Medical Education Commons^™

Validity Of Cardiorespiratory Fitness Assessment In Adolescents Using The Non-Exercise Test, Pacer, And The K4b2 Portable Metabolic System, Pedro Migliano, Megan James, Allison Hall, Amy Fruge, Anna Flipse

International Journal of Exercise Science: Conference Proceedings

Cardiorespiratory fitness (CRF) is an important indicator of adolescent cardiovascular and future cardiometabolic health. The PACER test is often used to measure CRF in adolescents but is not feasible with pediatric populations unable to perform physical testing secondary to physical impairments. The non-exercise test (NET) has been recommended as a proxy for estimating VO₂ in individuals not able to perform physical tests by using variables such as gender, age, body mass index, resting HR, and self-reported habitual physical activity levels. PURPOSE: The purpose of this study was estimate the concurrent validity of the NET for adolescents against the PACER …

Metabolic Responses To A Battling Rope Protocol Performed In The Seated Or Stance Positions, Dominisha Felder, Kasey Hogan, Reka Kovacs, Hannah Mitchell, Wayne Brewer

International Journal of Exercise Science: Conference Proceedings

Achieving the recommended amount of physical activity is a greater challenge for individuals who are disabled than those who are not disabled. Battling ropes is an intense exercise that has been shown to promote elevation of heart rate and increased oxygen consumption, and may be a beneficial exercise alternative for individuals with disabilities. PURPOSE: To compare the levels of perceived exertion (RPE), oxygen consumption (VO₂) and heart rate (HR) responses elicited by a treadmill (TM) or bicycle (BK) VO₂ max test with a standing or sitting battling rope protocol (BRP) (TM vs. standing BRP) (BK vs. …

The Comparison Of High-Intensity Interval Exercise Vs. Continuous Moderate-Intensity Exercise On C1q/Tnf-Related Protein-9 Expression And Flow-Mediated Vasodilation In Obese Individuals, Brandon G. Fico, Ryan S. Garten, Michael C. Zourdos, Michael Whitehurst, Peter J. Ferrandi, Katelyn M. Dodge, Gabriel Pena, Alexandra A. Rodriguez, Chun-Jung Huang

International Journal of Exercise Science: Conference Proceedings

PURPOSE: A recent novel adipocytokine, C1q/TNF-related protein-9 (CTRP9), has been shown to increase activation of endothelial nitric oxide synthase and reduce vasoconstrictors (e.g., endothelin-1). In addition, CTRP9 may play a compensatory role in obesity-related endothelial dysfunction. Although there is limited information regarding exercise-mediated CTRP9, high-intensity interval exercise (HIIE) has been shown to be as or more effective than continuous moderate-intensity exercise (CME) in improving indicators of endothelial function (e.g., brachial artery flow-mediated dilation [BAFMD]). Therefore, the purpose of this study was to investigate the effect of acute HIIE vs. CME on serum CTRP9 and BAFMD responses in obese individuals. METHODS: …

2018 February 20 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

Week Of February 20, 2018, New York Medical College

InTouch

• Biomedical Ethics Authority to Address the Class of 2018 at the 159th Commencement Exercises
• Doctor of Physical Therapy Program Hits The Mark Again...Twice
• Overseas Speech-Language Pathology Program Enriches Understanding of SLP in Other Cultures
• BioInc@NYMC Launches New Website

Coronary Stents—The Role Of Experience And Evidence In Making Clinical Decisions, Elise Anderson, Aria Ganz-Waple, Nikola Rakic, Eric Blake, Destiny Kellam, Nadeen Mansour, David Aguilar, Jessica A. Johns, Jerry Chen

Clinical Research in Practice: The Journal of Team Hippocrates

The authors reflect on the charge placed on future medical practitioners given evolving standards of care.

Intra-Articular Tranexamic Acid During Total Knee Arthroplasty, Ahmed F. Khan

Clinical Research in Practice: The Journal of Team Hippocrates

An informed consent conversation regarding bleeding risk prior to total knee arthroplasty in an elderly patient with chronic kidney disease.

Mechanical Pleurodesis Is Not A Contraindication To Lung Transplantation, Alexa Thibodeau

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Shigemura N, Bhama J, Gries CJ, et al. Lung transplantation in patients with prior cardiothoracic surgical procedures. American Journal of Transplantation. 2012;12(5):1249-1255. doi: 10.1111/j.1600-6143.2011.03946.x

Closure Of Patent Foramen Ovale Or Medical Therapy Alone Are Both Appropriate Choices For Preventing Recurrent Cryptogenic Strokes, Kevin Juan Zhang

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Carroll JD, Saver JL, Thaler DE, et al. Closure of Patent Foramen Ovale versus Medical Therapy after Cryptogenic Stroke. N Engl J Med, 2013;368(12):1092-1100. doi:10.1056/nejmoa1301440.

