Communicating Effectively With Limited English Proficiency Patients: Incorporating Training on Working With Medical Interpreters in the Undergraduate Medical Curriculum.

Introduction: It is imperative for the healthcare providers in the United States to be able to care for the growing number of patients with limited English proficiency (LEP) utilizing professional medical interpreters (MIs). Since little time in undergraduate medical education (UME) is devoted to this competency, an educational workshop on effective communication with MIs and Spanish-speaking LEP patients was developed.

Methods: A two-hour workshop was implemented for first-year medical students, featuring four educational strategies: (1) facilitator-led instructional simulation, (2) interactive didactic, (3) small-group clinical case discussion, and (4) large-group MI simulation.

Role Modeling Kindness at the Bedside.

Compassion and kindness are interchangeable attitudes and behaviors in society. As evidence shows the importance of compassion and kindness in healthcare, there has been a push to nurture and teach compassion through experiential learning in medical schools. However, there is not much evidence of educating learners on the importance of kindness as the complement or foundation of compassion and empathy.

We are our history: Baylor University Medical Center and Black physicians in Dallas.

The Texas Baptist Memorial Sanatorium, the hospital that later became known as Baylor University Medical Center, dates back to 1904. With this long-lived history comes the truths that affected all hospitals during the Jim Crow era: segregation and inequality. This paper attempts to place Baylor University Medical Center, which aimed (and continues to aim) to be a "great humanitarian hospital," in its historical context.

A focused report on progestogen hypersensitivity.

Introduction: Progestogen Hypersensitivity (PH) is caused by increased sensitivity to either exogenous or endogenous progestogens. It is characterized by recurrent cutaneous eruptions including erythema multiforme, eczema, urticaria, and angioedema, which may be associated with systemic symptoms including asthma and anaphylaxis.

Areas Covered: Symptoms may be persistent or cyclical, coinciding with progestogen levels.

The Florida Clinical Skills Collaborative: A New Regional Consortium for the Assessment of Clinical Skills.

Discontinuation of the United States Medical Licensing Examination (USMLE) Step 2 Clinical Skills (CS) exam and Comprehensive Osteopathic Medical Licensing Examination (COMLEX) Level 2 Performance Evaluation (2-PE) raised questions about the ability of medical schools to ensure the clinical skills competence of graduating students. In February 2021, representatives from all Florida, United States, allopathic and osteopathic schools initiated a collaboration to address this critically important issue in the evolving landscape of medical education. A 5-point Likert scale survey of all members (n=18/20 individuals representing 10/10 institutions) reveals that initial interest in joining the collaboration was high among both individuals (mean 4.

Defining Advising, Coaching, and Mentoring for Student Development in Medical Education.

Medical school curricula integrate classroom academic teaching, hands-on clinical training, longitudinal professional development, and identity formation to prepare students to enter the healthcare workforce as residents. Mentorship, coaching, and advising are well-recognized approaches used by educators to help young learners accomplish their personal and professional goals and objectives. However, undergraduate medical education literature has not clearly articulated the distinctions between the roles and core responsibilities of each guidance approach.

A woman with temporal pain.

Giant cell arteritis (GCA) is a difficult diagnosis to make in the emergency department, requiring a temporal artery biopsy to confirm the disease. Here, we present a case of GCA diagnosed on bedside ultrasound in a patient with left-sided temporal pain, left-sided blurry vision, and a normal erythrocyte sedimentation rate. Of note, this patient was on anticoagulation for atrial fibrillation, which delayed a biopsy from being performed, making the ultrasound findings even more significant.

Influence of the Microbiome on Chronic Rhinosinusitis With and Without Polyps: An Evolving Discussion.

Chronic rhinosinusitis (CRS) is widely prevalent within the population and often leads to decreased quality of life, among other related health complications. CRS has classically been stratified by the presence of nasal polyps (CRSwNP) or the absence nasal polyps (CRSsNP). Management of these conditions remains a challenge as investigators continue to uncover potential etiologies and therapeutic targets.

Advanced Placement Courses for Medical School: A Novel AMed Track to Reduce Financial Burden and Attract Nontraditional Students.

