Final Scholarly Project: Enhanced Recovery After Surgery (Eras) Guidelines For Pancreaticoduodenectomies, Rebecca Wheeler

Doctor of Nursing Practice Scholarly Projects

A pancreaticoduodenectomy, or Whipple procedure, is the only curative option for pancreatic cancer. For those eligible for tumor resection, the Whipple procedure is a difficult surgery for both the patient and provider. Complications following pancreaticoduodenectomy are numerous and include infection, delayed gastric emptying, high hospital costs, and pancreatic fistulas. Enhanced Recovery After Surgery (ERAS) protocols exist to provide evidence supporting standardization of practices that lead to the improvement of these patient outcomes. An ERAS protocol for the pancreaticoduodenectomy, first established in 2012, is inconsistently implemented in healthcare facilities. Researchers collected data involving the use of the Whipple procedure ERAS guidelines …

Metaverse-Powered Basic Sciences Medical Education: Bridging The Gaps For Lower Middle-Income Countries., Syeda Samnita Batool Zaidi, Umer Adnan, Kadriye O. Lewis, Syeda Sadia Fatima

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Traditional medical education often lacks contextual experience, hindering students' ability to effectively apply theoretical knowledge in real-world scenarios. The integration of the metaverse into medical education holds great enormous promise for addressing educational disparities, particularly in lower-middle-income countries (LMICs) accompanied by rapid technological advancements. This commentary paper aimed to address the potential of the metaverse in enhancing basic sciences education within the constraints faced by universities in LMICs. We also addressed learning design challenges by proposing fundamental design elements and a suggested conceptual framework for developing metaverse-based teaching methods.The goal is to assist educators and medical practitioners in comprehensivley …

Investigation Of Study Strategies In Undergraduate Preparation For The Mcat And Optimizing Preparation According To Current Medical Students, Makayla Gordon

Theses/Capstones/Creative Projects

The Medical College Admission Test (MCAT) is a pivotal assessment for aspiring medical students, serving as a measure of undergraduate readiness in preparation for this huge advancement in their academic careers. Success on the MCAT requires content mastery, but to do that, strategic study approaches that are tailored to the individual, and comprehension of the test’s unique format and demands are essential. It is a common misconception that there are limited ways to study for the MCAT, while also sacrificing a legitimate understanding of the content. This project investigates further into identifying effective study methods for MCAT preparation with promise …

Plagiarism, Richard Alweis, Nagesh Jadhav

Rochester Regional Health authored publications and proceedings

Learning objectives:

• Plagiarism overview
• A special case: large language models (LLM) and academic writing

A Qualitative Exploration Of Well-Being In Cancer Survivorship: Implications For Counselors, Hallie M. Sylvestro, Lindsey K. Umstead, Heather Delgado, Christopher Lawrence, Keith Mobley, Kelly L. Wester, Andrew Wood

Adultspan Journal

Adult cancer survivors represent an important–and growing–population that could benefit from counseling services. This study employed consensual qualitative research to examine the well-being experiences of eight cancer survivors. Findings suggest a broad range of changes to individual well-being following cancer diagnosis and treatment, and indicate counseling can provide an ideal setting for processing such changes. Recommendations for counseling practice and future research are provided.

Closing The Communication Gap: Alignment Of Competency Performance Levels Between Ume And Gme, Anita Wilson, Phd, Katherine Berg, Md, Aaron Douglas, Phd, John Caruso, Md, Gretchen Diemer, Md, Kathleen Day, Ms, Rosemary Frasso, Phd, Steven Herrine, Md, David Abraham, Phd

JeffMD Academic Affairs

Purpose and Background

Graduate medical education (GME) program directors receive a minimal amount of information from the undergraduate medical education (UME) programs regarding an intern’s specific level of competence. This project’s purpose was to align the local undergraduate competency-based medical education program objectives (MEPOs) and GME outcomes measured during intern year. Previous studies show the gap in communication between UME and GME exists due to a lack of a shared mental model regarding competency performance.^{1, 2}

Residency – A Box Of Crayons, Vicki Hamm

Graduate Medical Education Research Journal

NA

Intouch Week Of May 27, 2024, New York Medical College

InTouch

• NYMC Honors the Class of 2024 at 165^th Commencement Ceremonies
• NYMC Research Well Represented at Touro Research Day
• NYMC Student Recognized with Prestigious U.S. Public Health Award
• Palliative Medicine Education Provides Essential Knowledge
• Student Spotlight: Vasiliki Gregory Lead Authors Study on Extending Heart Transplantation Procurement Time

Honoring Veterans’ Wishes: Efficacy Of An Evidence-Based Shared Decision-Making Tool In Va Icu Goals-Of-Care Discussions, Stephanie Alexander, Anna Astashchanka Md, Venktesh Ramnath Md

Doctor of Nursing Practice Final Manuscripts

Abstract

Introduction: This Doctor of Nursing Practice project aimed to enhance the knowledge and confidence of the San Diego Veterans Health Administration’s (VASD) Intensive Care Unit (ICU) medical providers in goals-of-care discussions (GOCD). Additionally, this project aimed to improve the documentation of these discussions.

