Medical Education Commons^™

A Peer Evaluation Of The Community-Based Education Programme For Medical Students At The University Of Zimbabwe College Of Health Sciences: A Southern African Medical Education Partnership Initiative (Mepi) Collaboration, D. Michaels, I. Couper, M. Mogodi, J. Hakim, Zohray M. Talib, +Several Additional Authors

Global Health Faculty Publications

Background. The University of Zimbabwe College of Health Sciences (UZCHS), Harare, which has a long tradition of community-based education (CBE), has not been evaluated since 1991. An innovative approach was used to evaluate the programme during 2015.

Objectives. To evaluate the CBE programme, using a peer-review model of evaluation and simultaneously introducing and orientating participating colleagues from other medical schools in southern Africa to this review process.

Methods. An international team of medical educators, convened through the Medical Education Partnership Initiative, worked collaboratively to modify an existing peer-review assessment method. Data collection took the form of pre-visit surveys, on-site and …

A Multi-Program Assessment Of Visiting Pediatric Electives As A Recruitment Tool For Diversity, Gabrina Dixon, Alexandra Sims, Aisha Davis, Craig Dewolfe, Terry Kind, +Several Additional Authors

Pediatrics Posters and Presentations

Certain minority populations are underrepresented in medicine (URM). The visiting clerkship represents a collaborative effort between Undergraduate and Graduate Medical Education that has been reported to help increase URM applicants and residents. Visiting URM student electives in pediatrics at five institutions were examined in an effort to better understand best practices. Financial assistance and mentorship were universal among programs. Most programs reported an increase in URM applicants but variable numbers of matched URM residents.

Creating Sustainable Models For Short-Term Volunteers Through The Global Health Service Partnership, James Scott, +Several Additional Authors

Emergency Medicine Faculty Posters and Presentations

Thirty-one countries in sub-Saharan Africa (SSA) have a critical shortage of health care professionals. Subsequently, African medical schools are increasing enrollment, thus increasing demand on limited faculty. Simultaneously, US medical residents’ interest in global health is increasing and training programs are seeking ways to provide high quality experiences while also contributing to the host country health system. Recently published guidelines outlined key factors in successful global health training partnerships: structured programs, mutual benefits, long-term relationships, on-site mentorship, and trainee preparation. Partnerships between US academic institutions, GHSP, and SSA institutions create meaningful and sustainable ways of enabling residents and faculty across …

Healthy Homes, Healthy Futures: A Home Visitation Curriculum For Pediatric Residents, Kofi D. Essel, Sirisha Yalamanchi, Cara Lichtenstein, Erin Hysom

E-Learning Modules

A working knowledge of the home and neighborhood environment is critical to understanding the barriers that families face when struggling with obesity. Most doctors are only given the opportunity to address individuals with obesity in the office setting and usually describe their counseling abilities as ineffective. This focused home visitation curriculum offers a unique tool to improve residents’ understanding of the social determinants of health, how these determinants relate to obesity, and critical obesity-management skills. The curriculum requires residents to review three PowerPoint modules and an article on motivational interviewing. Residents then implement what they have learned by doing two …

Emerging Roles For Librarians In The Medical School Curriculum And The Impact On Professional Identity, Anne Linton

Himmelfarb Library Faculty Publications

This article discusses the impact on professional identity for health sciences librarians participating in the curriculum revision and development process. A qualitative survey, designed to examine the current roles, values, and self-identification of health sciences librarians involved in curricular revision, was conducted. The respondents discussed how they had participated in the planning, implementation, and rollout phases of revised curricula. They identified skills and values essential to successful participation and described the impact of expanded professional relationships on new identities as educators, change agents, and problem solvers. The study may add to the knowledge base of skills and attitudes needed for …

Written And Online Residency Guidebook To Improve Resident Efficiency And Knowledge Of Best Patient Care Practices, Michael Ortiz, Mary C. Ottolini, Dewesh Agrawal

E-Learning Modules

**Contains time-sensitive information that will likely be inaccurate, obsolete, or irrelevant by December 01, 2018**

Residents at most institutions change rotations every 2 to 4 weeks. It often takes significant time for residents to become acclimated to the different protocols, expectations, and environments of each unique rotation. As a result, residents often spend time searching for answers, time that could be spent in outside learning and direct patient care. The goal of this resource is to provide a novel guidebook that improves residents’ efficiency and knowledge of best patient care practices. The guidebook begins with an introductory chapter with …

