scholarly journals Model Orthopaedic Surgical Skills Curriculum for Fourth Year Medical Students

2015 ◽  
Vol 5 (1) ◽  
pp. 1-5
Author(s):  
Benjamin Matthew Wooster ◽  
Samuel Evan Carstensen ◽  
James E Johnson ◽  
Allston Julius Stubbs
Keyword(s):  
United States ◽  
Medical Student ◽  
Medical Students ◽  
Orthopaedic Surgery ◽  
Skill Training ◽  
The United States ◽  
House Officer ◽  
Surgical Skills ◽  
Unique Challenge ◽  
Fourth Year Medical Students

ABSTRACT Musculoskeletal education in medical schools throughout the United States is inconsistent. Furthermore, formal surgical skill training in medical school is often lacking. Consequently, orthopaedic surgery residents in the United States are faced with a unique challenge as they transition from medical student to house officer in comparison to their peers pursuing more generalized specialties. In response, we designed and successfully implemented an innovative month long elective at Wake Forest University School of Medicine for fourth year medical students who were in the process of applying to ortho paedic surgery residency programs. This course provides medical students with an introduction to the basic skills and common surgical approaches that are commonly utilized early in orthopaedic surgery residency and beyond. While longi tudinal data are needed, we believe this novel month long elective will allow the transition from medical student to house officer to be a smoother and more seamless process. Wooster BM, Carstensen SE, Johnson JE, Stubbs AJ. Model Orthopaedic Surgical Skills Curriculum for Fourth Year Medical Students. The Duke Orthop J 2015;5(1):15. All other authors report no declarations of interest.

A Multicenter Qualitative Analysis of Medical Student Narratives After a Palliative Care Elective

2020 ◽  
pp. 104990912097156
Author(s):  
Alana Sagin ◽  
Matthew S. Ellman ◽  
Ruhi R. Shariff ◽  
Christopher A. Jones ◽  
Kate Tindall ◽  
...  
Keyword(s):  
Palliative Care ◽  
Medical Student ◽  
Medical Students ◽  
The United States ◽  
Lessons Learned ◽  
Clinical Experiences ◽  
Medical Centers ◽  
Academic Medical ◽  
Patient’S Experience ◽  
Fourth Year Medical Students

Background: The medical student experience of a clinical elective in palliative care (PC) remains understudied. Reflective narrative interventions can help students hone narrative competency skills, make sense of their clinical experiences and shed light on their perception of the rotation. Objectives: To evaluate medical student written reflections after a PC clinical elective. Design: Students were asked to write a short reflective essay after PC clinical electives using open-ended writing prompts. Setting: Essays were collected from third and fourth-year medical students after completion of a PC elective at three geographically diverse academic medical centers in the United States. Measurements: Essays were coded for themes using a conventional content qualitative method of analysis. Results: Thirty-four essays were analyzed and four major themes emerged: reflection on the mission of medicine or motivation for being in medicine, reflection on professional skills or lessons learned, reflection on patient’s experience and personal responses to PC rotation. Sub-themes were also identified. Conclusions: Themes underscore the utility of the PC clinical elective as a meaningful experience that imparts useful skills, builds empathy, reminds students of their own motivations for being in medicine and serves as a catalyst for reflection on their own lives and relationships with their patients. Awareness of medical students’ personal and emotional responses to a PC elective can help inform educators as they support their students and provide opportunities for reflection and education.

scholarly journals Surgical Skills Course for Fourth Year Medical Students Entering an Orthopaedic Surgery Residency

MedEdPublish ◽  
2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Lucy E. Meyer ◽  
Ocean V. Thakar ◽  
Symone M. Brown ◽  
Jeffrey D. Trojan ◽  
Mary K. Mulcahey
Keyword(s):  
Medical Students ◽  
Orthopaedic Surgery ◽  
Surgical Skills ◽  
Fourth Year Medical Students

scholarly journals Medical Student Wellness in the United States During the COVID-19 Pandemic: a Nationwide Survey

