A5053540174- Innovations in Medical Education
- Clinical Reasoning and Diagnostic Skills
- Primary Care and Health Outcomes
- Diversity and Career in Medicine
- Radiology practices and education
- Medical Education and Admissions
- Stress Responses and Cortisol
- Healthcare Systems and Technology
- Healthcare cost, quality, practices
- Circadian rhythm and melatonin
- Patient-Provider Communication in Healthcare
- Adipose Tissue and Metabolism
- Empathy and Medical Education
- Healthcare Policy and Management
- Neuropeptides and Animal Physiology
- Musculoskeletal Disorders and Rehabilitation
- Birth, Development, and Health
- Patient Satisfaction in Healthcare
- Restless Legs Syndrome Research
- Hospital Admissions and Outcomes
- Exercise and Physiological Responses
- Survey Methodology and Nonresponse
- Health and Medical Research Impacts
- Healthcare professionals’ stress and burnout
- Inflammation biomarkers and pathways
University of Central Florida
2018-2023
Florida College
2019-2023
Uniformed Services University of the Health Sciences
2009-2020
Foundation for Advancement of International Medical Education and Research
2016
Maastricht University
2016
University of Health Sciences
2015
Oregon Medical Research Center
2011-2013
Walter Reed National Military Medical Center
2013
Wilford Hall Ambulatory Surgical Center
2004-2007
Geriatric Research Education and Clinical Center
1995-1999
ABSTRACT Background: The Medical College Admissions Test (MCAT) is a high-stakes test required for entry to most U.S. medical schools; admissions committees use this predict future accomplishment. Although there evidence that the MCAT predicts success on multiple choice–based assessments, little information whether clinical-based assessments of undergraduate and graduate education performance. This study looked at associations between school grade point average (GPA), Licensing Examination...
The objective of this study was to determine the effects age and exercise on myosin heavy chain (MHC) composition skeletal muscle. Young (3 mo) old (22 female specific pathogen-free barrier-reared Fischer 344 rats were randomly assigned young untrained or trained groups, respectively. animals performed endurance training a motorized treadmill for 8 wk. Succinate dehydrogenase activity MHC isoforms measured in plantaris (Plan), lateral medial gastrocnemius (Gast), soleus (Sol) muscles. In...
Background. Resistin is a protein produced by adipoctyes and circulating macrophages that has been found to be associated with inflammatory states. Objective. To determine the levels of resistin in relation asthma disease state severity, we investigated cohort adult patients asthma. Methods. A moderate severe persistent control were recruited underwent fasting labs evaluate serum glucose, C-reactive (CRP), resistin. Results. No significant differences between group respect CRP at 0.78 ± 0.60...
The Essential Elements of Communication (EEC) were developed from the Kalamazoo consensus statement on physician-patient communication. Uniformed Services University Health Sciences (USU) has adopted a longitudinal curriculum to use EEC both as learning tool during standardized patient encounters and an evaluation culminating with end preclerkship objective-structured clinical examinations (OSCE). Medical educators have recently emphasized importance teaching communication skills, evidenced...
Recently, there has been a surge in the use of objective structured clinical examinations (OSCEs) at medical schools around world, and with this growth come concomitant need to validate such assessments.The current study examined associations between student performance on several school-level skills knowledge assessments, including two OSCEs, National Board Medical Examiners® (NBME) Subject Examinations, United States Licensing Examination® (USMLE) Step 2 Clinical Skills (CS) 3 sample...
This position paper discusses on-going academic remediation challenges within the field of medical education. More specifically, we identify three common contemporary problems and propose four recommendations to strengthen efforts. Selecting or determining what type is needed for a particular student akin analyzing Gordian knot with individual, institutional systemic contributors. emphasis, including multi-institutional projects research funding needed. Recommendations regarding language use...
Purpose Trust in and comparability of assessments are essential clerkships undergraduate medical education for many reasons, including ensuring competency clinical skills application knowledge important the transition to residency throughout students’ careers. The authors examined how used determine internal medicine (IM) core clerkship grades across U.S. schools. Methods A multisection web-based survey IM directors at 134 schools with membership Clerkship Directors Internal Medicine was...
Background: Educational theories predict conflicting results for the effect of increasing authenticity teaching format complex information on educational outcomes. We sought to determine increasingly authentic small-group, preclerkship clerkship outcomes further enlighten this debate. Summary: Students enrolled in a prospective randomized crossover trial that involved three content areas. For each area, formats were tested. Participants by area. Clerkship performance an objective structured...