Interdisciplinary Workshop To Increase Collaboration Between Medical Students And Standardized Patient Instructors In Teaching Physical Diagnosis To Novices, Tanakorn Kittisarapong, Benjamin Blatt, Karen Lewis, Jennifer Owens, Larrie Greenberg

Medicine Faculty Publications

Traditionally, full-time faculty members have assumed major responsibility for teaching physical examination skills to first- and second-year medical students. Problems with faculty recruitment and adhering to a standardized way of teaching have challenged educators to seek alternatives to teaching the physical examination to novices. To address these problems, we created and implemented a novel curriculum that has standardized the teaching of physical examination skills to novice students by using standardized patient instructors and fourth-year medical students working as an interdisciplinary team (known as a dyad). Feedback after the first iteration of this course revealed confusion about roles, goals, and responsibilities …

Fosces: Adding Another Library Tile To The Medical School Mosaic, Alexandra Gomes, Thomas Harrod

Himmelfarb Library Faculty Posters and Presentations

The 2014 launch of the revised medical school curriculum provided new opportunities for librarians to collaborate with faculty. Due to past informatics instruction in the first year curriculum, we were invited to expand this content as part of a new formative Objective Structured Clinical Examination (FOSCE) initiative. This poster will describe the development and implementation of the FOSCE informatics curriculum.

In FOSCEs, small groups of students rotated through simulated patient encounters in order to demonstrate their clinical knowledge and skills. Due to simulation center logistics, students alternated between skills demonstration and informatics activities. The informatics component consisted of fifty minute …

Optimizing Electrocardiogram Interpretation And Catheterization Laboratory Activation In St-Segment Elevation Myocardial Infarct, Alexander E. Sullivan, Mortada Shams, Marco A. Mercader, Jacob Varghese, Abudureyimu Shajidan, Bassel Hassouna, Vimala V. Jayanthi

GW Research Days 2016 - 2020

Background: To achieve the 90-minute reperfusion goal in ST-segment elevation myocardial infarction (STEMI) care, providers must diagnose STEMIs from electrocardiograms (ECGs) obtained upon emergency room arrival and appropriately activate the catheterization lab. To enhance early STEMI care, we sought to improve medical student STEMI recognition and diagnostic accuracy with a teaching module we designed and developed.

Methods: Through a literature review, we identified evidenced-based criteria for classic STEMI patterns, STEMI-equivalents with non-classic STEMI patterns including hyperacute T-waves, STEMI with existing left bundle branch block (LBBB) and Wellens’ syndrome and non-ischemic STEMI-mimics such as known LBBB, pericarditis, ventricular aneurysm, …

Teaching Internal Medicine Residents About Genetics: One Topic At A Time - Breast Cancer, Maria Henry, Andrew Nance, Charles Macri

GW Research Days 2016 - 2020

Background: Currently, the field of medicine is experiencing rapid changes in genetics and genomics information. While medical school curricula all include some genetics education, the content may vary from one school to another, leaving Internal Medicine (IM) residents with different skills and knowledge. In an IM residency where residents come from different medical schools, presenting an organized genetics curriculum may have value. Patients expect their physicians to be knowledgeable and current about their specific disease, including the genetic components and expect that they can inform them about terminology, inheritance, diagnostic testing, risks and benefits of testing. Physicians will need …

Clinical Public Health Integration In Medical School Curriculum: Transitioning Medical Student Training From Medical Problems To Health Solutions, Ashtin Jeney, Bridget C. Huysman, Jamie Majdi, Kent Aje, Madeline Taskier, David K. Popiel, Lawrence R. Deyton, Karla Bartholomew

GW Research Days 2016 - 2020

The current chronic disease burden, growing health disparities, and evolution of our healthcare system require that medical students be equipped with basic public health education to effectively manage patients, navigate the healthcare system, and advocate for health(1,2,3,4,5,6). The Institute of Medicine and the AAMC emphasize the need for physicians to be trained in public health(1,8). The inaugural year of the revised curriculum at The George Washington University School of Medicine and Health Sciences (GW SMHS) represented a first step at the institution to integrate clinical public health into medical education. As part of this process, the Clinical Public Health (CLiPH) …

Otolaryngology For Internal Medicine: Increasing Exposure To Otolaryngology Using Computer Assisted Instruction, Arielle Thal, Philip Zapanta

