Medical Education Commons^™

Assessment For Deeper Understanding Using Concept Maps: Lessons Learned From Flipped Teaching Of Pharmacology, Munder Zagaar, Weichao Chen

Faculty, Staff and Students Publications

To foster a deeper understanding of pharmacology concepts among physician assistant students, we integrated concept mapping into our flipped teaching to provide assessment for learning. Different mapping-based assessment strategies were adopted based on learner feedback, including in-person collaborative mapping, an individual computerized mapping-based quiz with automated feedback, and a collaborative computerized mapping-based quiz enhanced by the jigsaw strategy. Each mapping activity also leveraged the strength of a specific technology platform. Based on the findings from comparing learner ratings of these mapping activities and thematic analysis of learner feedback, we engaged in critical reflection and share our lessons learned.

A Consensus List Of Ultrasound Competencies For Graduating Emergency Medicine Residents, David A Haidar, William J Peterson, Patrick G Minges, Jennifer Carnell, Jason T Nomura, John Bailitz, Jeremy S Boyd, Megan M Leo, E Liang Liu, Youyou Duanmu, Josie Acuña, Ross Kessler, Marco F Elegante, Mathew Nelson, Rachel B Liu, Resa E Lewiss, Arun Nagdev, Rob D Huang

Faculty, Staff and Students Publications

OBJECTIVES: Emergency ultrasound (EUS) is a critical component of emergency medicine (EM) resident education. Currently, there is no consensus list of competencies for EUS training, and graduating residents have varying levels of skill and comfort. The objective of this study was to define a widely accepted comprehensive list of EUS competencies for graduating EM residents through a modified Delphi method.

METHODS: We developed a list of EUS applications through a comprehensive literature search, the American College of Emergency Physicians list of core EUS benchmarks, and the Council of Emergency Medicine Residency-Academy of Emergency Ultrasound consensus document. We assembled a multi-institutional …

The Effects Of Prenatal Patient Education Regarding Epidural Anesthesia, Auburn Merritt

Symposium of Student Scholars

This project is important because there is a lack of education for prenatal women regarding epidural anesthesia which causes misunderstanding, confusion, a deficit of knowledge, and a lack of support. The purpose of this project is to analyze and suggest the importance of proper education regarding epidural anesthesia. Proper prenatal education causes resolution of misconceptions as well as causes patients to be more satisfied with their pain management during labor. Evidence that I found suggested that after proper education more pregnant women planned to receive epidural anesthesia (Cutajar, 2018). Women preferred detailed education to increase knowledge of the risks and …

Operations, Compliance, & Leadership In Dme At Dasco, Andrew Caddas

Masters Theses/Capstone Projects

The practicum experience was completed with DASCO H.M.E., LLC primarily in their corporate office from August through November 2022. I worked with Ann Cornelius, VP of Operations, to learn more about the industry and the role of home medical equipment in patient care. The areas of focus included Sales & Business Development, Compliance, Branch Operations, and Supply Chain.

The Impact Of Video Conference On Orthopaedic Resident Education: A Survey, Michael Booth, Michael Niemann, Andrea Lese, John Taras

Cooper Rowan Medical Journal

Background: Covid and required social distancing has accelerated the use of video conferencing. We hypothesized that residents and faculty would be less receptive to the video lecture format and prefer traditional didactic methods.

Methods: A 16-question anonymous survey was distributed nationally to orthopaedic residents and faculty. The survey collected basic demographic information such as, level in training, gender, and age. We then asked the respondent to rate their agreement or disagreement with 8 statements on a Likert scale (1-5) about video conferencing regarding orthopedic education. Likert scale responses were evaluated using basic descriptive statistics. Respondents were divided into groups of …

Evaluating Diversity And Inclusion Content On Graduate Medical Education Websites., Chapman Wei, Simone A Bernstein, Alex Gu, Aadit Mehta, Dhruv Sharma, Ryan Mortman, Monica Verduzco-Gutierrez, Katherine C Chretien

Health Sciences Education Research

UNLABELLED: Websites are important tools for programs to provide future residency applicants with freely accessible information regarding their program, including diversity, equity, and inclusion (DEI) initiatives.

