2020 IUSM Education Day

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https://hdl.handle.net/1805/22622
Scholarly works presented at the first annual IUSM Education Day conference on March 6, 2020.

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    Assessment Of Need For Trauma Education For Pediatric Residents In The Emergency Department, And Creation Of A Video Module In Response
    (2020-03-06) Whitehead, Anne; Phillips, Brian; Haut, Lindsey
    Introduction: Over 200 learners rotate through our pediatric emergency department yearly, and roughly 130 of them are residents in a pediatrics (categorical or combined) residency program. For many of these residents, the pediatric emergency medicine rotation is one of the only opportunities for experience with pediatric trauma resuscitation. Consistently, residents have identified pediatric trauma as an area of discomfort within their practice. Trauma resuscitations in the emergency department are relatively infrequent, and high stakes, so are not ideal opportunities for novice learners. Simulation exists as part of the curriculum, but scheduling challenges make increasing this portion of the curriculum impractical. We sought to further explore resident experience with trauma resuscitation education, and to create a new approach to trauma education that would supplement the existing curriculum. Methods: We distributed 2 different surveys to all pediatric residents on their pediatric emergency medicine rotation: one prior to the start of the rotation, and one after completion. Survey data were collected anonymously and voluntarily, over the course of 1 year. Based on preliminary survey data and informal discussions with residents and education leadership, we conceived of the idea of a video as a novel educational tool to supplement our existing pediatric trauma curriculum. This would be viewed online, asynchronously, circumventing many of the practical challenges associated with increasing simulation or patient care time. We developed a script with an emphasis on a practical approach to running a pediatric trauma resuscitation. Results: Our survey data found that residents started their pediatric emergency medicine rotations with low confidence in leading trauma resuscitation, rating their confidence an average of 25.1 on a visual analog scale (VAS) from 1 to 100. There was a modest improvement after the rotation to 43.7. Anxiety about trauma resuscitation, however, remained high with a rating of 63.2 on a VAS of 1 to 100 before the rotation, and 62.5 after. At the end of their rotations, residents reported that patient care and simulation sessions both contributed a moderate amount (63.2 and 56.5 respectively on a VAS from 1 to 100), while self study only contributed a little (33.1). In response to these data, we created a trauma education video for residents rotating through the pediatric emergency department. The video was filmed in one of our own trauma resuscitation rooms in the Riley Pediatric Emergency Department with our own nurses and Emergency Medicine/Pediatrics residents, with technical support from IU Collaboration Technologies and Classroom Support. Conclusions: Our survey data confirmed the need for improvement in education on pediatric trauma resuscitation. Results suggest residents find that more “hands on” opportunities contribute more to their education, but there remain significant challenges to increasing these opportunities. We are hopeful that the practical emphasis of our pediatric trauma education video will improve the effectiveness over other self-study modalities already in existence. In the coming months, we intend to incorporate the video into the online education modules and investigate its impact on resident confidence and comfort with pediatric trauma resuscitation.
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    Association between Medical Student Grit and United States Medical Licensing Examination Performance
    (2020-03-06) Anton, Nicholas E.; Huffman, Elizabeth; Choi, Jennifer
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    Attitudes towards Nutrition Education among Pediatricians and Guardians
    (2020-03-06) DeGoey, Madison; Kubascik, Erica; Uzelac, Biljana; Simpson, Steve; Kostrominova, Tatiana
    Childhood obesity rates in the United States are at historic highs. In Lake County, Indiana, the obesity rates of WIC children ages 2-5 years old is 12.1%. While the causes of obesity are well known within the scientific community, there appears to be a disconnect when relaying this information to patients. One cause of this disconnect is the inadequate nutrition education that physicians receive during medical school and residency. A survey found that the average medical school devotes less than 20 hours to nutrition education. Additionally, the biochemical nutrition education that students receive in medical school cannot be easily translated to patient intervention. Since 62% of patients believe that their physicians can help them lose weight, having physicians who do not have adequate education on nutrition leaves patients without the help they need. Our surveys were developed to assess the level of nutrition counseling provided by pediatricians and how patients/guardians prefer to be educated. Our hypothesis is that pediatricians will benefit from further nutrition education in medical school, and that guardians will desire in person instructions in pediatric offices as well as easy and accessible online sources. Two surveys were created, one for physicians and another for parents/guardians of children ages 1-12 years old residing in Lake County. The physician survey contained 15 items that evaluated attitudes toward nutrition and obesity education. Topics included level of nutrition counseling education received in medical school and residency, how much time physicians spend educating patients/parents on nutrition, what nutrition education resources they currently provide, opinion on whose responsibility it is to provide nutrition education, and what approach they think would be best to educate patients and parents. The guardian survey contained 21 items that evaluated dietary behaviors. The dietary behaviors included family dynamics (who typically feds the children, if food is prepared in the home, and how much is spent on food each week) and child eating habits (how many snacks per day, how often the child eats fast food, and how often the child consumes sweetened beverages). The surveys will be utilized for future research, and the results will help determine the approach for educating physicians and guardians. A booklet of healthy recipes was also developed to educate on healthy eating and as a participation benefit. The goal of the booklet was to choose easy, child friendly recipes that the family could cook together. To gain background on nutrition education, we observed the different education methods of local pediatricians and reviewed the literature. Intervention at both the clinical and community levels will be important for improving long-term health outcomes in pediatric patients. The knowledge gained from these surveys will aide in the development of programs needed to provide physicians, guardians,and patients with proper nutrition education.
