Medical Education Commons^™

Centralized Triage: Working Together To Improve Patient Safety, Quality And Satisfaction - A Focus On Improving Average Speed To Answer, Maria Larner, Tammy Palamitia, Nora Closser, Heather Waske

Nursing Research and EBP Day 2024

The speed in which triage calls are answered affects patient access to care. After addressing workflows and barriers through huddles and team meetings, this quality improvement project adjusted staff schedules, partnered with Access Coordinators, and utilized the Genesys team to streamline calls and monitor call volume, quality and safety.

Results from these initiatives substantially reduced the average speed to answer for both inbound and outbound queues. The team will continue to monitor the data and capture trends in volume to ensure we sustain the gains.

Nurses Busting Burnout: How Self Care Programs Support Nurse Well-Being, Lenard Fernandez, Marguerite Loughrey, Andrea Cooley, Ashley Dilimone, Mariah Luce, Gabriella Rindell

Nursing Research and EBP Day 2024

Nurses working in acute care suffer from high levels of stress, burnout and turnover. Our question: For acute care nurses, what is the effect of self-care program versus no program on moral resilience? A literature review was conducted and results showed that when education on group-based wellness practices was provided, there was increased job satisfaction, moral resilience, and problem solving ability. There were decreases in feelings of burnout, and improved work/life balance. Some studies demonstrated an increase in patient satisfaction. Within Rochester Regional Health, it may not be too difficult to implement group based programs and coaching services.

The Effect Of Interruptions In Surgical Counts, Jaidin Degraw, Brooke Gisel

Nursing Research and EBP Day 2024

Retained surgical items can lead to patient frustration and prolonged hospital stays. They remain the top reason for reoperation despite the tools that are used to maintain accurate counts. Minimizing disruptions and distractions in the operating room may be one way to assist circulating nurses in obtaining correct and consistent counts.

Children In Psychiatric Crises, Elizabeth Mcgarvey, Gabriella Demeo, Jasmine Clark, Carrie Ribbing, Paige Hameister, Sally Hannafon

Nursing Research and EBP Day 2024

Mental illness in children is on the rise and more children are becoming psychiatric boarders while awaiting treatment. Many hospitals lack a separate area to board children in psychiatric crisis who can’t be discharged to home which means that children are housed in the same unit as adult psychiatric patients. This EBP project sought to identify best practices for children experiencing a mental health crisis, but a more thorough review of the literature as well as an evidence synthesis needs to be completed before practice recommendations can be identified.

Improving Incidence Of Hospital Acquired Pressure Injuries, Dena Chapman, Melissa Combs, Heather Lewis, Amanda Spamer, Gracie Young, Hope Van Duyne, Brandon Sproul, Sarah Stripp, Bethany Surline

Nursing Research and EBP Day 2024

Pressure injuries remain a huge concern in both the acute and long term care settings worldwide. It is estimated that nearly 2.5 million people are affected each year by a pressure injury. They contribute to higher costs for care, decrease patient’s quality of life and can increase morbidity and mortality.

This project implemented the use of rounding by both skin care champions and nurse residents for high risk patients, while leadership utilized huddles to reinforce appropriate interventions. Turning and positioning every two hours was endorsed as was daily bathing for patients at high risk for developing pressure injuries.

Roadmap To Address Nursing Recruitment And Retention In Ambulatory Care, Susan Madison, Tiffany Smith

Nursing Research and EBP Day 2024

As hospital stays shorten, ambulatory care must expand to meet the increased patient acuity and need for care. Ambulatory care is the entry point for care delivery and the initiator of disease management and wellness (Ulrich, 2019). The ambulatory care system of Rochester Regional Health includes 400 registered nurses, and 600 licensed practical nurses with a nursing turnover rate of 18.75%.

By leveraging technology and innovation in program development, ambulatory-specific programs have been implemented to target nursing staff recruitment and retention, resulting in a 4% decrease in ambulatory nurse turnover rates.

Family Presence During Resuscitation Efforts, Gabrielle Gavin, Marissa Pecora, Gabrielle Narvaez, Kalpana Rai, Matthew Mendolera, Leanne Coon, Bailey Oldham, Olivia Pino

Nursing Research and EBP Day 2024

Family presence during resuscitation enables family members to be present during the resuscitation efforts of a loved one. The focus of this process is to provide support to the patient and their family, while also providing transparency and trust in the medical process and personnel.

