Family Medicine Commons^™

The Heart Of Residency, Julia Fashner, Samantha Gionocchio

HCA Healthcare Journal of Medicine

As part of wellness activities in 2023, our family medicine residents produced individual paintings. Samantha coalesced these 4 x 4 canvases to create this heart. The following quote is also poignant for those of us in family medicine:

Wherever the art of Medicine is loved there is also a love of Humanity. -Hippocrates

Resident Feedback On Incorporating Reflection Rounds Into A Family Medicine Residency Wellness Curriculum: A Brief Report, Stacy Ogbeide, Jasmin Aldridge Hamlett, Inez Isabel Cruz

HCA Healthcare Journal of Medicine

Background

We sought to understand well-being from the perspectives of residents in a family medicine residency program and to assess the residents’ opinions on implementing “Reflection Rounds” (RR) to promote wellness and combat burnout through self-reflection. These aims were achieved through descriptive qualitative analysis of a focus group of family medicine residents.

Methods

Participation was voluntary and open to all 45 residents in the program. The final participant sample consisted of 14 residents who shared similar characteristics, including level of training and being exposed to similar training stressors. Both a priori and open coding were used for this analysis.

Results …

The Effects Of The Covid-19 Pandemic On Resident Education And Burnout, Timbre Backen, Oliwier Dziadkowiec, Jeffery S. Durbin, Gregory Guldner, Glenda Quan

HCA Healthcare Journal of Medicine

Background

The COVID-19 pandemic has impacted the residency experience for physicians across all specialties. There have been studies examining resident perspectives on changes in curriculum and clinical experiences due to the pandemic; however, little research has been conducted on how residents in different specialties interpreted their educational experience and rates of burnout during the pandemic.

Methods

We extended surveys to 281 residents across 15 separate residency programs between November 17, 2020, and December 20, 2020. The questions pertained to burnout and the effects of the pandemic on their careers. Differences between general and specialty medicine resident responses were analyzed using …

Lifestyle Medicine For The Health Care Worker, Workplace, And Community Well-Being: A Butterfly Effect, Karina Doucet, Nicholas D'Angelo

HCA Healthcare Journal of Medicine

Burnout is a prevalent and expensive problem in the US, and the National Plan For Health Workforce Well-Being included a goal to institutionalize well-being as a long-term value. Lifestyle Medicine (LM), an evidence-based practice using behavioral interventions to treat, prevent, and reverse certain chronic conditions, can achieve this goal. Implementing small changes in the workplace that support lifestyle medicine has a butterfly effect on both workplace and community well-being. Furthermore, the health of health care workers (HCWs) and patients improves, and health care costs decrease. This can be done with LM wellness programs or LM training for HCWs. LM wellness …

Covid-19 In The Setting Of Hiv And Severe Hemophilia A: A Case Report, Ryan Wilson, Chae Ko, Rahul Kashyap

HCA Healthcare Journal of Medicine

Introduction

A hyperactive immune response is the driving force behind severe Coronavirus disease 2019 (COVID-19). Complications of severe COVID-19 include acute respiratory distress syndrome, acute respiratory failure, and increased risk of venous thromboembolism (VTE). The management of patients with COVID-19 includes respiratory support, decreasing immune response to the virus to prevent the progression of disease, and anticoagulation to prevent VTE.

Case Presentation

We present the case of a patient with a history of human immunodeficiency virus (HIV) and hemophilia A admitted with COVID-19. This case demonstrates the difficulties present when managing COVID-19 in patients with specific comorbidities. Anticoagulation is a …

Improving Hospital Discharge Follow Up At Summerville And Trident Medical Centers, Radhika Mohan, Sanket Patel, Deepa Nuthalapati, Michael Smith, Valerie Sinkler, Dennis Besong, Pooja Paunikar

South Atlantic Division GME Research Day 2024

No abstract provided.

A Guide To Pediatric Wellness Through Utilization Of Dragon Commands, Prasad Munusamy, Parisa Biazar, Jacob Trimble, Anthony Shadiack

South Atlantic Division GME Research Day 2024

No abstract provided.

The Use Of Ultrasound Simulators Combined With Educational Material And Hands-On Experience As A Tool To Improve Basic Psychomotor Skills In Ultrasound Image Acquisition: A Pilot Study On A Family Medicine Residency Program, Marilian Canals-Rivera, Travis Chen, Michael Sweda, Paola Perez-Rodriguez

South Atlantic Division GME Research Day 2024

No abstract provided.

Phenytoin Toxicity And Hypoglycemia - Case Study, Daniel Khashchuk, Natarajan Venkatayan

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

Quality Improvement: A1c Control And Phq-9 Scores In Adults With Diabetes Type 2, Kenoviah Heron, Julia Fashner

East Florida Division GME Research Day 2024

No abstract provided.

Depressive Pseudodementia As The Cause Of Cognitive Impairment In A 48-Year-Old Female, Jose Mendoza-Sierra

East Florida Division GME Research Day 2024

No abstract provided.

An Ear-Itating Infection, Sakshi Agarwal, J Burton Banks

South Atlantic Division GME Research Day 2024

No abstract provided.

Nas Associated With Antenatal Tianeptine Exposure: A Case Report, Francesca Damus, Kaleb Freeman, Candace Murbach, Palmer Johnston

South Atlantic Division GME Research Day 2024

No abstract provided.

Disseminated Cryptococcus Gattii Infection In A Middle Aged Male, Gina Brock, Kenley Tyler, Maclaren Durkee

South Atlantic Division GME Research Day 2024

No abstract provided.