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    The Biography of the Undecided Student
    (2020-03-06) Henninger, Lauren; Lewellen, Courtney
    Advisors play a vital role in the case of the “undecided student.” As Lead Advisors for the Indiana University School of Medicine, every student matriculates with the career goal of becoming a doctor, but with a myriad of specialties to apply to and fellowships galore post residency, our students often only they know they want to "help people." As advisors, we are given the opportunity to coach students through the process of developing self-authorship in accordance with choosing their career path. Based on Magolda's Theory of Self-Authorship, advisors can act as a thought partner in helping students learn to find answers to their own questions. Within our poster presentation, participants will learn how we incorporate career coaching within our advising sessions and come away with tips for incorporating into their own practice.
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    Claim your online scholarly presence: Google Scholar
    (2020-03-06) Ramirez, Mirian; Craven, Hannah J.; Whipple, Elizabeth C.
    Claiming, maintaining, and tracking research output is crucial to a researcher’s continued visibility and impact. This workshop will cover several (ORCiD ID, MyNCBI, Google Scholar, ResearcherID) of the commonly used scholarly profile tools. Tracking scholarly output and cultivating information about a researcher's work is made possible with online scholarly profile tools. Attendees participated in hands on activities to set up profiles, and discover more information about tracking their impact going forward, and utilize existing connections between different scholarly profile tools. Learning objectives: • List reasons why maintaining scholarly profiles is important to researchers • Describe the benefits of several scholarly profile tools • Set up and/or update your scholarly profile(s)
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    Claim your online scholarly presence: ORCiD
    (2020-03-06) Craven, Hannah J.; Ramirez, Mirian; Whipple, Elizabeth C.
    Claiming, maintaining, and tracking research output is crucial to a researcher’s continued visibility and impact. Tracking scholarly output and cultivating information about a researcher's work is made possible with online scholarly profile tools. As the most widely accepted unique identifier for authors, ORCiD IDs are increasingly required for: paper submissions to journals, grant submissions, and various NIH research training and career development awards. Attendees participated in hands on activities to set up profiles, and discover more information about tracking their impact going forward, and utilize existing connections between different scholarly profile tools. Learning objectives: • List reasons why maintaining scholarly profiles is important to researchers • Describe the benefits of several scholarly profile tools • Set up and/or update your scholarly profile(s)
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    A Comprehensive Anatomical Characterization and Radiographic Study of Stage III Testicular Cancer in a 31-Year-Old Male Patient
    (2020-03-06) Mas, Jose L.; Talarico, Ernest F.; Jones, Jonathan A.
    The purpose of this investigation was to characterize an unusual case of stage III testicular germ cell tumor (TGCT) in a 31-year-old male with metastases to nodes, bone, viscera and brain, and to understand all possible routes of metastatic disease. Testicular cancer (TC) has an increasing incidence worldwide, and its etiology, risk factors and pathogenesis are not completely understood. Medical records were reviewed, and the cadaveric specimen evaluated by physical examination and gross dissection. Paraffin embedded tissue sections of the primary tumor were stained with Hematoxylin and Eosin (H&E) for histological study. To examine metastatic spread, pre- and post-mortem digital radiologic image acquisition was done using x-ray films, and high-resolution CT Scans and MRI Scans. Image analysis, multi-planar reformatting, and three-dimensional (3-D) reconstruction were done on radiographic series. Dissection showed masses bilaterally from the apex through the lung base; masses on the internal thoracic wall, and hepatomegaly and splenomegaly with multiple tumor masses. Testicular parenchyma was composed of primitive germ cells that formed glomeruloid or embryonal-like structures, as well as areas with a micro-cystic histologic pattern and areas of fibrous dysplasia. Medical imaging 3-D video radiographic dissection was notable for a 38.45 mm diameter, mid-brain tumor; extreme hepatomegaly with numerous tumors, a large penetrating tumor of the left ilium, and multiple tumors throughout both lungs and the thoracolumbar spine (T5-S1). This study provides insight into the histology and metastatic spread of TGCT that is essential for clinicians to understand in the evaluation and treatment of TC patients.
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    Describing Self-confidence in Ultrasound Performance with Increased Exposure
    (2020-03-06) Shanks, Anthony L.; Schultz, Katherine; Bhamidipalli, Surya; Rouse, Caroline; Scott, Nicole
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    Developing A Pilot Pre-Matriculation Program: Lessons Learned
    (2020-03-06) Okoro, Iyabode; Chong, Alexander; Gonzalez, Andrea; Feliciano, Anna; Shariff, Faisal
    In 2016 IUSM Faculty Steering Committee tasked the Ad-hoc Student Success Committee to explore medical student success and factors that impact academic success at Indiana University School of Medicine (IUSM). The committee identified that the most important early predicator of success, at IUSM, was student performance in the first year and they went further to make recommendations. Among the five recommendations made was, adopting a Head Start Summer Prep Session which led to the pilot of a Pre-Matriculation program in July 2019. A one-week pre-matriculation program was piloted for newly admitted first year students and the impact of the program on student success in the first semester was assessed. The program sought to take a broader approach by seeking to expose students to what to expect in first year medical school courses; instilling good study habits, beginning the development of social networks, while at the same time emphasizing wellness.