GW Research Days 2016 - 2020

It has been well identified in previous literature that there is a lack of otolaryngology teaching for general practitioners. There is not currently a standardized curriculum for otolaryngology in undergraduate medical education or during residency for those pursuing a general field such as Emergency Medicine, Internal Medicine, Pediatrics or Family Medicine. While the need for more exposure to otolaryngology within these fields has been well documented, as 25% of primary care complaints are otolaryngology related, little has been done to identify the best method for educational intervention. Important topics for inclusion in such a curriculum have been identified and methods …

Medical Student Competency In Wound Care Guidelines, Sophia Akhiyat, Sean Mcnish, Kara S. Couch, Victoria K. Shanmugam

GW Research Days 2016 - 2020

Chronic wounds that have failed to heal after 3 months of appropriate wound care affect approximately 6.5 million people in the US with a prevalence of 1% and costs estimated at $25 billion per year. Medical students currently receive limited wound care training, yet to effectively manage chronic wounds, providers must both understand the biology of healing, and also remain up-to-date with wound care guidelines published by the Agency for Healthcare Research and Quality (AHRQ). The purpose of this student-led project was to investigate medical students' knowledge and comfort with wound care guidelines.

Comparing Emergency Department Resident And Patient Perspectives On Costs In Emergency Care, Stefanie Gilbert, Leana S. Wen, Jesse M. Pines

GW Research Days 2016 - 2020

Objectives: Costs of care are increasingly important in healthcare policy and, more recently, clinical care in the Emergency Department (ED). We compare ED resident and patient perceptions surrounding the costs of emergency care, compliance, communication, and education.

Methods: We conducted a mixed methods study using surveys and qualitative interviews in a single, urban academic ED. The first study population was a convenience sample of adult patients (>17 years of age), and the second was ED residents training at the same institution. Participants answered open- and closed-ended questions on costs, cost-related compliance, and communication. Residents answered additional questions …

Schools Of Public Health In Low And Middle-Income Countries: An Imperative Investment For Improving The Health Of Populations?, Fauziah Rabbani, Leah Shipton, Franklin White, Iman Nuwayhid, Leslie London, Rajiv Rimal, +11 Additional Authors

Prevention and Community Health Faculty Publications

BACKGROUND: Public health has multicultural origins. By the close of the nineteenth century, Schools of Public Health (SPHs) began to emerge in western countries in response to major contemporary public health challenges. The Flexner Report (1910) emphasized the centrality of preventive medicine, sanitation, and public health measures in health professional education. The Alma Ata Declaration on Primary Health Care (PHC) in 1978 was a critical milestone, especially for low and middle-income countries (LMICs), conceptualizing a close working relationship between PHC and public health measures. The Commission on Social Determinants of Health (2005-2008) strengthened the case for SPHs in LMICs as …

Fusion, 2016, George Washington University, William H. Beaumont Medical Research Honor Society

Fusion

No abstract provided.

Knowledge, Attitudes, And Practices Of Florida Physicians Regarding Dengue Before And After An Educational Intervention., Susanne Doblecki-Lewis, Aileen Chang, Renee Jiddou-Yaldoo, Kay M Tomashek, Danielle Stanek, Leena Anil, Paola Lichtenberger

Medicine Faculty Publications

BACKGROUND: Failure to recognize and appropriately manage dengue early in the clinical course may result in late initiation of supportive treatment for severe disease. In Florida, travel-related and autochthonous dengue occur and are likely under-recognized. The objective of this study was to evaluate physician knowledge of dengue and its management before and after an educational intervention in Florida.

METHODS: From 2012-13 we conducted 14 grand-rounds style lectures on dengue clinical management attended by 413 physicians, and analyzed data from the pre- and post-tests.

RESULTS: Of those attending, 231 and 220 completed the pre-and post-tests, respectively. Overall, the mean pre-test score …

Knowledge, Attitudes, And Practices Of Florida Physicians Regarding Dengue Before And After An Educational Intervention., Susanne Doblecki-Lewis, Aileen Chang, Renee Jiddou-Yaldoo, Kay M Tomashek, Danielle Stanek, Leena Anil, Paola Lichtenberger

Medicine Faculty Publications

BACKGROUND: Failure to recognize and appropriately manage dengue early in the clinical course may result in late initiation of supportive treatment for severe disease. In Florida, travel-related and autochthonous dengue occur and are likely under-recognized. The objective of this study was to evaluate physician knowledge of dengue and its management before and after an educational intervention in Florida.

