Medical Education Commons^™

Performance Of 5 Prominent Large Language Models In Surgical Knowledge Evaluation: A Comparative Analysis, Adam M. Ostrovsky, Joshua R. Chen, Vishal N. Shah, Babak Abai

Department of Surgery Faculty Papers

No abstract provided.

Exploring Medical Student Experiences Of Trauma In The Emergency Department: Opportunities For Trauma-Informed Medical Education, Giselle Appel, Ahmed Shahzad, Kestrel Reopelle, Stephen Didonato, Frances Rusnack, Dimitrios Papanagnou

Department of Emergency Medicine Faculty Papers

PURPOSE: During the third-year emergency medicine (EM) clerkship, medical students are immersed in traumatic incidents with their patients and clinical teams. Trauma-informed medical education (TIME) applies trauma-informed care (TIC) principles to help students manage trauma. We aimed to qualitatively describe the extent to which students perceived the six TIME domains as they navigated critical incidents during their EM clerkship.

METHODS: We employed a constructivist, modified grounded theory approach to explore medical students' experiences. We used the critical incident technique to elicit narratives to better understand the six TIME domains as they naturally appear in the clerkship. Participants were asked to …

Emergency Department Slit Lamp Interdisciplinary Training Via Longitudinal Assessment In Medical Practice, Samara Hamou, Shayan Ghiaee, Christine Chung, Maureen Lloyd, Kelly Khem, Xiao Zhang

Department of Emergency Medicine Faculty Papers

INTRODUCTION: Eye emergencies make up nearly 3% of US emergency department (ED) visits. While emergency physicians (EP) should diagnose and treat these ophthalmologic emergencies, many trainees report limited ocular exposure and insufficient training throughout their residency to confidently conduct a thorough slit-lamp exam.

METHODS: We created an interdisciplinary, simulation-based mastery learning (SBML) curriculum to teach emergency attending physicians how to operate the slit lamp with multimodal learning methodology at a tertiary academic center. The EPs first demonstrate their initial slit-lamp competency with a 20-item checklist, and they then review the necessary curricular content to pass their independent readiness test before …

Advancing Endovascular Neurosurgery Training With Extended Reality: Opportunities And Obstacles For The Next Decade, Shray Patel, Michael Covell, Saarang Patel, Sandeep Kandregula, Sai Krishna Palepu, Avi Gajjar, Oleg Shekhtman, Georgios Sioutas, Ali Dhanaliwala, Terence Gade, Jan-Karl Burkhardt, Visish Srinivasan

SKMC Student Presentations and Publications

Background: Extended reality (XR) includes augmented reality (AR), virtual reality (VR), and mixed reality (MR). Endovascular neurosurgery is uniquely positioned to benefit from XR due to the complexity of cerebrovascular imaging. Given the different XR modalities available, as well as unclear clinical utility and technical capabilities, we clarify opportunities and obstacles for XR in training vascular neurosurgeons. Methods: A systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted. Studies were critically appraised using ROBINS-I. Results: 19 studies were identified. 13 studies used VR, while 3 studies used MR, and 3 studies used AR. …

Delphi Analysis: Optimizing Anatomy Teaching And Ultrasound Training For Botulinum Neurotoxin Type A Injection In Spasticity And Dystonia, Kimberly Heckert, Bo Biering-Sørensen, Tobias Bäumer, Omar Khan, Fernando Pagan, Mitchell Paulin, Todd Stitik, Monica Verduzco-Gutierrez, Rajiv Reebye

Department of Rehabilitation Medicine Faculty Papers

Our objective was to provide expert consensus on best practices for anatomy teaching and training on ultrasound-guided botulinum neurotoxin type A (BoNT-A) injection for specialists involved in treating spasticity and dystonia. Nine experts (three neurologists; six physical medicine and rehabilitation physicians) participated in a three-round modified Delphi process. Over three rounds, experts reached consensus on 15 of 16 statements describing best practices for anatomy and BoNT-A injection training. They unanimously agreed that knowledge of the target audience, including their needs and current competency, is crucial when designing training programs. Experts also agreed that alignment between instructors is essential to ensure …

In Reply: Can Artificial Intelligence Make The Cut? Dissecting Large Language Model’S Surgical Exam Performance, Adam M. Ostrovsky, Joshua R. Chen, Vishal N. Shah, Babak Abai

Department of Surgery Faculty Papers

No abstract provided.

