Medical Education Commons^™

Changes In Hospital Utilization By Individuals Experiencing Homelessness After Engaging With Interdisciplinary, Low-Barrier Healthcare Services In Portland, Maine, Sarah Hemphill Ba, Adam Normandin Md, Ms, Debra Rothenberg Md, Phd

Journal of Maine Medical Center

Introduction: The Maine Medical Center Preble Street Learning Collaborative (PSLC) aims to couple medical education with addressing the unmet healthcare needs of those experiencing homelessness in Portland, Maine. The PSLC provides low-barrier medical, psychiatric, dental, and case management services to all-comers and is co-located near many of the city’s social services. The purpose of this study was to evaluate the impact of the PSLC in its first 19 months by describing demographic characteristics and patterns in hospital utilization of patients served by the PSLC.

Methods: We performed a retrospective chart review of 888 patients with one or more …

Virtual Coaching And Deliberate Practice To Enhance Medical Students' Clinical Reasoning During Oral Case Presentations, Nicole Akar-Ghibril Md, Cristina Carter Md, Gabrina Dixon Md, Med, Ellen Goldman Med, Mba, Mary C. Ottolini Md, Mph, Med

Journal of Maine Medical Center

ABSTRACT:

Introduction

Oral case presentations (OP) provide an opportunity for medical students to practice clinical reasoning and communication skills, and for faculty to provide assessment. Specific teaching strategies are needed to improve students’ OP skills.

Objective

To compare the effectiveness of Virtual Coaching (VC) to Small Group (SG) discussion or Traditional Feedback (TF/control) in improving clinical reasoning during OP, using a validated PBEAR (Problem Representation, Background Evidence, Analysis, Recommendation) tool.

Design/Methods

Students from two medical schools were randomly assigned to three groups during their inpatient pediatric clerkship. All completed an eLearning module about using illness scripts to promote clinical reasoning …

Time To Bring Curiosity Back Into The Practice Of Medicine, Robert Bing-You

Journal of Maine Medical Center

No abstract provided.

A&P Workshop Summary—Uniting Anatomy And Physiology Through Case Studies, Angela Horner, Stuart Sumida, Tomasz Owercowicz

Q2S Enhancing Pedagogy

Introducing problem-solving based methods of pedagogy is one approach to engage students early in their careers with developing analytic and diagnostic skills. PBL approaches in anatomy and medical teaching are a logical extension of clinical case studies, wherein an example of a pathology or clinical procedure is provided, and students must ascertain the anatomical and/or physiological basis for it. Students report a deeper understanding of material presented in clinical case studies, as the ‘real world’ relevance and importance is immediately clear (Cliff and Wright, 1996).

Simulating Medical Isolation: Communicatively Managing Patient And Medical Team Safety, Elizabeth Spradley, R. Tyler Spradley

Faculty Publications

Reducing hospital acquired or associated infections (HAIs) is a national public health priority. HAIs pose risks to patients, visitors, and medical personnel. To better understand how to communicatively manage safety in medical isolation, data was collected with nursing students simulating medical isolation in a high-fidelity simulation with a medical mannequin with C. difficile. Observations of nursing students and faculty revealed four distinct communication practices: social support, patient education, humor, and storytelling. Conclusions include recommendations to intentionally design these communication practices into high-fidelity medial isolation simulations and scale up these communication practices in routines of safety.

The Impact Of United States Medical Licensing Exam (Usmle) Step 1 Cutoff Scores On Recruitment Of Underrepresented Minorities In Medicine: A Retrospective Cross-Sectional Study., M. Williams, E. J. Kim, K. Pappas, O. Uwemedimo, L. Marrast, R. Pekmezaris, J. Martinez

Journal Articles

Background and Aims:United States Medical Licensing Exam (USMLE) scores are the single, most objective criteria for admission into residency programs in the country. Underrepresented minorities in medicine (URiM) are found to have lower USMLE scores compared to their White counterparts. The objective of this study is to examine how USMLE step 1 cutoff scores may exclude self-reported URiM from the residency interview process across various specialties. Methods:This was a retrospective cross-sectional study of 10 541 applicants to different residency programs at Zucker School of Medicine at Hofstra/Northwell Health between May 2014 and May 2015. We identified Blacks and Hispanics as …

Ventilator Triage Policies During The Covid-19 Pandemic At U.S. Hospitals Associated With Members Of The Association Of Bioethics Program Directors, Ah Matheny Antommaria, Ts Gibb, Al Mcguire, Pr Wolpe, Mk Wynia, Mk Applewhite, A Caplan, Ds Diekema, R Mcleod-Sordjan, Jt Eberl, +5 Additional Authors

Journal Articles

No abstract provided.

