scholarly journals Medical student remote eConsult participation during the COVID-19 pandemic

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Adam R. Kopp ◽  
Sharon Rikin ◽  
Todd Cassese ◽  
Matthew A. Berger ◽  
Amanda C. Raff ◽  
...  
Keyword(s):  
Medical Students ◽  
Medical Center ◽  
Rapid Development ◽  
Academic Medical Center ◽  
Strong Relationship ◽  
Student Experiences ◽  
Successful Student ◽  
Academic Medical ◽  
Medical Subspecialty ◽  
Survey Responses

Abstract Background Undergraduate medical education was severely impacted by the COVID-19 pandemic. As traditional clinical rotations were suspended, medical students quickly began alternative, novel educational experiences. Third-year medical students at an academic medical center were given the opportunity to join inpatient eConsult teams within the department of medicine. This study describes the development and implementation of this program as well as the experiences of student and faculty participants. Methods Student eConsult participation was rapidly developed and implemented within medical subspecialty teams in either infectious diseases (ID) or nephrology. Twelve third-year medical students and 15 subspecialty attendings participated in this program during an eight-week period from April 6 through May 29, 2020. Breadth of student clinical experience was assessed via review of clinical documentation and surveys. Participating students and attending physicians completed surveys to reflect upon their impressions of the program. Surveys were returned by nine students and eight faculty members. Survey responses were summarized with descriptive statistics. Results Over an eight-week period, student consultants wrote 126 notes on 100 patients; 74 of these patients (74%) were hospitalized with COVID-19. Student experiences were largely positive with most strongly agreeing that attendings promoted interactive and engaged learning (N = 8 of 8, 100%), that the experience helped to expand their knowledge about consultant roles (N = 6, 75%), and that they would participate in a remote eConsult program again if given the opportunity (N = 6, 75%). Faculty also were largely positive about the experience with most agreeing or strongly agreeing with the importance of teaching medical students about telehealth (N = 7 of 8, 88%) and eConsults (N = 6, 75%). In narrative responses, students and faculty agreed that teaching was a strength of the program whereas lack of in-person contact was a challenge. Conclusions Rapid development of an inpatient eConsult-based educational experience for third-year medical students was feasible and successful. Student-consultants saw a range of pathology including COVID-19 and related complications. Students were satisfied with the program. They were able to develop a strong relationship with attendings while learning about the role of a consultant. Faculty agreed with the importance of teaching students about telehealth and eConsults specifically.

The Educational and Career Impact of Using Medical Students for Triaging Off-Hour Diagnostic Imaging Requests at a Major Academic Medical Center

2010 ◽  
Vol 194 (4) ◽  
pp. 1027-1033 ◽  
Author(s):  
Scott Kennedy ◽  
Darren B. Knibutat ◽  
Serena L. DelBasso ◽  
Syed A. J. Bokhari ◽  
Howard P. Forman
Keyword(s):  
Medical Students ◽  
Diagnostic Imaging ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical

scholarly journals Rapid development of telehealth capabilities within pediatric patient portal infrastructure for COVID-19 care: barriers, solutions, results

2020 ◽  
Vol 27 (7) ◽  
pp. 1116-1120 ◽  
Author(s):  
Pious D Patel ◽  
Jared Cobb ◽  
Deidre Wright ◽  
Robert W Turer ◽  
Tiffany Jordan ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Medical Center ◽  
Rapid Development ◽  
Academic Medical Center ◽  
Security Policies ◽  
Patient Portal ◽  
Privacy And Security ◽  
Academic Medical ◽  
Adolescent Autonomy ◽  
National Emergency

Abstract The COVID-19 national emergency has led to surging care demand and the need for unprecedented telehealth expansion. Rapid telehealth expansion can be especially complex for pediatric patients. From the experience of a large academic medical center, this report describes a pathway for efficiently increasing capacity of remote pediatric enrollment for telehealth while fulfilling privacy, security, and convenience concerns. The design and implementation of the process took 2 days. Five process requirements were identified: efficient enrollment, remote ability to establish parentage, minimal additional work for application processing, compliance with guidelines for adolescent autonomy, and compliance with institutional privacy and security policies. Weekly enrollment subsequently increased 10-fold for children (age 0–12 years) and 1.2-fold for adolescents (age 13–17 years). Weekly telehealth visits increased 200-fold for children and 90-fold for adolescents. The obstacles and solutions presented in this report can provide guidance to health systems for similar challenges during the COVID-19 response and future disasters.

scholarly journals Assessment of Patient Satisfaction With Dermatology Clinics According to Clinic Type: Mixed Methods Study (Preprint)

2019 ◽  
Author(s):  
Jennifer Costigan ◽  
Sue S Feldman ◽  
Mark Lemak
Keyword(s):  
Patient Satisfaction ◽  
Mixed Methods ◽  
Medical Center ◽  
Academic Medical Center ◽  
University Of Alabama ◽  
Contributing Factors ◽  
Rapid Access ◽  
Academic Medical ◽  
Survey Responses ◽  
The University

