Medical Education Commons^™

Pediatric Chest X-Rays, Liam Du Preez

Larner College of Medicine Fourth Year Advanced Integration Teaching/Scholarly Projects

Chest Radiographs are the most commonly ordered diagnostic image in the pediatric population. These images are encountered often in both the early medical school curriculum and outside in the clinical setting. This module was generated with the goals of giving a framework for approaching pediatric chest x-rays, as well as showcasing common radiographic findings, both normal and pathologic.

Systems Thinking In The Healthcare Professions: A Guide For Educators And Clinicians, Margaret M. Plack, Pt, Dpt, Edd, Ellen F. Goldman, Edd, Mba,, Andrea Richards Scott, Edd, Mba, Shelley B. Brundage, Phd, Ccc-Slp

Guides

No abstract provided.

Easy And Accurate Transition Between Common Beta Blockers: A Qi Project, Sam Short, Amalia Kane

Family Medicine Clerkship Student Projects

Hypertension is a common condition that often worsens with disease progression and/or age alone. The management of hypertension often requires multiple drug therapy. Beta blockers can be useful for this, and are often prescribed for other comorbid conditions such as angina or heart failure. Yet, not all beta blockers have the same effect on blood pressure and it can be advantageous to transition patients to non-selective agents such as carvedilol. However, dose conversions are not 1:1 and inappropriate transition can be dangerous. No readily accessible resources are available to aid the clinical management of this problem. This project aims to …

Evidence-Based Best Practice For Discharge Planning: A Policy Review, Marissa Lewis

Student Scholarly Projects

Ineffective discharge planning produces poor patient healthcare outcomes, potential adverse events, and medical errors. A primary deterrent to successful discharge planning is communication, either within the interdisciplinary team or during handoff to the receiving transition of care facilities of home health, skilled nursing, or acute rehabilitation.

The purpose of the evaluation project was to determine if current policies, communication tools, and workflows of three healthcare organizations were based on evidence and make recommendations for policy revisions. The Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals Model (JHNEBP) was used with the Centers for Disease Control (CDC) Policy Process (POLARIS) …

Does Music Directly Affect A Person’S Heart Rate?, David Sills, Amber Todd

Medical Education Faculty Publications

Music can have a profound effect on a person’s body, in that it may cause people to dance and move around, but does it have a direct and significant effect on a person’s heart rate if they are still? In this study, 24 high school students’ heart rates were recorded while listening to 6 selections of 6 different genres of music. The effect of different types of music was tested using heart rate monitors, data collection software, and music from free music archives. We found that music has a significant impact on heart rate. Average heart rates were significantly higher …

Engaging Parents To Promote Children’S Nutrition And Health: Providers’ Barriers And Strategies In Head Start And Child Care Centers, Dipti A. Dev, Courtney Byrd-Williams, Samantha Ramsay, Brent A. Mcbride, Deepa Srivastava, Ashleigh L. Murriel, Chrisa Arcan, Anna M. Adachi-Mejia

Faculty Publications, Department of Child, Youth, and Family Studies

Purpose: Using the Academy of Nutrition and Dietetics benchmarks as a framework, this study examined childcare providers’ (Head Start [HS], Child and Adult Care Food Program [CACFP] funded, and non-CACFP) perspectives regarding communicating with parents about nutrition to promote children’s health.

Design: Qualitative.

Setting: State-licensed center-based childcare programs.

Participants: Full-time childcare providers (n ¼ 18) caring for children 2 to 5 years old from varying childcare contexts (HS, CACFP funded, and non-CACFP), race, education, and years of experience.

Methods: In-person interviews using semi-structured interview protocol until saturation were achieved. Thematic analysis was conducted.

Results: Two overarching themes were barriers and …

Induced Lactation, Katherine M. Evans

Family Medicine Scholarly Works

Induced lactation refers to the production of breast milk in a woman who has never been pregnant. While induced lactation has been practiced developing nations for centuries, it has only recently been introduced to the United States. Induced lactation allows a woman to provide both nutrition and nurture an emotional bond with an infant in cases of adoption, surrogacy, same-sex couples, maternal-infant separation, and emergencies/natural disasters. Many protocols for inducing lactation have been described, though all vary widely in methodology and effectiveness. The current review summarizes the physiology of human lactation, psychosocial factors involved with inducing lactation, non-pharmacologic and pharmacologic …

A Match Made In Antitrust Heaven? A Liberalistic Exploration Of The Medical Match's Antitrust Exemption

Washington University Jurisprudence Review

In the 2004 case Jung v. Association of American Medical Colleges, a group of resident physicians brought a class action suit challenging the legality of the National Residency Matching Program, a system that controls essentially all appointments to medical residency programs. The plaintiffs claimed the Match artificially depressed wages and created an anticompetitive labor market. The lawsuit was met with a swift end by the codification of an antitrust exemption to the Match. Although the Jung case is over, medical residents continue to face unreasonable restraints on their liberty. This note begins with an overview of medical education and the …

Differential Diagnosis: Approaches And Pitfalls - A Pediatric Case-Based Session For 3rd Year Medical Students, Zev Waldman, Mary Ottolini

E-Learning Modules

This ninety minute session seeks to provide a systematic framework for medical students relatively new to the differential diagnosis process. Via a combined lecture/case-based approach, the session presents basic clinical reasoning concepts and specific heuristics to guide the differential process followed by an opportunity to apply the tools to simulated pediatric cases. It also introduces the concept of cognitive biases and presents strategies to mitigate their effects. The session has been successfully used with third year medical students during the first week of their pediatrics clerkship. However, with minor adaptation, a similar approach could be used at other levels of …

Interprofessional Collaboration Between Occupational Therapists And Nurses In An Acute Care Setting: An Exploratory Study, Bethany Loy, Holly Micheff, Kelly Nguyen, Vincent O'Brien

Graduate Master's Theses, Capstones, and Culminating Projects

Background. Collaboration between occupational therapists and nurses is key to a positive prognosis for their patients. Currently, there is a gap in the research on professional relationships between occupational therapists and registered nurses in acute care settings.

Purpose. To examine interprofessional collaboration between registered nurses and occupational therapy in an acute care setting.

Methods. A phenomenological, qualitative design with use of semi-structured interviews was used. Interviewees were four occupational therapists and four registered nurses who currently work in acute care settings in Northern California and were recruited through a snowball, convenience and purposive sampling. Themes and subthemes that emerged from …