Medical Education Commons^™

Stroke Care: Achieving Recommended Door To Computed Tomography Times In Ambulatory Patients Presenting To The Emergency Department Of A Rural Hospital Through The Application Of American Stroke Association Guidelines, Ricardo Paitz

Doctor of Nursing Practice Projects

Background: Time matters in stroke care, and every second counts because the extent of irreversible neuronal damage increases over time (Saver, 2006). Therefore, the American Stroke Association (ASA) recommends a door to computed tomography time of 20 minutes or less for patients presenting with signs of acute ischemic stroke. This time metric in stroke care is often not met, resulting in the delay of care of patients which translates to poorer outcomes, including death and a decreased quality of life in patients who have suffered an acute ischemic stroke (Kamal, Sheng, et al., 2017).

Purpose: The purpose of this DNP …

The Bulletin: Sidney Kimmel Medical College At Thomas Jefferson University, Volume 71, Issue 2, Summer 2022

The Bulletin (formerly the Jefferson Medical College Alumni Bulletin)

This issue includes:

• 4 - Dean's Column
• 8 - Time Capsule - Dr. Marion Siegman
• 11 - A Message from Elizabeth A. Dale
• 14 - ICYMI (In Case You Missed It)
• 18 - At the Intersection of Health and Design
• 20 - Discovery - A Path Toward Digital Equity
• 26 - Mark L. Tykocinski Takes the Helm as President of Thomas Jefferson University
• 28 - Student Profile - Kayla Holston
• 30 - Faculty Profile - Stephen D. Silberstein, MD
• 34 - Alumni Profile - Mahesh Krishnan, MD ’94
• 36 - Class Notes
• 42 - Reimagine
• 43 - Bookshelf
• 44- In …

Third Year Medical Student Knowledge Gaps After A Virtual Surgical Rotation, Sophia Hernandez, Siyou Song, Ogonna N Nnamani Silva, Chelsie Anderson, Alexander S Kim, Andre R Campbell, Edward H Kim, Adnan Alseidi, Elizabeth C Wick, Julie Ann Sosa, Jessica Gosnell, Matthew Y C Lin, Sanziana A Roman

Faculty, Staff and Student Publications

INTRODUCTION: This study describes perceived knowledge gaps of third-year medical students after participating in a virtual surgical didactic rotation (EMLR) and shortened in-person surgery rotation during the COVID-19 Pandemic.

METHODS: Open-ended and Likert questions were administered at the end of the virtual rotation and inperson-surgical rotation to medical students. Three blinded coders identified themes by semantic analysis.

RESULTS: 82 students (51% of all MS3s) participated in the EMLR. Semantic analysis revealed gaps in perioperative management (Post-EMLR:18.4%, Post-Inpatient:26.5%), anatomy (Post-EMLR:8.2%, PostInpatient:26.5%). and surgical skills (Post-EMLR: 43.0%, Post-Inpatient: 44.1%). Students also described gaps related to OR etiquette (Post-EMLR: 12.2%, Post-Inpatient: 8.8%) and …

Vital Signs, Summer 2022, Boonshoft School Of Medicine

Vital Signs

A seventeen page newsletter created by the Boonshoft School of Medicine to document the current affairs of the school. This issue includes a variety of feature articles, alumni profiles, class notes, and more.

Medical Training In Home Care Medicine: The Time Is Now, Rachel K Miller, Melissa D Morgan-Gouveia, Linda V Decherrie

Faculty, Staff and Student Publications

No abstract provided.

Dean's Research Newsletter, July 2022, Jerry L. Nadler

SOM Dean's Research Newsletter

No abstract provided.

Assessment Of Electronic Health Record For Cancer Research And Patient Care Through A Scoping Review Of Cancer Natural Language Processing, Liwei Wang, Sunyang Fu, Andrew Wen, Xiaoyang Ruan, Huan He, Sijia Liu, Sungrim Moon, Michelle Mai, Irbaz B Riaz, Nan Wang, Ping Yang, Hua Xu, Jeremy L Warner, Hongfang Liu

Faculty, Staff and Student Publications

Purpose: The advancement of natural language processing (NLP) has promoted the use of detailed textual data in electronic health records (EHRs) to support cancer research and to facilitate patient care. In this review, we aim to assess EHR for cancer research and patient care by using the Minimal Common Oncology Data Elements (mCODE), which is a community-driven effort to define a minimal set of data elements for cancer research and practice. Specifically, we aim to assess the alignment of NLP-extracted data elements with mCODE and review existing NLP methodologies for extracting said data elements.

