Medical Education Commons^™

Increasing First Case On Time Starts In An Ambulatory Surgery Center, Diane Fecteau, Shannan Reid, Sydney Green, Ruth Hanselman, Suneela Nayak, Stephen Tyzik, Amy Sparks

Operations Transformation

In an ambulatory surgical center, first case on-time starts directly affects the patient experience. In addition, in order to treat as many patients as possible, delays of first case on-time starts negatively impacts the rest of scheduled surgical patients and increases staff overtime expenditures. An ambulatory surgical team within a large urban health care system initiated a performance improvement initiative to enhance the patient experience, increase staff accountability and care team well-being.

The goal of this project was to start 70% or more first cases on time. Baseline metrics demonstrated that patients and surgeons were the largest cause of delay. …

Race-Based Trauma Care Training For Veteran’S Health Administration Nurse Practitioners, Vanessa Loyd

Dissertations

Abstract

Problem: Trauma informed care has become a priority for persons exposed to psychological, physiological, emotional consequences as a result of traumatic experiences. Veterans are from different cultures, including gender, race, religion, sexual orientation and other social groups. The Veterans Health Administration (VHA) is responsible for the health of this culturally diverse patient population. Healthcare providers without any prior military experience may experience difficulty obtaining an accurate history and physical exam due to the military’s cross-cultural environment. The project aim was to increase confidence and competence in race-based trauma care by incorporating training into a new acute care fellowship …

A Vaccine Administration Training Program To Increase Adolescent Vaccination Rates, Claire Jensen

Dissertations

Abstract

Immunizations have been proven to control life-threatening diseases. Often Registered Nurses (RNs) administer vaccines but are unsure how to discuss vaccines with vaccine hesitant patients. Missouri’s adolescent vaccination rates are below its neighboring states. This initiative’s purpose was to increase adolescent vaccine administrations at a Missouri County Health Department (MCHD).

This quality improvement initiative had an observational, cross-sectional, descriptive design. RNs employed at three MCHD clinics attended an adolescent vaccine administration training program (VAT) and completed pre-/post-tests regarding the Advisory Council on Immunization Practices recommendations. Medical record reviews from March 1-April 30, 2018 and March 1-April 30, 2019 compared …

Examining Opioid Ordering Rates Of Advanced Practice Providers In An Emergency Department, Bridgette Thompson

Dissertations

Problem Opioid abuse has become a major public health issue in America. Many Americans die daily from an opioid overdose. The Centers for Disease Control and Prevention (CDC) has identified prescription drug abuse and overdose as a major health threat.

Methods Descriptive cohort design with a retrospective record review of the number of opioids ordered by the advanced practice provider six weeks before and six weeks after a didactic and simulation educational experience.

Results The total sample was four (N=4). Using the paired samples t test there was no difference (t = 0.65, p = 0.56) between the number …

The Impact Of Calculators On A Test Of Clinician Numeracy: A Randomized Controlled Trial, Anne A. Taylor, Douglas R. Corfield, Lucie M. Byrne-Davis

Numeracy

Clinician numeracy (CN), the ability to use and understand quantitative data in patient care, is an important skill for healthcare professionals. Nonetheless, it is recognized that many healthcare professionals, including doctors, have deficiencies in CN, and that this may affect patient safety. In our previous research using the Medical Interpretation and Numeracy Test (MINT), we found that many doctors in training in the UK had low CN. However, participants were not permitted to use calculators when taking the MINT, even though staff has access to calculators in clinical practice. Therefore, our original study may have underestimated doctors’ CN, compared to …

Week Of July 8, 2019, New York Medical College

InTouch

• SHSP Welcomes New Vice Dean Benjamin F. Johnson, Ed.D.
• Anthony M. Sozzo, M.S.Ed., M.A., Receives NASFAA Meritorious Achievement Award
• Health Sciences Library Renovations Are Underway
• School of Medicine Hosts Gold Humanism Honor Society Student Clinician Ceremony

Dysphagia Screening To Prevent Hospital-Acquired Pneumonia Rates, Namneet Sekhon

Dissertations

Problem Pneumonia is a leading cause of death worldwide and affects all ages. Pneumonia may be acquired by aspiration and a bedside nursing dysphagia screen may reduce hospital acquired pneumonia (HAP) rates for stroke patients. The aim of this study was to evaluate use of the dysphagia screen for all patients receiving a computed tomography (CT) scan of the head in the emergency department (ED).