OBJECTIVE: To describe the variability of DEI content in residency programs and compare DEI website content by specialty.

METHODS: Using the 2021 Accreditation Council for Graduate Medical Education (ACGME) list of residency programs, residency training websites were identified and evaluated. Information was extracted from program websites as indicators of DEI content. Chi-square analysis and one-way ANOVA were chosen to assess for statistical differences.

RESULTS: In total, 4644 program websites representing 26 specialties were assessed. …

Academic Leadership In Physician Assistant/Associate Medical Education: A Cross-Sectional Analysis Of The Association With Doctoral Degree, Gender, And Minority Status, Lucy W. Kibe, Gerald Kayingo, Katrina M. Schrode, Alicia Klein

Graduate School Faculty Publications

Background

There is a critical need for a diverse pool of academic leaders to increase the number and diversity of the medical workforce. Physician Assistant/Associate (PA) is a growing medical profession. Although the master’s degree is the terminal degree for PAs, a growing number of PAs obtain a variety of doctoral degrees. However, there is no standardized training for academic PA leaders. The purpose of this study was to identify factors associated with PA academic leadership. Specifically, this study explored the following factors: doctoral degree credentials, gender and underrepresented minority status.

Methods

Using the 2019 Physician Assistant Education Association Faculty …

Urban Health: A Practical Application For Clinical Based Learning, Cynthera Mcneill, Umeika Stephens, Tara Walker

Open Textbooks

Urban Health: A Practical Application for Clinical Based Learning is an openly licensed, peer-reviewed textbook for clinical-based nursing educators covering barriers in urban health and their impact on patient health outcomes. The authors explore perspectives of urban communities, urban patients, and urban healthcare providers to offer insight into how healthcare providers can address disparities in urban healthcare, provide meaningful care with the lived experiences of urban patients in mind, and improve patient-provider communication by moving towards a more solution-driven, team-based care approach. Features include learning activities, exemplars, and case studies.

An Assessment Of 50 State Early Hearing Detection And Intervention Websites: Is Needed Information Being Provided For Parent Decision Making?, Nichole Westin, Donna Sorkin

Journal of Early Hearing Detection and Intervention

Growth of the Internet as an information resource has provided expanded opportunities for families to easily gather information on a range of topics, including health related topics. State Early Hearing Detection and Intervention (EHDI) websites and other electronic data sources are an important opportunity to support families seeking information on options for their children who have been identified as deaf or hard of hearing. A review was undertaken between August and September 2021 of the 51 US EHDI (state and DC) websites and related information (such as links to others’ sites) to determine if information that is specifcally discussed in …

Intouch Week Of November 21, 2022, New York Medical College

InTouch

• Department of Physical Therapy Welcomes New Faculty
• Department of Pediatrics Hosts Inaugural Leonard J. Newman, M.D. ’70, Assistant Professor Pediatric Research Symposium
• D.P.T. Class of 2024 Present Community Service Projects
• School of Medicine Class of 2026 Celebrates Friendsgiving
• Student Spotlight: Anushka Anil Parakh, B.D.S., Goes the Distance for Children with Speech-Language Difficulties

Impact Of Nusinersen Treatment On Measures Of Exercise Intolerance In Spinal Muscular Atrophy, David Uher, Ashley M. Goodwin, Darryl C. De Vivo, Jacqueline Montes, Carol Ewing Garber Facsm

International Journal of Exercise Science: Conference Proceedings

Spinal muscular atrophy (SMA) is an autosomal recessive neuromuscular disorder, marked by insufficient production of SMN protein, leading to motor neuron dysfunction. Although ubiquitously produced throughout the body, motor neurons and muscle cells are selectively impacted by decreased SMN, which has been linked to impaired oxidative phosphorylation causing altered metabolic function and exercise intolerance. Nusinersen, administered directly to the central nervous (CNS), is an approved therapy that increases SMN protein in an effort to restore motor neuron function. PURPOSE: To evaluate the impact of treatment on markers of exercise tolerance in children and adults treated with nusinersen is not known. …