2021 ◽  
Author(s):  
Louis Nikolis ◽  
Andrea Wakim ◽  
William Adams ◽  
Prempreet Bajaj
Keyword(s):  
United States ◽  
Medical Student ◽  
Medical Students ◽  
Multivariable Analysis ◽  
Nationwide Survey ◽  
The United States ◽  
Depression And Anxiety ◽  
Financial Status ◽  
Linear Mixed Effects ◽  
Student Wellness

Abstract Background: As United States (US) medical students suffer higher rates of depression and anxiety than the general population, medical student wellness has been studied in recent years. One definition describes wellness as having eight dimensions: Intellectual, emotional, physical, social, occupational, financial, environmental, and spiritual. As the coronavirus (COVID-19) pandemic poses unique challenges for medical students, we aimed to compare medical student wellness before and during the COVID-19 pandemic.Methods: An informal survey was created to assess the eight wellness dimensions and distributed via Survey Monkey to US allopathic and osteopathic medical students via email and social media. The survey was administered from March 29, 2020 to June 23, 2020. Univariable and multivariable linear mixed-effects models were used to estimate the change in students’ overall wellness using an 11-point scale ranging from 0 (least well) to 10 (most well). Generalized estimating equations were used to compare students’ responses to the eight dimensions before and during the COVID-19 pandemic.Results: On multivariable analysis, students reported a decline in their overall wellness during COVID-19 (Mdiff = -1.04; p < .001), with Asian respondents reporting almost no change in overall wellness (M = -0.69) compared to White respondents (M = -1.18; p = .049) and Black respondents (M = -1.78; p = .03). Students felt less supported and comfortable with their social (OR = 0.47) and daily (OR = 0.45) environments and expressed decreased satisfaction with their exercise (OR = 0.85), sense of purpose (OR = 0.33), and financial status (OR = 0.75). Students also expressed lower confidence (OR = 0.15) and satisfaction (OR = 0.11) with their medical education and increased anxiety (OR = 3.37) and depression (OR = 2.05).Conclusions: Medical students reported declines in overall wellness and individual wellness dimensions. These findings can be used to implement changes to improve medical student wellness.

The Public Psychiatrist as Educator

2020 ◽  
pp. 149-168
Author(s):  
Sarah E. Baker ◽  
Adam Brenner
Keyword(s):  
United States ◽  
Medical Student ◽  
Medical Students ◽  
Public Sector ◽  
The United States ◽  
The Public ◽  
Academic Medical ◽  
The Many ◽  
Training Opportunities

Among the many important educator roles of the public psychiatrist is that of teacher for the medical students, residents, and fellows who rotate through her public sector clinic or hospital. Using a case study as its basis, this chapter describes how a public psychiatrist can engage with an academic medical center’s department of psychiatry in order to offer training opportunities in the public sector. It also describes the process for developing medical student clerkships and resident rotations and includes examples from clerkships and resident rotations from throughout the United States.

A Four-Week Otolaryngology Virtual Educational Curriculum for Prospective Applicants

2021 ◽  
pp. 014556132110523
Author(s):  
Jaclyn Lee ◽  
Madelyn N. Stevens ◽  
Kelly C. Landeen ◽  
Brittany E. Lipscomb ◽  
Amy S. Whigham
Keyword(s):  
United States ◽  
Medical Students ◽  
The United States ◽  
Vital Role ◽  
Application Process ◽  
Specific Knowledge ◽  
Educational Curriculum ◽  
Specific Program ◽  
Fourth Year Medical Students ◽  
Residency Application

The COVID-19 pandemic led to a suspension of visiting student rotations across the United States. For senior medical students applying into surgical subspecialties, such as otolaryngology, these away rotations serve a vital role in the residency application process. Prior to the pandemic, there was not a virtual alternative to in-person visiting student rotations for applicants. We developed a replicable and expandable program focused on helping prospective otolaryngology applicants (fourth-year medical students) gain exposure to the experiences typically offered via in-person rotations. The goal was to improve otolaryngology-specific knowledge and to help applicants demonstrate specific program interest, without the financial and logistical challenges associated with in-person away rotations.

