Medical Education Commons^™

Exploring Quality Of Life Perception Among Pre-Clinical And Clinical Phases Of Medical School Students In One Medical School Program In The Southeastern United States, Carley Blades Myszkowski

Electronic Theses and Dissertations, 2020-2023

Medical education is a complex, intense, and demanding process. Research showed that medical school students experienced significant changes and navigated intense and fluctuating stressors during their four years of medical school (Compton et al. ,2008; Hojat et al., 2004; McKerrow et al., 2020; Pagnin & De Querioz, 2015). Research has shown medical school students were impacted by substantially reduced physical, mental, and emotional health (Rajapuram, Langness, Marshall, & Sammann, 2020). Both internationally and nationally there was a growing interest in researching the health and wellness of medical school students, particularly focusing on quality of life (QOL) (Heidari et al., 2014; …

Medical Memoirs As A Teaching Tool Within Narrative Medicine, Shelby Mccubbin

Gaines Fellow Senior Theses

No abstract provided.

Comparison Of Maintenance Gains From Two Treatment Approaches For Patients Diagnosed With Apraxia Of Speech And Broca’S Aphasia: A Critically Appraised Topic, Kalli B. Whiting

The Graduate Review

Three peer-reviewed research articles demonstrated benefits in using the articulatory-kinematic approaches of sound production treatment (SPT) and speech motor learning (SML) for intervention of patients diagnoses with apraxia of speech (AOS) concomitant with aphasia over the age of 50. This CAT was intended to review and compare the treatment maintenance between the two approaches using a specific search question; however, there was limited evidence for the specified population in that question. Although both approaches warranted positive outcomes, the SML approach may demonstrate a stronger linkage to the underlying features of apraxia of speech based on the method’s rationale. Through the …

I’M Not A Tragedy: Speaking Up About Ableist Microaggressions, Kasandra Marguerite Colwell

Communication Senior Capstones

Have you heard of ableist microaggressions? Let me tell you about them, as someone who has experienced them. I have a bi-lateral dislocating knee condition that I was born with. I can walk, but sometimes I need additional stability or reduction of pain while getting around, in which case I tend to use a cane. I have had many othering interactions while using a mobility aid in public, whether that be a knee brace, a cane, or crutches. While it often seemed the stranger didn’t mean any harm, the question is how many invasive questions and comments from strangers can …

Exposure To Family Planning Messages And Teenage Pregnancy: Results From The 2017 Philippine National Demographic And Health Survey, Veincent Christian F. Pepito, Arianna Maever L. Amit, Clinton S. Tang, Luis Miguel B. Co, Neil Andrew K. Aliazas, Sarah J. De Los Reyes, Raymundo S. Baquiran, Lourdes Bernadette S. Tanchanco

Ateneo School of Medicine and Public Health Publications

Background

Teenage pregnancy is known to have physical, emotional, and psychosocial effects. Because of these risks, family planning and contraception messages have been disseminated in various forms of media, but their association with teenage pregnancy has not been studied previously in the Philippines. This study aims to examine the association between exposure to various family planning and contraception messages disseminated in various media channels and pregnancy among Filipino women aged 15–19. The study also intended to examine interactions between the different media channels where these family planning and contraception messages are being disseminated on their effect on teenage pregnancy.

Methods …

Exploring Predictors In The Receipt Of Patient/Family-Centered Care, Arami Anwell

Theses and Dissertations

Study 1

OBJECTIVES: The research aim of this study was to identify predictors associated with the receipt of PFCC among U.S. children/families

METHODS: Caregivers of 38,803 non-institutionalized children, aged 0 to 17 years, were surveyed by the National Survey of Children’s Health (NSCH) 2018–20019. Patient/family-centered care (PFCC) was measured using five components of health care delivery that were answered on a 4-point Likert scale. Logistic regression models were analyzed for the overall receipt of PFCC and each component of PFCC, with survey weighting added to adjust for complex sampling design.

RESULTS: Many predictors were associated with the receipt of PFCC. …

Mapping Melanoma Risk And Locating High-Need Regions For Dermoscopy And Skin Biopsy Training, Calla Hladky, Madeline Prentiss, Henry Stoddard, Kathryn Stevens, Elizabeth Seiverling, Peg Cyr

MaineHealth Maine Medical Center

Background- Dermoscopy and skin biopsy trainings have been shown to help improve PCPs’ knowledge of and confidence in detecting skin cancer. The goal of this project was to determine where to focus training efforts in order to maximize our impact and reach regions that face the highest burden of melanoma in the state.

Response To "Lt's A Win-Win: The Effect Of Medical Students On Clinic Productivity"., Nicholas Anderson

Medical Education Articles

No abstract provided.