Barriers To Adopting Lifestyle Behaviors Under The Prism Of Lifestyle Medicine, Janyll Barber, Zacharias Papadakis, Matthew Manierre, Ali Boolani, Andreas Stamatis

International Journal of Exercise Science: Conference Proceedings

According to the ACSM, lifestyle medicine (LM) is in the top 20 worldwide fitness trends for 2022. The LM pillars of a plant-based diet, physical activity, adequate sleep, stress management, social interactions, and avoidance of risky substances have been proposed as effective strategies for preventing and treating chronic conditions. However, implementing lifestyle behavioral changes to improve noncommunicable chronic disease outcomes has still been problematic. Individuals’ mental and physical status has been suggested as a key component in closing the gap between the intention to adopt a healthy lifestyle and actually adopting that behavior. PURPOSE: To examine the associations of …

Age-Related Changes In Skeletal Muscle Oxygen Utilization: A Review, Maxwell T. Aiken, Sabrina S. Salvatore, Kyle N. Zelenski, Ryan K. Perkins

International Journal of Exercise Science: Conference Proceedings

The cardiovascular and skeletal muscle systems are intrinsically interconnected, sharing the goal of delivering oxygen to metabolically active tissue. Deficiencies within those systems that affect oxygen delivery to working tissues are a hallmark of advancing age. Oxygen delivery and utilization are reflected as muscle oxygen saturation (SmO₂) and may be assessed using near-infrared resonance spectroscopy (NIRS). PURPOSE: This review is intended to provide an update on the current state of literature regarding age-related effects on SmO₂. Furthermore, we attempt to bridge the gap between SmO₂ and associated underlying mechanisms affected by aging. FINDINGS: SmO …

Mitochondrial Integrity Distinguishes Exercise-Induced Vs. Pathogenic Cardiac Hypertrophy, Nicole Lee Yang

International Journal of Exercise Science: Conference Proceedings

Cardiac hypertrophy is a consequence of exercise training, as well as certain cardiomyopathies. However, the key genetic drivers of cardiomyocellular remodeling in a healthy vs diseased heart are inadequately understood. PURPOSE: Determine the genetic architecture of exercise training-induced cardiomyocellular remodeling and hypertrophy. METHODS: The exercise hybrid mouse diversity panel (ExcHMDP) is comprised of 100 strains of Exc trained (TRN) and sedentary (SED) animals (n=4-8/strain per group). After 30d of exercise, running wheels were locked, and 24-hours post-exercise, 6h-fasted animals were euthanized and tissues harvested (~20 tissues/mouse). To interrogate pathogenic cardiac hypertrophy, isoproterenol (ISO, 30mg/kg/day for 21d) was administered to …

Preliminary Findings From A Pediatric Physical Activity Program For Children With Cancer, Paulette M. Yamada, Erin O. Bantum, Erin E. Centeio, Kelley Hutchins, Laura Bonilla, Carie Sumida, Jayna Lee, Sabrina Cao, Grace Lopez

International Journal of Exercise Science: Conference Proceedings

It is critical for pediatric patients diagnosed with cancer to engage in physical activity (PA) as it is associated with positive psychosocial outcomes and may improve physical function. However, physical activity opportunities for pediatric cancer patients are limited. PURPOSE: To test the feasibility and adherence of pediatric cancer patients to a virtual PA program. METHODS: Pediatric patients undergoing cancer treatment were referred to the Pediatric Physical Activity program (PePA) by the Children’s Hospital’s oncology team using rolling recruitment. The target sample size was 20-25 patients. Patients enrolled in an online 12-week PA intervention with similar-aged peers (2x/week, 60 …

Evaluating Research Survey Websites In Kinesiology: A Case Study Using An Accessibility Rating Form, Yi Sheng Wu, Jafra D. Thomas, Regina F. Hockert, Jasmine C. Wong, Samantha M. Ross

