Browsing by Author "Santhosh, Lekshmi"
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Item A call for collaboration and consensus on training for endotracheal intubation in the medical intensive care unit(BMC, 2020-10-22) Brown, Wade; Santhosh, Lekshmi; Brady, Anna K.; Denson, Joshua L.; Niroula, Abesh; Pugh, Meredith E.; Self, Wesley H.; Joffe, Aaron M.; O’Neal Maynord, P.; Carlos, W. Graham; Medicine, School of MedicineEndotracheal intubation (EI) is a potentially lifesaving but high-risk procedure in critically ill patients. While the ACGME mandates that trainees in pulmonary and critical care medicine (PCCM) achieve competence in this procedure, there is wide variation in EI training across the USA. One study suggests that 40% of the US PCCM trainees feel they would not be proficient in EI upon graduation. This article presents a review of the EI training literature; the recommendations of a national group of PCCM, anesthesiology, emergency medicine, and pediatric experts; and a call for further research, collaboration, and consensus guidelines.Item COVID-19 Infection versus Influenza (Flu) and Other Respiratory Illnesses(ATS, 2020-11) Sockrider, Marianna; Jamil, Shazia; Santhosh, Lekshmi; Carlos, W. Graham; Medicine, School of MedicineSARS-CoV-2 is the virus that causes the COVID-19 infection. You can be ill with more than one virus at the same time. As the SARS-CoV-2 virus pandemic continues, influenza and other respiratory infections will also emerge in the community. Respiratory infections may present with similar symptoms and all can spread from person to person. It is hard to tell which virus or bacteria is causing a person’s illness based on symptoms alone. At times testing is needed to see which virus(es) or bacteria are present. These tests usually involve getting a nose and/or throat swab sample, as most of these viruses are present in large amounts in the back of the nose and throat. There is still a lot to learn about the COVID-19 infection and research is ongoing.Item During the COVID-19 Pandemic, Lung Specialists of the World Implore You: Inhale Only Clean Air(American Thoracic Society, 2020-08-14) Santhosh, Lekshmi; Oh, Anita; Alismail, Abdullah; Breiburg, Anna; Kaminski, Naftali; Carlos, Graham; Jamil, Shazia; Department of Medicine, IU School of MedicineRecent social media and lay news report that nicotine may help protect from COVID-19. However, lung specialists of the American Thoracic Society and California Thoracic Society recommend that you inhale only clean air. Research shows that exposure to smoke, vapors, and air pollution all contribute to worse outcomes in COVID-19 infection. This fact sheet summarizes some of the common public questions addressed to lung healthcare professionals.Item Eye on the Prize: Patient Outcomes Research in Medical Education(American Thoracic Society, 2023-09-27) Cooper, Avraham Z.; Jain, Snigdha; Santhosh, Lekshmi; Carlos, W. Graham, III; Medicine, School of MedicineThe overarching goal of medical education is to train clinicians who achieve and maintain competence in patient care. Although the field of medical education research has acknowledged the importance of education on clinical practices and outcomes, most research endeavors continue to focus on learner-centered outcomes, such as knowledge and attitudes. The absence of clinical and patient-centered outcomes in pulmonary and critical care medicine medical education research has been attributed to barriers at multiple levels, including financial, methodological, and practical considerations. This Perspective explores clinical outcomes relevant to pulmonary and critical care medicine educational research and offers strategies and solutions that educators can use to accomplish what many consider the “prize” of medical education research: an understanding of how our educational initiatives impact the health of patients.Item Longitudinal Milestone Assessment Extending Through Subspecialty Training: The Relationship Between ACGME Internal Medicine Residency Milestones and Subsequent Pulmonary and Critical Care Fellowship Milestones(2021) Heath, Janae K.; Wang, Tisha; Santhosh, Lekshmi; Denson, Joshua L.; Holmboe, Eric; Yamazaki, Kenji; Clay, Alison S.; Carlos, W. Graham; Medicine, School of MedicinePurpose Accreditation Council for Graduate Medical Education (ACGME) milestones were implemented across medical subspecialties in 2015. Although milestones were proposed as a longitudinal assessment tool potentially providing opportunities for early implementation of individualized fellowship learning plans, the association of subspecialty fellowship ratings with prior residency ratings remains unclear. This study aimed to assess the relationship between internal medicine (IM) residency milestones and pulmonary and critical care medicine (PCCM) fellowship milestones. Method A multicenter retrospective cohort analysis was conducted for all PCCM trainees in ACGME-accredited PCCM fellowship programs, 2017–2018, who had complete prior IM milestone ratings from 2014 to 2017. Only professionalism and interpersonal and communication skills (ICS) were included based on shared anchors between IM and PCCM milestones. Using a generalized estimating equations model, the association of PCCM milestones ≤ 2.5 during the first fellowship year with corresponding IM subcompetencies was assessed at each time point, nested by program. Statistical significance was determined using logistic regression. Results The study included 354 unique PCCM fellows. For ICS and professionalism subcompetencies, fellows with higher IM ratings were less likely to obtain PCCM ratings ≤ 2.5 during the first fellowship year. Each ICS subcompetency was significantly associated with future lapses in fellowship (ICS01: β = −0.67, P = .003; ICS02: β = −0.70, P = .001; ICS03: β = −0.60, P = .004) at various residency time points. Similar associations were noted for PROF03 (β = −0.57, P = .007). Conclusions Findings demonstrated an association between IM milestone ratings and low milestone ratings during PCCM fellowship. IM trainees with low ratings in several professionalism and ICS subcompetencies were more likely to be rated ≤ 2.5 during the first PCCM fellowship year. This highlights a potential use of longitudinal milestones to target educational gaps at the beginning of PCCM fellowship.Item Medical Societies Must Choose Professional Meeting Locations Responsibly in a Post- Roe World(American Thoracic Society, 2023) Lee, Alison G.; Maley, Jason; Hibbert, Kathryn; Akgün, Kathleen M.; Hauschildt, Katrina E.; Law, Anica; Kaminski, Naftali; Hayes, Margaret; Gesthalter, Yaron; Bosslet, Gabriel T.; Santhosh, Lekshmi; Witkin, Alison; Hills-Dunlap, Kelsey; Çoruh, Başak; Gershengorn, Hayley B.; Hardin, C. Corey; Medicine, School of Medicine