scholarly journals The Patient History Project: Medical Student Innovation in Improving Medical Care for Asylum Applicants

2021 ◽  
Vol 5 (0) ◽  
Author(s):  
Jennifer Angell ◽  
Jack Buchanan ◽  
Thomas Rogers ◽  
MaryEllen Reisler ◽  
Thomas Rogers ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Medical Student ◽  
Medical Students ◽  
Medical Care ◽  
Asylum Seekers ◽  
Clinical Skills ◽  
The United States ◽  
Patient History ◽  
Medical Needs

BackgroundPersons who experienced persecution in their home country may apply for asylum with the United States. This population has complex medical needs complicated by cultural and linguistic barriers. This report outlines the design and evaluation of the Patient History Project (PHxP), a collaborative program between the University of Michigan Asylum Collaborative (UMAC) and a local non-profit, Freedom House Detroit (FHD), to improve the quality of health care for asylum-seekers while training medical students to work with vulnerable populations.MethodsIn the PHxP, medical students trained by UMAC interviewed FHD residents and created electronic medical records that residents could share with subsequent medical providers. These sessions additionally provided an opportunity for asylum-seekers to rehearse health care utilization in the comfort of their home. Surveys of students and asylum-seekers, and a semi-structured interview with FHD staff, were conducted to evaluate the program’s performance on multiple dimensions.ResultsAsylum-seekers reported high levels of overall satisfaction with PHxP and increased confidence in the health care setting. Medical student volunteers reported gaining cultural sensitivity and clinical skills. FHD staff noted greater insight into resident medical needs.ConclusionsAs the number of asylum-seekers in the United States continues to rise, so will the need of specialized services including medical care. This program is one strategy to help address the medical needs of asylum-seekers. Medical schools with programs to provide forensic medical exams and affidavits for asylum-seekers would be particularly well situated for the trial of such a program.

scholarly journals Lessons from COVID-19: The Perspective of an International Medical Student Back in the United States

2020 ◽  
Vol 8 (1) ◽  
pp. 75-76
Author(s):  
Avnee Nulkar
Keyword(s):  
United States ◽  
Medical Student ◽  
Medical Students ◽  
Community Care ◽  
Medical Knowledge ◽  
The United States ◽  
Healthcare Systems ◽  
Current Medical ◽  
Community Based ◽  
Improving Patient Care

As current medical students, we are in a unique position. Although we possess some medical knowledge, our hometowns may require a medical diploma to provide clinical aid in the fight against COVID-19. However, upon arrival from my medical school in Ireland to my home state of California, multiple community-based opportunities to assist patients were discovered. While medical students provide community care, we can also observe our surroundings, learn from the current situation, and deduce methods of improving patient care and healthcare systems, with hopes of preventing such repercussions if a similar pandemic were to occur in the future. This experience piece aims to express shifts in a medical student’s perspective amidst COVID-19 and explicate potential ways in which the American healthcare system can improve.

scholarly journals Virtual Resident Mentorship Groups for Fourth Year Medical Students Applying into Otolaryngology-Head and Neck Surgery

2021 ◽  
pp. 000348942110157
Author(s):  
Janice L. Farlow ◽  
Jenna Devare ◽  
Susan E. Ellsperman ◽  
Catherine T. Haring ◽  
Molly E. Heft Neal ◽  
...  
Keyword(s):  
United States ◽  
Medical Students ◽  
Neck Surgery ◽  
The United States ◽  
High Yield ◽  
Mentorship Program ◽  
Peer Mentorship ◽  
Program Participant ◽  
Clinical Scenarios ◽  
Fourth Year Medical Students