International Journal of Exercise Science: Conference Proceedings

Advancing equity in the research and educational practice of kinesiology requires intentional efforts to ensure access divides do not widen nor persist (Ross et al., in press, JOPERD). PURPOSE: Given knowledge of suitability assessment of materials (SAM) principles supports the equitable design of lay print and online material, we evaluated the extent they would also support developing a research survey website consistent with accessibility guidelines for digital technology. METHODS: The study website was adapted from the Canvas learning management system. A cross-sectional formative assessment was performed. Using their knowledge of SAM principles (eg, clear layout, text ≤ 8 …

Determining Validity And Reliability Of Caloric Expenditure Recorded By Wearable Technology While Walking And Running, Bianca C. Weyers, Dustin W. Davis, Nicole R. Vargas, Jorge Perdomo Rodriguez, Elias M. Malek, Katherine V. Carlos, Bryson Carrier, James W. Navalta

International Journal of Exercise Science: Conference Proceedings

With growing interest in tracking exercise progress, wearable technology is increasingly popular. While heart rate and step count are typically accurate for consumer-available devices, research from our laboratory indicates that caloric expenditure is not. PURPOSE: The current investigation aimed to evaluate the validity and reliability of caloric expenditure in multiple wearable devices during a self-paced walk and run. METHODS: Ten participants were tested (5F, 5M, age = 26.9± 9.43 years, body mass = 72.64± 7.73 kg, height = 168.66± 9.37 cm). Participants were asked to wear 5 devices: 2 Garmin Instinct watches (one on each wrist), 2 Polar Vantage M2 …

The Relationship Between Chronic Low Back Pain And Functional Movement, Lindsey Taylor Wensel, Spencer Baker

International Journal of Exercise Science: Conference Proceedings

ABSTRACT

Movements of the spine are different in those who have chronic low back pain (CLBP) compared to those who do not. By using inertial measurement units (IMUs), we assessed the angular acceleration of L5 and the sacrum in both healthy and CLBP individuals. PURPOSE: To determine if there is a difference in the movement patterns of L5 and the sacrum during spinal flexion in those with CLBP compared to those without. METHODS: Movement acceleration patterns were evaluated in 10 individuals between the ages of 35-65 years of age. 5 of the individuals reported having CLBP so they …

Aerobic Fitness Levels Relate To Cognitive Function In People With Parkinson’S Disease As Assessed By The 6 Minute Walk Test, John Wallace, Kaylie Zapanta, E Todd Schroeder, Beth Fisher

International Journal of Exercise Science: Conference Proceedings

While individuals with Parkinson’s disease (PD) present with impaired motor control, 26% demonstrate cognitive impairment independent of dementia¹. In fact, cognitive dysfunction often predates motor impairments and can diminish quality of life² as well as life expectancy³. Fortunately, aerobic exercise has been shown to improve cognition in older adults⁴ as well as PD patients^5-7. However, only a limited number of studies have determined a clear relationship between aerobic fitness levels and cognition in people with PD. Determining whether cognitive status and aerobic fitness levels are associated in people with PD would provide …

The Relationship Between Catecholamines And Lactate Concentration In Response To Exercise In Adolescents With Obesity, Vincent Vuong, Daniela Rubin

International Journal of Exercise Science: Conference Proceedings

Epinephrine is a catabolic hormone that increases metabolism through glycolysis and glycogenolysis. During exercise, accelerated glycogen and glucose breakdown is associated with increased lactate production. Previous studies show obesity (OB) decreases the epinephrine response during exercise potentially affecting glucose metabolism and lactate production. PURPOSE: To compare the epinephrine and lactate responses in adolescents with OB and adolescents with normal weight (NW) and to determine if changes in epinephrine and lactate concentrations are associated. METHODS: 12 adolescents with OB (9.2 ± 1.2 y, 39.9 ± 6.8% body fat) and 12 adolescents with NW (17.5 ± 4.6% body fat) completed …

