Publications by authors named "TREAT R"

Many medical schools are transitioning to pass/fail grading from tiered grading systems which have been associated with increased competition, grade inflation, decreased wellness, and grading disparities along racial/ethnic lines. This retrospective cohort study followed two cohorts of students from one medical school for four years. One cohort was the last class to enter the school under a 5-point grading system for preclinical courses and the other was the first cohort to enter school under a pass/fail grading system for preclinical courses.

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Article Synopsis
  • - The study aimed to evaluate the effectiveness of isopropyl alcohol (IPA) aromatherapy for alleviating nausea in critical care transport (CCT) patients, comparing it to the traditional medication ondansetron.
  • - A retrospective chart review included 217 adult patients over two years, assessing nausea improvement rates before and after a protocol change to use IPA as a first-line treatment.
  • - Results showed that IPA was less effective than ondansetron in ground transport patients, but similar in helicopter EMS; nonetheless, IPA may offer a rapid relief option for nausea in certain CCT scenarios.
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Traditional artificial intelligence (AI) tools have already been implemented in clinical radiology for lesion detection and decision-making. Generative AI (GenAI), comparingly, is a new subset of machine learning that functions based on data probabilities to create content, offering numerous capabilities yet also uncertainties. Multidisciplinary collaboration is essential in safely harnessing the power of GenAI as it transforms medicine.

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Introduction: Several studies have investigated surgical residents' perceptions of family planning, and many have investigated medical students' perceptions of surgical specialties; however, there is limited research on medical students' perceptions of the impact of family planning on the decision to pursue surgical training. This study aims to investigate male and female medical students' perceptions of family planning in residency.

Methods: A survey was distributed to all medical students at a single medical school in the Midwest between February 2023 and June 2023.

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Background And Objectives: We submitted research questions to the Council of Academic Family Medicine Educational Research Alliance (CERA) to assess the format of family medicine resident education about health disparities associated with incarceration and the perceived efficacy of efforts to prepare graduates for competent care of formerly incarcerated patients in practice. We think this is a universal problem, and current efforts are insufficient.

Methods: We evaluated data as part of the fall 2022 CERA survey of program directors (PDs).

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Introduction Limited guidance exists for primary and urgent care ultrasound applications. This study sought to identify the most useful applications for providers in these clinical settings, to create and implement a structured interdisciplinary point-of-care ultrasound (POCUS) curriculum, and to assess the effectiveness of the course.  Methods This prospective cohort study took place at an urban academic medical center.

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Background: Emerging technologies, trainees' proficiency with digital resources, and the COVID-19 pandemic have increased the role of mobile and asynchronous learning methods in medical education. Educational podcasts have gained popularity in both formal curricula and independent learning, but their impact on educational outcomes has not been well studied.

Methods: We conducted a prospective cohort study of third-year medical students during pediatrics clerkship.

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Introduction: Physicians need adequate physical exam skills. Unfortunately, interns have variable physical exam skills, and teaching is often limited to rounds, an inconsistent setting. Physical exam skills, particularly those involving auscultation, require practice.

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Study Objective: Hysteroscopy is an established method for the diagnosis and treatment of intrauterine pathology. A vaginoscopic approach for office-based hysteroscopy confers less pain; however, trainees report lack of confidence with this procedure. We sought to create a low-fidelity simulation model for office-based hysteroscopy with a vaginoscopic approach and to evaluate the validity and reliability of this model.

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We designed an anonymous survey to identify knowledge gaps regarding correctional medicine and health disparities for justice-affected patients and distributed it to medical students. Fifty-six percent of the 140 students who responded (14% response rate) had some interaction with the criminal justice system and/or a justice-affected person. Most students somewhat agreed to having knowledge of health risks/disparities related to incarceration.

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A lack of diversity in the clinical cancer workforce causes undue burden limiting research and patient care advancements. Recruitment and retention of individuals underrepresented in medicine/research can enhance patient-provider concordance. The Student-centered Pipeline to Advance Research in Cancer Careers (SPARCC) uniquely prepares underrepresented minority students to quickly transition into the clinical research workforce and seek advanced graduate degrees.

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Introduction: Medical student burnout has received increasing attention in recent years due to greater acceptance of psychological and emotional vulnerability in the health care profession. Given the significant investment of personal and financial resources in this demanding profession, continued evaluation of factors contributing to burnout in medical training is necessary. A midwestern medical college with a longstanding 4-year medical degree program created 2 regional campuses that utilize a calendar-efficient 3-year medical degree program.