Virtual Spine: A Novel, International Teleconferencing Program Developed To Increase The Accessibility Of Spine Education During The Covid-19 Pandemic, Jj Rasouli, Jh Shin, Kd Than, Wn Gibbs, Gr Baum, Aa Baaj

Journal Articles

No abstract provided.

Ectopic Pregnancy In A Woman With T9 Ais A Paraplegia Secondary To High-Grade Spinal Cord Pilocytic Astrocytoma, Elisabeth K. Acker

Graduate Medical Education (GME) Resident and Fellow Research Day Posters

Ectopic pregnancy in a woman with T9 AIS A (motor complete, sensory complete) paraplegia secondary to a high-grade spinal cord pilocytic astrocytoma

Background

In the United States, 20,000 women of childbearing age have a spinal cord injury (SCI). While SCI induces transient amenorrhea immediately after injury, women generally have normal reproductive function after SCI, and their fertility is unimpaired. Medications that commonly manage complications of SCI should be avoided or discontinued during pregnancy. Complications inherent to SCI, including urologic issues, are often exacerbated during pregnancy.

Methods

This is a case report on a female Veteran who initially presented to the …

Are You In Or Obs? A Qi Project To Improve Resident Accuracy Of Admission Status Of Hospitalized Patients, Brooke Farquhar

Graduate Medical Education (GME) Resident and Fellow Research Day Posters

No abstract provided.

Getting On The Same Page: A Quality Improvement Project To Reduce Overnight Nursing-To-Resident Physician Pages In An Inpatient Rehabilitation Unit, Renae Fisher Md, Rajbir Chaggar Md, Anthony Zenger Md, Susan Hamilton Rn, Bsn, William Carter Md

Graduate Medical Education (GME) Resident and Fellow Research Day Posters

Introduction
Many Physical Medicine and Rehabilitation (PM&R) residency programs utilize “home call” systems for nighttime coverage of inpatient services. In this system, trainees are expected to work at full capacity the following day after taking nocturnal call. While “on call,” trainees receive both urgent and non-urgent pages throughout the night, which disrupt sleep. To mitigate fatigue, improve hand-offs and improve timing of patient care, this study targeted reducing non-urgent overnight pages from nurses to home call PM&R residents between 11pm to 6am.

Methods

We implemented a prospective quality improvement study with interventions including holding “Getting on the Same Page” meetings …

Faculty Perceptions And Teaching Practices For Transformative Change: Culturally Responsive Teaching In Pharmacy Education, Nicole Rockich Winston

Theses, Dissertations and Capstones

Cultural diversity training in pharmacy education has evolved from standalone lectures to longitudinal courses, service-learning initiatives, rotation experiences, and global health opportunities. This mixed methods study explored the perceptions, attitudes, and pedagogies of pharmacy educators who have incorporated culture diversity into their classrooms and clinic sites. First, 91 online surveys incorporating items from the Teaching Multicultural Attitudes Survey and the Multicultural Competency Teaching Scale were distributed to a random sample of pharmacy faculty who interface with cultural diversity. In total, 36 completed surveys were analyzed using descriptive statistics, Pearson correlations, and stepwise linear regressions. Following the survey, seven pharmacy faculty …

Fusion, 2020, George Washington University, William H. Beaumont Medical Research Honor Society

Fusion

No abstract provided.

A Faculty Development Graduate Medical Education Retreat To Teach And Address Social Determinants Of Health., J. Martinez, A. Fornari, V. Vanhuse, E. Fried, O. T. Uwemedimo, E. J. Kim, J. Conigliaro, A. C. Yacht

Journal Articles

Background:Social determinants of health (SDH) account for a large percentage of health outcomes. Therefore, ensuring providers can address SDH is paramount yet curricula in this area is limited. Aim:The authors aimed to raise awareness, identify learning opportunities, foster positive attitudes, and equip educators to implement SDH curriculum. Setting and participants:This retreat occurred at a large academic institution and had over 130 participants who represented 56 distinct training programs and over 20 disciplines. Program description:The retreat was titled "Social Determinants of Health: Walking in Your Patients' Shoes." The retreat was holistic and used a multidimensional approach that included traditional learning, team-based …

Contract Negotiation Skills: A Workshop For Women In Medicine, A. M. Simone, M. Simone, L. Block, N. Lavine

Journal Articles

© 2020 Simone et al. Introduction: Contract negotiation is a high-stakes interaction, yet most physicians are never taught negotiation skills. Studies suggest that women, as compared with men, display a lower propensity to initiate negotiations and negotiate less competitively, highlighting a need for training to help level the playing field for female physicians. Methods: We devised a learner-centered workshop for female physicians that included a mini-didactic on negotiation principles, a question-and-answer time with a lawyer, an interactive role-play on contract negotiation style, and guided reflection. The workshop was intended for women in medicine from the level of medical student to …