Joint Angle Calculations Using Motion Capture And Deep Learning Pose Estimation While Running, Luke Vankeersbilck, Isaac Hedengren, Mcgyver Clark, Iain Hunter

International Journal of Exercise Science: Conference Proceedings

Marker based motion capture is currently the most accurate method of measuring human kinematics; however, it is expensive and is often limited to lab environments making it unsuitable for many applications. Two-dimensional methods are available through open source code, but it is unclear which of these methods provides the greatest accuracy. PURPOSE: The purpose of this study is to quantify the accuracy of pose estimation from a monocular electro-optical sensor with deep learning to infer segment end points and pose estimation utilizing two open-source code approaches. METHODS: One subject ran at 6.5 m/s for 15 s while being …

The Role Of Body Fat Percentage And Vo2max In Predicting Arterial Stiffness In Female College Students, Sara Thomasson, Grant Calhoun, Natalie Pham, Kennedy Kerbs, Sofia Harman, Payton Price, Annika Grams, Ruth Larson, Isaiah Mews, Zachary Zeigler, Anthony Acevedo

International Journal of Exercise Science: Conference Proceedings

Within the college population, high blood pressure (BP), as well as obesity and sedentary lifestyles, are seen. Bodyfat influences these outcomes. Much of the literature ignores the possible effects that fitness may have on these outcomes, specifically in females. Purpose: The intent of this study was to determine if VO_MAX can predict arterial stiffness after adjusting for body fat% in college females. Methods: Healthy young females were recruited from Grand Canyon University. Subjects came to the lab for a single visit for the following assessments: height, weight, waist circumference, hip circumference, aortic BP, augmentation pressure (AP), augmentation index adjusted …

Different Resistance Training Protocols During The Crunch Exercise Affect Muscle Thickness, Echo-Intensity, Load Lifted, And Perception Of Effort In Recreationally-Trained Participants., Keanna J. Sullivan, Paulo H. Marchetti

International Journal of Exercise Science: Conference Proceedings

The correct choice of the acute variables is another important component of a resistance training (RT) session. The combination of intensity and volume is fundamental to determine the dose-response in a RT session and can induce specific metabolic and mechanical stress in the muscle. PURPOSE: The primary purpose of this study was to evaluate acute dose-response of different volume x intensity RT protocols with equated total volume (40 repetitions) during the crunch exercise on muscle thickness, echo-intensity, load lifted, and rating of perceived exertion in recreationally-trained participants. METHODS: Fifteen resistance-trained participants (23±3years, 76.4±6.5kg, 173.3±6.5cm) performed the abdominal crunch exercise …

Shorter Versus Longer Bouts Of Rowing-Based Interval Exercise Attenuate The Physiological And Perceptual Response, Robert Sturdy, Austin Teske, Harrison Thomas, Pinelopi Stavrinou, Gregory C. Bogdanis, Todd Astorino Ph.D

International Journal of Exercise Science: Conference Proceedings

High intensity interval exercise (HIIE) requires repeated bouts of near-maximal to maximal efforts (intensities > 85 %HRmax) interspersed with a brief recovery. Data show superior increases in maximal oxygen uptake (VO 2max) in response to chronic HIIE compared to moderate intensity continuous exercise (MICE) in healthy adults as well as clinical populations (Milanovic et al. 2015; Weston et al., 2014). PURPOSE: This study compared physiological and perceptual variables between short and long durations of rowing-based high intensity interval exercise (HIIE). METHODS: Fourteen active adults (age = 26.4 ± 7.2 yr) performed incremental rowing exercise to fatigue to measure maximal …

Acute Effect Of Sauna On Blood Composition, Kate Strong, Olivia Leach, Jayson Gifford

International Journal of Exercise Science: Conference Proceedings

Sauna therapy has previously shown to benefit cardiovascular health. Nevertheless, the impact of sauna therapy on blood properties has not been described thus far. PURPOSE: The purpose of this study was to investigate the impact of a bout of sauna therapy on hemoglobin, hematocrit, and plasma volume. METHODS: Six healthy young adults (ages18-36; n=5 male, n=1 female) underwent a total of 40 min of sauna exposure in two 20 min increments. A baseline blood draw was performed pre-sauna. Participants underwent sauna exposure, and blood draws were performed directly post 40 mins of sauna, as well as after a 90-minute recovery …