METHODS: From 2012-13 we conducted 14 grand-rounds style lectures on dengue clinical management attended by 413 physicians, and analyzed data from the pre- and post-tests.

RESULTS: Of those attending, 231 and 220 completed the pre-and post-tests, respectively. Overall, the mean pre-test score …

Bedside Teaching: An Underutilized Tool In Medical Education, Mohammed Garout, Abudelah Nuqali, Ahmad Alhazmi, Hani Almoallim

Medicine Faculty Publications

No abstract provided.

Building Capacity In Implementation Science Research Training At The University Of Nairobi., George O Osanjo, Julius O Oyugi, Isaac O Kibwage, Walter O Mwanda, Elizabeth N Ngugi, Fredrick C Otieno, Wycliffe Ndege, Mara Child, Carey Farquhar, Jeremy Penner, Zohray Talib, James N Kiarie

Health Policy and Management Faculty Publications

BACKGROUND: Health care systems in sub-Saharan Africa, and globally, grapple with the problem of closing the gap between evidence-based health interventions and actual practice in health service settings. It is essential for health care systems, especially in low-resource settings, to increase capacity to implement evidence-based practices, by training professionals in implementation science. With support from the Medical Education Partnership Initiative, the University of Nairobi has developed a training program to build local capacity for implementation science.

METHODS: This paper describes how the University of Nairobi leveraged resources from the Medical Education Partnership to develop an institutional program that provides training …

Accept Medical Student Handoff Workshop: The Patient Safety Curriculum Starts In Undergraduate Medical Education, Juan Reyes, Larrie Greenberg, Linda Lesky

E-Learning Modules

This workshop is an educational intervention designed to improve student skills in patient handoffs. It consists of a one-hour, interactive, small-group session facilitated by a faculty member. The workshop focuses on the importance of specific handoff skills to patient safety and is centered around the principles embodied in the ACCEPT mnemonic: Accurate, Complete (but concise), Clear, Efficient, Presented in writing, and Told in person. Students are provided with a standardized format for both an oral and written handoff along with a pocket card highlighting the required elements. A standardized patient case allows for participants to practice these skills, receive feedback, …

Pediatric Neuroradiology Pre-Call Primer, Trevor Morrison, Gilbert Vezina, Nadja Kadom

E-Learning Modules

Pediatric neuroimaging can provide a challenge to radiology residents during call due to the fact that it is infrequently encountered in many institutions. The goal of this teaching tool is to provide radiology residents with background knowledge in pediatric brain anatomy and pathology in preparation for taking call. There is one teaching tool and one assessment tool with answers, all three of which are in PowerPoint format. Emergency neuroradiology topics discussed in this module are sutures, skull fractures, bleeds, sulci and mass effect, cisterns, and herniations. After implementing this teaching tool at our institution with all incoming residents and fellows, …

Defining And Adhering To Standards Of Professionalism In Residency, Jeffrey S. Berger, Amanda N. Hopkins, Gurwinder Gill

E-Learning Modules

This resource is a learning module developed for first-year residents to gain exposure to the tenets of professionalism, both in the general practice of medicine and within their own specialty. By completion of this module, each resident will have articulated his or her personal standards of professional behavior and have made a written commitment to strive for those standards in everyday clinical situations.

To evaluate the effectiveness of this module, a brief survey was distributed to current and former residents who had completed the module. The survey presented a series of 10 statements and asked participants to report their level …

Interdisciplinary Workshop Using Applied Models To Increase Collaboration And Satisfaction Between Medical Students And Standardized Patient Instructors, Tanakorn Kittisarapong, Benjamin Blatt, Jennifer Owens, Karen Lewis, Larrie Greenberg

E-Learning Modules

In an article published in 1993 by Shulman about higher education it was stated that, "Teaching takes practice. It takes feedback. It takes instruction." More and more we are becoming aware of that. There has been increasing recognition of the need to prepare medical students for their future teaching roles as intern/residents and physicians. There have been numerous publications addressing peer teaching in undergraduate education, but sparse literature addressing how medical students co-teach physical diagnosis to pre-clinical students in lieu of faculty. Traditionally in North America, full-time faculty members have assumed the major responsibility for teaching first- and second-year medical …

Central Lines In Children, Rishi Agrawal, Neha H. Shah

E-Learning Modules

Children with special health care needs are increasingly prevalent in US hospitals. The pediatric hospitalist is often the primary provider of inpatient care for these patients. However, exposure to this patient population during training varies from provider to provider. No published educational curricula are specific to the inpatient care of this population.