Exploring Nursing Faculty Emotional Exhaustion And Its Relationship To Student Incivility, Shantelle Wade

Electronic Theses and Dissertations

Purpose: The purpose of this study was to examine if nursing faculty experience emotional exhaustion (EE). Further, this study aimed to explore the relationship between nursing student incivility and faculty EE and to determine if there were differences in levels of faculty EE based on educational level, academic rank, and years of teaching experience. Background: Nursing education is stressful for both students and faculty. When faced with stress and demands, students can become uncivil. This student incivility can add additional strain to faculty’s already strenuous work and personal lives and can contribute to them becoming emotionally exhausted. Due to EE, …

Role Of Micrornas In Non-Functioning Pituitary Adenoma, Mehak Ismail Rajani, Yumna Mirza, Rohan Advani, Syed Muhammad Adnan Ali, Ather Enam

Centre for Innovation in Medical Education

Non-functioning pituitary adenomas account for 30% of anterior pituitary tumours. Based on their inability to secrete hormones, these are often diagnosed incidentally or due to pressure symptoms. Understanding the pathogenesis of these adenomas can provide insight into factors leading to its progression and serving as biomarkers for early recognition. A literature search was performed in the current narrative review for articles published in PubMed for the last 10 years till January 2020 on micro-ribonucleic acid involved in the pathogenesis of non-functioning pituitary adenomas. Of the 478 articles found, 21(4.4%) were filtered. In total, 106 micro-ribonucleic acids were identified, 25(23.5%) of …

Queer Survival Amidst Hiv/Aids, Covid-19 And Homelessness, Julia Young

Pitzer Senior Theses

The treatment and survival of a society's marginalized peoples reveal the true impacts of a pandemic. An analysis of homeless queer youth during the HIV/AIDS and SARS-CoV-2 crises lays bare the systemic failure of the United States government to provide equitable healthcare.

I compare the HIV/AIDS and COVID-19 pandemics in queer homeless youth to demonstrate the dangers of disease moralization via a sociocultural analyses of disease stigma and responsibility politics. Utilizing syndemic theory I draw on the synergistic relationship between disease and illness to describe the unique challenges queer homeless youth face. A syndemic framework is applied to address common …

Telehealth Simulation And Education Impact On Student Knowledge, Leah Schmitt

Schultz-Werth Award Papers

Background: One of the most recent improvements to the everchanging healthcare is telehealth. Telehealth is used by about 70% of healthcare providers across the United States. It is used to reach patient populations such as those in rural locations or with limited resources. Telehealth can improve patient outcomes and encourage quality patient care. However, many nursing schools include programs to educate students on the utilization of telehealth. Purpose: In undergraduate and graduate nursing school, do telehealth simulations and education improve student knowledge? Methods: A review of literature was completed using the databases: EBSCOhost, PubMed, and CINAHL. Key words searched included …

The Techniques Of Studying And Other Variables Impact On Initial Drug Card Exam Pass Rates, Kyle Shapcott

Schultz-Werth Award Papers

The Techniques of Studying and Other Variables Impact on Initial Drug Card Exam Pass Rates is a study performed on the Top 200 Drug Card Exams presented to professional pharmacy students at South Dakota State University. The study utilized Fisher's exact test with a 0.05 significance value to find statistical significance in a variety of categories relating to different variables that were suspected to impact the pass rate of the exams. These variables included pharmacy work experience, place of work, first exposure to the exam content, and others. Data for this study was collected through a survey that 93 current …

Pre-Procedural Evaluation And Optimization: National And Local Approaches To Performance Improvement, Matthew Fitzsimmons, Thomas A. Mcloughlin Md, Matthew Mccambridge Md, Michael D. Pasquale Md, Facs, Fccm, James Miller Crna, Andrew Aspen Crna, Tammy Gallagher Rn, Amy M. Depuy Md, Kristen Karwacki Pa-C

USF-LVHN SELECT

No abstract provided.

The Effects Of Covid-19 On Staying Alive Nbme Performance And Exam Testing Conditions, Anh Phuong Nguyen

Scholarship in Medicine - All Papers

Objective: This study will study the impact of COVID-19 on Wright State University BSOM class of 2023’s performance on the SA NBME exam and whether there was a difference in the scores between the group who took the test at school compared to at home. Methods: independent samples t-test was used to analyze SA NBME exam scores from BSOM class of 2022 and class of 2023 (n = 231) and also from students in the class of 2023 who took the SA NBME from home and at school. Results: The class of 2023’s performance on the SA NBME exam …

Etsu Health Annual Report - 2022, 2022

ETSU Health Annual Reports

No abstract provided.

