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    Implementation of a Peer Writing Accountability Group to Improve Scholarly Productivity: A Quest for Protected Time
    (2018-03-14) White, Annesha; Yuet, Cheng
    Purpose: The pursuit of scholarly activity is a well-described expectation of health sciences faculty given their role in the advancement of public health and patient wellness. Full-time faculty—who maintain clinical teaching sites and service responsibilities—have unique challenges when asked to focus on research. Recommendations for successful scholarly endeavors include formal mentoring, participation in clinical research programs, collaboration with faculty with proven research experience, and involvement in writing groups. A peer-to-peer writing accountability group (WAG) was established at the UNT System College of Pharmacy in June 2017. The objective of this study was to evaluate the impact of the WAG on scholarly productivity among health sciences faculty. Methods: This study was approved by the UNTHSC IRB in June 2017. The WAG consisted of a small number of pharmacy faculty who met weekly from June 2017-August 2017 to work on scholarly activity. Pre- and post-surveys were administered to all participants. Descriptive analyses were performed to assess writing session duration and quantity of scholarly activity. A paired t test was used to determine differences before and after WAG participation. For all statistical tests, alpha level of significance was set at 0.05. Qualitative data based on responses to open ended questions was content analyzed to identify themes. Results:Ten (100%) faculty involved in the WAG completed pre- and post-surveys. Average writing session duration was 2.1 to 2.9 hours, while number of pages written, abstracts submitted, and presentations provided was 17-24, 1-2, and 1, respectively. Mean scores for the pre- and post-test were: average number of publications accepted (2, 1); writing frequency where 0=Daily and 3=Rarely (2.4, 1.6); current time management is sufficient (3, 1.7), current organization skills are sufficient (2.3, 1.5) where 0=Strongly Agree and 4=Strongly Disagree (p Conclusion: Participation in a peer-to-peer WAG increased productivity, time management, and organization skills with regards to scholarship. WAG could be an effective tool to improve scholarly productivity among health sciences faculty.
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    Medical Students' Practice of EPAs in Service Learning
    (2018-03-14) Huang, Yuhan; Dolan, Kathryn J.
    Purpose Community service learning activities meet a wide range of learning objectives: exercising clinical skills which includes taking vitals, histories and physicals, preventive health screenings and health education, injury prevention and first aid, collaborating with other members of the health care team as well as providing care under supervision for the most underserved and vulnerable populations, and addressing population health. Many of the direct service experiences enable students to work with patient records, dispense donated medicines, practice forming clinical questions, collecting patient data and interacting directly with real patients practicing interviewing skills, patient centered care and empathy. Many of the health education and safety service experiences enable students to recognize factors affecting population health and opportunities to develop strategies to improve the overall health of our communities. Methods Self-report data from osteopathic medical students’ required service is required for each activity or event and since Fall 2015 is collected electronically. Data includes the type of service, and Likert scale ratings of students overall satisfaction with the experience, and the extent to which each activity meets certain learning objectives. Specific service activities exercise specific EPAs, and students ratings can indicate whether the learning objectives for those EPAs have been met. Results Data from 920 students with a total of 7,490 service evaluation reports are available for analysis. The most common types of service are assisting at indigent clinics, health fairs, sporting events, health education and safety for children and direct health services including OMM. The majority of students strongly agreed or agreed the overall experience of a specific event was good for of them. The majority strongly agreed clinical skills, health education and collaboration learning objectives were met during homeless services events and for mission trips. Conclusions Service learning is designed to provide opportunities for students to engage in experiential learning which is task and problem specific, improves clinical skills, and experience the benefits of altruistic behavior. The model of learning applied here originated with John Dewey (1938) and developed by Kolb (1984), and Boyatzis (2000) to address professional competencies. This is a step in understanding on the impact of service learning in meeting specific learning objectives in medical education.
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    Service Learning: Doctor of Physical Therapy Year 1 Student Reflections After Participating in a Runner’s Health and Fitness Expo.
    (2018-03-14) Galvan, Ginamar; Richardson, Mike; Papa, Evan; Bryant, Christopher; Hawker, Trisha
    Purpose: This study further investigated the role a short-term service learning activity at a runner’s health and wellness expo had on Doctor of Physical Therapy (DPT) students. We hypothesized that after participating in this SL experience, DPT students will report improved ability to interact with clients, enhanced understanding of previously learned curricular content, and the expectation of improved clinical rotation experiences. Methods: First-year DPT students performed Functional Movement Screens (FMS) on community participants during 3-4 hour shifts at a runner’s health and wellness expo. Forty-seven first-year DPT students, 30 females and 17 males, mean age of 25 years (22-32). Outcomes were assessed using a post-survey completed by the students through Qualtrics. Results: The majority of student responses indicated a positive impression of this SL. Means of responses to detailed questions were high (4.21-4.66) covering student perceptions of the role of SL in the DPT curriculum, the impact of SL on clinical education, and the usefulness of this particular SL experience for future classes. Forty-seven percent (22 of 47) reported being no more than somewhat familiar with SL prior to participating. Following this activity, 91% (43 of 47) agreed that this SL experience furthered their understanding of curricular content, 96% (45 of 47) valued the importance of physical therapist participation in SL activities, and 96% (45 of 47) agreed that this SL opportunity should be kept in the curriculum for future cohorts. Conclusions: The findings from this study were consistent with the hypotheses that students would report improved ability to interact with clients, enhanced understanding of previously learned curricular content, and the expectation of improved clinical experiences. This sample was limited to one cohort of year 1 DPT students at UNTHSC in Fort Worth, TX. Data may not be generalizable beyond these conditions. This SL experience gave students the opportunity to interact with community members and apply classroom knowledge at a health and fitness expo. This type of interaction allows students to practice using patient-friendly instructions and explanations which will be beneficial during clinical rotations and novice clinical practice.