Multiple Doctors, Different Recommendations For Multiloculated Pyogenic Hepatic Abscesses, Eric Gr Kim

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Hope WW, Vrochides DV, Newcomb WL, Mayo-Smith WW, Iannitti DA. Optimal treatment of hepatic abscess. The American Surgeon. 2008 Feb;74(2):178-82. doi: 10.1016/j.jamcollsurg.2010.03.004

Cognitive Behavioral Therapy For Patients With Psychogenic Non-Epileptic Seizures, Andrew Brown

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Goldstein L., Chalder T., et al. Cognitive-behavioral therapy for psychogenic non-epileptic seizures: A pilot RCT. Neurology. 2010;74(24):1986-1994. doi: 10.1212/WNL.0b013e3181e39658

From The Editor: Demonstrating Implementation Of Clinical Research Into Clinical Practice, James Peter Meza

Clinical Research in Practice: The Journal of Team Hippocrates

The editor stresses that learning to apply scientific research to clinical decision-making is not a formulaic endeavor.

February 2018, Randy Curry, Cindy Brooks

RURAL ROCKS

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

Week Of February 12, 2018, New York Medical College

InTouch

• NYMC Welcomes Guatemala's President Morales
• NYMC and Touro Launch Shark Tank-Inspired Forum to Invest in Israeli Biotechnology
• Christopher S. Leonard, Ph.D., Assumes the Role of Interim Chair of the Department of Physiology
• Physical Therapy and Speech-Language Students Team Up for Interprofessional Education Experience

Week Of February 5, 2018, New York Medical College

InTouch

• Raj K. Tiwari, Ph.D., Is Named Interim Chairman of the Department of Microbiology and Immunology
• Robert A. Welke Cancer Research Foundation Continues Longstanding Support of NYMC Cancer Research
• From the Collection of Edward C. Halperin, M.D., M.A.

Self-Reported Academic Performance In Relation To Health Behaviours Among Bahria University Students, Rehana Rehman, Amara Zafar, Aleena Mohib, Mehwish Hussain, Rabiya Ali

Department of Biological & Biomedical Sciences

Objective: To find an association between self-reported academic performance with different socio-demographic factors, health behaviours and mental health amongst university students.
Methods: This cross-sectional study was conducted at Bahria University, Karachi, from January 2012 to December 2013, and comprised university students of different disciplines. An anonymous, self-reported questionnaire was distributed among the subjects. Convenient sampling technique was used. Demographic information, including age, gender and field of study, were obtained. Depresion was evaluated via Centre for Epidemiological Studies Depression Scale. SPSS 22 was used to analyse data.
Results: Of the 813 respondents, 334(41.1%) were males and 479(58.9%) females. The mean age …

Cime Newsletter : February 2018, Cime

Centre for Innovation in Medical Education (CIME) Archives

- Spie Facilitated Research Workshops

- Introductory Clinical Simulation Workshop for Nursing Education Services (NES)

- Laerdal Training in High Fidelity Simulators

- Ms. Hamida Babool, TKN Volunteer, Sharing her Experience of CIME

- AKU’s 3rd Orthopaedic Review Course

- English Language Fair 2018

February 2018, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

No abstract provided.

Imagine A World …, David A. Nelson

Journal of Patient-Centered Research and Reviews

The author and issue editor introduces the second half of Journal of Patient-Centered Research and Reviews’ two-part series on health disparities and inequities in the United States. The chasm between an ideal health care system and the current reality may appear vast, and closing it insurmountable at times, but acknowledging and working to address the many health conditions that disproportionately affect specific patient populations is one step health providers and researchers can take toward closing the gap.

Needs Assessment For Creating A Patient-Centered, Community-Engaged Health Program For Homeless Pregnant Women, Tegan Ake, Sabina Diehr, Leslie Ruffalo, Emily Farias, Ashton Fitzgerald, Samuel D. Good, Lindsay B. Howard, Stefan P. Kostelyna, Linda N. Meurer

Journal of Patient-Centered Research and Reviews

Purpose: Women who experience homelessness during pregnancy have poorer birth outcomes than the general population. This exploratory research describes the needs assessment of homeless women currently living at a shelter in Milwaukee, Wisconsin, to identify unmet needs related to maternal and infant perinatal health as the first step in designing a mutually beneficial patient-centered service-learning program for medical students to address these needs.

Methods: Two 1-hour focus groups were held at a shelter for women who are homeless and/or victims of domestic violence. A total of 13 women participated in each session; four medical students and a physician served as …

Community Health, Advocacy, And Managing Populations (Champ) Longitudinal Residency Education And Evaluation, Kjersti E. Knox, Will Lehmann, Joseph Vogelgesang, Deborah Simpson

Journal of Patient-Centered Research and Reviews

Purpose: Longitudinal education initiatives designed to prepare residents to address health disparities and social determinants of health (SDH) are needed. This report addresses this gap by describing a family medicine residency’s Community Health, Advocacy, and Managing Populations (CHAMP) curriculum and its evaluation by learners, faculty, and community partners. The CHAMP longitudinal curriculum is explicitly designed to prepare residents to address health disparities and SDH. We report early outcomes, including community partner feedback, of this innovative curriculum.