Background: Delays in GOCD can lead to futile medical and surgical interventions, inappropriate antibiotic use, and higher rates of mental health conditions in patients and their loved ones. Earlier GOCD are associated with lower ventilation and resuscitation rates, earlier hospice enrollment, reduced ICU admissions, lower financial costs, and better patient and caregiver quality of life. However, …

Patients’ Attitudes Towards Medical Students’ Participation In Procedures And Clinical Examinations In Lebanon, Rim Taleb, Racha Ftouni, Malak Abdel Khalek, Lama Uweis, Ali Yassine, Hussein Shoumar

BAU Journal - Health and Wellbeing

Medical practice revolves around patients’ safety and ensuring their well-being. Patients’ cooperation with medical students in their examination and management is an indispensable aspect of clinical education. They have the right to accept or refuse the participation of students in their care. However, students need to be integrated in this learning process. This presents a conflict between patients’ healthcare rights and medical students’ learning opportunities. Therefore, this study aims to explore patients’ attitudes towards the participation of medical students in procedures and examinations in Lebanon and identify the factors that affect their participation. A descriptive cross-sectional study was conducted using …

Creating Capacity To Accommodate Additional Cardiac Catheterization Procedures, Kristin Anthony

Operations Transformation

Patient access to diagnostic outpatient (OP) cardiac catheterization is limited by a perceived lack of capacity. Outpatient cardiac cath pts flow through the ACU for pre/post procedure care. Current schedule limits pts that may be scheduled through the ACU to two OP procedures/day. Cardiologists request the ability to schedule beyond the two procedures/day allowed. Significant variation in pre/postoperative care orders exist amongst cardiologists resulting in variability in length of stay. Cardiac procedures are booked either as 60/90/120 minutes – Epic case averaging technology is not active in the cath lab. As a result, the case minutes in the cath lab …

Librarian Support For Graduate Medical Education: 5-Year Check-In, Abby L. Adamczyk, Mlis, Ahip, Gary Kaplan, Mslis, Ahip, John Caruso, Md

Academic Commons and Scott Memorial Library Staff Papers and Presentations

Background

The SKMC Office of the Dean through its Graduate Medical Education (GME) Section identified a need for more comprehensive support for GME research efforts. This was intensified as the residency program requirements began to formalize the expectations and quantification of scholarly output for both trainees and core GME faculty.1 In consultation with the Director of the Academic Commons, this GME-focused position was conceptualized to better meet the needs of our residents and faculty, and thus enhance the scholarly projects of our GME constituency. This would build on existing scholarly support2 including professional writing services.3 As part of the Information …

Atrial Fibrillation, Julianna G. Perritt, Jennifer Goldsberry

The Corinthian

Atrial fibrillation, also known as A-Fib or AF, is a cardiovascular abnormality that is characterized by an abnormal heart rhythm or muscle contractions in the atria. These abnormalities are a result of disorganized electrical impulses. AF has various causes including, but not limited to, hypertension (HTN), heart surgery, thyroid disorders, heart defects, and acute alcohol ingestion. Persons with AF are often asymptomatic; however, some patients report heart palpitations, chest tightness, shortness of breath, and lightheadedness. A review of literature was conducted in order to determine the availability of risk factors, patient education, and treatment of AF.

Highlighting Health And Diversity: Curating Digital Exhibits To Promote Online Resources Across Cultural Months, Ivan Portillo, David Carson

Library Presentations, Posters, and Audiovisual Materials

This poster presentation demonstrates how digital exhibits can be leveraged to promote health literacy and enhance health education by creating awareness of resources to benefit diverse cultural and ethnic groups. It showcases examples of online exhibits that highlight health-related information, history, and resources to address health disparities and promote health equity among different populations.

Making The Most Of Artificial Intelligence And Large Language Models: A Novel Approach For Book Recommendation And Discovery In Medical Libraries, Ivan Portillo, David Carson

Library Presentations, Posters, and Audiovisual Materials

This poster presentation evaluates the use of Artificial Intelligence and large language models (LLMs) to assist health science libraries in recommending and discovering book titles as part of their collection development. Using pre-determined prompts, the researchers evaluated ChatGPT 4.0, Bing Chat, and Google Bard as recommender systems for book discovery and ranking existing titles.

Association Of Respiratory Viral Testing And Antibiotic Use For Pediatric Patients Admitted For Acute Respiratory Illness Between 2017-2021 At Children’S Mercy-Kansas City, Edward Lyon, Brian Lee, Rangaraj Selvarangan, Jennifer Schuster

Research Days

Retrospective comparison of hospitalized pediatric patients who did or did not have clinical viral respiratory testing performed to understand if antibiotics were used differently between these groups.

Transition Skills Lab: A Telehealth Intervention For Improving Healthcare Transition In Youth With Special Health Care Needs, Angela Combs, Alaina Linafelter, Jordan Sevart, Michele H. Maddux

Research Days

The goal of this abstract is to evaluate youth skill-building and confidence across health care tasks through the virtual Transition Skills Lab.

Long-Term Physical And Emotional Functioning In Children Following Intensive Interdisciplinary Pain Treatment For Amplified Pain Syndrome, Sabrina Ung, Jacqueline Pabis Phd, Jenny Scheurich Phd, Dustin Wallace Phd

Research Days

The current study aimed to examine the efficacy of pediatric interdisciplinary pain treatment (IIPT) several years after treatment completion by exploring mean-level changes of physical and mental health functioning pre-intervention, post-intervention, and at follow-up 2 to 6 years after IIPT completion.

Delirium On Admission To The Cicu, Spencer Wittmeyer, Jaime Silva-Gburek, Kelly S. Tieves

Research Days

Background: Delirium is increasingly recognized in the pediatric cardiac intensive care unit (CICU) with an incidence up to 67% and is associated with worse outcomes including increased mortality, prolonged hospitalization, and increased rates of intubation and mechanical circulatory support. The Cornell Assessment for Pediatric Delirium (CAPD) is the only validated tool for the diagnosis of delirium in the pediatric population. The CAPD may be limited in children with developmental disabilities as it does not account for baseline ability in scoring. Prior work has identified low specificity for the CAPD in children with developmental disabilities and those requiring mechanical ventilation. This …

Reducing Sharps Disposal In The Operating Room, Kasey Brooks, Brandon Layton

Research Days

Used an education program to reduce the amount of sharps waste in the operating room within the anesthesia department.