The purpose of this project was to identify the impact on family members of witnessing life saving measures on their loved one.

Decreasing Workplace Violence In Ambulatory Care, Jeanene Case, Christine Cook, Nicole Gemme, Rebecca Hass, Taylor Mikiewicz, Lynn Paladino, Erin Parkinson, Maydelin Reve Padilla, Amanda Thongsirimonghoun, Carolyn Vojtush

Nursing Research and EBP Day 2024

Workplace violence is recognized as a significant public health issue. Staff in ambulatory settings are at high risk for experiencing violence from patients or clinic visitors. Exposure to workplace violence may put staff at risk for depression, chronic fatigue, or poor job satisfaction. Developing a safety plan that incorporates organizational policy, staff training, environmental changes and debriefing may help reduce the risk of workplace violence.

12-Hour Shifts: Heaven Or Hell?, Amy Bontrager, Mary Caprio, Lakysha Grant, Seth Kibler, Savanah Wirth, Sarah Reynolds

Nursing Research and EBP Day 2024

In many hospital settings, the 12-hour shift is the standard. While it may be better for continuity of patient care, many studies have looked at the effect it has on nurses as well as patient safety. This project identified themes in the literature and while it couldn’t see a precise path forward, flexible scheduling may be looming just over the horizon.

Nurse Navigation Supports Implementation Of Guideline Based Care, Michelle Ferguson, Uzma Iqbal, Alyssa Pino

Nursing Research and EBP Day 2024

The European Society of Cardiology has developed guidelines aimed at identifying and mitigating risk for cardio-oncology events in oncology patients. Cardiovascular risk factors, cancer type and therapeutic regimen present unique treatment considerations requiring individualized risk assessment. Use of a nurse navigator to initiate triage with pre-visit testing and to coordinate care with the provider ensures patients receive timely treatment.

State Of Science Literature Review: The Effect Nutrition Has On Wound Healing, Alicia M. Grandy

Nursing Research and EBP Day 2024

Objectives:

• State the steps necessary to conduct a comprehensive review of the literature
• Utilize available resources/tools when conducting a literature search

Flexible Work Schedules To Promote Leader Wellbeing Ambulatory Care Nursing Leadership, Elizabeth Carreira, Rebecca Hall, Rebecca Dellafave

Nursing Research and EBP Day 2024

Nursing leaders in ambulatory care may experience high levels of work-related stress and dissatisfaction with the number of hours they were working, and this dissatisfaction may result in higher turnover among nursing leadership.

The purpose of this evidence-based practice project was to develop a flexible scheduling option for nursing leaders practicing in ambulatory care at Rochester Regional Health to promote leader wellbeing and role satisfaction.

Results indicated that leadership satisfaction with their role and the amount of time spent working with nursing staff increased. Perceptions of work-life balance improved as did their interprofessional relationships. A decrease in the average number …

Morale Wednesday, Sadie Bonetti, Christen Ballard, Desiree Dixon, Casey Legros, Danielle Pickney, Meghan Camp, Alyson Harp, Jonathan Ferrer, Catie Wood, Melissa Combs, Heather Lewis, Dena Chapman

Nursing Research and EBP Day 2024

Many factors lead to low nurse satisfaction and poor morale. Some of the factors identified in the literature include organizational culture, burnout, staff shortages, and lack of leadership support. Nurses who are not satisfied at work may become less engaged and may be more likely to leave the organization

This project implemented manager rounding, break buddies, staff snack sharing and encouraged intentional recognition of peers.