Method An observational, descriptive design for all patients who received a CT of the head in the ED and admitted over a 60-day period. The rate of dysphagia screening with the DePaul Hospital Swallow Screen …

Bibliometric Analysis Of Research Productivity Of Health Care Professionals In Saudi Arabia: An Exploratory Study, Manuelraj Peter, Spurgeon Samuel, Mohamed Idhris, Abdurahiman Pattukuthu, Arun Vijay Subbarayalu

Library Philosophy and Practice (e-journal)

Objectives: The aim of this study is to analyze research productivity through literature mapping of Health care Professionals (HCPs) belonging to Imam Abdulrahman Bin Faisal university (IAU), Kingdom of Saudi Arabia (KSA). To facilitate that, publications made by the HCPs in those journals indexed in the PubMed indexed medical database have been chosen for this study. The selected study period was between 2014 and 2018. This study also explores the literature growth, mapping of the health care literature and health care professional’s collaboration patterns in KSA.

Methods: The chosen data were downloaded from PubMed Database through Endnote software. Publications are …

Can We Find Pharmaceutical Calculations Low Performers Before Class Starts?: Identifying Problem Solving Deficiencies, Benjamin D. Aronson, Emily T. Eddy, Jennifer K. Grundey, Brittany L. Long, Jessica L. Hinson, Kristen F. Sobota

Pharmacy Faculty Scholarship

No abstract provided.

2019-2020 Pediatric Subspecialty Trainees, Children's Mercy Hospital

Residents and Fellows Portraits

Photo composites of the graduate pediatric trainees in allergy/immunology, child abuse pediatrics, child neurology, clinical child psychology, developmental-behavioral pediatrics, epilepsy; headache medicine; hospice & palliative care, laboratory genetics & genomics, neonatal-perinatal medicine, pediatric adolescent gynecology, pediatric anesthesiology, pediatric bioethics, pediatric cardiology, pediatric clinical pharmacology, pediatric critical care medicine, pediatric cardiac congenital surgery; pediatric dentistry, pediatric emergency medicine, pediatric EM/child abuse; pediatric endocrinology, pediatric gastroenterology, pediatric hematology/oncology, pediatric hospital medicine, pediatric infectious diseases, pediatric nephrology, pediatric ophthalmology, pediatric optometry, pediatric otolaryngology, pediatric pulmonology, pediatric rehabilitation, pediatric sports medicine, pediatric surgery, pharmacy, sleep medicine, pediatric residency and med/peds residency.

Jefferson Digital Commons Quarterly Report: April-June 2019, Kelsey Duinkerken, Msi, James Copeland, Libt

Jefferson Digital Commons Reports

This quarterly report includes:

• Articles
• CREATE Day Presentations
• Dissertations
• From the Archives
• Grand Rounds and Lectures
• House Staff Quality Improvement and Patient Safety Posters
• JCIPE Student Hotspotting Posters
• Journals and Newsletters
• MPH Capstone Presentations
• Posters
• Sigma Xi Research Day
• What People are Saying About the Jefferson Digital Commons

Concept Mapping: A Way Of Meaningful Learning For Medical Students, Rehana Rehman, Salman Siddiqi, Mukhtiar Baig

Department of Biological & Biomedical Sciences

Abstract are not provided by the author/publisher

Cime Newsletter : June - July 2019, Cime

Centre for Innovation in Medical Education (CIME) Archives

-Enhancing team leadership skills through simulation
-CIME’s first breech delivery workshop
-Surgical simulation workshop
-SONOGAMES
-Managing postpartum haemorrhage (PPH)
-Jugaad enabling a central line simulation
-Relieving urinary obstruction
-Got a housekeeping issue?

