Medical Education Commons^™

Itraconazole-Induced Torsade De Pointes In A Patient Receiving Methadone Substitution Therapy, Noorzurani Robson Associate Prof. Dr., B. Vicknasingam, S. Narayanan

Associate Prof. Dr. Noorzurani Robson

Issues. Methadone, a pharmacological agent used to treat heroin dependence is relatively safe, but may cause cardiac arrhythmias in the concurrent presence of other risk factors. Approach and Key Findings. This case report highlights the risk of Torsade de Pointes, a life-threatening cardiac arrhythmia, in a heroin-dependent patient receiving methadone substitution therapy who was prescribed itraconazole for vaginal thrush. The patient presented to the accident and emergency department for chest discomfort and an episode of syncope following two doses of itraconazole (200 mg). Electrocardiogram monitoring at the accident and emergency department showed prolonged rate-corrected QT interval leading to Torsade de …

Learner-Centred Medical Education: Improved Learning Or Increased Stress?, Michelle Mclean, T Gibbs

Michelle McLean

Context: Globally, as medical education undergoes significant reform towards more "learner-centred" approaches, specific implications arise for medical educators and learners. Although this learner-centredness is grounded in educational theory, a point of discussion would be whether the application and practice of these new curricula alleviate or exacerbate student difficulties and levels of stress. Objectives: This commentary will argue that while this reform in medical education is laudable, with positive implications for learning, medical educators may not have understood or perhaps not embraced "learner-centredness" in its entirety. Discussion: During their training, medical students are expected to be "patient-centred". They are asked to …

Improving Medical Students’ Learning Outcomes: Teaching A Web-Assisted Elective Course For Fourth-Year Medical Students, Misa Mi, Marlene Porter, Jolene Miller, Jodi Jameson, Jerry Natal

Jolene M. Miller

Since 1997, the Mulford Health Science Library at the University of Toledo Health Science Campus (formerly the Medical College of Ohio) has been offering a 3-credit-hour elective course for 4th year medical students. The goal of the course is to provide students with skill sets that are important for them to develop as current students and future health care practitioners. It has been the goal of the library to constantly update course content that would be relevant to the students and to seek innovative course delivery methods to enhance the students’ learning experience. A continuous improvement cycle also calls for …

John Contracts Skin Disease At Spa, Donna M. Hughes Dr., Melanie Shapiro Esq

Donna M. Hughes

Pillows For Pain, Michael Lock

Michael Lock

No abstract provided.

Community Dimensions And Hpsa Practice Location: 30 Years Of Family Medicine Training, Suzanne B. Cashman, Judith A. Savageau, Warren J. Ferguson, Daniel H. Lasser

Judith A. Savageau

BACKGROUND AND OBJECTIVES: Our objective was to assess practicing family physicians' confidence and participation in a range of community-related activities. Additionally, we assessed the strength of the relationship between the physicians' reported medical school and residency training in community-related activities and their current community activities, as well as whether they were practicing in an underserved location. METHODS: All 347 graduates of the University of Massachusetts Family Medicine Residency were surveyed about practice location and type, involvement and training in community work, confidence in community-related skills, and sociodemographic characteristics. Analyses were conducted by residency graduation decade (1976-1985, 1986-1995, and 1996-2005). RESULTS: …

Family Medicine Residency Characteristics Associated With Practice In A Health Professions Shortage Area, Warren J. Ferguson, Suzanne B. Cashman, Judith A. Savageau, Daniel H. Lasser

Judith A. Savageau

BACKGROUND AND OBJECTIVES: While some family medicine residency programs are designed to train residents in community health centers (CHCs) for future careers serving underserved populations, there are few outcome studies on such programs. Our residency program provides three options for ambulatory health center training, but otherwise residents participate in the same curriculum. We analyzed relationships between ambulatory training site and likelihood of practice in health professions shortage areas (HPSAs).

METHODS: We sent a mail survey to all graduates of one family medicine residency about practice locations, types, and populations; influences on practice choice; and sociodemographic characteristics.

RESULTS: Training in a …

The Poor Historian, Jeffrey D. Tiemstra Md

Jeffrey Tiemstra, MD, FAAFP

No abstract provided.

30-Month Post-Breast Cancer Treatment Lymphoedema, Jane M. Armer, Bob R. Stewart, Robin Shook

Robin Shook

Background—Quantification of lymphoedema (LE) has been problematic, and the reported incidence of LE varies greatly among women treated with surgery and radiation for breast cancer. Aims—This study aims to describe LE occurrence over time among breast cancer survivors using four diagnostic criteria based on three measurement techniques. Methods—Limb volume and symptom assessment data were followed after surgery every three months for 12 months, then every six months for 30 months. Limb volume changes (LVC) were measured by circumferences and by perometry, and by symptom experience via interview. Standard survival analysis methods identified when the criteria indicating LE were met. Results—Trends …

Dermatoglyphics: Comparison Between Negritos Orang Asli And The Malays, Chinese And Indian, Farahnaz Amini

Farahnaz Amini

No abstract provided.

Dirofilaria Causing Eye Infection In A Patient From Malaysia, Jamaiah Ibrahim

Jamaiah Ibrahim

Human dirofilariasis caused by Dirofilaria immitis and Dirofilaria repens have been reported in Malaysia. This is the fourth reported case of dirofilariasis caused by D. repens. The patient was a Chinese male from Kuching Sarawak, Malaysia who presented with a one day history of redness and itchiness over the temporal aspect of his left eye. A worm was seen and later removed from beneath the conjunctiva under local anesthesia and based on the morphological characteristics, it was identified as an immature Dirofilaria repens.

Improving Education In Primary Care: Development Of An Online Curriculum Using The Blended Learning Model, Betzi L. Bateman, Linda O. Lewin, Mamta Singh, Pamela B. Glover

Betzi L. Bateman

Background: Standardizing the experiences of medical students in a community preceptorship where clinical sites vary by geography and discipline can be challenging. Computer-assisted learning is prevalent in medical education and can help standardize experiences, but often is not used to its fullest advantage. A blended learning curriculum combining web-based modules with face-to-face learning can ensure students obtain core curricular principles.

Methods: This course was developed and used at The Case Western Reserve University School of Medicine and its associated preceptorship sites in the greater Cleveland area. Leaders of a two-year elective continuity experience at the Case Western Reserve …