BACKGROUND Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey responses are considered significant indicators of the quality of care and patient satisfaction. There is a pressing need to improve patient satisfaction rates as CAHPS survey responses are considered when determining the amount a facility will be reimbursed by the Centers of Medicare and Medicaid each year. Low overall CAHPS scores for an academic medical center’s dermatology clinics were anecdotally attributed to clinic type. However, it was unclear whether clinic type was contributing to the low scores or whether there were other factors. OBJECTIVE This study aimed to determine where the efforts of patient satisfaction improvement should be focused for two different types of dermatology clinics (private and rapid access clinics). METHODS This study used a concurrent mixed methods design. Secondary data derived from the University of Alabama at Birmingham Hospital’s Press Ganey website were analyzed for clinic type comparisons and unstructured data were qualitatively analyzed to further enrich the quantitative findings. The University of Alabama at Birmingham Hospital is an academic medical center. The data were analyzed to determine the contributors responsible for each clinic not meeting national benchmarks. Thereafter, a review of these contributing factors was further performed to assess the difference in CAHPS scores between the private and rapid access clinics to determine if clinic type was a contributing factor to the overall scores. RESULTS The data sample included 821 responses from May 2017 to May 2018. Overall, when both private clinics and rapid access clinics were viewed collectively, majority of the patients reported stewardship of patient resources as the most poorly rated factor (367/549, 66.8%) and physician communication quality as the most positively rated factor (581/638, 91.0%). However, when private clinics and rapid access clinics were viewed individually, rapid access clinics contributed slightly to the overall lower dermatology scores at the academic medical center. CONCLUSIONS This study determined that different factors were responsible for lower CAHPS scores for the two different dermatology clinics. Some of the contributing factors were associated with the mission of the clinic. It was suspected that the mission had not been properly communicated to patients, leading to misaligned expectations of care at each clinic.

scholarly journals Assessment of Patient Satisfaction With Dermatology Clinics According to Clinic Type: Mixed Methods Study

10.2196/17171 ◽  
2020 ◽  
Vol 3 (1) ◽  
pp. e17171
Author(s):  
Jennifer Costigan ◽  
Sue S Feldman ◽  
Mark Lemak
Keyword(s):  
Patient Satisfaction ◽  
Mixed Methods ◽  
Medical Center ◽  
Academic Medical Center ◽  
University Of Alabama ◽  
Contributing Factors ◽  
Rapid Access ◽  
Academic Medical ◽  
Survey Responses ◽  
The University

Background Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey responses are considered significant indicators of the quality of care and patient satisfaction. There is a pressing need to improve patient satisfaction rates as CAHPS survey responses are considered when determining the amount a facility will be reimbursed by the Centers of Medicare and Medicaid each year. Low overall CAHPS scores for an academic medical center’s dermatology clinics were anecdotally attributed to clinic type. However, it was unclear whether clinic type was contributing to the low scores or whether there were other factors. Objective This study aimed to determine where the efforts of patient satisfaction improvement should be focused for two different types of dermatology clinics (private and rapid access clinics). Methods This study used a concurrent mixed methods design. Secondary data derived from the University of Alabama at Birmingham Hospital’s Press Ganey website were analyzed for clinic type comparisons and unstructured data were qualitatively analyzed to further enrich the quantitative findings. The University of Alabama at Birmingham Hospital is an academic medical center. The data were analyzed to determine the contributors responsible for each clinic not meeting national benchmarks. Thereafter, a review of these contributing factors was further performed to assess the difference in CAHPS scores between the private and rapid access clinics to determine if clinic type was a contributing factor to the overall scores. Results The data sample included 821 responses from May 2017 to May 2018. Overall, when both private clinics and rapid access clinics were viewed collectively, majority of the patients reported stewardship of patient resources as the most poorly rated factor (367/549, 66.8%) and physician communication quality as the most positively rated factor (581/638, 91.0%). However, when private clinics and rapid access clinics were viewed individually, rapid access clinics contributed slightly to the overall lower dermatology scores at the academic medical center. Conclusions This study determined that different factors were responsible for lower CAHPS scores for the two different dermatology clinics. Some of the contributing factors were associated with the mission of the clinic. It was suspected that the mission had not been properly communicated to patients, leading to misaligned expectations of care at each clinic.

scholarly journals How Well Do Medical Students at the Regional Medical Campus Match?: A 6-year Analysis at a Single Medical School.