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Background: Studies suggest widespread advantages to peer mentoring programs; however, there is minimal data pertaining to medical students mentoring undergraduate students.

Objectives: To determine the feasibility and perceived effectiveness of a medical student-undergraduate student peer mentorship program.

Methods: A needs assessment guided the development of Pre-Med Pair Up, a program connecting medical student mentors from the Medical College of Wisconsin and other US medical schools to undergraduates at Marquette University and the University of Wisconsin-Oshkosh to provide peer mentorship, premedical resources, and global health information.

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Problem Considered: Medical schools historically have utilized instructor-centered lectures to teach medical students the basic sciences. Several commercial electronic-based resources are now available to enhance lecture-based content. This study examines perceptions between students and faculty regarding the efficacy of lecture-based teaching and learning strategies used by students overall.

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Article Synopsis
  • - The study aimed to create a scoring rubric to evaluate letters of recommendation (LORs) for a pediatric residency program, focusing on the consistency of ratings and the aspects that influence perceptions of the candidates.
  • - Thirty LORs were graded using the rubric, which assessed features, phrases, and applicant abilities, finding that while phrases and features had high consistency in ratings, applicant abilities did not.
  • - The results suggest that specific elements within LORs, like the strength of recommendation and documentation of skills, significantly affected overall impressions, making the rubric a valuable tool for improving LOR writing quality.
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Article Synopsis
  • The study focuses on the development and validation of the PEA-21 checklist, which evaluates medical students and interns during patient- and family-centered rounds (PFCR) as endorsed by the AAP and ACGME.
  • A 24-month study involved 101 rounds of presentations, assessing various skills like Data Accuracy and Family Interaction, revealing that interns typically performed better than students, with both groups needing improvement in family interaction.
  • The PEA-21 demonstrated strong validity in measuring presenter skills, providing a valuable tool for educators to offer feedback and enhance training in medical education.
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Objective: This study aims to evaluate the incidence of secondary traumatic stress in Obstetrics and Gynecology physicians including symptoms, impact, and programmatic needs for support.

Design: This study used a mixed-methods approach comprised of an anonymous online survey and individual interviews/focus groups. IBM SPSS 24.

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Background: In response to calls to increase class sizes, the Medical College of Wisconsin (MCW) opened two new 3-year community-based regional campuses in 2016 and 2017. The goal of this study was to analyze whether the applicants and accepted student pools differed for the school's 3-year and 4-year campuses.

Methods: Deidentified data from Wisconsin applicants to MCW for the class enrolling in 2017 were categorized based on their preference for the Milwaukee or a regional campus.

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Problem: Reflection is a critical skill for all physicians, but some busy medical students describe themselves as "unreflective." The authors sought to provide all third-year medical students at the Medical College of Wisconsin (MCW) with opportunities to explore seminal clinical and personal moments through reflective writing during workshops on preparing a personal statement for the Electronic Residency Application Service.

Approach: The authors developed and facilitated semiannual 1.

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Introduction: Many medical schools offer M4 boot camps to improve students' preparedness for surgical residencies. For three consecutive years, we investigated the impact of medical school boot camps on intern knot-tying and suturing skills when measured at the start of residency.

Methods: Forty-two interns completed questionnaires regarding their boot camp experiences.

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Background: Graduating general surgery residents are required to pass the FES exam for ABS certification. Trainees and surgery educators are interested in defining the most effective methods of exam preparation. Our aim is to define trainee perceptions, performance, and the most effective preparation methods regarding the FES exam.

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Purpose: Literature describing program director (PD) perceptions of letters of recommendation (LORs) and "code" used by letter writers is limited. In 2016, a survey instrument was distributed nationally to pediatric PDs asking them to rate their interpretations of components of LORs. The results confirmed that letter phrases convey code, but these results were not known to be generalizable outside of pediatrics.

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Objective: Determine if there is a difference in medical knowledge between pediatric residents attending continuity clinic at a community-based center versus those attending an academic center, as measured by the American Board of Pediatrics In-Training Exam (in-training exam) and the American Board of Pediatrics Certification Exam (certification exam).

Methods: A retrospective evaluation of in-training and certification exam scores of pediatric residents enrolled at the Medical College of Wisconsin and Children's Hospital of Wisconsin was performed. Test scores of the group of residents participating in a community-based continuity clinic were compared to those residents attending an academic center continuity clinic.

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