Medical Education Commons^™

A Comparison Of Match Outcomes Between Traditional Medical Degree And Dual-Degree Applicants, Bryce R. Christensen, Chad M. Becnel, Leland P. Chan, Paul D. Minetos, John F. Clarke, Marc J. Kahn

School of Medicine Faculty Publications

Background: Dual degrees combining and MD with another professional degree (MPH, MBA, or PhD) are becoming more common in an attempt to increase an applicant’s competitivity for a residency. Objective: This study was designed to assess differences in MD-only and dual degree MD applicants with respect to applicant characteristics and match outcomes. Methods: Utilizing the voluntarily-reported publicly available 2017–2019 Texas STAR database, we assessed applicants from 115 medical schools. Texas STAR indicates that over this time period, there were 18,224 responses for a response rate of 43.8%. Comparisons were made between groups using student’s t-test and chi-squared analysis. Results: Compared …

Efficacy Of Pulmonary Ultrasound Compared To N-Terminal Prohormone Brain Natriuretic Peptide As A Diagnostic Tool For Congestive Heart Failure In Patients Presenting With Acute Dyspnea In The Emergency Setting, Leah Krohn, Michael Burns

Physician Assistant Capstones, 2020-current

Objective: To determine the efficacy of using pulmonary ultrasound as a diagnostic tool in acute dyspnea of undetermined cause compared to the use of serum N-Terminal prohormone Brain Natriuretic Peptide (NT-proBNP) in the diagnosis of heart failure.

Design: Systematic literature review

Methods: Searches were conducted in PubMed and Scopus using the terms pulmonary ultrasound and congestive heart failure and studies within the last 10 years. Studies that used pulmonary ultrasound compared to BNP as a marker for the diagnosis of heart failure were included.

Results: All three studies found that the use of pulmonary ultrasound was a more specific …

Routine Versus Selective Episiotomies Causing Severe Perineal Tears, Hannah Brown, Anneliese Trader

Physician Assistant Capstones, 2020-current

Objective: To determine if the use of routine episiotomies decreases the rate of severe perineal tears in comparison to selective episiotomies during vaginal delivery. Methods: PubMed and Google Scholar were used to generate a set of random control trials which all had the objective of comparing severe perineal tears in routine compared to selective episiotomies during vaginal delivery. Three trials were reviewed and included in this study. Results: The results of each trial were not all statistically significant in the rate of severe perineal tears when comparing the two interventions. However, a downward trend of third-degree perineal tears amongst …

Mindfulness Based Stress Interventions In Physician Assistant Programs, Lucas Vance

Physician Assistant Capstones, 2020-current

Mindfulness based interventions (MBI) have been used successfully in a variety of venues from the treatment of chronic pain to reducing stress in the workplace. The benefits of MBI programs that have been studied range from self-reported anxiety, depression, and empathy levels to levels of cortisol¹ to amygdala changes seen on magnetic resonance imaging.² MBI programs have been studied in pre-medical, medical, and graduate schools, as well as, nursing programs, and generalized healthcare cohorts.

Knowledge, Attitudes, And Practices Against The Growing Threat Of Covid-19 Among Medical Students Of Pakistan, Khola Noreen, Zil-E Rubab, Muhammad Umar, Rehana Rehman, Mukhtiar Baig, Fizzah Baig

Department of Biological & Biomedical Sciences

Background: On account of the COVID-19 pandemic, many changes have been implicated in university medical students. We are cognizant that pandemic can be controlled with dedicated contributions from all involved in the healthcare profession. Therefore, it is important to know the pandemic and application of knowledge by the medical students to formulate a further line of management in Pakistan.
Objective: We aimed toinvestigate the knowledge, attitudes, and practices (KAP) regarding COVID-19 and its impact on medical students of Pakistan.
Methods: A cross-sectional survey was conducted in June 2020 by a validated self-administered questionnaire. The survey instrument was tailored from a …

Knowledge, Attitudes And Practices Towards Covid-19 Among Pakistani Residents: Information Access And Low Literacy Vulnerabilities, Zafar Fatmi, Shafaq Mahmood, Waqas Hameed, Ibtisam Qazi, Muhammad Siddiqui, Anny Dhanwani, Sameen Siddiqi

Community Health Sciences

Background: Coronavirus disease (COVID-19) has accentuated the need for speedy access to information. Digital divide and socio-demographic disparity create an information hiatus and therefore unhealthy practices with regard to dealing with COVID-19, particularly in low- and middle-income countries.
Aims: We assessed knowledge, attitudes, practices and their determinants regarding COVID-19 in Pakistan during March-April 2020.
Methods: 905 adults ≥18 years (males and females) participated: 403 from a web-based survey; 365 from an urban survey; and 137 from a rural survey. Frequency of adequate knowledge, attitudes and practices for the three populations was determined based on available global guidelines. Multivariable logistic regression …

Residency Recruitment: Changes And Challenges, Karen A. Chojnacki, Md, Facs

Department of Surgery Presentations and Grand Rounds

No abstract provided.