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Jeffrey G Wong ◽  
Michael P Flanagan ◽  
Kristen Horn
Keyword(s):  
Primary Care ◽  
Medical Students ◽  
Medical Center ◽  
Academic Medical Center ◽  
Faculty Members ◽  
Academic Medical ◽  
Regional Medical ◽  
Regional Campus ◽  
Penn State ◽  
Successful Match

ABSTRACT Introduction: Anecdotally, some students and faculty members alike have at times expressed concern that medical students who train at Regional Medical Campuses (RMC) will be disadvantaged in the National Residency Matching Program (NRMP), and may not achieve the same level of success as their peers at the main academic medical center.  This project was undertaken to examine the validity of these concerns at the RMC affiliated with the Penn State Hershey College of Medicine (PSCOM). Methods: Results from the annual NRMP process were analyzed over a 6-year period (2014-2019), for both the main Hershey Campus (HC) and University Park Regional Campus (UPRC).  Comparisons included the types of residencies selected, percent of students matching instate, percent matching in primary care specialties, and number having to participate in the supplemental offer and acceptance process (SOAP).  All results were expressed as simple percentages. Results: During the study period, 819 students graduated from PSCOM (723 - Hershey Campus, 96 - UPRC).  In total, 28 of the 723 Hershey Campus graduates (3.9%) and 1 of the 96 UPRC graduates (1%) went through the SOAP process. UPRC students were more likely to match into primary care specialties (44.8% (UPRC) vs 33.2% (Hershey Campus), defined as Medicine, Pediatrics, Family Medicine and Obstetrics-Gynecology, as well as stay within the state of Pennsylvania for their residency (34.4% - UPRC vs 31.7% - Hershey Campus).  While the UPRC students more frequently matched into primary care specialties, several matched into highly competitive specialties, including ophthalmology, orthopedic surgery, otolaryngology, diagnostic radiology, and neurosurgery.  Conclusions: Concerns frequently expressed regarding a successful match for students studying at regional medical campuses are not supported by our findings.  Compared to their main campus peers, the UPRC medical students have been equally successful in the NRMP match. 

scholarly journals An Evaluation of the Effectiveness of a Medical School Musculoskeletal Curriculum at an Academic Medical Center

2018 ◽  
Vol 8 (2) ◽  
pp. 55-63
Author(s):  
Andy Lalka ◽  
Ryan Caldwell ◽  
Andrew Black ◽  
Frank A Scott
Keyword(s):  
Medical Students ◽  
Medical Center ◽  
Academic Medical Center ◽  
Medical Problems ◽  
Cross Sectional ◽  
Musculoskeletal Education ◽  
Academic Medical ◽  
Hands On ◽  
Hands On Learning ◽  
Response Feedback

Background: Musculoskeletal disorders are common medical problems encountered by physicians and affected 126.6 million Americans in 2012.  Musculoskeletal education has inadequate in United States medical schools. Objective: To determine the musculoskeletal competency of third year medical students. Methods: A cross-sectional 25-question nationally validated musculoskeletal competency exam was given to the third year medical students.  A survey was given to second and third year medical students to assess students’ level of interest in musculoskeletal medicine and their feedback regarding the curriculum. Results:  The mean score of the competency exam was 69.0%.  There was 48/107 (44.9%) students’ who reached the minimum passing score of 70%.  Free-response feedback from both classes featured themes of more hands-on learning, a longer clinical block, and more small-group learning sessions. Conclusions:  Third year medical students scored relatively well on the exam.  Student feedback suggests the 2-week musculoskeletal block is useful and relevant to their future careers.

scholarly journals Spectrum of tablet computer use by medical students and residents at an academic medical center

2015 ◽  
Author(s):  
Robert Robinson
Keyword(s):  
Medical Students ◽  
Patient Care ◽  
Computer Use ◽  
Response Rate ◽  
Medical Center ◽  
Academic Medical Center ◽  
Tablet Computer ◽  
Tablet Computers ◽  
Resident Physicians ◽  
Academic Medical

Introduction: The value of tablet computer use in medical education is an area of considerable interest, with preliminary investigations showing that the majority of medical trainees feel that tablet computers added value to the curriculum. This study investigated potential differences in tablet computer use between medical students and resident physicians. Materials & Methods: Data collection for this survey was accomplished with an anonymous online questionnaire shared with the medical students and residents at Southern Illinois University School of Medicine (SIU-SOM) in July and August of 2012. Results: There were 76 medical student responses (26% response rate) and 66 resident/fellow responses to this survey (21% response rate). Residents/fellows were more likely to use tablet computers several times daily than medical students (32% vs 20%, p = 0.035). The most common reported uses were for accessing medical reference applications (46%), e-Books (45%), and board study (32%). Residents were more likely than students to use a tablet computer to access an electronic medical record (41% vs 21%, p = 0.010), review radiology images (27% vs 12%, p = 0.019), and enter patient care orders (26% vs 3%, p < 0.001). Discussion: This study shows a high prevalence and frequency of tablet computer use among physicians in training at this academic medical center. Most residents and students use tablet computers to access medical references, e-books, and to study for board exams. Residents were more likely to use tablet computers to complete clinical tasks. Conclusions: Tablet computer use among medical students and resident physicians was common in this survey. All learners used tablet computers for point of care references and board study. Resident physicians were more likely to use tablet computers to access the EMR, enter patient care orders, and review radiology studies. This difference is likely due to the differing educational and professional demands placed on resident physicians. Further study is needed better understand how tablet computers and other mobile devices may assist in medical education and patient care.

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