even though the number of medical school graduates in the U.S. has steadily increased throughout the years, there is a general disinterest in rural or small-town practice, and legislators throughout the country have pondered ways to address this issue plaguing communities. Versions of Preceptor Tax Incentive legislation in Kentucky have been proposed in the General Assembly to address care shortages in the state, however, all have been unsuccessful at truly targeting rural areas …

Automating A Well Child Visit, Daniel Merrill

Research Days

No abstract provided.

Nurses Leading In Bridging The Culture Gap: Communicating With The Deaf Community, Veronica C. Leftridge

Electronic Theses and Dissertations

Nurses provide patient care in clinics, hospitals, homes, churches, schools, communities, and military, as well as on emergency medical helicopters. When a nurse is assigned to care for a patient, the patient expects the nurse to be culturally competent, communicate effectively, and provide safe quality care. However, cultural incompetence is observed when nurses provide care for Deaf patients, but they are unfamiliar with Deaf culture. In addition, communication is a fundamental skill nurses learn in nursing school, but course content in nursing programs rarely touches on how to communicate effectively with Deaf patients. Of the approximately 325 million people in …

Health Disparities In Adults With Developmental And Intellectual Disabilities, Tulsi Patel

Nursing | Senior Theses

This paper reviews literature pertaining to the treatment of people with developmental disabilities. It will emphasize the inadequacies of health care in this population. The literature that will be discussed focuses on disparities in care via proxy, sociodemographic and clinical factors associated with disparities, assessing the needs of this population, the prevalence of disabilities in rural and urban settings, and the comparison of health disparities between adults with and without developmental disabilities.

For the purpose of this paper, a few terms will be defined. Developmental disabilities (DD) will be defined as “a group of conditions due to an impairment in …

Deficits In Health Literacy And Inadequacies Of Specialized Health Care In The South For Deaf And Hard Of Hearing Patients, Kaleb Kittrell

Honors Theses

Health literacy is a constantly evolving concept that requires similarly evolving adaptation and specialization of health care to increase the quality of life for all. One demographic that is largely ignored when it comes to research in health literacy, specifically in the traditional South, is the d/Deaf and hard of hearing/Hard of Hearing (DHH) population. The purpose of this study is to determine the general health literacy of this specific demographic and compare results with that of other demographics to highlight the anticipated deficit in health literacy levels and emphasize the critical need for specialized care. This prospective, non-experimental, descriptive …

A Survey To Highlight Areas Of Focus For Patient Care In Settings Utilizing Medical Interpretation, Azayzel Deregis

Undergraduate Honors Theses

This thesis recounts my personal experience working as a volunteer medical interpreter for the Language and Culture Resource Center at East Tennessee State University. The result of my time spent volunteering as a medical interpreter, shadowing professional medical interpreters, and witnessing patient-provider interactions during interpreted sessions was an inspiration to study medical interpretation further and delve into the challenges faced by patients who require medical interpreters. During my time researching this topic, I found that the United States is severely lacking in Spanish medical interpreters—with some healthcare facilities employing no medical interpreters—even though the size of the Hispanic population is …

When "First, Do No Harm" Fails: A Restorative Justice Approach To Workgroup Harms In Healthcare, Pedro L. Flores

Dissertations

In healthcare, workgroup mistreatment is a pervasive problem that begins during medical education (medical and nursing school) and becomes embedded in the “hidden curriculum of professionalism,” which dissuades and even punishes learners for talking about abuse they witness. Furthermore, the mistreatment of healthcare providers (HCPs) pervades all disciplines in the healthcare delivery chain due to a combination of cultural factors, systemic pressures, dysfunctional hierarchies, and leadership’s tolerance of intimidating and disruptive behaviors. Not surprisingly, 18% of U.S. HCPs have left the medical field since the start of the COVID-19 pandemic, and burnout, stress, anxiety, and increased workloads have been identified …

Protocol For An Ehub As An Systemic Intervention For Homeless Shelter Staff And Resident Psychosocial And Behavioral Needs, Celeste Sangiorgio, Cory Crane, Cassandra Berbery, Caroline Easton

Frameless

This paper includes a proposal and outline for a one- stop, web-based eHub for homeless shelter workers and residents. The shelter eHub is proposed as a one-stop portal for staff and resident skills acquisition, shelter and community resources, and rehearsal of coping skills. The theoretical and empirical support for eHub contents is reviewed, as well as the structure for evidence-based psychological skills building and gamified and virtual skills rehearsal components.

