Medical Humanities Commons^™

Impact Of Personal, Familial, And Socioeconomic Factors On The Return Of Remotely Collected Samples For Genetic Testing, Jordan Zeiger

Dissertations and Theses (Open Access)

There are a multitude of barriers known to impact access to medical care in the United States. COVID-19 has changed and compounded these barriers and led to a shift in the setting of the genetic counseling (GC) appointment, and in sample types used for genetic testing, specifically with use of telemedicine and remotely collected saliva kits. Previous studies have described lack of patient follow-through in returning these kits. Though the understanding of barriers to medical care, including access to genetics services, is well described, there is little in the literature for how these barriers impact the return of remotely collected …

The Need For Racial And Ethnic Health Disparity Curriculum In Genetic Counseling Programs, Yusra Aziz

Dissertations and Theses (Open Access)

Racial and ethnic health disparities (REHD) exist across all organized medicine, including the spectrum of genetic counseling, particularly in genomic testing and access to care. While cultural competency and health disparities have been included as a part of the Standards of Accreditation for Genetic Counseling, there have not been previous efforts to define what topics related to REHD are most important to include in graduate program curriculum. Therefore, this study aimed to determine what topics related to REHD should be taught in genetic counseling program curriculum by assessing what topics genetic counselors (GCs) learned about and in what settings, …

“Back To The Jungle”: Investigating Rats, Grass, Scrub Typhus, And Plantations In Malaya, 1924–1974, Jack Greatrex

Research Collection College of Integrative Studies

In this article, I examine epidemiological research into scrub typhus in British Malaya between 1924 and 1974. Interwar research, I show, explained the incidence of the disease through conjunctions of rats, mites, plantations, lalang grass, and “jungle.” In the process, interwar researchers bridged a novel scientific vocabulary centering on disease “reservoirs” with older suspicions of plantations enabling “pests,” as well as with a later, explicitly ecological understanding of infectious disease. In exploring this history I thereby help to re-historicize the emergence of ecological notions of disease reservoirs, whilst also pushing at the limit-points of influential notions of “tropicality.”

Self-Perceived Well-Being Among Doctor Of Physical Therapy Students In The United States, David Kietrys, Ellen Anderson, Suchismita Ray

Journal of Wellness

Introduction: The purpose of this study was to describe self-perceived well-being among Doctor of Physical Therapy (DPT) students in the United States during the COVID-19 pandemic and explore factors associated with well-being.

Methods: This observational study was cross-sectional, using an anonymous, self-administered, nationwide survey. The survey included questions about an array of factors theoretically related to well-being, and incorporated the WHO-5 Well-being Index, the Perceived Stress Scale-10, and the Brief Resiliency Scale.

Results: A total of 1,542 responded to the survey. Data from 1,537 DPT students in the U.S. were included in the analysis. Well-being was positively correlated with resilience …

Part Of The Team: Effecting Change And Sharing Power In Healthcare Settings, Jessica Stanier, Rachel Purtell, Dave Thomas, William Murray

Patient Experience Journal

In 2019, we, as a group of patients and researchers, were invited to rethink how the executive board received and responded to patient stories at a specific NHS hospital trust in the UK. Through an iterative series of meetings, we were able to co-identify common concerns and together develop a distinctive narrative framework for effecting change by sharing patient experiences. This narrative framework is designed to help patients position themselves as ‘part of their healthcare team,’ emphasising roles and responsibilities between patients and health practitioners to compare ideals with reality in patient experiences. While the project was promising, several factors …

Listening As Medicine: A Thematic Analysis, Rachel Kishton M.D., Heta Patel, Divya Saini, Jeffrey Millstein M.D., Aaron Levy Ph.D.