Increasing Nurse Knowledge Using A Formal Lung Transplant Education Program, Amy M. Stoddard, Donna Lynch-Smith, Kate Carlson Wrammert, Bobby Bellflower

Doctor of Nursing Practice Projects

This quality improvement project was completed to show that a formal lung transplant education course for nurses caring for lung transplant patients increased their knowledge. An eight-hour education course was developed by experts in the field of lung transplantation. A pretest was administered before the education course. A posttest was administered to determine if knowledge was improved. A three-month follow-up test was administered to determine knowledge retention. Based on the data analysis, nurse knowledge improved after formal education. Item analysis determined what areas of educational content need to be the focus of quarterly education. The education course was adopted as …

Effectiveness Of Educating Health Care Professionals In Managing Chronic Pain Patients Through A Supervised Student Inter-Professional Pain Clinic, Ling Cao, Stephen Z. Hull

Biomedical Sciences Faculty Publications

Objective: To address the need for increased and more effective medical education regarding chronic pain and pain management, an inter-professional (IP) training program in the form of a supervised student IP pain clinic was implemented in 2016. In the current study, we evaluated its feasibility and effectiveness in improving health care professional students’ skills in 1) managing chronic pain and 2) working in an IP team.

Methods: From January 2016 to December 2018, we assembled 12 IP teams that included students from the following six professions at the University of New England: nursing, osteopathic medicine (OM), occupational therapy (OT), pharmacy, …

December 2020, Randy Curry, Cindy Brooks

RURAL ROCKS

Rural Rocks, the Rural Health Network newsletter by the SWOSU College of Pharmacy.

Effect Of 24/7 Attending Coverage In The Neonatal Intensive Care Unit On Fellow Education, Mitali Sahni, Anja Mowes

School of Medicine Faculty Publications

© 2020, The Author(s). Background: There is a current change in type of attending coverage in the Neonatal Intensive Care Unit (NICU) from home calls to 24/7 in house coverage. Effects of this increased attending physician presence on education of NICU fellows has not been studied. The objective of this study is to evaluate the fellows’ perception of in house attending coverage on their education and evaluate its effect on their perceived autonomy. Methods: A secure, anonymous, web-based survey was designed using RedCap. The web-based survey was sent via the section of Neonatal Perinatal Medicine of the American Academy of …

Nursing Education Amidst Covid-19: Obstacles And Way Forward, Farida Bibi Mughal, Nasreen Rafiq, Bibi Hajira Irshad Ali

School of Nursing & Midwifery

No abstract provided.

Initiating A Geriatric Clinical Practicum In The Midst Of A Pandemic, April Wood

Faculty Research, Scholarly, and Creative Activity

No abstract provided.

Dean's Update December 2020, Jerry L. Nadler

SOM Dean's Research Newsletter

No abstract provided.

The Psychiatry Milestones 2.0: How Did We Get From 1.0 To 2.0 And What Can Users Expect?, Matthew Macaluso, Mark Kinzie, Deborah Cowley, Lillian J Houston, Sandra Dejong, Furhut Janssen, Adrienne Bentman, Laura Edgar, Brittany Campbell, Lynneice Bowen, Jeffery Aronowitz, Elie Aoun, Patcho Santiago, George Keepers

Rowan-Virtua School of Osteopathic Medicine Faculty Scholarship

Graduate medical education (GME) in psychiatry, like other medical specialties, has been transitioning to competency-based training and assessment. Competency-based medical education was born from a desire to certify physicians based on training outcomes, rather than training inputs such as the amount of time one spends in training [1]. The transition to a focus on training outcomes has been at least 25 years in the making

Establishing A Multi-Institutional Quality And Patient Safety Consortium: Collaboration Across Affiliates In A Community-Based Medical School., Emily Hillman, Joann Paul, Maggie Neustadt, Mamta Reddy Md, David Wooldridge, Lawrence Dall, Betty Drees