Comparing Cadaveric And 3d-Printed Laryngeal Models In Transcutaneous Injection Laryngoplasty, Megha Chandna, Sana Siddiqui, Dylan Bertoni, Marah Sakkal, Sara Belko, Maurits Boon, Joseph Spiegel

Department of Otolaryngology - Head and Neck Surgery Faculty Papers

BACKGROUND: There is increasing focus on the development of high-quality simulation models for medical education. Cadaveric models, although considered more realistic, may be difficult to obtain and costly. The advent of three-dimensional (3D) printing has offered a low-cost, reliable, and reproducible alternative. This study sought to compare the utility of 3D-printed to cadaveric models for training in transcutaneous injection laryngoplasty (TIL).

METHODS: A simulation course with a cross-over design was employed. Video laryngoscopes were utilized for both the 3D and cadaveric models to assess the accuracy of injection into the vocal fold. Pre-procedure and post-procedure surveys were administered to evaluate …

Meet An Ipe/Cp Alumna Champion, Oreoluwa James, Mph

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

This past academic year I had the opportunity to participate in the Jefferson Student Interprofessional Complex Care Collaborative (J-SICCC). I worked with a team of four other Jefferson students from different academic programs to be a student advocate for a patient. Our team worked with her on managing some of her health concerns and goals such as a regimen for her diabetic medication and resources regarding medication disposal, social support, and mental health services. I also participated as a student moderator for Community Voices with Pastor Shawn Edmonds and facilitated his panel on the very important topic of mental health …

Meet An Ipe/Cp Faculty Champion, Maureen Kane, Edd, Msn, Rn

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

I was introduced to JCIPE in 2013 and began facilitating Health Mentors Program small group sessions in the spring semester of 2014. I continued facilitating Health Mentors orientation and small group sessions, then also became a faculty facilitator for TeamSAFE simulations in 2017. In 2021, I learned about the Hotspotting Program (now the Jefferson Student Interprofessional Complex Care Collaborative, or J-SICCC). I was glad to be onboarded with the faculty advisor team and advised student teams in fall 2021 and 2022. Before the fall 2023 semester, I was asked to become part of the J-SICCC leadership team as the Jefferson …

Jcipe Awards And Recognition - 2024 Award Recipients

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Jefferson Center for Interprofessional Practice & Education (JCIPE) congratulates this year’s interprofessional education (IPE) and collaborative practice (CP) award winners and thanks them for all of their efforts to support and advance this work on campus and beyond. Their contributions are immeasurable!

Interview Of Health Mentor: Pat Noto, Jessica O'Keeffe

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Jefferson’s Health Mentors Program offers an opportunity for interprofessional teams of students to learn firsthand about what matters to people living with chronic health conditions. Small teams of students from 12 different health professions work together with a health mentor, or community volunteer, to learn about their experiences with healthcare and wellness within the context of the Social- Ecological Model (Bronfenbrenner, 1979).

Pat Noto’s experience guiding college students inspired her to become a health mentor, and her experience as both patient and caregiver shaped her mentoring approach, as she always emphasizes the importance of compassion and empathy when working in …

Expanding Awareness And Engagement In Interprofessional Education And Collaborative Practice Through Linkedin®, Tina Patel Gunaldo, Phd, Dpt, Mhs, Reena Depaolo, Ms

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Social media platforms have transformed the way we learn and connect with others across the globe. These platforms provide virtual synchronous and asynchronous opportunities for professionals from diverse backgrounds to share insights, discuss best practices, and collaborate. Interprofessional work involves collaboration of health and social care professionals both across the healthcare system and with individuals in related fields, such as law or environmental services. As a professional networking platform, LinkedIn® provides an opportunity to connect with professionals in other fields outside of traditional conferences and institutional settings.

Team Reflection On The J-Siccc Experience

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Over the past year, we – a group of pre/ health professional students – had the immense privilege to participate in the Jefferson Student Interprofessional Complex Care Collaborative (J-SICCC). Our team, composed of five students from diverse backgrounds and areas of study in prehealth and health professions programs, met and began working together in July 2023. With the help of advisors from similarly heterogenous fields, we embarked on a year-long journey with a simple, but not easy, goal: work alongside a single patient with complex care needs to navigate the tumultuous world of health and healthcare.