Patient Experience Journal

Realizations of the importance of “the art of medicine” in trust-building and patient satisfaction have resulted in the incorporation of narrative medicine programs into training curricula. By learning how to respond to patient stories as well as communicate their own, healthcare providers can ensure that their patients feel heard and respected. This study seeks to define what constitutes empathetic listening through a qualitative analysis of personal narratives collected from patients, caregivers, and providers across an urban academic healthcare system. Stories (n=41) underwent thematic analysis to note common experiences related to listening during a health system encounter. Eighteen grounded codes were …

Focusing Our Attention On Socially Responsive Professional Education To Serve Ethnogeriatric Populations With Neurogenic Communication Disorders In The United States, José G. Centeno, Loraine K. Obler, Linda Collins, Gloriajean Wallace, Valarie B. Fleming, Jacqueline Guendouzi

Communication Sciences and Disorders Faculty Articles and Research

Purpose:

This viewpoint discusses a plausible framework to educate future speech-language pathologists (SLPs) as socially responsive practitioners who serve and advocate for the burgeoning vulnerable ethnogeriatric populations with neurogenic communication disorders.

Method:

We provide an overview of the demographic, epidemiological, and biopsychosocial context that supports the implementation of equity-based, population-grounded educational approaches for speech-language pathology services in ethnogeriatric neurorehabilitation caseloads and discuss a plausible perspective based on the educational social determinants of health (SDOH) framework by the National Academies of Sciences, Engineering, and Medicine.

Results:

The NASEM's three-domain SDOH educational perspective integrates education, community, and organization to create a self-reinforcing …

Wellness Review 2022, Part 2, Martin Huecker, Brian A. Ferguson, Jacob Shreffler

Journal of Wellness

Introduction: Similar to prior reviews, the Journal of Wellness editors searched the literature from the second half of 2022 for an interesting and impactful selection of publications on wellness in healthcare professionals.

Methods: Editors conducted a standard keyword search in Pubmed, focusing chiefly on large journals, interventional trials, and other prospective research. We included papers published between July 1, 2022 and December 31, 2022.

Literature in Review: Finding several hundred publications, we excluded editorials, reviews, and some smaller, less generalizable papers. A final 25 significant studies focusing on wellness in medical professionals were sorted into the following categories: logistics, creativity …

The Hero’S Journey As A Novel, Narrative, And Improvisational Group Intervention On Quality Of Life For People With Parkinson’S Disease, Robert D. Cochrane, James W. Navalta, Anne E. Weisman

Heroism Science

Parkinson’s disease (PD) is one of the fastest-growing neurological diseases in the world. Pharmaceutical and surgical interventions continue to advance to better address motor symptoms. However, disability from non-motor symptoms, such as depression, anxiety, and stress persist. Expressive therapies, including art, music, and dance are being explored and implemented more frequently to address this growing need. We developed this study to examine the feasibility of a novel program using online narrative therapy, with constructs from Joseph Campbell’s Hero’s Journey, and improvisation for people with PD (PWPD). Participants from across the U.S. and U.K. met online via Zoom once a week …

Precision Medicine, Ancestry, Genetics And Race, Lucio Miele

School of Medicine Faculty Publications

DiscoverBMB, March 25 - 28, 2023, Seattle, WA

Overview: Bias In-Bias Out In Data Science, Allison C. Augustus-Wallace

School of Medicine Faculty Publications

DiscoverBMB, March 25 - 28, 2023, Seattle, WA

Peer-Supervision Of Nursing Professionals: A Shield Against Burnout, Kyle Gamache, Sarah Gamache, Joseph Robillard

Journal of Wellness

Introduction: Burnout is a major risk in healthcare professions and is a significant contributor to the current nursing shortage. Strategies to combat burnout of healthcare professionals are in desperate need. The purpose of this project is to introduce the clinical peer supervision model as a method to alleviate burnout in nursing professionals.