Methods: Published literature studies were searched …

Covid: Health Inequities Exposed And How We Can Do Better, Timothy Mcnamara, Kara Mann, Josephin Mathai

HCA Healthcare Journal of Medicine

If a fair and just healthcare system is the goal, then the COVID-19 pandemic proves America still has a long way to go in its effort to achieve health equity for all. Inequalities in the healthcare landscape have been amassing for decades. Lack of access to quality care, underfunded public health programs, and the rising cost of treatment are just a few of the proposed origins of systemic inequity—all of which were apparent long before COVID-19’s arrival. Will observing these deep-seated issues under the lens of an ongoing pandemic shine a brighter light on these enduring disparities? More importantly, what …

Starting The Conversation About Healthcare Disparities, Melissa D. Mendez, Sandra Lopez, John H. Washington Iv

HCA Healthcare Journal of Medicine

The Accreditation Council for Graduate Medical Education (ACGME) put forth institutional requirements to implement healthcare disparity education in resident and fellow curricula in an effort to decrease these inequities. Healthcare disparities stem from many different factors. These may include access to care, insurance status, socioeconomic status, health literacy, language barriers, and the way healthcare systems function. These factors may have interactions that lead to poor health outcomes. As researchers and educators, we need to find a way to research these issues in more depth as well as teach these concepts to our resident physicians. Here, we discuss El Paso, Texas, …

Doctors And Disability: Improving Inclusion In Medical Education, Mary Alice Keller

HCA Healthcare Journal of Medicine

Disability is extremely common in the United States with 26% of adults identifying as having some type of disability. Oftentimes, people with disabilities need to access health care services frequently in order to receive adequate care and support. However, despite this need, medical students receive limited, if any, education about people with disabilities and how to appropriately provide medical care and interact with them. This lack of education exacerbates health care disparities experienced by people with disabilities. This article highlights these disparities as well as the history of disability and health care. Current advancements in medical education regarding people with …

Identifying, Addressing, And Eliminating Microaggressions In Healthcare, Tracy Macintosh, Michelle Hernandez, Anuja S. Mehta

HCA Healthcare Journal of Medicine

Microaggressions are pervasive throughout society, including in healthcare and academic institutions. They are often unconscious but accumulate over time, and they negatively impact the recipients' productivity and achievement by creating a sense of inadequacy as well as a lack of belonging. We outline several evidence-based strategies and teaching frameworks that institutions and training programs can adopt to reduce the prevalence and impact of microaggressions against trainees from historically marginalized groups, and that can promote psychological safety for everyone.

Gender Dysphoria Versus Acute Psychosis: Can One Properly Diagnose Gender Dysphoria Solely During Acute Psychosis?, Kristy A. Fisher, Samantha Scemla, Clara L. Alvarez Villalba, Jessica Kroin

HCA Healthcare Journal of Medicine

Gender dysphoria occurs when a discrepancy between one’s sex assigned at birth and one’s gender identity causes distress or impairment in function, which can lead ultimately to seeking treatment in the forms of psychotherapy, hormonal therapy, and/or gender-affirming surgery. Clinical care guidelines also recommend pharmacological treatment of psychiatric comorbidities if indicated. A review of the current literature demonstrates comorbidity between gender dysphoria and psychosis, including cases of gender dysphoria with schizophrenia and the occurrence of gender dysphoria symptoms during manic or psychotic episodes. The existing literature has yet to specifically examine gender dysphoria amongst individuals with schizoaffective disorder. The authors …

Presentations Of Cutaneous Disease In Various Skin Pigmentations: Cutaneous Abscesses, Christopher M. Wong, Christian J. Scheufele, Sandhya Bodapati, Daniel A. Nguyen, Ashleigh E. Hermann, Jean Elizze M. Charles, Michael Carletti, Stephen E. Weis

HCA Healthcare Journal of Medicine

Cutaneous abscesses are collections of pus resulting from skin and soft tissue bacterial infections. They clinically exhibit the four cardinal inflammatory signs of pain, warmth, swelling, and erythema. In patients with darkly pigmented skin, classically-associated erythema may be challenging to appreciate and can lead to missed or delayed diagnosis. We compare abscess presentations in different skin types. Recognition of varying presentations of cutaneous abscesses in diverse skin colors will help clinicians utilize additional clues to identify and diagnose this entity correctly.