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    Managing Safety and Efficacy In ADHD: A New Wave Of Approaching Treatment Options
    (2018-03-14) Hart, Renee; White, Annesha; Stone, Keeley
    PURPOSE: Attention Deficit and Hyperactivity Disorder (ADHD) is a common neurologic disorder affecting approximately 9% of the population according to the National Center for Health Statistics. A variety of diagnostic and treatment guidelines exist, complicating the pharmacological and nonpharmacological treatment options. The objective of the study was to summarize key aspects in the diagnosis and treatment options in children with ADHD through a systematic review of current literature. METHODS: The following databases were searched: MEDLINE, PubMed, and Scopus for meta- analysis, randomized control trials, and other systematic reviews in English, children or adolescent study group, and published between 2007 - 2017. Two authors independently assessed the results of each database and disagreements were resolved through discussion. An algorithm was developed and EBM grading scales were utilized to evaluate quality. Five main topics were evaluated based on a preliminary relevancy search. Topics included: ADHD diagnosis, pharmacologic treatment options and safety profile, and efficacy of non-pharmacologic options including diet and cognitive behavioral therapy. Search terms included ADHD, stimulant, safety, diet, and cognitive behavioral therapy. Selection criteria for relevant studies included those with a control group, randomization, used an official ADHD rating scale to determine efficacy, and ADHD as a primary diagnosis. RESULTS: A variety of guidelines exist regarding ADHD diagnosis. Most follow DSM-IV (or updated DSM-V) although no clear consensus has been developed. However, based on a patient's age, stimulants are a typical first line therapy in treating children and adolescents with ADHD. Stimulants pose a variety of safety concerns including reduced appetite, insomnia, and cardiovascular events. Based on stigma regarding stimulant use, parents have sought nonpharmacologic options to therapy. The primary nonpharmacologic option is behavioral therapy (as an adjunct to medication or alone). Dietary changes and supplementation have shown potential additional benefits. CONCLUSION: ADHD remains a prevalent and growing topic among parents, teachers, caregivers, and healthcare providers. Individualization plays a key role in determining treatment. Depending on the patient’s current health status, medical history, and use of other medications, parents need to work with their physician and pharmacist to determine the best treatment.
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    Orthopedic Implants With Imaging Correlation
    (2018-03-14) Choi, Woongsoon; Smith, Spencer; Tran, Johnson
    Abstract Title: Orthopedic Implants With Imaging Correlation Presenter name: Johnson Tran, MS-III; Woongsoon Choi, MS-IV; Spencer Smith, M.D. Purpose: Orthopedic surgery is an important discipline that encompasses numerous procedures that entail placement of various pins, screws, plates, rods, prostheses, and other hardware. Virtually every healthcare provider will encounter many patients with orthopedic implants; however, medical students at the Texas College of Osteopathic Medicine have minimal hands-on exposure to such implants. Presented here are 16 orthopedic implants matched with corresponding radiographic images. This exhibit allows students to personally handle different pieces of hardware while visualizing how and where they are used in orthopedic procedures. Methods: The surplus orthopedic hardware on display was donated to our team by the Baylor Surgical Hospital at Fort Worth. We then identified each implant and searched the internet for matching radiographic images that demonstrate their in vivo utilization in actual patients. Results and Conclusion: We successfully identified 16 orthopedic implants and obtained correlative radiographs. This poster, which will remain accessible to students on permanent display in a school laboratory, is a unique educational tool which allows students to directly interact with real orthopedic implants while comprehending their utility through via correlative imaging. Research Area: Education Presentation Type: Poster
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    Application of an Interprofessional Student Exercise to Improve Nutritional Wellness in a Pediatric Clinic
    (2018-03-14) Sembajwe-Reeves, Catherine; Dart, Lyn; Rew, Martha; Farmer, David; Habiba, Nusrath; Baker, Bryan
    Purpose: Childhood obesity has become a significant problem in the state of Texas, especially in Tarrant County. To address the substantial nutritional education deficiency in the outpatient setting, faculty members of the UNTHSC pediatric clinic initiated a collaboration with the Interprofessional Education (IPE) department at UNTHSC. In collaboration with the dietetic departments at Texas Christian University and Texas Woman’s University, an outpatient internship was established for dietetic students at the UNTHSC pediatric clinic. A qualitative assessment was constructed to establish the success of the interns in the clinical environment and whether dietary information was delivered effectively to the patient and family. Methods: After the multi-faceted interprofessional team including a pediatrician, dietetic intern and medical/PA student concluded the visit with the patient, the patient’s parent received a short anonymous survey completed in the clinic. 4 questions assessed the quality and satisfaction of the visit using a 5-point Likert scale. Only families who had been consulted by the interprofessional team received the survey. Results: One hundred and twenty-one respondents filled out the survey, with 101 being parent/guardians, 17 patients 18+ years of age, and 3 other family members. 86% believed the addition of a dietitian improved the quality of the visit, and 90% were satisfied with the visit as a whole. The addition of the dietary information was viewed as very helpful with 87.6% of parents or patients pledging to apply this information in the near future. Conclusions: The addition of a dietary intern to supplement the dietary education during pediatric visits was well received by patients and parents. By incorporating an Interprofessional team in the patient care, patients can have more of their needs and concerns addressed by a specialist in that field. By working with other institutions, this model of Interprofessional care can be successfully utilized within other local clinics and further applied with other medical professional schools.