Jcipe Updates

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

JCIPE Updates

From The Editors

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Spring is a time to celebrate the outcomes of dedicated efforts throughout the academic year. We at Jefferson Center for Interprofessional Practice & Education (JCIPE) encourage you to celebrate together with those in other professions. Not only is it important to come together in our work, but it is just as important to come together to recognize each other’s achievements—to desilo our celebrations! At JCIPE, we are taking steps to celebrate more collaboratively too. Each spring, JCIPE bestows the James B. Erdmann Awards for Excellence in Interprofessional Education & Collaborative Practice to members of the Jefferson community for outstanding contributions …

Collaborative Healthcare: Interprofessional Practice, Education And Evaluation (Jcipe), Volume 14, Number 2, Spring/Summer 2024

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

In this Issue:

• Letter from the Editors
• JCIPE Updates
• Team Reflection on the J-SICCC Experience
• Expanding Awareness and Engagement in Interprofessional Education and Collaborative Practice Through LinkedIn®
• Interview of Health Mentor: Pat Noto
• JCIPE Awards and Recognition - 2024 Award Recipients
• Meet an IPE Staff Champion
• Meet an IPE Alumna Champion

Closing The Communication Gap: Alignment Of Competency Performance Levels Between Ume And Gme, Anita Wilson, Phd, Katherine Berg, Md, Aaron Douglas, Phd, John Caruso, Md, Gretchen Diemer, Md, Kathleen Day, Ms, Rosemary Frasso, Phd, Steven Herrine, Md, David Abraham, Phd

JeffMD Academic Affairs

Purpose and Background

Graduate medical education (GME) program directors receive a minimal amount of information from the undergraduate medical education (UME) programs regarding an intern’s specific level of competence. This project’s purpose was to align the local undergraduate competency-based medical education program objectives (MEPOs) and GME outcomes measured during intern year. Previous studies show the gap in communication between UME and GME exists due to a lack of a shared mental model regarding competency performance.^{1, 2}

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 …

Teaching Medical Procedural Skills For Performance, Kersi Taraporewalla, Paul Barach, André Van Zundert

College of Population Health Faculty Papers

Procedures are a core element of medical professional practice. Today's training approach was formulated in the mid-twentieth century based on a computer analogue of the brain. Despite minor modifications, the system has remained relatively unchanged for the past 70 years. It delivers competence. However, competence is not reliable performance. The inability to adapt to the variety of patients and variations in the performance environments, such as the operating room, results in patient morbidity and mortality. There is a need for changes in the development and training of medical procedural skills based on current theories of skill acquisition, movement theory, and …

The Road To Equity: A Look At Medical School Interview Scores, Priyanga Selvakumar, Bs, Anjali Upadhyaya, Bs, Ashley B. Zhang, Bs, Ms, Alix Masters, Md, Bernard Lopez, Md, Alisa Losasso, Md

Health Equity and Quality Improvement (HEQI) Summit

Introduction and Objectives

• African Americans and other racial minorities remain underrepresented in medicine (UIM)¹, as do LGBTQ+ individuals.²
• Lack of physician diversity likely contributes to and exacerbates existing healthcare disparities.³
• Addressing medical school admissions is an appropriate target to improve overall physician diversity as the U.S. medical school populations critically lacks diversity which further perpetuates the problem.
• Few studies have focused on the medical school interview process as a potential site of bias, and there are no studies to date discussing the bias that may stem from faculty interview reports.

Objective

To investigate the medical school …

Providing A Latch Key: Increasing Lactation Education For Medical Students, Elizabeth Wagman, Bs, Santosh Coorg, Md, Cheryl Godcharles, Md, Nabblem-C

Health Equity and Quality Improvement (HEQI) Summit

Background

• Problem Statement: Current Healthy People 2030 data suggests that only up to 25% of infants are exclusively breastfed at six months of life, but target rates are upwards of 40%. Though this trend is multifactorial, an actionable solution is to increase lactation education for residents and medical students to better equip them to counsel patients.
• Project AIM: We aim to increase provider comfort in lactation counseling by implementing lactation education, resources, hands-on training, and postpartum follow-up strategies for Thomas Jefferson University pre-clerkship/ rotating medical students and OB/GYN residents.

Validating A 3d-Printed Endovascular Simulator For Use In Training Surgical Residents, Paarth Jain, Jeremy Zack, Lauren Schlegel, Eva Varotsis, Robert S. Pugliese, Michael Nooromid, Babak Abai

Department of Surgery Faculty Papers

Objective: Three-dimensional (3D)-printed endovascular models can be an accessible alternative to expensive, state-of-the-art endovascular simulators but currently lack the rigorous validation needed to be dependable educational tools. This study describes the manufacture of a 3D-printed endovascular model of an aorta and determines the construct validity and preliminary content and face validity of the model. Methods: A 3D-printed aorta was created using segmented data from a patient computerized tomography scan and a FormLabs 3B 3D printer with FormLabs Clear resin. Participants were asked to perform two tasks from a femoral access point: catheterize the contralateral common iliac artery and the superior …