How Partnerships For Community-Based Health Professions Training Were Affected By National Changes In Funding, Patricia A. Carney, Eric M. Wiser, Cynthia Taylor, Debbie Cole, Shelley Dougherty, Chris Gustaferro, Meredith Lair, Curt Stilp

Faculty Publications - College of Medical Science

Background: Area Health Education Centers (AHEC) have contributed to U.S. healthcare workforce training since 1971. National funders recently refocused efforts from K-12 students to matriculated health profession students, which reduced annual funding by $75,000 (25%) per year per Center.

Objectives: To describe how community partnership changed due to funding reductions.

Methods: Key informant interviews were conducted with all four regional center directors with community partnerships.

Lessons learned: Hosted regional centers navigated partnerships in ways that did not significantly change programs because the host institutions supported continuing the partnerships. Independent centers experienced significant changes in partnerships by ending well-established programs and …

An Evaluation Of The Advance Directives-Live Action Simulation Training (Ad-Last) Program, Alexandra Rosa Spinelli

Theses and Dissertations

Advance Care Planning (ACP) is a process that captures a patient’s wishes in the case of future circumstances in which they are unable to express them. Studies show that less than one third of the general population has completed some type of formal Advance Directive (AD). There are barriers to completing ADs, and these barriers operate on multiple levels, including, patient, provider and institutional. To improve providers’ capacity to help patients complete ACP, and overcome these barriers, a provider-focused intervention was conducted. The current study is an analysis of archival data collected from the Advance Directives-Live Action Simulation Training (AD-LAST) …

The George Floyd Of Healthcare, Sheila P. Davis, Phd, Fnp-C, Faan, Lsm-Bc, Gary Davis, Md

Journal of Health Ethics

Authors explore the infamous murder of an unarmed black man, George Floyd, and juxtaposition it to systemic racial practices in healthcare as documented by the Institute of Medicine Report: Unequal Treatment. The current COVID-19 pandemic is presented as a situation which has the potential to ignite unresolved discriminatory healthcare practices. Proposed are policies which could possibly mitigate this phenomenon.

Relationship Between Formative Test Results And Final Exam Performance In First Year Medical School Course, Grace Owens

Scholarship in Medicine - All Papers

Objective: The purpose of the study was to evaluate whether formative testing from iRAT and MCQ data was predictive of final exam scores for the Staying Alive course at WSU BSOM. Methods: Data was collected from two consecutive classes of first-year medical students (n=234). Data included students’ formative quiz scores (iRAT), formative exam scores (MCQ), final exam scores (NBME), race, and gender. Three regression models were created to analyze the relationship between formative and final scores. Results: The average iRAT score was not a significant predictor of NBME score. 53-56% of the variability in NBME score was attributed to iRAT, …

Strategies For Safe And Effective Treatment Of Patients With Alzheimer Disease, Jafar Alabdullah, Ahmed Almuntashiri

Community & Environmental Health Faculty Publications

Alzheimer disease is a progressive neurodegenerative disorder that causes cognition impairment and memory loss, affecting activities in daily living. In the United States, an estimated 4.5 million people have AD and this figure is expected to reach 14 million by 2050. Because patients with AD experience a deterioration of their mental functions, patients need more help with their activities of daily living, including oral hygiene, as their AD progresses. Studies have found that individuals with AD often experience poor oral health. As advanced age is a risk factor for AD and the number of older adults in the US continues …

Simulation Of Status Epilepticus Is Effective Teaching For Junior Neurology Residents, Pankhuri Jha, Navya George, Jeffrey Ratliff

Phase 1

Purpose: Status Epilepticus (SE) represents a potentially fatal neurologic emergency. At Jefferson, acute management of SE falls to the inpatient neurologist, requiring early competency.

Methods: During a 2 week educational “bootcamp”, 9 PGY2 residents participated in a 2 hour simulation of acute SE with two clinical scenarios. Scenarios included a patient with SE requiring adequate benzodiazepine dosing and another with seizures requiring IV anticonvulsant therapy. Prior to and following the simulation, residents took a survey to gauge their knowledge and confidence in managing SE.

Results and Conclusions: There was an increase in the number of residents expressing confidence in their …

A Module Based Method Of Teaching A Novel Approach To Electrocardiogram Interpretation, Emily Fishbein, Alexandra Koutsoubis, Jennifer White, Md, Dimitrios Papanagnou, Md

Phase 1

Purpose: The traditional approach to 12-lead electrocardiogram interpretation has limitations in the ED setting because it is tedious and does not emphasize pattern recognition for potentially fatal conditions that ED physicians must recognize. Additionally, while lecture-based learning is necessary, learning modules can help learners gain a better understanding of the material. The purpose of this study was to create and implement a self-paced learning module that teaches a novel way of ECG interpretation through the following steps: is it sinus? is it wide? is there ischemia? and does this herald sudden death?