Advancing Medical Education By Optimizing The Use Of Formal And Informal Curriculum Resources, Ziana Bagot

Electronic Theses and Dissertations, 2020-2023

Current and aspiring medical school students are inundated by curriculum resources. To optimize the curriculum resources that are offered in medical education, the present work examines both institutionally and commercially developed resources from the lens of various stakeholders through three separate, yet related, studies. The first study, a scoping review, synthesizes and recognizes gaps in scholarship regarding obstacles that underrepresented, pre-medical students encounter in applying to medical school, specifically focusing on the impact of access to commercial test preparation resources. A review of existing literature regarding this population's medical school admission difficulties yielded a majority of non-empirical, deficit-focused articles that …

Characteristics Of Athletic Training Students' Patient Encounters During Immersive And Nonimmersive Clinical Experiences: A Report From The Association For Athletic Training Education Research Network, Bailey C. Jones, Julie M. Cavallario, Cailee E. Welch Bacon, Stacy E. Walker, R. Curtis Bay, Bonnie L. Van Lunen

Rehabilitation Sciences Faculty Publications

Context: The 2020 Standards for the Accreditation of Professional Athletic Training Programs from the Commission on Accreditation of Athletic Training Education require programs to include at least one immersive clinical experience (ICE) in their clinical education curricula. Yet, it is unknown whether ICEs provide more opportunities and benefits than nonimmersive clinical experiences (N-ICEs). The purpose of this study was to compare characteristics of patient encounters (PEs) that occurred during ICEs and N-ICEs.

Design: Multisite panel design.

Setting: Twelve professional programs (5 undergraduate, 7 graduate).

Patients or Other Participants: Three hundred thirty-eight athletic training students logged PEs in the E*Value system. …

Remote Learning During Covid-19 On Internal Medicine Residents' Education: Barriers And Enhancements Through Lived Experiences, Stephanie Rivera-Velazquez

Electronic Theses and Dissertations, 2020-2023

The COVID-19 pandemic uncovered instructional changes within higher education. Accommodations for continued instruction included a transition to remote learning. However, little research exists regarding the experiences of medical residents during this transition in their education while combating the COVID-19 pandemic. This qualitative study, phenomenological in nature, aimed to explore the lived experiences of internal medicine medical residents at one medical college in Central Florida regarding the transition from face-to-face instruction to remote learning due to the COVID-19 pandemic. Eleven participating medical residents underwent semi-structured interviews via Zoom. Garrison's Community of Inquiry conceptual model and Hall and Hord's Concerns-Based Adoption Model …

Art Education In Medical Education: Benefits And Challenges, Sara K. Brown

Theses and Dissertations--Art and Visual Studies

Humanity is synergistic with art and medicine. Likewise, art education can be impactful throughout medical education. Art as a tool to develop the next generation of healthcare differs from the clinical goals of creative art therapies. Over the prior decade, many medical schools now provide curricular offerings in the arts and humanities. Less is known about the application in postgraduate medical settings. The focus of this thesis is to review the pairing of artist-educators with postgraduate medical training programs.

One such program is ArtsCAFE (Arts Connect Around Food and Enrichment), an intercollegiate project fusing experienced arts educators with medical educators …

Addressing Barriers To Colorectal Cancer Screening In A Federally Qualified Health Center: A Quality Improvement Project, Tania Centra

DNP Scholarly Projects

Abstract

Background: Colorectal cancer (CRC) is a leading cause of death from cancer in the United States, despite the availability of several high-quality screening options. Multiple barriers to CRC screening have been identified, including cost (non-insured), younger age, racial or ethnic minority, recent immigration to the U.S. (non-English speaking), fear or distrust of the healthcare system and rural residence. Addressing health equity within underserved populations requires improved access to CRC screenings per evidence-based guidelines.

Local Problem: The mean CRC screening rate for the designated Federally Qualified Health Center (FQHC) was 33.7% for the 5 months preceding this quality improvement (QI) …

Clinical Pearls To Diagnosing Lyme Arthritis, Chandelle Keller

Capstone Showcase

Arthritis is one of the most common long term sequelae of Lyme disease infection in humans. Although the pathophysiology for Lyme arthritis is not concretely understood, there are several key features that are helpful in diagnosing Lyme disease as the culprit for the arthritic symptoms that an individual is experiencing. With a thorough history of an individuals’ age, geographic location, recent travel history and common outdoor recreational activities engaged in, a differential can be narrowed down. With the knowledge of how various arthritides present in the body, along with the use of diagnostic testing with ELISA and Western immunoblot, any …

Queer Patients: An Underserved And At Risk Population, Joshua Schmidt

Capstone Showcase

Queer patients in America have faced a history of discrimination as both a community and as individuals. As such, this marginalization acts as a barrier to resources, including healthcare. Clinicians must be aware of said barrier and actively work towards dismantling it within their interactions with queer patients. This article makes a case for increasing sexual health conversations in order to assess queer patients and encourage a stronger patient-provider relationship for a community that is reluctant to seek medical attention, and also more likely to participate in higher risk behaviors.