Optimizing Intraprofessional Communication At Patient Handover, Allison Crabtree

Doctor of Nursing Practice Projects

This performance improvement project aimed to increase the communication competency of nurses during intraprofessional interactions at patient handover. An educational program focused on optimizing communication among nurses was implemented in a community-based, not-for-profit, rural hospital. The course was designed to incorporate a variety of instructional strategies to meet learner needs. Consistency and standardization of the patient handover process was a central theme. Topics of the course focused on the use of a standardized communication tool, the relationship of communication on patient safety, the importance of clear and effective communication, the role of the nurse as gatekeeper and facilitator of patient-specific …

The Write Stuff - Summer 2019 (Vol. 16, No. 3), Research Medical Library

Write Stuff 2019

• Using Research Resource Identifiers (RRIDs) to enhance rigor and reproducibility
• Court ruling sheds light on publishing giant OMICS International
• Manuscript presentation tips to improve the peer review process
• How to insert Greek letters, symbols, and other special characters in Word documents
• Changes to Plan S give researchers and publishers time to adapt
• Unusual terms used in scientific writing and publishing: Hanging indent

Faculty Entrustment Of Students In The Core Clerkships: A Comparison Between The Longitudinal Integrated Clerkship And The Block Clerkship, Robert L. Trowbridge, Marybeth D. Ford, Jenny L. Carwile, Eliza R. Bullis, Robert G. Bing-You

Journal of Maine Medical Center

INTRODUCTION: Entrustable Professional Activities (EPAs) have been proposed for use in undergraduate medical education. The ability of faculty to entrust students with EPAs may differ between Longitudinal Integrated Clerkships (LICs) and traditional block clerkships.

METHODS: Participants were core clerkship faculty, 64 in a LIC and 31 in a sequential block clerkship. We administered a web-based survey at the end of the core clerkship year to measure preceptors’ typical entrustment (on a scale of 0–10) in students for the 13 American Association of Medical Colleges Core EPAs. We compared entrustment between LIC and block faculty using a Mann-Whitney test.

RESULTS:LIC …

July 2019, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

UV Safety Month

Summer has arrived and while the sun is shining bright it's a golden time to highlight July as UV Safety Awareness Month! We all love to take in those warm summer rays, but everyone must remember to protect their skin and eyes from the damaging effects of the sun.

Dean's Research Newsletter, Summer 2019, Jerry L. Nadler

SOM Dean's Research Newsletter

No abstract provided.

Maine Medical Center Quality And Safety Storyboards: Operational Excellence As Platform For Improvement

Journal of Maine Medical Center

Physician and other healthcare learners and clinicians must prepare to assume an active role in the design, implementation, and improvement of emerging models of health care delivery while concurrently improving quality, workflow efficiency and safety. While these expectations are building, few practicing clinicians have training or experience with these challenges. Maine Medical Center’s Operational Excellence Team builds on a framework of Lean Thinking, the Model for Improvement* and PDSA cycles** to advance improvement capacity among care teams across our organization. Interprofessional Teams are coached to use proven tools and techniques to identify and remove barriers to care and establish sustainable …

Tufts University School Of Medicine Mary Y Lee, Md, Medical Education Day Poster Abstracts

Journal of Maine Medical Center

The following abstracts represent posters of Tufts University School of Medicine (TUSM) research and innovation projects in medical education (in progress and completed).

The goal of this conference is to promote faculty educational research and provide faculty development with opportunities to engage in cutting-edge topics in medical education. Faculty have the opportunity to show their scholarly medical education work to TUSM's community through posters and oral presentations, and participate in educational workshops.

EDUCATIONAL OBJECTIVES

To have participants:

1) Share their work on medical education research with TUSM's community.

2) Analyze new trends in today's health professionals' education.