The Impact Of Covid-19 In The Latinx Community, Laura Pedraza, Ricardo Villela, Vikki Kamatgi, Kaitlyn Cocuzzo, Ricardo Correa, Miriam Zylberglait Lisigurski

HCA Healthcare Journal of Medicine

The COVID-19 pandemic has intensified the existing health and social disparities that affect minority groups in the United States (US), including the Latinx community. This situation has been reflected in many aspects of health, including increased morbi-mortality and reduced adherence to medical and scientific recommendations. Limited access to health care, financial challenges, migrant status, and health literacy, or lack thereof, have all hampered the Latinx community's ability to seek aid quickly and to be tested or treated effectively for this disease. This pandemic has shown that the Latinx community's socioeconomic status correlates with greater mortality rates when compared to other …

Health Equity In Medicine, Tracy Macintosh, Barbara L. Gracious, Jeremy R. Brooks, Graig Donini

HCA Healthcare Journal of Medicine

Healthcare disparities exist when, due to racial, ethnic, or gender identity differences linked to social, economic or environmental factors, certain populations lack equitable access to quality healthcare and insurance coverage. Such disparities across history carry profound future implications that we have only begun to contemplate as a profession. This special issue of the HCA Healthcare Journal of Medicine examines the critical issue of health equity in medicine and how the medical community can advance health equity through inclusive behavior and interactions in clinical and educational settings, and our communities.

Podium Presentation: The Positive Impact Of Attending A Regional Nursing Conference On Master Of Science Students Employed At A Magnet Designated Hospital, Elena M. Ybarra, Crystal Kahlich, Joann Long

2022 Providence Nurse Research Conference

No abstract provided.

Longitudinal Education And Career Outcomes Of A Cancer Research Training Program For Underrepresented Students: The Meharry-Vanderbilt-Tennessee State University Cancer Partnership, Meredith L. Meadows, Sarah V. Suiter, Linda J. Sealy, Dana R. Marshall, Margaret M. Whalen, Samuel E. Adunyah

Chemistry Faculty Research

This study examined longitudinal education and career outcomes of the Meharry-Vanderbilt-Tennessee State University Cancer Partnership, the longest-running National Cancer Institute (NCI) Comprehensive Partnerships in Advancing Cancer Health Equity (CPACHE) program site in the United States. Degree completion rates were calculated and progression along the entire postsecondary “pipeline” was quantified for 204 participants recruited between 2011 and 2020. For participants who had entered the workforce, career outcomes were also analyzed. Relative to comparison data, participants completed degrees and progressed through the higher education “pipeline” to earn advanced degrees at remarkably high rates; the majority entered careers in which they support or …

Intouch June 27, 2022, New York Medical College

InTouch

• SLP Class of 2022 Gives Clinic Rooms a Makeover
• Intellectual Curiosity Leads Rachel Thommen, SOM Class of 2024, to NYMC
• The Office of Information Technology Keeps NYMC Connected

Podium Presentation: Exploring The Lived Experiences Of New Graduate Nurses During The Covid-19 Pandemic, Julie Youn

2022 Providence Nurse Research Conference

No abstract provided.

Safe And Effective Prescribing With Dyslexia: A Collaborative Autoethnography, Sebastian C. K. Shaw, Michael Okorie, John L. Anderson

The Qualitative Report

Prescribing medicines is the most common patient-level intervention made by doctors in the United Kingdom. However, this is associated with a potential for harm. Whilst dyslexia can bring many strengths, it also impacts reading and writing abilities and therefore has the potential to contribute to errors in the prescribing process if dyslexic doctors are unsupported. This paper explores the experiences of Seb – regarding prescribing and prescribing education – as a dyslexic medical student and doctor. We hope that this might spark more research on this overlooked issue. This is a collaborative, analytic, autoethnographic study within an interpretivist paradigm. Firstly, …

2022 June 21 - Medical Student Education Committee Annual Meeting Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

2022 June 21 - Medical Student Education Committee Retreat Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

Intouch June 20, 2022, New York Medical College

InTouch

• NYMC Honors Historic Partnership with NYC Health + Hospitals/Metropolitan During Plaque Dedication Ceremony
• COVID-19 Essentials
• Kristy Tefft, M.S. ’20, SOM Class of 2024, Puts a Premium on Patient Relationships
• The Department of Environmental Health and Safety Keeps the NYMC Community Safe and in Compliance
• Donate Life Clubs Finishes Exceptional Year With Record-Breaking Donations

Peer Review, Robert Ferguson

CHED Talks

No abstract provided.