Methods: The objective endpoint of this study was …

Medical Student Knowledge Of Narcolepsy, Alyssa Sinko, Karl Doghramji, Md

Phase 1

Background: Narcolepsy is a sleep disorder, whose main symptoms include daytime sleepiness, cataplexy, sleep paralysis, disturbed sleep, and hypnagogic hallucinations. The disorder is poorly identified in medical settings. We hypothesized that lack of knowledge of narcolepsy and its hallmark symptoms are a cause for the low levels of identification of this disorder. This was a pilot study into medical student knowledge of narcolepsy at Sidney Kimmel Medical College of Thomas Jefferson University (SKMC).

Methods: Two groups of SKMC students, years 1 and 2 (before sleep medicine education) and years 3 and 4 (after sleep medicine education) were the subjects of …

Graduate Medical Education Annual Report 2019-2020, Children's Mercy Hospital

GME Annual Reports

Annual report of the Children's Mercy Hospital Graduate Medical Education department, including pediatric residency, internal medicine/pediatrics residency, fellowship programs, medical students, continuing medical education, and library services.

Ddx 2.0: Efficacy Of A Differential Diagnosis Course For Ms3s Considering Primary Care And Non-Primary Care Specialties, Maya V. Prabhu

Scholarship in Medicine - All Papers

Objective: To assess if medical students interested in pursuing a primary care specialty are more receptive and have a more positive attitude towards formulating differential diagnoses (DDx) using metamemory techniques (MMTs). Methods: Cross-sectional analysis of data obtained from 113 MS3 students from the Boonshoft School of Medicine. Students generated timed DDx for a clinical case before and after an instructional didactic session about MMTs. Demographic data (including intended medical specialty and attitudes towards the overall process) were collected. Paired t-test compared screened and unscreened DDx before and after the intervention. Mixed-repeated measures ANOVA compared pre- and post- intervention screened and …

St. Vincent’S College, Sacred Heart University Student Guide 2020-2021 Edition, Sacred Heart University

Handbooks & Factbooks

The Student Guide is the official student handbook and provides essential St. Vincent’s College policies and procedures for academic progression and graduation. This guide is intended to supplement the University Catalog and provide information specific to our programs. All students are expected to review and abide by the current Student Guide.

Ua12/4 Student Affairs Health Services, Wku Archives

WKU Archives Collection Inventories

Records created by Health Services.

An Innovative Editing Service For Medical Students, Lisa Price

Libraries Scholarship

Background: The Library serves students, staff and faculty of the Rowan University School of Osteopathic Medicine and related Graduate School of Biomedical Sciences. Students face the daunting yet crucial tasks of preparing Personal Statements for residency, scholarship and other applications. Students and residents are also encouraged to seek publication opportunities. We recognized a need for proofreading and editing assistance, and one of our librarians had the background and experience to provide such a service.

Description: We developed a flyer announcing available services and distributed it within the library, at student and residency orientations, committee meetings and other appropriate campus events. …

Girls' And Parent's Satisfaction With A Summer Virtual H.E.A.L.T.H Camp, Joan Nakakande, Adejoke Ayoola

Summer Research

Health promotion among all populations— including children and adolescents— is one of the national preventive strategies recommended by the Robert Wood Johnson Foundation (RWJF). Some of the most serious precursors to health problems affecting the population of the United States are obesity, depression, and unintended pregnancy. The health consequences of these mostly preventable conditions will hinder individuals, families, and communities from long and healthy lives now and for generations to come. The fifth annual virtual Health Education and Leadership Training for a Hopeful Future (HEALTH) Camp was conducted over Zoom from June 15 to 23. The camp was designed to …

Is There A Relationship Between Having Residency Application Personal Statements Reviewed By The Library's Editing Service And Medical Students' Match Into Their Preferred Residency Specialty?, Lisa Price, Jamie L. Pelley

Libraries Scholarship

Objectives: This study investigates whether there is a relationship between Rowan University School of Osteopathic Medicine's fourth-year medical students' acceptance into their preferred specialty for residency and their submission of the Personal Statement portion of their residency application for review/edit by the Library's editing service. We hope that our results will aid other institutions which may be considering whether to provide a similar service.

Methods: This case-control study reviews Match records for the years 2018 and 2019 (the years for which data was available) and compares the Match rates into the preferred residency specialty of those who submitted their Personal …