3) Select in …

Time-Out In Madrid: Considering The Role Of Time-Outs In Clinical Practice, Colin T. Phillips

Journal of Maine Medical Center

No abstract provided.

Rationale And Design Of An Endocrinology Education Program For Primary Care In Maine: Initiation Of Mainehealth Endo Echo Maine, Irwin Brodsky, Joan Ingram, Stacy O'Brien, Tho Ngo, Charles T. Winchell

Journal of Maine Medical Center

Introduction: Population health and quality of care initiatives for the management of common endocrine disorders often include algorithmic and protocol-driven workflows in primary care practices. Endo ECHO is a division of Project ECHO at University of New Mexico that engages primary care clinicians in didactic presentations and case discussions to augment conceptual (experiential, nuanced) rather than algorithmic (rote) learning.

Research Design and Methods: MaineHealth Endo ECHO was designed using the Project ECHO model. Project ECHO® is an interactive learning opportunity that uses video conferencing to connect specialty and primary care to share best practices for delivering care. Using …

Physician Gender Impact On Obesity Care In The Academic Ambulatory Setting, Peggy R. Cyr Md, Christina Holt Md, Msc, Amy Haskins Phd, Karyn King Md, Robert Post Md, Derjung M. Tarn, Arch Mainous Phd

Journal of Maine Medical Center

BACKGROUND & OBJECTIVE: The purpose of this study was to assess a nationally representative sample of academic family physicians to determine whether personal physician characteristics are associated with attitudes towards and care of overweight and/or obese patients.

METHODS: Questions pertaining to physician’s interactions with overweight and obese patients was administered as the 2012 Council of Academic Family Medicine Educational Research Alliance (CERA) survey to academic family physicians. We analyzed self-reported demographic responses physicians gave with the main outcome the association between self-reported likelihood of engaging in weight loss discussions with overweight or obese patients and physicians’ personal characteristics …

Changing The Surgical Residency: A Mixed-Methods Study Of Residents’ And Faculty Experiences One Year After Implementation, Sarah B. Cairo, Wendy Craig, Caitlin Gutheil, Paul K. J. Han, Kristiina Hyrkas, Lynda Macken, Jim Whiting

Journal of Maine Medical Center

Objective: To evaluate a reformed surgical residency curriculum aimed at addressing emerging practice models, enhancing residents’ educational experience, and improving the quality/continuity of patient care by reducing the service size and enhancing attending-resident interactions.

Methods: A mixed-methods study of the surgical training program following curriculum reform including: 1) focus group and individual qualitative interviews with residents, attendings, nurses, and advanced practice providers to explore stakeholder perspectives on curriculum reform, 2) time study of surgical resident activities, and 3) quantitative assessment of surgical case logs.

Results: Qualitative interviews demonstrated disparate knowledge and attitudes regarding the goals of the curriculum with emergence …

2018-2019 Department Of Psychiatry And Behavioral Sciences Scholarly Activity Report, Quillen College Of Medicine, East Tennessee State University

Quillen College of Medicine Scholarly Activity Reports

No abstract provided.

2018-2019 Department Of Surgery Scholarly Activity Report, Quillen College Of Medicine, East Tennessee State University

Quillen College of Medicine Scholarly Activity Reports

No abstract provided.

2018-2019 Department Of Learning Resources Scholarly Activity Report, Quillen College Of Medicine, East Tennessee State University

Quillen College of Medicine Scholarly Activity Reports

No abstract provided.

2018-2019 Department Of Internal Medicine Scholarly Activity Report, Quillen College Of Medicine, East Tennessee State University

Quillen College of Medicine Scholarly Activity Reports

No abstract provided.

2018-2019 Department Of Family Medicine Scholarly Activity Report, Quillen College Of Medicine, East Tennessee State University

Quillen College of Medicine Scholarly Activity Reports

No abstract provided.

2018-2019 Department Of Biomedical Sciences Scholarly Activity Report, Quillen College Of Medicine, East Tennessee State University

Quillen College of Medicine Scholarly Activity Reports

No abstract provided.