Capstone: Burn Surgery Education Module, Sophie J. Weber

IPS/BAS 495 Undergraduate Capstone Projects

I chose to solve a training and continuing education problem in my workplace, by creating a manual on burn surgery. This manual will later be turned into a computer education module, but will always be available in a hard copy as a reference material. I had to find an approach that reflected how my peers wanted to be educated and on what education points they felt were the most important to their success in surgery.

The Impact Of Student Trauma: A Quantitative Investigation On Secondary Traumatic Stress And It's Effects On Nursing Faculty, Devon L. Luthens

Education Doctorate Dissertations

The increase in student trauma and mental illness is putting direct care professionals such as educators at risk of secondary traumatic stress. The purpose of this quantitative survey method research was to explore how nursing faculty within the Minnesota State system were affected by their work with traumatized students and if they experienced significant distress or impairment. The theoretical framework guiding this dissertation was the McCann and Pearlman’s Constructivist Self Development (CSD) theory. There were two research questions that led this study: Does the amount of exposure to student trauma relate to the level of secondary traumatic stress experienced by …

Interrogating Race And Place-Based Inequities In Hiv And Covid-19, Rohan Khazanchi

EMET Projects

Over the last four years, I have developed a research focus examining the intersections of race, place, and health. My M.D. Honors Thesis reflects a snapshot of these efforts. In this collection of brief research reports, I leverage area-based measures to investigate structural inequities in three contexts: the HIV epidemic in our hyperlocal community, the early stages of the COVID-19 pandemic, and clinical trials for novel COVID-19 therapeutics. I apply novel social epidemiologic tools to measure and explore disparate outcomes. And, in reflecting upon my findings, I discuss concrete implications for clinicians, researchers, and policymakers alike.

Chapter 1: Neighborhood-Level Deprivation …

The Role Of Medical Language In Patient Care: Designing An Educational Session On The Use Of Non-Stigmatizing Language, Daniel Dooling

EMET Projects

No abstract provided.

Integration Of Arts And Humanities In Medicine To Develop Well-Rounded Physicians: The Roles Of Health Sciences Librarians, Misa Mi, Lin Wu, Yingting Zhang, Wendy Wu

Library Scholarly Publications

Over the past ten years, there has been a growing interest in integrating arts and humanities in medicine to increase learners’ empathy and resilience, improve personal well-being, communication, and observational skills, enhance self- reflection, and promote professionalism. These desired skills and qualities are becoming increasingly important for the physicians of tomorrow. Parallel to curricular interventions of integrating arts and humanities to medical education, there has been an increasing research interest in investigating the impact of such interventions on medical students with respect to improving and sustaining students’ empathy as they progress in their medical education and develop their professional identity. …

J Mich Dent Assoc April 2022

The Journal of the Michigan Dental Association

Monthly, The Journal of the Michigan Dental Association brings news, information, and feature articles to our state's oral health community and the MDA's 6,200+ members. No publication reaches more Michigan dentists!

In this April 2022 issue, the reader will find the following original content:

• A cover feature “Protect Your Patients and Yourself: The Complete and Honest Medical History”
• A feature article “The Foundation for Dental Care: The Patient Interview and Dental/Medical Health History”
• A 10-Minute EBD “The Preferred Analgesia for Orthodontic Tooth Movement: Acetaminophen or NSAIDs?”
• News you need: an Editorial, a "Reminder about Antitrust Law", and regular department articles, …

Multi-Modality Typical Imaging Features In Superior Pulmonary Sulcus (Pancoast) Tumour: A Case Report, Dr Chakka Sneha, Dr Rudresh Hiremath, Dr Gurumurthy B

Radiology Teaching Files

A 53 years old male patient came with complaints of pain and tingling sensation of left shoulder joint & left upper limb since 3 months. Patient is a chronic smoker with past history pulmonary tuberculosis. The patient had completed ATT 15 years back

Pericallosal Lipoma With Corpus Callosal Dysgenesis In An Elderly Patient: A Rare Case Report, Dr Theertha K C, Dr Sudha Kiran Das, Dr Gurumurthy B

Radiology Teaching Files

A 55 year old female patient came to the neurology OPD with complaints of giddiness since 1month and vomiting since 15 days. There was no history of focal neurological deficit/ fever/ seizures/ headache/visual disturbances. No history of any co-morbidities. Neurological examination was normal.