To address whether increasingly authentic instructional formats are more effective in improving preclerkship medical students' performance.From 2007 to 2009, the authors conducted a prospective, randomized, crossover study with second-year students clinical reasoning course at Uniformed Services University of Health Sciences. The randomly assigned one three cohorts and used differing authenticity (paper, DVD, standardized patient) teach subject areas (abdominal pain, anemia, polyuria). Each...
A patient developed restless legs symptoms paralleling the course of interferon-alpha (IFN alpha) therapy for chronic hepatitis C. Symptoms began during a IFN alpha, resolved with its suspension, and recurred on rechallenge. Restless syndrome may thus be an adverse effect alpha treatment.
Objective: This study describes and categorizes the cultural frictions conflicts within a successfully implemented Internal Medicine Patient-Centered Medical Home (PCMH) clinic at National Naval Center, provides lessons learned for combating these concerns. Methods: A semistructured interview protocol was developed, focusing on unique tenets of PCMH, benefits model, perceived obstacles to practicing medicine this delivery system. The interviews included questions regarding efforts foster...
National organizations have identified a need for the creation of novel approaches to teach clinical reasoning throughout medical education. The aim this project was develop, implement and evaluate mapping exercise (CResME).Participants included convenience sample first second year students at two US schools: University Central Florida (UCF) Uniformed Services Health Sciences (USUHS). authors describe implementation CResME. CResME uses information multiple disease entities as nodes in...
Introduction Clinical encounters are often assessed using a checklist. However, without direct faculty observation, the timing and sequence of questions not captured. We theorized that can be captured measured coherence scores may distinguish between low high performing candidates.
 Methods A logical key features was determined standard case checklist for an observed structured clinical exam (OSCE). An independent clinician educator reviewed each encounter to provide global rating....
ABSTRACT Purpose: Many medical schools across the United States are undergoing curriculum reform designed, in part, to integrate basic sciences and clinical skills. Evidence has suggested that preclerkship courses skills reasoning predictive of student performance on clerkship. We hypothesized a combination outcome measures from (Objective Structured Clinical Examination scores, preceptor evaluations, National Board Medical Examiners subject examination small group participation grades)...
Self-regulated learning is a cyclical process of forethought, performance, and self-reflection that has been used as an assessment tool in medical education. No prior studies have evaluated SRL processes for answering multiple-choice questions (MCQs) most one or two iterations non-MCQ task. during MCQs may elucidate reasons why learners are successful not on these encountered repeatedly education.Internal medicine clerkship students at three institutions participated microanalytic protocol...
Tyrosine hydroxylase (TH) is the rate-limiting enzymatic step in catecholamine biosynthesis pathway. Some studies have demonstrated that aging associated with a decrease TH activity and mRNA rat hypothalamus. We previously exercise training can gene expression adrenal medulla of young but not senescent rats. This study was designed to examine effects endurance on hypothalamus aging. To this end, we assessed mRNA, immunoreactivity, or without training. Young old F-344 female rats were trained...
Over a century ago, Abraham Flexner's landmark report on medical education resulted in the most extensive reforms of training history. They led to major advances diagnosis and treatment disease relief suffering. His prediction that "the physician's function is fast becoming social preventive, rather than individual curative," however, was never realized.Instead, with rise biomedical science, scientific method American Medical Association, health care system became increasingly distanced from...
Since its inception in 1989, Clerkship Directors Internal Medicine (CDIM) has promoted excellence medical student education. CDIM members move education forward by sharing innovations curriculum and assessment discoveries related to educating our students administering programs. The Alliance for Academic Medicine, of which is a founding member, broadens the umbrella beyond include five academically focused specialty organizations representing departments medicine, teaching hospitals, schools...
Evidence suggests that pre-clerkship courses in clinical skills and reasoning positively impact student performance on the clerkship. Given increasing emphasis reducing diagnostic errors, it is very important to develop this critical area of medical education. An integrated approach between may better predict struggling learners, allocate scarce resources remediate these learners before clerkship.Pre-clerkship clerkship outcome measures from 514 students graduating 2009 2011were analyzed a...
To improve health care, the USA needs to create a longitudinal medical education system that will develop physicians able lead transformation of care toward focus on promotion healthy behaviors aimed at preventing disease. The development patient-centered has been an important step in promoting behaviors. However, truly meaningful relationship with patient, physician must first see them as person, not list diseases. Medical should provide person-centered - moving beyond more broadly entirety...
ABSTRACT The work of the Long-Term Career Outcome Study has been a program scholarship spanning 10 years. Borrowing from established quality assurance literature, team organized its into three phases; before medical school, during and after school. purpose this commentary is to address two fundamental questions: (1) what learned? (2) how does knowledge translate educational practice policy now future? We believe that answers these questions are relevant not only our institution but also...