This publication is a self-directed education module on central lines in children, including indications for placement, types of lines available, and prevention and treatment of complications. The module includes a PowerPoint slide show, instructor guide, and questions for assessment.

The purpose of this project is to build a …

Never Too Early: Introducing Illness Scripts And Narrative Medicine As Foundational Clinical Approaches, Julia B. Frank, Seema Kakar, Gisela Butera, Thomas Harrod

Medicine Faculty Posters and Presentations

Educational Challenge: The foundations course of our reformed, organ-based curriculum introduces clinical interviewing when students know little clinical medicine. An exercise that introduces the complementary concepts of “illness scripts” and “narrative medicine” helps them structure early encounters with patients. It provides a framework for organizing future clinical knowledge while reinforcing the humanistic values that may deteriorate over the course of students’ education.

Method: Students conduct and write up a semi-structured interview of someone they know with chronic illness. They reflect on their experience in pairs, and then analyze sample encounters in small groups with faculty facilitation.

Outcome: Strongly favorable student …

A Model For A Structured Clinical Development Program For First-Year Residents: Utilizing The Entrance Osce, Individualized Learning Plans (Ilps), And Peer Clinical Coaching, Jill M. Krapf, Sameer Aggarwal, Larrie Greenberg, Benjamin Blatt

E-Learning Modules

Identification of incoming residents’ unique strengths and weaknesses in a clinical setting is important for developing an individualized educational curriculum and ultimately addressing specific needs. This resource presents and describes materials for a clinical development program for first year residents. The program is structured around three educational elements: an entrance Objective Structured Clinical Examination (OSCE), Individualized Learning Plan (ILP), and peer clinical coaching. The included files, which describe these three elements, are intended to serve as a resource for residency directors and/or graduate medical education faculty interested in constructing a similar program.

In the described clinical development program, first-year Obstetrics …

Critical Synthesis Package: The Kalamazoo Consensus Statement Assessment Tools, Michelle Yoon, Veronica Michaelsen

E-Learning Modules

This Critical Synthesis Package resource contains 1) a Critical Analysis of the psychometric properties and the application to health science education of the Kalamazoo Consensus Statement Assessment Tools and 2) a copy of each of the three instruments comprising the Kalamazoo Consensus Statement Assessment Tools developed by Elizabeth A. Rider, MSW, MD.

The Kalamazoo Consensus Statement (KCS) Tools are three content-valid, paper-based instruments that assess physician-patient communication skills. The Kalamazoo Essential Elements Communication Checklist (KEECC) is the original instrument. The Kalamazoo Essential Elements Communication Checklist-Adapted (KEECC-A) is a newer, adapted, construct-valid version, which was then further adapted into another multi-rater …

Discharge Education Curriculum For Residents Rotating On An Inpatient Pediatric Ward, Kaitlin Widmer, Priti Bhansali, Julie Noffsinger

E-Learning Modules

Adult literature has demonstrated that patient preferences and understanding of discharge instructions can impact success of discharge and even predict return ER visits. There is very little data in pediatric literature describing what information should be discussed with families when providing discharge instructions, and most pediatric residents do not receive formal education on the topic. This curriculum is designed as a brief educational intervention that can improve residents’ comfort and skills in providing discharge education to families. The materials include both how to present the curriculum and tools to assess resident knowledge, behaviors and attitudes regarding discharge education as well …

Out And About In Medicine: Gw Out For Health, Michelle S. Davis, Daniel F. O'Neill, Robert Tollefson, Domenique Escobar, Chase Hiller, Lawrence R. Deyton

GW Research Days 2015

The time is right to devise and implement a more coordinated approach to LGBT patient care and health professional training within the Washington, DC metropolitan area and beyond. The following George Washington University School of Medicine and Health Sciences (GWSMHS) and Hospital (GWUH) LGBT Health Initiative proposal highlights possible strategies for addressing this need through a more centralized fashion. The seven focus areas proposed for the GW LGBT Health Initiative include: 1) Climate/Visibility; 2) Health Education; 3) Policy/Advocacy; 4) Community Outreach; 5) Research; 6) Patient Care; and 7) HIV/AIDS. A key stakeholder that is helping to realize this vision of …