Antibiotic Prescribing Practices in Group B Streptococcus Positive Obstetric Patients with Penicillin Allergy.

Introduction: Group B Streptococcus (GBS) positive patients with penicillin allergies receive intrapartum antibiotics for neonatal sepsis prophylaxis based on recommendations from the American College of Obstetricians and Gynecologists (ACOG). The objective of this study was to determine which antibiotics are used in GBS positive patients with documented penicillin allergies and evaluate for antibiotic stewardship improvements at a tertiary hospital in the Midwestern U.S.

Training Standardized Patients to Provide Effective Feedback: Development, Implementation, and its Effect on the Efficacy of Medical Students' Education.

Introduction: Standardized patient (SP) encounters are a pivotal part of medical student training and provide essential feedback on student performance. Feedback has been shown to develop interpersonal skills and alter motivation levels, reducing anxiety and increasing students' confidence in skills. Therefore, optimizing the quality of SP feedback will allow educators to provide students with more focused comments on performance, leading to personal development and better patient care.

Collateral Flow Reversal: Exploring Protective Role of Collateral Circulation in Acute Coronary Syndrome.

The effect of pre-existing collateral circulation on presentation of acute coronary syndrome (ACS) is not well known. We present a case of a 54-year-old male with a known history of chronic total occlusion of left circumflex artery and well-developed collaterals, who presented to the emergency department with non-STsegment elevation myocardial infarction. He underwent urgent coronary angiogram which showed an acute total thrombotic occlusion in proximal large right coronary artery with collaterals from left to right.