Manuscripts, Articles, Book Chapters and Other Papers

The landscape of health care delivery and medical education is evolving. Institutions must continually reassess priorities, strategies, and partnerships to align the knowledge and skills of the health care workforce with the delivery of quality, socially accountable, collaborative health care that meets the needs of diverse populations in communities. This article describes the development, implementation, and early outcomes of the University of Missouri-Kansas City's (UMKC) Health Care Quality and Patient Safety Consortium. Inspired by an actual patient safety event, the consortium aimed to improve patient outcomes by establishing quality improvement and patient safety (QIPS) education and scholarship as foundational within …

Overview Of Antiretropulsion Devices For Prevention Of Inadvertent Stone Migration During Pneumatic Lithotripsy For Ureteric Stone, Ali Akbar Zehri, Miten Patel, Philip Adebayo, Authar Ali

Faculty of Health Sciences, East Africa

The purpose of the present chapter is to provide an update about the use of preventive devices used to stop retrograde stone migration during pneumatic lithotripsy for ureteric stone management. The aim to reduce the cost, ancillary procedure, reduce the operative time and improve the stone free rate. The hunt for ideal cadget to stop retrograde stone migration is still continue in 21 century.

Developing Physical Exam Skills In Residency: Comparing The Perspectives Of Residents And Faculty About Values, Barriers, And Teaching Methods, John W. Ragsdale, Catherine Habashy, Sarita Warrier

Internal Medicine Faculty Publications

Background: The physical examination (PE) skills of residents are often not improved since medical school. Unfortunately, how residents learn PE is not well understood. There is a paucity of research on the factors involved and the differences between resident and faculty perspectives. The authors sought to determine resident and faculty perceptions about the value of PE, the major barriers to learning PE, and the most effective teaching methods.

Methods: Based on a rigorous process of literature review and semi-structured interviews, the authors developed an online survey which was sent to 406 internal medicine residents and 93 faculty at 3 institutions. …

The Effect Of Mock Code Blue Simulations And Dedicated Advanced Cardiac Life Support Didactics On Resident Perceived Competency., Dallis Q Ngo, Christina Vu, Thien Nguyen, Patricia Sotolongo, Manika Talati, Nikki Zahabi, Katrina Platt

Articles, Abstracts, and Reports

In-hospital cardiac or pulmonary arrest is associated with high mortality. In the USA, approximately 200,000 of these events occur and are associated with overall survival rates of 18%-20%. Despite advances in resuscitative methods, the probability of intact survival also remains unfavorable. Though many factors play a role, we believe a large portion of a patient's survival is dependent on the competency of the leader of the code blue or resuscitative team's efforts. Newly minted physicians who enter medical training in their respective residencies are equipped with a wide range of clinical competency in regards to hands-on experience and aptitude with …

Assessing The Use Of Student-Developed Clerkship Guides For Improving Clerkship Expectations And Experiences: An App-Based Approach., Jose Chavez, Lauren Muenchow, Matthew Hidalgo, Jiyun Lim, Jose Campo Maldonado, Lori Berry, Michael Machiorlatti

MEDI 9331 Scholarly Activities Clinical Years

Background: The transition for medical students from pre-clinical education to the clinical learning environment introduces different expectations, methods of evaluation, and new working conditions. A mobile-friendly web application with clerkship specific information was developed to assess whether clinical preparedness increased among third-year medical students at transitioning to their clinical curriculum.

Objectives: To determine whether medical students’ clinical preparedness increased as they transitioned into clinical rotations by using a mobile-friendly web application that contained information and advice shared by senior medical students that had already completely their rotations.

Methods: Third-year medical students at the University of Texas Rio Grande Valley School …

Assessing The Need For In-Person Evaluations Following Psychiatric E-Consults, Cecilia E. Zemanek Bs, Katherine B. Martin Md

USF-LVHN SELECT

No abstract provided.

Peer-Assisted Learning (Pal): An Innovation Aimed At Engaged Learning For Undergraduate Medical Students, Hasan Salman Siddiqi, Rehana Rehman, Farzeen Fatma Syed, Russell S. Martins, Muhammad Talal Ibrahim, Faiza Alam

Department of Biological & Biomedical Sciences

Objective: To evaluate the effectiveness of Peer Assisted Learning in teaching at undergraduate level and to assess its effects on Peer Leaders and Peer Learners.
Methods: The cross-sectional study was conducted at the Aga Khan University, Karachi, from May to October 2017, and comprised Peer Learners who were trained by faculty members in workshops and pre-run of experiments. Students were divided into two groups; Group A had Peer Learners taught by Peer Leaders, and Group B had those taught by trained lab technologists. Knowledge of the groups was assessed by a quiz using Kahoot. Post-session feedback questionnaires were also filled …

November 2020, Randy Curry, Cindy Brooks

RURAL ROCKS

Rural Rocks, the Rural Health Network newsletter by the SWOSU College of Pharmacy.

