- Hernia repair and management
- Innovations in Medical Education
- Pelvic and Acetabular Injuries
- Intestinal and Peritoneal Adhesions
- Electronic Health Records Systems
- Medical Malpractice and Liability Issues
- Foreign Body Medical Cases
- Gastrointestinal disorders and treatments
- Hemostasis and retained surgical items
- Patient-Provider Communication in Healthcare
- Diverticular Disease and Complications
- Frailty in Older Adults
- Radiology practices and education
- Hip and Femur Fractures
- Surgical Sutures and Adhesives
- Clinical practice guidelines implementation
- Foreign Language Teaching Methods
- Forest ecology and management
- Nursing Diagnosis and Documentation
- Clinical Reasoning and Diagnostic Skills
- Education and Professional Development
- Abdominal Surgery and Complications
- Cardiac, Anesthesia and Surgical Outcomes
Atrium Health Wake Forest Baptist
2014-2024
Wake Forest University
2014-2022
Carolinas Medical Center
2006-2008
Hernia Center
2006
Background Frailty is associated with numerous post‐operative adverse outcomes in older adults. Current pre‐operative frailty screening tools require additional data collection or objective assessments, adding expense and limiting large‐scale implementation. Objective To evaluate the association of an automated measure integrated within Electronic Health Record (EHR) for nonemergency surgeries. Design Retrospective cohort study. Setting Academic Medical Center. Participants Patients 65 years...
Laparoscopic ventral hernia repair requires an intraperitoneal prosthetic; however, these materials are not without consequences. We evaluated host reaction to placement of various prosthetics and the functional outcomes in animal model. Mesh (n = 15 per mesh type) was implanted on intact peritoneum New Zealand white rabbits. The types included ePTFE (DualMesh), polypropylene (Composix), oxidized regenerated cellulose (Proceed), (Marlex). Adhesion formation at 1, 4, 8, 16 weeks using 2-mm...
OPEN ACCESSOctober 28, 2020The Electronic Health Record Objective Structured Clinical Examination Station: Assessing Student Competency in Patient Notes and Interaction E. Shen, PhD, Joseph Anthony Cristiano, MD, Leslie Renee Ellis, MSHPEd PhD https://orcid.org/0000-0001-6751-5445 Assistant Professor, Department of Internal Medicine, Section General Wake Forest Baptist , MD https://orcid.org/0000-0003-1388-5867 https://orcid.org/0000-0003-0459-7951 Associate on Hematology Oncology, E-mail...
Background The Association of American Medical Colleges (AAMC) guidelines on the entrustable professional activities (EPAs) expected graduating medical students were recently published. Although perceptions educators, residents and programme directors have been described, voice senior is lacking. Methods A single-institution cross-sectional study was performed. Student collected compared with: (1) national (i.e. 13 newly developed undergraduate EPAs); (2) resident expectations through...
Background The Centers for Medicare & Medicaid Services (CMS) introduced changes in outpatient and inpatient evaluation management (E/M) current procedural terminology (CPT) codes 2021 2023, which were intended to streamline providers’ clinical documentation. Objectives To study the effects of aligning note templates with updated CMS guidelines on character length documentation time per at an internal medicine residency program southeastern United States. Methods In April Atrium Health...
Increasingly, use of the electronic health record (EHR) is interwoven into even most basic patient care tasks. Accordingly, learning how to utilize EHR during encounters important for medical students as they develop their clinical skills. Existing curricula have focused primarily on doctor-patient relationship We developed a session our preclinical EHR-related skills well using verify data and focus one's history taking.We student notes, three training videos, four standardized (SP) cases,...
Introduction: Current practice guidelines from the American College of Gastroenterology recommend colonoscopy following resolution acute diverticulitis to exclude neoplasia. We previously reported results among patients who underwent procedure within 6 months an attack at our institution. The aim this study is report follow-up on did not undergo institution months. Methods: identified all diagnosed with Wake Forest Baptist Health 2000 2011 using ICD9 codes. recorded any abdominal CT scans...