Medical school admissions have become increasingly competitive, creating a pool of nontraditional applicants that seek postbaccalaureate training in biomedical sciences. Several postbaccalaureate and graduate programs developed curricula that, except for learning clinical skills, mirror the learning objectives of the foundational science curricula in medical schools. This education structure provides applicants with a competitive advantage when applying to medical schools.

Atopic endotypes as a modulating factor for SARS-CoV-2 infection: mechanisms and implications.

Purpose Of Review: Asthma patients are typically at increased risk for severe outcomes from viral respiratory infections. However, asthma and atopy do not appear to be overrepresented comorbidities in COVID-19 patients, and hypotheses attempt to explain this observation. As COVID-19 continues to spread globally, it is imperative to understand how disease outcomes may be influenced in this population to guide patient care.

The smile is stronger than the handshake.

This article was migrated. The article was marked as recommended. Healthcare providers struggle with the timing of handwashing and the handshake during the visit with patients, we question whether the handshake is even a necessary component of the modern introduction.

Guideline of Chronic Urticaria Beyond.

Urticaria is a relatively common condition that if chronic can persist for weeks, months or years and affect quality of life significantly. The etiology is often difficult to determine, especially as it becomes chronic. Many cases of chronic urticaria are thought to be autoimmune, although there is no consensus that testing for autoimmunity alters the diagnostic or management strategies or outcomes.

Allergy to Prolene Sutures in a Dural Graft for Chiari Decompression.

Allergy to Prolene suture is exceedingly rare with only 5 cases reported in the literature. There have been no such cases associated with neurosurgical procedures. Diagnosis is nearly always delayed in spite of persistent symptomatology.

Urticaria Guidelines: Consensus and Controversies in the European and American Guidelines.

Urticaria can present acutely and be self-limiting or become chronic and persist for weeks, months, or years. In either case, the condition may have a significant impact on the patient's quality of life. Two major consensus groups, the EAACI/WAO and the AAAAI/ACAAI Joint Task Force, have written guidelines on the diagnosis and management of urticaria.

Ultrasound assessment of optic disc edema in patients with headache.

Point-of-care ocular ultrasonography is emerging as a powerful tool to evaluate emergency department (ED) patients at risk for ophthalmologic and intracranial pathology.We present cases of 3 patients in whom optic disc swelling was identified using ocular ultrasound. Causes for optic disc swelling in our patients included idiopathic intracranial hypertension, secondary syphilis, and malignant hypertension with associated hypertensive retinopathy.

A pilot study to assess candidacy for emergency contraception and interest in sexual health education in a pediatric emergency department population.

Objectives: The objective of the study was to assess potential candidacy for hormonal emergency contraception (EC) and desire for sexual health education among female adolescents presenting for care to a pediatric emergency department (ED).

Methods: We used an anonymous, cross-sectional, written survey of girls aged 15 to 19 years seeking care in an urban, children's hospital ED. The survey included questions about personal sexual history and desire for sexual health education about sexually transmitted infections and contraception options.

Aphthous ulcerations associated with trisomy 8-positive myelodysplastic syndrome.

The association of Behçet's disease with myelodysplastic syndromes has been established in the hematologic, gastrointestinal, and medical genetics literature; trisomy 8 is a feature present in 70% of these reports. Because trisomy 8 is ordinarily present in only 14% of patients with myelodysplastic syndrome, this is a significant overrepresentation. We describe a patient with recurrent aphthous stomatitis who was subsequently diagnosed with trisomy 8-positive myelodysplastic syndrome after an unexplained macrocytosis was further investigated.

Drug-associated lymphoma and pseudolymphoma: recognition and management.

This article discusses ways to recognize and manage lymphomas and pseudolymphomas associated with drug exposure. Over the last 30 years, the classification of pseudolymphomas and lymphomas has undergone significant change, especially following the application of sophisticated immunostaining and gene rearrangement analysis. The term cutaneous pseudolymphomas (CPL) is a nonspecific term for a heterogeneous group of benign reactive T- or B-cell lymphoproliferative processes that simulate cutaneous lymphomas clinically or histologically.