2024 Graduate Research Day Agenda (Pdf), Graduate Studies

Dr. Joseph M. Moerschbaecher, III Graduate Research Day

The 3rd Annual Dr. Joseph Moerschbaecher, III Graduate Research Day Agenda (PDF)

Patient Engagement And Co-Creation In Healthcare Services: A Scoping Review, Thiruppavai Sundaramurthi, Smita Mathews, Ella Bermudez, Satish M. Mahajan

Patient Experience Journal

Objective: The objective of this review was to find literature related to the concepts of patient engagement and co-creation in healthcare services and identify models and/or frameworks that combined these concepts. Methods: We developed the eligibility criteria using the Population-Concept-Context framework applicable to studies with population of patients exploring the concepts of engagement and co-creation in the context of healthcare services. The search was conducted in PubMed, CINAHL, Cochrane, APA PsycINFO, and Ovid MEDLINE. We searched for articles in English with no search limitations on publication dates. Reviewers screened abstracts and full texts to identify articles for data …

Experiences Of Using Electronic Medical Records Among Patients From Ethnic Minority Backgrounds: A Rapid Review, Corey Adams, Reema Harrison, Alison Merchant, Narelle Arblaster, Tracey Bucknall, Kathleen Gray, Guncag Ozavci, Nilmini Wickramasinghe, Vicky Yuan, Elizabeth Manias

Patient Experience Journal

This study explores the experiences of individuals from ethnic minority backgrounds using electronic medical records (EMRs) and identifies strategies to improve the inclusivity and usability of EMRs, aiming to reduce the digital divide in their access and use. A rapid review of the literature was conducted using Medline, Embase, and CINAHL databases to identify relevant studies published between 2010 and November 2023, with the assistance of a medical librarian.

A total of 44 studies were included in the review, revealing significant disparities in EMR adoption and utilization among ethnic minority groups. Three key themes of inequality were identified: presentation of …

Post-Pandemic Needs Of Unpaid Family And Friend Caregivers To Effectively Continue Caregiving Duties In One Northern Ontario Health Authority, Jodi Webber, Erin Mulroney, Mark Tatasciore, Brianna Smith, Patti-Jo Duggan, Louis Ferron, Hannah Albani, Bianca Feitelberg, Laura Tenhagen, Sophia Myles

Patient Experience Journal

The Covid-19 pandemic had a significant impact on the support networks for older adults and caregivers as health and social care systems were forced to dramatically change the ways patients and clients interacted with providers, services, and programs. In Northern Ontario, caregivers are older, caring in more intense situations, more likely to be caring for multiple care recipients simultaneously and less likely to be in contact with health professionals. This research sought to explore the post-pandemic needs of caregivers in a Northern Ontario health catchment to better understand the needed supports. Using a collaborative and co-design approach with caregiver advisors …

Patients' Perceptions: A Group Differences Study Twelve Months Before And Twelve Months During A Worldwide Pandemic, Nancy B. Valla

Patient Experience Journal

Objective: The COVID-19 pandemic subjected healthcare systems' to decreasing operational margins, enhanced regulatory scrutiny, and challenges related to patients' expectations. Until now, there was a lack of empirical evidence studying patients' perceptions prior to versus deep immersion into the pandemic. Methods: This quantitative non-experimental ex post facto causal-comparative study examined if and to what extent there were significant differences in patients' perceptions of the nurses' communications, doctors' communications, overall hospital rating, and willingness to recommend before versus during the COVID-19 pandemic for HCAHPS participating hospitals in California. The final sample size was 292 facilities grouped by two identically …

Trust Remains The Foundation Of My Practice, Saria Gouher

Patient Experience Journal

Navigating healthcare while managing the complexities of disease, especially in elderly individuals, is challenging for both patients and their families. Physicians play a crucial role as pathfinders in this journey. However, physicians often experience burnout when dealing with patients and families facing complex illnesses. This narrative highlights the characteristics that enable physicians to effectively negotiate with such patients. It describes the experience of an elderly patient during the pandemic, suffering from severe disease complications, and illustrates the uncertainties and fears that families face, feeling as though they are lost in a maze. The physician's role in guiding the patient and …

Why Human Experience Matters, Jason A. Wolf

Patient Experience Journal

As we close the 11^th volume of Patient Experience Journal and a pivotal year for experience efforts globally, it provides a moment of pause, of reflection, and an opportunity to return to purpose. As a publication accessed in over 220 countries and territories around the world, I am heartened by the fact that what is shared on these pages moves you. That what our amazing authors contribute here truly matters. This issue, with its 24 insightful articles, brings our total publication count to 570 articles. These pieces have informed us, pushed our thinking, and challenged our beliefs. This is …