Oral, Cardiovascular And Respiratory Effects Of E-Cigarettes: Synthesis Of Literature, Nareh Eshgian

Annual Research Symposium

No abstract provided.

Radiological Review Of Dumbbell-Shaped Spinal Schwannoma With Extradural And Intradural-Extramedullary Components, Dr Sai Siddartha Kosinepalli, Dr. Sudha Kiran Das, Dr Gurumurthy B

Radiology Teaching Files

Complains of paresthesia in the bilateral lower limbs. No e/o pain. CBC, RFT, LFT, ESR, CRP are within normal limits.

Uri Alcohol And Drug Academic Certificate, Joanna Burkhardt

Library Impact Statements

No abstract provided.

Civic Engagement As A Pathway To Meaningful Medical Student Engagement On The Social Determinants Of Health, Alexander Reardon, Jennie Deblanc, Alister Martin

Journal of Health Disparities Research and Practice

The social determinants of health have gained increasing prominence in medical education, but medical students and professionals alike are under-prepared to address those determinants. There is a growing body of evidence that voting and other forms of civic engagement affect the health of patients and communities. Registering patients in healthcare settings offers students and professionals an opportunity to impact their patients’ health beyond the clinical encounter. Medical students are particularly well suited to this work for a variety of reasons, including increasingly positive attitudes toward this kind of advocacy, increasing diversity in the medical student body, and lighter clinical and …

Evaluation Of A Hands-On Cooking Class And Its Effects On Self-Efficacy In Relation To Healthy Eating In Type 2 Diabetics, Codi A. Jenshak-Gorzinski

Doctor of Nursing Practice Scholarly Projects

The prevalence of Type 2 diabetes is alarming and poses a great threat to U.S. national health. Chronic diabetes can lead to serious conditions such as heart attack and stroke, and can result in premature mortality (World Health Organization, 2018). Diabetes can be prevented or treated by eating a healthy diet. Cooking classes are a potential way to improve American’s knowledge of nutritional principles and help them become confident that they have the capacity to eat a healthy diet. The purpose of this DNP project was to determine if participation in cooking classes enhanced self-efficacy as it pertains to healthy …

Physician And Patient Moves In The Hospital Do Not Move Patient Satisfaction: A Single-Center Retrospective Analysis, Basil George Verghese, Nagesh Jadhav, Walter A. Polashenski, Carl H. Reynolds

Advances in Clinical Medical Research and Healthcare Delivery

Background. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a standardized survey for measuring patient's experiences at US hospitals. There is a shift towards geographically assigning patients and physicians. However, its impact on patient satisfaction scores has not been studied.

Objective: Examine the correlation between patient experience and overall hospital rating with the number of physicians seen and the number of times the patient was moved during a hospitalization.

Methods: A retrospective observational study was performed using select HCAHPS & Press Ganey survey questions to assess physician satisfaction scores and overall hospital rating and recommendation scores.

Results: There …

Type 2 Autoimmune Pancreatitis, Dr. Aniketh Hiremat, Dr Vikram Patil

Radiology Teaching Files

A 23-year-old female patient with no previous co-morbidities came to our hospital with a history of back pain for 4 days. No history of nausea/ vomiting/ loose stools/ fever/ melena/ hematemesis/ jaundice/ethanol abuse. The patient was not on any alternative medication. Physical examination was within normal limits. Serum amylase and lipase were elevated , measured 152U/L and 780 U/L respectively. AST/ ALT/ ALP were elevated , measured 88/139/308 respectively. Rest of the liver parameters and blood investigations were within normal limits.