Approach: Eight nurses from in-patient settings participated in a peer-supervision support group, modeled after existing European nursing and mental health provider-support protocols. To assess the effect of this intervention, qualitative data analysis was conducted on the transcripts of session and the results described. All participants reported statistically high …

Maternal Mortality In The United States: An Outlying Social Phenomenon In The Industrialized World, Whitney Buckendorf

Undergraduate Theses, Capstones, and Recitals

Maternal mortality rates claim the lives of over 300,000 individuals per year, with most of these deaths taking place in low to middle-income nations. Since 1990, maternal mortality rates have declined significantly with a global reduction from 385 to 216 maternal deaths per 100,000 births; an average decline of 2.9% per year. While this is an honorable reduction, there are outlying nations that experience higher than normal maternal mortality rates given their region and circumstance. While many studies focus on lower to middle-income nations for maternal mortality associated with lack of medical access and evolved care, there is also the …

You Found Me (I Kept You), Alexandra M. Lens

be Still

This poem is about multiple people in my life who have mentored me and helped me grow up in a safe and loving environment. They taught me important values, skills, and life lessons that I will always carry with me. The older I become, the more grateful I am for them.

The Teacher - Volume 7, Nova Southeastern University

be Still

No abstract provided.

From The Dean, Elaine M. Wallace

be Still

No abstract provided.

From The Editor, Janet L. Roseman

be Still

No abstract provided.

A Memorable Mentor, Sumaiya Haider

be Still

A person can come into your life for a moment, but make an impact that lasts a lifetime. This piece reflects my gratitude for my attending and all the teachers in my life who gave me the opportunity to learn and grow into the person I am today. From the bottom of my heart, thank you.

She Whose Words Helped Me To See, Tara Mckenna

be Still

This paper is a reflection on the interconnectedness of teachers and physician healers. Still, it identifies lessons that physicians can learn from educators in our lives and the importance of integrating these tools into how we teach patients about medicine.

Beyond The Curriculum, Sydney Molenaar

be Still

No abstract provided.

Time For Change, Nimmi M. Mathews

be Still

No abstract provided.

The Art Of Teaching In Medicine, Mariam Dar

be Still

A reflection on the aspects and importance of teaching in medicine.

Learning From The Best!, Michelle N. Won

be Still

Thank you to all the NSU preceptors of Punta Gorda, Florida.

The Unsung Torchbearers, Leona A. Ewan

be Still

No abstract provided.

Morphology Of Man, Arielle Friedman

be Still

Behind every creation is an artist.

Behind every student is a teacher.

This piece aims to highlight the cyclical, additive nature of generational knowledge, as well as the inherent plasticity involved in generating meaning across collectives.

A Physician's Most Important Teachers, Rachel Pray

be Still

I hope to never lose sight of the reasons why I became a physician: to make deep, real connections with patients while they may be going through one of the worst or most uncertain time of their lives - offering comfort and expertise to ease their worries - and to assist them in becoming the best, healthiest, happiest versions of themselves. Remembering my "why" has helped me overcome the struggles and trials of medical school, and I will continue to hold it close to me throughout my medical career.

Teaching In Medicine, Saleena Nasary

be Still

Writing this piece helped me tap into my feelings and reflect on how far I've come professionally and mentally.

David Chase & Maryanne O'Hara, Dayna R. Smerina

be Still

This essay explores the subtle yet powerful Narrative Medicine themes that underly the television show The Sopranos and the novel Little Matches, by David Chase and Maryanne O'Hara respectively.

Illuminating Minds: The Essence Of True Teaching, Tahreem F. Hussain

be Still

No abstract provided.

Teaching, Tough Love, Or Mean?, Jake Darbhanga

be Still

Nobody is born with the knowledge they have today; everything is learned as one lives their life. Teaching can take many forms and come from all types of people. Parents are generally the first teachers a child encounters from the first day of their lives. There is no one correct way of parenting, but there is a common desire to provide the best possible upbringing for one's child.

As I live my life, I find myself expressing the lessons I have learned and utilizing the knowledge I acquired from the people who have taught me. My personality often reflects the …