Aging Male Runners Show Achilles Tendon Thinning Following A 10k Run While Females Do Not - Pilot Analysis, Annie Smedley, Joshua Sponbeck, Benjamin Smedley, Aaron W. Johnson

International Journal of Exercise Science: Conference Proceedings

The Achilles tendon experiences large amounts of force while running, which leads to Achilles tendon adaptation. One known Achilles tendon adaptation to running is Achilles tendon thinning. The Achilles tendon thinning response has not been examined at multiple locations of the Achilles tendon and has not been studied in an aging (>50 y) population. PURPOSE: We examined the effect of a 10k run on Achilles tendon cross sectional area in three locations of the Achilles tendon in runners aged 50 years and older. METHODS: Seven runners - three male (age = 73.6 y ±8.2, height = 174.4 …

A Career In Healthcare For Students In A Graduate Level Clinical Exercise Physiology Program, Julianne Skeen, Donna Cataldo, Holly Bright, Macy Wright, Zeyu Song, Robert Scales

International Journal of Exercise Science: Conference Proceedings

Physician referrals to physical therapy are common in mainstream healthcare practice. Clinical Exercise Physiologists (CEPs) are mostly limited to employment as a practitioner in supervised cardiac rehabilitation (CR) or cardiology-based diagnostics and stress testing. PURPOSE: This investigation was conducted to identify employment trends in healthcare for a cohort of CEPs prior to or within 1-year after graduation from an accredited CEP Program (2017-2022). METHODS: A 5-year retrospective review of university and internship site historical records was conducted to determine the career path of the CEPs. This investigation included a sample of 10 students (50% female) that successfully completed a cardiology-based …

Heavy Backpack Load Carriage Affects The Median Nerve, Deanna Schmidt, Jennifer Hein, Katherine Saul

International Journal of Exercise Science: Conference Proceedings

First responder and military personal often carry heavy backpacks of over 30% body weight when loaded with equipment. Use of the hands may be impaired by the compression of backpack straps on the nerves of the upper limb. PURPOSE: The aim of the study is to characterize the effects of walking with backpack load on upper limb function by examining changes in nerve conduction resulting from compression of the brachial plexus by backpack straps. We hypothesized that nerve conduction would be decreased in amplitude of the action potential and timing would be delayed after walking while carrying a 30% …

Make Reading Fun: Implications Of Virtual Reality On Standing Balance And Control, Makena Savola, Belle Ponce De Leon, Amanda Duben, Wendy T. Pham, Joshua Vicente, Jacob Hinkel-Lipsker

International Journal of Exercise Science: Conference Proceedings

The recent rapid expansion of virtual reality (VR) technology is driving a widespread number of new applications, including providing immersive environments for users to learn and read through commercially-available applications. However, recent research has shown that VR causes symptoms of dizziness and motion sickness, which could disrupt users gait and balance. Thus, it is important to understand how to best mitigate these effects before VR use becomes more widespread across the lay public. PURPOSE: The purpose of this study was to determine the acute effect of VR use on gait and balance control following use, and whether aspects of virtual …

Resisting Arrest: Analysis Of Different Prone Body Positions On Time To Stand And Engage, Krissy Sanchez, J. Jay Dawes, Mark Stephenson, Robin (Rob) Marc Orr, Robert G. Lockie

International Journal of Exercise Science: Conference Proceedings

An isolated police officer executing an arrest can be placed in a dangerous situation should the detainee become non-compliant. Further research is needed to ascertain the position that a detainee can be placed in that takes the longest time for them to rise from the ground, as this can influence the officer’s reaction time to a life-threatening situation. PURPOSE: Determine differences between participants' time from four prone positions to a standing athletic position which would then prepare the participant to engage or run from the officer, similar to what could be seen during an interaction between police and detainees. METHODS: …