Gibbon Surgical Review, Volume 7, Issue 1, 2024

Gibbon Surgical Review

Table of Contents

6 - Socially Responsible Surgery: Better Practices for Better Outcomes

8 - Interview with Dr. Talar Tatarian - Assistant Professor

10 - Global Surgery : Current State and Involvement as a Trainee

12 - Interview with Dr. Ibnouf Sulieman - Transplant Surgery Fellow

14 - Resident Spotlight - Dr. Sam Nasser - PGY3

16 - A Review of the FIRST and SECOND Trials

18 - Residency Signaling in General Surgery

20 - Navigating Competency: Entrustable Professional Activities (EPAs)

22 - The Effect of Language Barriers on Surgical Outcomes

24 - Research Spotlight: The First Complete Human Eye …

The Role Of Acgme-International In Enhancing Opportunities Of Residents For Advanced Subspecialty Training, James A. Arrighi, Lorraine C. Lewis, Thomas J. Nasca

Department of Medicine Faculty Papers

No abstract provided.

Advocacy Connection Team-Now Educational Program For Headache Fellows And Patients/Caregivers: Assessment Of Educational Objectives, Courtney Seebadri-White, Hsiangkuo Yuan, William B. Young, Karissa N. Arca

Department of Neurology Faculty Papers

OBJECTIVE: To assess for improvement in comfort in participating in advocacy for migraine and headache disorders and knowledge needed for successful advocacy.

BACKGROUND: The Advocacy Connection Team (ACT)-Now program is an educational program offered through Miles for Migraine, a non-profit advocacy organization. It is designed to teach headache fellows and patients advocacy skills.

METHODS: In a cross-sectional pre-test-post-test design, the 2021 ACT-Now cohort of 98 participants were administered a set of 11 pre-course survey questions identifying their role (healthcare provider/headache fellow or patient/caregiver), baseline knowledge of migraine-related disability and stigma, and baseline engagement and comfort with advocating. The post-course survey …

A Novel For-Credit Dei Humanities Co-Curriculum, Megan Voeller, Charles A. Pohl

Jefferson Humanities & Health Papers

No abstract provided.

Meet An Ipe/Cp Student Champion From Thomas Jefferson University, Joria Le, Rn, Bsn

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

My first involvement with JCIPE programs was with the Interprofessional Palliative Care (IPC) program. Here, I was able to meet diverse students across Jefferson from Couple and Family Therapy, Medicine, Nursing, Physical Therapy, and more. Together, we addressed case studies with our various backgrounds and learned how to build upon each other’s strengths as a precursor to our future in the field. Especially coming from a Nursing background and now shifting towards medicine, it was a great experience to apply my knowledge and intertwine it with other fields.

Since then, I have immersed myself with research relating to the Health …

Meet An Ipe/Cp Staff Champion From Thomas Jefferson University, Mollie Cherson, Mphil, Lcsw

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

In June 2021, the Integrated Behavioral Health (IBH) team was invited by JCIPE to pilot a new series of interprofessional sessions for primary care teams utilizing the ECHO (Extension for Community Healthcare Outcomes). This model has been utilized and researched worldwide to help with disseminating information across various subject matters within healthcare, with the goal of decreasing health disparities. Through use of subject matter experts, brief didactic education, and case consultations, communities of learners come together to enhance patient care and health outcomes.

The IBH team, which consists of clinicians from behavioral health, primary care, nutrition, occupational therapy, psychiatry, pharmacy, …

Translation Of Collaborative Skills From Undergraduate Interprofessional Education Curriculum To The Workplace: Results Of A Pilot Program, Erin Choice, Phd, Cscs, Shelene Thomas, Pt, Dpt, Edd, Gcs, Fnap

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Background

Interprofessional education (IPE) has become an increasingly necessary component of healthcare and health science curricula (Institute of Medicine, 2015; World Health Organization, 2010). However, the longitudinal impact of IPE and students’ ability to transfer knowledge and skills from the classroom to the workplace remains unknown (Breitbach et al., 2020). Training future healthcare providers (i.e., physical therapists, occupational therapists, exercise scientists) to work in interprofessional (IP) teams should arguably begin at the undergraduate (UG) level, rather than graduate level, in order to improve effective translation of skills to the workplace (Breitbach et al., 2020; Cooper et al., 2001; Murdoch et …

Team Care Planning: Black Maternal Health Case, Kenna Hersey, Ba

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

In support of Thomas Jefferson University’s effort to be on the cutting edge of care, JCIPE (Jefferson Center for Interprofessional Practice & Education) supports educational programs that focus on understanding and addressing health disparities. Team Care Planning (TCP) is an educational simulation experience where teams of students from different professions collaborate with each other, and interact with standardized patients, to create a care plan. The initial case developed for TCP involves an interprofessional student team developing a discharge plan for an older adult who was hospitalized after a stroke. The interprofessional student team meets with the patient and her adult …