Addressing Neurocognitive Disorders, Dementias, And Alzheimer’S Disease In Colonias Of The Lower Rio Grande Valley: Establishing A Research Foundation Using Promotores, Noe Garza, Marucela Uscamayta-Ayvar, Gladys E. Maestre

School of Medicine Publications and Presentations

Several Texas communities along the Mexican border, including the Lower Rio Grande Valley (LRGV), are home to low-income Hispanic populations, many of whom live in underserved communities known as colonias. These areas have high incidences of neurocognitive disorders, dementia, and Alzheimer’s disease (AD); health care strategies that are culturally and linguistically appropriate for the area are needed. We aim to build capacity to reduce risk, facilitate treatment, and provide caregiver support for affected individuals. However, gaining trust of communities and presenting information about research studies in a way that is culturally appropriate is critical for engagement of underserved communities.

This …

Integration Of The Saline Process On Holistic Patient Care To Improve Student Understanding Of Interprofessional Team Roles, Values, And Ethics, Emily Laswell, Emily Wicker, Carrie N. Keib, Felisha L. Younkin, Elizabeth A. Sled, Kristi L. Coe, Suzanne Lefever, Aleda Chen

Pharmacy Practice Faculty Publications

Description of the Problem: Healthcare practitioner students currently report feeling underprepared to provide holistic and spiritual care to their patients upon transitioning into practice, and there is currently little data on the efficacy of holistic care-focused interventions on interprofessional outcomes. The goal of this research was to assess the impact of an interprofessional training session on holistic care on student perceptions of interprofessional 1) roles/responsibilities and 2) values/ethics.

The Innovation: A live, interactive interprofessional training session to address holistic patient care was implemented in fall of 2017. Students’ pre- and post-training perceptions of their confidence in study outcomes were assessed …

A Randomized Controlled Trial Of An Online Immunization Curriculum., Barbara A. Pahud, S Elizabeth Williams, Brian R. Lee, Kadriye O. Lewis, Donald B. Middleton, Shannon Clark, Sharon Humiston

Manuscripts, Articles, Book Chapters and Other Papers

INTRODUCTION: Immunization education for physicians-in-training is crucial to address vaccine concerns in clinical practice. Vaccine education is not standardized across residency programs. The Collaboration for Vaccination Education and Research (CoVER) team developed an online curriculum for pediatric (Peds) and family medicine (FM) residents.

METHODS: A cluster randomized controlled trial (RCT) was performed during the 2017-2018 academic year to evaluate the CoVER curriculum. A convenience sample of residency institutions were randomly allocated to the intervention or control group, with stratification by residency type. The intervention, the CoVER curriculum, consisted of four online modules and an in-person training guide. Control sites continued …

Shu Scripts: Stories From The Heart Of Nursing, 2020, Karen Bauce Ed.

News, Magazines and Reports

Welcome to the inaugural issue.

Assessing Resident Communication With Faculty From Multiple Specialties In Pediatric Simulation Designed To Provide Multi-Source Feedback, Nicole Elliott Do, Michael C. Nguyen Md, Matthew Nimmo Do, Rebecca Dudley Do, Matthew D. Cook Do, Diane Begany Md, Sofia M. Murillo Bs, Pa-S, Katie Best Rn, Lauren Crowley Ba, Bryan G. Kane Md

Department of Emergency Medicine

No abstract provided.

Has The Covid-19 Pandemic Adversely Affected Measure Of Burnout And Empathy In Emergency Medicine Residents?, Jeanne L. Jacoby Md, Amy B. Smith Phd, Marna R. Greenberg Do, Mph, Facep, Bryan G. Kane Md, Jennifer Macfarlan Mph, Robert D. Barraco Md, Mph, Alexander M. Rosenau Do, Sofia Murillo Pa-S, Lauren Crowley Ba, Elaine A. Donoghue Md, Kevin Weaver D.O.,Facoep

Department of Emergency Medicine

No abstract provided.

12 Tips For Implementing Peer Instruction In Medical Education, Dean Parmelee, Mary Jo Trout, Irina Overman, Michael P. Matott

Medical Education Faculty Publications

Peer Instruction (PI) is a vibrant instructional strategy, used successfully for over two decades in undergraduate physics and mathematics courses. It has had limited use and few publications in medical education. This 12 TIPS provides a focused review on the evidence supporting its use in higher education and rationale for its wider adoption in medical education. The authors detail important steps for its implementation with large classes. Based on several years of experience with PI in a US allopathic medical school, they feel that PI attends to core principles from the science of learning and provides students and faculty with …