Need For Structured Pain Management Curriculum And Competency-Based Evaluation In Gme: An Observational Study In One Internal Medicine Residency Program, Sudhagar Thangarasu, Gowri Renganathan, Barney Soskin, Lela Ruck, Vishakh Prakash, Sumedha Unnikrishnan, Jyothsna Goranti, Everardo Cobos

School of Medicine Publications

OBJECTIVES

One of the major contributing factors to the opioid crisis, marked by a surge in opioid prescriptions, includes inadequate adherence to guideline-based pain management practices, highlighting the need for a comprehensive curriculum during residency training. In this study, we aim to assess opioid exposure prevalence among hospitalized patients and examine potential associations between disease conditions, patient demographics, and opioid prescriptions during their hospital stay.

METHODS

In this retrospective cohort study at a southern California county teaching hospital, we analyzed the medical records of 2272 patients admitted to the IM resident inpatient teaching service for 1 year, from September 2017 …

Their Stories, Our Testimony: A Narrative Inquiry Into The Remote Teaching Experiences Of Community College Clinical Nurse Educators During The Covid-19 Pandemic, Catherine E. Fenner

Doctor of Education Program Dissertations

This narrative inquiry explored the lived experiences of clinical nurse educators who taught at community colleges during the COVID-19 global pandemic, contributing to the growing body of literature about what nurses endured during the pandemic. The pandemic and the ensuing havoc it caused occurred when the profession faced significant staffing shortages. In the early months of 2020, when the virus was spreading rapidly, many states issued stay-at-home orders requiring nursing programs to pivot to remote learning platforms. Teaching hands-on skills, communication techniques, and time management strategies through virtual and remote pedagogy was a time of confusion for nurse educators, who …

Invasive Squamous Cell Carcinoma Arising After Digit Amputation: A Case Study, Thy Nguyen, Leon Liu, Yin Kan Hwee, Mohammadali Shoja, Gary Schwartz

HCA-NSU MD Research Day

INTRODUCTION Squamous cell carcinoma (SCC), a malignant skin tumor, is commonly associated with osteomyelitis. Although an unusual occurrence, it is speculated that the tumor can spread along the tendon sheaths of the hand. The risk of malignant transformation is considerably increased in patients with a history of amputation. This may necessitate additional screening, amputation, or surgical repair of the defect. CASE PRESENTATION We present a patient with a progressively enlarging mass in his left hand following a prior finger amputation, which was later diagnosed as invasive SCC with concurrent osteomyelitis. Initial surgery involved mass excision and ray amputation of the …

The Importance Of A Second Look: A Rare Combination Of A Galeazzi Fracture And Lunate Dislocation, Josef Maselli, Leon Liu, Ashley Mcgill, Garrett Wagner, Gary B. Schwartz

HCA-NSU MD Research Day

The Importance of a Second Look: A Rare Combination of a Galeazzi Fracture and Lunate Dislocation Introduction. A Galeazzi fracture involves a fracture of the middle to distal one-third of the radius with dislocation of the distal radioulnar joint (DRUJ), commonly caused by forceful impact to an outstretched hand with a hyperpronated forearm. This case describes a Galeazzi fracture with a concomitant lunate dislocation, a diagnosis that is frequently missed in the presence of an obvious distal radial fracture. We are seeking to underscore the importance of close radiographic analysis, especially when an obvious fracture is present. Case Presentation. A …

Nosebleed No More: Recognizing And Diagnosing Factor Viii Inhibitor, Salam Harb, Leidy Huie Martinez Md, Jose Alvarado Md, Ajit Koli Do, Hazem Nasef Ms4

HCA-NSU MD Research Day

Acquired hemophilia is a condition characterized by the unexpected onset of severe bleeding due to an issue with coagulation factors. Typically, this disorder results from the production of autoantibodies against the Factor VIII coagulation factor. Although acquired hemophilia is an extremely rare condition, with an annual incidence of just 1.5 cases per million, it is crucial to recognize and understand it. This is because diagnosing this disorder is intricate, and if left undiagnosed and untreated, it can lead to high levels of morbidity and mortality. This case stands out as the condition typically targets older adults, with around 80% of …