Public Libraries As Community Health Partners, Melinda Hodges

Certified Public Manager® Applied Research

Public libraries are a combination meeting space, educational resource, information repository, and community building organization. As such, they are already positioned to act as a valuable partner in the public health arena. This article researches the basic tenets of public health and identifies areas that public libraries could participate in productively. This article also reviews literature about the potential of public libraries as health partners, as well as what is already being accomplished from the perspective of both library/information sciences and public health studies. This will include the benefits that libraries can bring to public health work and the barriers …

Multisite Assessment Of Emergency Medicine Resident Knowledge Of Evidence-Based Medicine As Measured By The Fresno Test Of Evidence-Based Medicine., James Katsilometes, Michael Galuska, Chadd K Kraus, Howard W Levitin, Scott Leuchten, Jane Daugherty-Luck, Julie Lata, Grace Brannan, Anthony Santarelli, John Ashurst, Foem Research Network

Medical Education Articles

CONTEXT: Evidence-based medicine (EBM) is the application of scientific evidence while treating a patient. To date, however, there is very little evidence describing how residents in emergency medicine understand and incorporate EBM into practice.

OBJECTIVES: The aim of this study was to determine EBM theoretical and quantitative knowledge in emergency medicine residents in community hospital-based training programs.

METHODS: A sample of emergency medicine residents from nine hospitals was enrolled to complete a cross-sectional assessment of EBM skills from April 2021 through June 2021. Performance on the Fresno Test of Evidence-Based Medicine (FTEBM) was assessed utilizing descriptive statistics,

RESULTS: A total …

Patient Versus Employee Perspective On The Climate Of Diversity, Equity, And Inclusion In The Henry Ford Emergency Department, David Asebiode

Medical Student Research Symposium

MSRF Report

Title- Patient Versus Employee Perspective on the Climate of Diversity, Equity, and Inclusion in the Henry Ford Emergency Department

Abstract

Background- The Emergency department is a unique environment unlike any other within the healthcare system since it is one of the, if not the only department in our current system where patients regardless of their insurance status, socioeconomic status, ability to pay for services rendered are provided high-quality care. As a result, the ED often reflects many of societies' disenfranchised and marginalized populations. This study takes a deep dive into the perspectives of both patients and Employees regarding …

Perspectives On Telemedicine From A National Study Of Youth In The United States, Margaret Wasvary

Medical Student Research Symposium

Introduction: Telemedicine is increasingly popular with the recent surge in use due to the COVID-19 pandemic. Despite youth status as "tech natives," limited data are available on their perspectives on telemedicine. Our study seeks to understand youth telemedicine knowledge, prior experiences, preferences for use, and the impact of COVID-19 on these perspectives. Methods: Participants in MyVoice, a national text message cohort of U.S. youth age 14-24, were sent five open-ended questions in October 2019 and October 2020. A codebook was iteratively developed by using inductive analysis. Responses were independently coded by two investigators, with discrepancies resolved by discussion or a …

Learning Communities: Do They Improve Imposter Syndrome And Loneliness Among Medical Students?, Nicole C. White, Sahar Elmenini

Medical Student Research Symposium

Current literature links imposter syndrome (IS), isolation, and locus of control (LOC). Learning communities (LCs) serve to directly and effectively combat loneliness, feelings of isolation, and better promote students’ wellbeing and success. We hypothesized that those who attend more LC events will score lower on the IS scale and lower on the social loneliness scale. Furthermore, those who scored higher on IS and social loneliness are more likely to have an external LOC. To test this, a survey was sent to the Classes of 2021, 2022, 2023, and 2024 at Wayne State University School of Medicine, resulting in 144 participants. …

Medical Student Mock Interview And Diabetes Education During The Covid-19 Pandemic, Ajith Thomas, Kendahl Oberdorfer, Suma Alzouhayli

Medical Student Research Symposium

Background: The Diabetes Education and Wellness (DEW) clinic is an interprofessional, student-run free clinic that promotes education and autonomy in diabetes management for underserved communities. When pandemic restrictions prevented in-person clinic visits, DEW opted instead to meet their patients virtually. DEW coordinators from the school of medicine designed a primer course to teach skills and medical knowledge that directly impacts diabetes management to ensure continued care of our patients.

Methods: The two components of the intervention were mock interviews and diabetes education. Medical students who previously volunteered at DEW were recruited to provide mock interviews. First year medical students were …