Objective: To create a longitudinal near-peer mentorship program for medical students applying to otolaryngology. Methods: A program for longitudinal near-peer mentorship was designed based on a needs analysis of senior medical students. Program objectives were to (1) provide didactic education on common otolaryngology consults, (2) facilitate resident-student networking, and (3) enable applicants to meet other students. Senior otolaryngology residents were matched with medical students from across the United States applying to otolaryngology for a series of online small group meetings. Sessions included resident-designed didactics covering high-yield clinical scenarios and a mentorship component focused on transition to residency topics. Program evaluation included anonymized pre- and post-tests for each didactic session and an anonymous post-program participant survey. Results: There were 40 student participants from across the United States, with an average attendance of 73% of sessions per participant. Performance on didactic testing improved for 2 of the 3 sessions. Participants stated they would be very likely to recommend each session to another student in the future (4.96/5.00, obs = 155). Participants stated the most valuable part of the program was interacting with residents (82% of responses), transition to residency advice (28%), and learning about otolaryngology consults (28%). Suggestions for improvement included expanding content, increasing the number of sessions, and involving additional faculty and residents. Conclusion: A longitudinal virtual experience can be valuable for near-peer mentorship for medical students applying to otolaryngology.

scholarly journals Medical student wellness in the United States during the COVID-19 pandemic: a nationwide survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Louis Nikolis ◽  
Andrea Wakim ◽  
William Adams ◽  
Prempreet Bajaj DO
Keyword(s):  
United States ◽  
Medical Student ◽  
Medical Students ◽  
Multivariable Analysis ◽  
Nationwide Survey ◽  
The United States ◽  
Depression And Anxiety ◽  
Financial Status ◽  
Linear Mixed Effects ◽  
Student Wellness

Abstract Background As United States (US) medical students suffer higher rates of depression and anxiety than the general population, the wellness of medical students is particularly salient. One definition describes wellness as having eight dimensions: Intellectual, emotional, physical, social, occupational, financial, environmental, and spiritual. As the coronavirus (COVID-19) pandemic poses unique challenges for medical students, we aimed to compare medical student wellness before and during the COVID-19 pandemic. Methods An informal survey was created to assess eight wellness dimensions and was distributed via Survey Monkey to US allopathic and osteopathic medical students via email and social media. The survey was administered from March 29, 2020 to June 23, 2020. Univariable and multivariable linear mixed-effects models were used to estimate the change in students’ overall wellness using an 11-point scale ranging from 0 (least well) to 10 (most well). Generalized estimating equations were used to estimate the change in students’ responses to the eight dimensions before and during the COVID-19 pandemic. Results On multivariable analysis, students reported a decline in their overall wellness during COVID-19 (Mdiff = -1.08; p < .001). Asian respondents reported little change in overall wellness (M = -0.65) when compared to White respondents (M = -1.16) and Black respondents (M = -1.57). Students felt less supported and comfortable with their social (OR = 0.47) and daily (OR = 0.45) environments and expressed decreased satisfaction with their exercise (OR = 0.85), sense of purpose (OR = 0.33), and financial status (OR = 0.75). Students also expressed lower confidence (OR = 0.15) and satisfaction (OR = 0.11) with their medical education and increased anxiety (OR = 3.37) and depression (OR = 2.05). Conclusions Medical students reported declines in overall wellness and individual wellness dimensions. These findings can be used to implement changes to improve medical student wellness.

scholarly journals Global variability in orthopedic surgery training

2019 ◽  
Author(s):  
Andrew D. Sobel ◽  
Davis Hartnett ◽  
David Hernandez ◽  
Adam E. M. Eltorai ◽  
Alan H. Daniels
Keyword(s):  
United States ◽  
Orthopedic Surgery ◽  
Orthopaedic Surgery ◽  
Educational Development ◽  
The United States ◽  
Surgery Training ◽  
Orthopaedic Care ◽  
The World ◽  
Orthopaedic Training ◽  
And Training

Medical and orthopaedic training varies throughout the world. The pathways to achieve competency in orthopaedic surgery in other countries differ greatly from those in the United States. This review summarizes international educational requirements and training pathways involved in the educational development of orthopaedic surgeons. Understanding the differences in training around the world offers comparative opportunities which may lead to the improvement in education, training, and competency of individuals providing orthopaedic care.

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