Lecture Capture, Transcripts, And Captioning In Us Colleges Of Osteopathic Medicine: Descriptive Cross-Sectional Survey, Phillip Khong, Duncan Holmes, Bahar Masoudian, Gregg C. Lund, Steve Garwood

Rowan-Virtua School of Osteopathic Medicine Departmental Research

This study describes lecture capture, transcription, and captioning services at US Colleges of Osteopathic Medicine (COMs). An anonymous online survey was sent to Deans or Directors of Curriculum at all 34 fully accredited COMs, with 21 (62%) responding. Results showed widespread lecture recording (95%), but of those, there were varied transcript and caption offerings: 7 (33%) provided both, 5 (24%) offered closed captions only, and 3 (14%) offered transcripts only. Overall, 71% offered at least one service. These findings indicate the prevalence of these lecture services at US COMs and will assist COMs in benchmarking their practices.

Understanding Faculty Perspectives On Health Equity Curriculum Implementation In Graduate Medical Education: A Qualitative Study, Krys Foster, Dhruvi Shah, Quinn Plunkett, Randa Sifri

Department of Family & Community Medicine Faculty Papers

BACKGROUND: Despite increased awareness of persistent healthcare disparities, integrating health equity education into medical residency curricula needs urgent expansion. The Accreditation Council for Graduate Medical Education (ACGME) mandates addressing healthcare disparities and social determinants of health, but implementation remains insufficient due to pervasive barriers.

OBJECTIVE: To explore residency faculty perspectives at one institution surrounding implementing a health equity curriculum within their programs.

METHODS: Between November 2022 and April 2023, qualitative interviews and focus groups were conducted with residency faculty participants (n = 13) from a large academic medical institution. Participants were recruited via an internal email list directory of program …

Intouch Week Of November 11, 2024, New York Medical College

InTouch

• More than $16,000 Raised by NYMC SOM Marathon Runners
• Department of Pediatrics Hosts Leonard Newman, M.D. ’70, Assistant Professor Research Symposium
• Jonathan Fisher, Ph.D., Presents at the Neighborhood Science Seminar Series
• NYMC Community Visits New York Historical Society Museum
• NYMC SNMA Brings Hope to Tampa Residents Impacted by Hurricanes
• NYMC Blood Drive Brings Community Together to Save Lives
• Health Literacy Club Hosts Educational Vegetable Stand
• Student Spotlight: SOM Student Takes Second Place in International Neurosurgery Innovation Competition
• Faculty Spotlight: From Pupil to Professor: Alumni Lighting the Way at NYMC

Predictors Of Ophthalmology Resident Research Engagement, Shreya Luthra, Natalie Anne Homer

Journal of Academic Ophthalmology

Purpose

United States Ophthalmology Residency programs employ many strategies to foster resident academic productivity. The present study assesses the efficacy of these initiatives in promoting research engagement.

Methods 

A 19-question electronic survey was administered to current PGY2 - PGY4 U.S. ophthalmology residents. Primary outcome measures included peer-reviewed publications and national conference presentations while in residency.

Results 

Eighty-one ophthalmology residents completed the survey, including trainees across all ages, genders, and regions. Of respondents, 34.5% reported allocated research time, 96.3% a required research project, 32.1% a research mentor, and 27.1% a formal research curriculum. Only 7% of respondents had not yet published …

Representation Of Women At Select Academic Ophthalmology Institutions In The United States, Hazem M Mousa, Camryn Thompson, Sri Meghana Konda, Keke Liu, Jay Rathinavelu, Terry Lee, Katherine Peters, Kevin J. Jackson, Laura Enyedi, Pratap Challa, Sharon Fekrat

Journal of Academic Ophthalmology

Purpose: To investigate the representation of women among ophthalmology faculty members at select academic institutions in the United States (US).

Design: Cross-sectional study

Subjects: Clinical faculty members at the top 20 academic ophthalmology institutions in the U.S. according to US News and World Report ranking

Methods: Gender as reported on institutional websites either directly or via pronouns, academic rank, medical school graduation year, and subspecialty were collected about clinical faculty members with MD, MD/PhD, MBBS or DO from their respective institutional websites. The number of publications for each faculty member was collected using Scopus ® (Elsevier, …