Case Report: Unilateral Internuclear Ophthalmoplegia As First Manifestation In Multiple Sclerosis, Imaad Zaman, Tyler Adame, Steven Do, Kien Nham, Azeem Muhammad

North Texas GME Research Forum 2024

Multiple Sclerosis is an inflammatory disorder of the central nervous system secondary to myelin degeneration. The disease is mediated by reactive lymphocytes where the spinal cord, brain and optic nerves are attacked. Diagnosis of MS is made clinically and confirmed via MRI with T2 hyperintensities. On presentation, a 26-year-old female with no significant past medical history presented with frequent headaches and blurry vision. There was right eye nystagmus on L lateral gaze with CN III deficits with absent medial rotation. MRI Head presented with a classic presentation of T2 hyperintensities in the subcortical and deep white matter. Further confirmed with …

Osteopathic Manipulative Treatment (Omt) Utilization In The Primary Care Setting, Ceferino Cruz, Afsha Rais

North Texas GME Research Forum 2024

INTRODUCTION: Osteopathic Manipulative Treatment (OMT) is a skillset used to help diagnose and treat patients with a wide range of musculoskeletal complaints and can also be used as adjunctive treatment modalities for other organ systems. The project is designed to increase OMT usage across 3 clinical sites in our residency program to improve the quality of care provided to our patients. OBJECTIVES: Integrate OMT review into longitudinal clinical education. Address the shortage of faculty members that can precept OMT across all three sites. METHODS: The metrics being tracked are various OMT CPT codes ranging from 98925 to 98929 …

Type Ii Diabetes And Keto Diet In Family Medicine Clinic: A Case Report, Dante Paredes, Karos Torres, Joshua Moton

North Texas GME Research Forum 2024

The management of patients with high cardiac risk profiles who require insulin therapy for diabetes can be challenging due to the potential adverse effects of insulin on cardiovascular health. In order to achieve remission of type 2 diabetes mellitus (T2DM) and discontinue the need for insulin, weight loss has long been recognized as a valuable approach. The goal for this case was to implement dietary and lifestyle changes in a safe and efficient manner to induce remission of T2DM, without increasing the sympathetic load often associated with fully dosed ketogenic and other fasting strategies. This case report highlights the successful …

Ascending Paralysis: A Case Of West Nile Virus, Samantha Rudy, Claire Levinson, Lauren Gilbert, Michaela Snow, Robyn Kramer

Continental, MidAmerica, & Mountain Divisions GME Research Day 2024

No abstract provided.

Performance Improvement Project: Breast Cancer Screening, Manolo Torres, Julia Fashner, Warda Rana, Robert Chua

East Florida Division GME Research Day 2024

No abstract provided.

Improving Documentation Of Patients' Physical Activity In The Outpatient Setting, Jordan Price, Syed Abbas, William Bass, Rigoberto Hernandez, Abdullah Shuaib, Michele L. Mccarroll, Lindsay Porter

North Texas GME Research Forum 2024

Background: There is vast data on the health benefits of physical activity (PA) and the serious health consequences that are associated with a sedentary lifestyle. Research suggests that physicians who have meaningful conversations about exercise with their patients can be effective at increasing their patients' PA. In order to measure the effects of these discussions, the clinician must be able to document the baseline and subsequent PA of their patients. Our project seeks to improve the assessment and documentation of patient PA. Methods: Using Plan-Do-Study-Act (PDSA) quality improvement methodology, a multidisciplinary team was created to identify ways to improve documentation …

Efficacious Management Of Severe Chronic Back Pain Using A Spinal Stimulator: A Case Report, Robert Busic, Admir Seferovic, Jennifer Broyles

West Florida Division GME Research Day 2024

No abstract provided.

Tackling An Uncommon Shoulder Injury In Adolescent Football: A Case Report, Megan Dannemiller, Reagan B. Williams, Marvin Sineath Jr., Mims Gage Oscher, Denise Holloway, Jason Hux, Justin Lancaster, Delan Gaines

South Atlantic Division GME Research Day 2024

No abstract provided.

Development And Implementation Of An Educational Prenatal Packet To Improve Obstetric Management And Patient Education Within A Family And Community Medicine Residency Program, Jalicia Sturdivant, Julianna Snow, Esther Piervil, Erica Paulos, Kimberly Mathurin

South Atlantic Division GME Research Day 2024

No abstract provided.

A Quality Improvement Study On Increasing Rates Of Lung Cancer Screening, Arpit Arora, Crystal Bharat, Sophia Zia, Pooja Paunikar, Dana Simpson

South Atlantic Division GME Research Day 2024

No abstract provided.

Investigating And Addressing Deficiencies In Our Current Urinalysis Reflex Program, Alexander Duggan, Megan Hobbs, Cameron Holsomback

South Atlantic Division GME Research Day 2024

No abstract provided.

New Onset Supraventricular Tachycardia And The Utility Of Ecg Capabilities Of Smart Watches: A Case Report, Benjamin Heflin, Robert Busic, Sean Quinonez, Admir Seferovic

West Florida Division GME Research Day 2024

No abstract provided.

Managing The Side Effects Of Aml Induction Therapy: A Case Report, Kristen Stovall, Taylor Frazier, Kaylee Brown, Jessica Waite

South Atlantic Division GME Research Day 2024

No abstract provided.

Peptostreptococcus Endocarditis Bacteremia, Kimberly Mathurin, Payton Williams, Sydney Koenig, Minh Chung, Grayson Beasley, Kaleb Freeman

South Atlantic Division GME Research Day 2024

No abstract provided.

Esophageal Perforation During Atrial Ablation, Gabrielle Aiello, Minh Chung, Xiang You, Kaitlyn Vu, Amethyst Wilder

South Atlantic Division GME Research Day 2024

No abstract provided.

A Stroke Of Fate: Overcoming Varicella Encephalitis’S Unexpected Consequences, Karissa Charles, Sean Gibbs

South Atlantic Division GME Research Day 2024

No abstract provided.