Non-Pharmacological Management Of Idiopathic/Persistent Dyspareunia, Iveshia Ford

Capstone Showcase

Painful sexual intercourse, or dyspareunia, is a condition numerous women experience. An unknown, but still important, number of those affected find no relief with medication or surgery. Yet, it can be difficult for patients to discuss concerns with their provider. In addition, many providers do not have an adequate comfort level to discuss such topics. This paper aims to equip providers with non-pharmacological treatment options which include pelvic floor physical therapy, sex therapy and lifestyle changes. With the cultural shifts and changing ideas of sexuality in today’s age, it is important that clinicians remain versed in sexual health and patient …

Understanding One Dietary Supplement For Pcos, Eva Schofield

Capstone Showcase

Poly Cystic Ovarian Syndrome (PCOS) is the most common condition in women of reproductive age, yet nearly 70% of individuals with PCOS remain undiagnosed. For many women who do receive a diagnosis, it takes experiencing symptoms for two years or longer and receiving care from an average of 3 different providers before a diagnosis can be established. In an environment where prevalence is high, diagnosis rate is low and delayed, and dissatisfaction is prevalent regarding the health care women receive, many patients may turn to self-diagnosis and online resources to find their own therapeutic options. This CME article aims to …

The Dogma Of Tissue Ischemia With Local Anesthetic And Epinephrine Use, Laura Morrissey

Capstone Showcase

Epinephrine is often combined with Lidocaine for local anesthetic use as it improves the duration and quality of Lidocaine and promotes wound hemostasis.^1-2 Despite these benefits, epinephrine has been historically contraindicated from being injected into fingers, toes, ears and the nose due to concern over the vasoconstrictive properties of epinephrine leading to ischemia in these end-arteriole areas.^3-7 However, there is very little documented evidence of this happening with epinephrine use.^5-13 An exhaustive review done by Denkler in 2001 reviewed 21 cases between 1889-2001 that involve epinephrine local injection prior to digit ischemia. However, none of these cases …

The Program To Reduce Implicit Bias In Carroll Hospital Center Using The Implicit Association Test, Katherine E. Traynor

Capstone Showcase

Natural brain processes make all individuals susceptible to unconscious bias; however, stressful, fearful, or anger-evoking situations as well as the negative influence of media and social surroundings increase the risk of holding obstructive bias, and there is a greater risk of being negatively impacted by this phenomenon when belonging to a minority population (Rose & Flores, 2020). As a result, high rates of infant mortality (10.2 deaths per 1,000 live births for the Non-Hispanic Black population compared to 4.1 in the White population) and cardiovascular related diseases (190.0 cases per 1,000 in the Non-Hispanic Black population compared to 161.3 in …

Eagle Syndrome: Efficacies Of Medical And Surgical Treatments, Kirklin Mitchell

Capstone Showcase

Eagle Syndrome is a rare syndrome caused by elongation of the styloid process of the temporal bone or calcification of the stylohyoid ligament occurring in a very small percentage of the population that can cause a wide range of common symptoms, leading to it being often misdiagnosed. While there are no set standards for treating Eagle Syndrome, both pharmaceutical and surgical options exist. Pharmaceutical options are often ineffective in long term treatment so surgery is usually required for full symptom resolution. Transoral and Transcervical surgeries have similar efficacies but each come with important drawbacks when considering which type of surgery …

Beyond The Covid-19 Pandemic: The Importance Of Social Determinants Of Health In Educating Healthcare Leaders, Tashuna Albritton, Miguel Muñoz-Laboy, Umadevi Yokeeswaran, Marlene Camacho-Rivera

Publications and Research

As scholars of color and educators in the health professions, we are compelled to advocate for the inclusion of the study of health disparities and social determinants of health (SDOH) throughout higher education to understand, analyze, and effectively respond to healthcare access disparities, including COVID-19 disparities, in Black and Latinx communities across the United States. In addition to our identities and lived experiences, healthcare access disparities and their root causes are woven throughout the courses that we teach in the departments of social medicine, social work, and social and behavioral sciences.

The Write Stuff - Winter 2022 (Vol. 19, No. 1), Research Medical Library

Write Stuff 2022

• NIH allows flexibility for applicants affected by the COVID-19 pandemic
• Whom to contact for help with your NIH grant applications
• How to write a peer review
• Council of Science Editors launches new podcast
• Unusual terms used in scientific writing and publishing: QWERTY, AZERTY, and Dvorak