Methods: Data were obtained through standardized rotation evaluations, thematic analysis of structured group and individual interviews, and aggregated competency milestone data. Kirkpatrick’s four-level model …

Effect Of A Brief Patient Communication Teaching On Both Attendee And Non-Attendee Family Medicine Residents., Dilip Nair, Adrienne Mays, Mohit Harsh

Marshall Journal of Medicine

Physician-patient communication skills are important for physicians to acquire. Teaching skills is thought to require attendance by learners but this is difficult in graduate medical education settings. We asked if an educational intervention on physician-patient communication was associated with a "spill-over" effect to non-attendees in the same family medicine residency program.

We surveyed residents regarding communicating instructions to patients before the intervention and one month later, regardless of their attendance. Residents’ assessment of their patients’ understanding increased significantly post-intervention only if non-attendees were included.

This pilot study suggests a beneficial “spill-over” effect to non-attendee residents that warrants further study.

Chasing The Dragon, Daniel Young Cho, Hani Nazha, Kalin Fisher

Marshall Journal of Medicine

Abstract: Although rare, toxic leukoencephalopathy (TLE) associated with heroin inhalation have been reported. ‘Chasing the dragon’ may lead to progressive spongiform degeneration of the brain and presents with a large range of neuropsychological sequelae. A thorough social history and clinical suspicion are paramount in recognizing the diagnosis. This case is an example of TLE in a middle-aged white male with a history of polysubstance abuse. He presented with a three week history of progressive neuropsychological symptoms, including abulia, bradyphrenia, hyperreflexia, and visual hallucinations. He was initially suspected to have progressive multifocal leukoencephalopathy, however, JCV PCR was negative. MRI showed diffuse …

Week Of January 29, 2018, New York Medical College

InTouch

• Flu Vaccine Expert Doris J. Bucher, Ph.D., to Address 22nd Annual Medical Student Research Forum
• Andrew Mutnick, M.D. '01, Is Named SOM Interim Senior Associate Dean for Student Affairs

Data Saturation: The Mysterious Step In Grounded Theory Method, Khaldoun M. Aldiabat, Carole-Lynne Le Navenec

The Qualitative Report

The aim of this paper is to provide a discussion that is broad in both depth and breadth, about the concept of data saturation in Grounded Theory. It is expected that this knowledge will provide a helpful resource for (a) the novice researcher using a Grounded Theory approach, or for (b) graduate students currently enrolled in a qualitative research course, and for (c) instructors who teach or supervise qualitative research projects. The following topics are discussed in this paper: (1) definition of data saturation in Grounded Theory (GT); (2) factors pertaining to data saturation; (3) factors that hinder data saturation; …

A Gap In The United States Healthcare System: Physician Nutrition Education Knowledge And Application, Kristen Hicks

Showcase of Faculty Scholarly & Creative Activity

Physicians demonstrate an insufficiency in medical nutrition training, yet are expected to deliver nutrition counseling to patients with chronic disease. There is a clear understanding that unhealthy lifestyle behaviors (e.g. smoking, physical inactivity, poor diet) contribute to morbidity and mortality across the nation and worldwide. A preventable contribution to millions of deaths annually, which can be mitigated via brief nutrition and lifestyle counseling. Primary care is the ideal venue to deliver nutrition education and counseling, with a majority of all Americans regularly visiting their physician offices. With preventive medicine on the rise, is it imperative that a physician is proficient …

Patient-Centred Attitudes Among Medical Students In Mali, West Africa: A Cross-Sectional Study., Emily A. Hurley, Seydou Doumbia, Caitlin E. Kennedy, Peter J. Winch, Debra L. Roter, Sarah M. Murray, Steven A. Harvey

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND/OBJECTIVE: Patient-centred attitudes have been shown to decline during medical training in high-income countries, yet little is known about attitudes among West African medical students. We sought to measure student attitudes towards patient-centredness and examine validity of the 18-item Patient-Practitioner Orientation Scale (PPOS) in this context.

PARTICIPANTS/SETTING: 430 medical students in years 1, 3, 5 and 6 of a 6-year medical training programme in Bamako, Mali.

DESIGN: We conducted a cross-sectional survey, compared the proportion of students who agreed with each PPOS item by gender and academic year, and calculated composite PPOS scores. To examine psychometrics of the PPOS and …

2018 January 16 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

Week Of January 16, 2018, New York Medical College

InTouch

• BioInc@NYMC Names New Director
• Bridge Funding Grants Are Announced
• La Casita de la Salud Continues to Bridge the Gap in Health Disparities
• First Patient Arrives at Touro Dental Health

Factors Associated With Perceived Accuracy Of The Undetectable = Untransmittable Slogan Among Men Who Have Sex With Men: Implications For Messaging Scale-Up And Implementation, H Jonathon Rendina, J T. Parsons

Publications and Research

Introduction: Recent research has shown high efficacy of HIV treatment for reducing the risk of HIV transmission to sexual partners. As the efficacy of treatment as prevention (TasP) has proliferated, a new messaging campaign, Undetectable = Untransmittable, has been gaining popularity. The purpose of this paper was to assess factors associated with the perceived accuracy of this TasP messaging strategy among a large and diverse sample of gay, bisexual, and other men who have sex with men (GBMSM) in order to inform subsequent efforts at large-scale and implementation of the HIV prevention message.

Methods: We conducted a nationwide survey of …