International Journal of Academic Medicine

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International Journal of Academic Medicine : 2020 - 6(2)

Int J Acad Med 2020 - 6(2)

Christine Marchionni

International Journal of Academic Medicine 2020 6(2):134-135

Author: Christine Marchionni
Posted: June 29, 2020, 12:00 am
Saurabh RamBihariLal Shrivastava, Prateek Saurabh Shrivastava

International Journal of Academic Medicine 2020 6(2):54-55

Author: Saurabh RamBihariLal Shrivastava
Posted: June 29, 2020, 12:00 am
William Haussner, Manish Garg

International Journal of Academic Medicine 2020 6(2):132-133

Author: William Haussner
Posted: June 29, 2020, 12:00 am
Qasim Z Malik, David Prutzman

International Journal of Academic Medicine 2020 6(2):153-155

Author: Qasim Z Malik
Posted: June 29, 2020, 12:00 am
Saurabh RamBihariLal Shrivastava, Prateek Saurabh Shrivastava

International Journal of Academic Medicine 2020 6(2):159-160

Author: Saurabh RamBihariLal Shrivastava
Posted: June 29, 2020, 12:00 am
Emerson Floyd, Manish Garg

International Journal of Academic Medicine 2020 6(2):142-144

Author: Emerson Floyd
Posted: June 29, 2020, 12:00 am
Sara Raza Zaidi, Manish Garg

International Journal of Academic Medicine 2020 6(2):148-150

Author: Sara Raza Zaidi
Posted: June 29, 2020, 12:00 am
Sudhir Bhandari, Ajit Singh Shaktawat, Amit Tak, Bhoopendra Patel, Kapil Gupta, Jitendra Gupta, Shivankan Kakkar, Amitabh Dube

International Journal of Academic Medicine 2020 6(2):91-95

Background: The global pandemic of coronavirus disease – 2019 (COVID-19) has wrecked the very fabric of mankind putting its survival at stake. The prior knowledge of trends of cumulative cases helps in management of disease epidemic by optimized allocation of logistics and human resources. Materials and Methods: An ecological study was undertaken to compare the standardized trends of cumulative cases of top eight highly COVID-19 affected states of India with linear regression modeling. The data were sourced from Kaggle repository and Unique Identification Authority of India. The coefficients of regression of linear regression models of all the eight states were compared using analysis of covariance (ANCOVA). Results: It was observed that evolution of COVID-19 was the highest in the state of Gujarat (b = 0.186, P < 0.001) followed by Madhya Pradesh (b = 0.166, P < 0.001), Maharashtra (b = 0.159, P < 0.001), Delhi (b = 0.156, P = 0.02), Rajasthan (b = 0.136, P = 0.98), Uttar Pradesh (b = 0.117, P < 0.001), Tamil Nadu (b = 0.091, P < 0.001), and Andhra Pradesh (b = 0.076, P < 0.001) respectively. Conclusion: It is seen that ranking of states on the basis of trends of evolution and the absolute number of cumulative cases are different. The trends of evolution assist public health authorities and governmental agencies in providing right picture of evolution and help in decision making process during management of epidemic. The following core competencies are addressed in this article: Medical knowledge, Practice-based learning and improvement, Systems-based practice.
Author: Sudhir Bhandari
Posted: June 29, 2020, 12:00 am
Zainab Abedin, Alan Teller, Brenda Ruotolo, Kawthar Muhammad, Deborah F Stiles, Rui Ferreira, Nancy Green

International Journal of Academic Medicine 2020 6(2):96-102

Background: The aim of this study is to evaluate whether a dedicated Institutional Review Board (IRB) Liaison Service situated at our Institute's central location could provide additional useful staff support to the investigator community for interactions with the IRB at various levels of protocol submission and review. Materials and Methods: Over a period of 2½ years, from January 2015 to June 2017, a total of 501 in-person consultations were performed during office hours, usually 25–30 per month. Most requests concerned new protocol development, IRB policy questions, and strategies for compliance or assistance in addressing IRB comments on returned protocols. We analyzed the results of a user evaluation survey for in-person consults and performed a focused in-depth analysis of the impact of the IRB Liaison Service. Results: Survey response rate was 43%. Results of 215 completed satisfaction surveys were 100% positive. Users were primarily study coordinators and investigators. Of a randomly selected sample of consultations analyzed in-depth for 67 unique protocols, 73% were subsequently approved within 14 days. Conclusion: National concerns about IRB-related research delays have led to the re-assessment of IRB review processes at institutional levels. Overall, we have found the Liaison Service to be a popular, useful addition to research support for a meaningful number of researchers, enhancing our already research-friendly environment. We plan to continue the service and the evaluation going forward. We will focus in the next phase on exploring whether the Liaison Service can reduce IRB approval times for protocols using its services and on providing support for the use of single IRBs for multi-site studies. The following core competencies are addressed in this article: Practice-based learning and improvement.
Author: Zainab Abedin
Posted: June 29, 2020, 12:00 am
Hunny Sharma, Swati Verma

International Journal of Academic Medicine 2020 6(2):76-82

COVID-19 disease caused by the SARS-CoV-2 virus and originating in China's Wuhan City is now a pandemic. In the current situations where no certain prevention or treatment measures are available, and all countries have implemented travel bans, mass quarantine, and isolation measures to restrict the spread of the virus. It is anticipated that people will be likely to suffer from multiple negative psychological effects if not taken care of. The government and researchers must develop ways to determine these adverse effects of unprecedented long-term quarantine and develop various approaches to cope with those effects. Authors by this paper had tried to provide insight into why pandemic disease exposes individuals to physical and mental disorders, what can be done to prevent them among citizens, children, self-isolators, health care professionals, telemedicine in management of mental health burden, and some appreciable steps taken through the Indian government to elevate some of these adverse effects among Indians through unprecedented long-term lockdowns. Hence, this narrative review based on existing evidence from various outbreaks aims to recommend steps that can be considered to preserve the physical and mental health of the citizens amid the COVID-19 pandemic. The following core competencies are addressed in this article: Patient care, Medical knowledge, Practice-based learning and improvement.
Author: Hunny Sharma
Posted: June 29, 2020, 12:00 am
Anuradha Gautam, Jayant Jha, Ankit Kumar Singh

International Journal of Academic Medicine 2020 6(2):83-90

Context: The novel coronavirus was reported in the past few weeks of 2019 in the Wuhan city, China, and the spread and outbreaks of disease require an epidemiological analysis of the disease in the shortest time and increased awareness of effective interventions Aims: This article proposes an objective approach to predicting the continuation of the COVID-19 cases in India using a simple, but powerful time-series method. Settings and Design: Cumulative confirmed and cumulative recovered cases of COVID-19 in India are taken to forecast the prevalence of incoming 3 weeks. Subjects and Methods: The model is built to predict the number of confirmed cases and recovered cases based on the data available from March 14, 2020, to April 26, 2020. Statistical Analysis Used: The autoregressive-integrated moving average model was applied to predict the number of confirmed cases and recovered cases of COVID-19 during the next 3 weeks. Results: Our forecasts suggest a continuing increase in the confirmed COVID-19 cases with sizable associated uncertainty assuming that the data used are reliable and that the future will continue to follow the past pattern of the disease. Conclusions: The timeline of a live-forecasting exercise with potential implications for planning and decision making is described. The following core competencies are addressed in this article: Medical knowledge, Practice-based learning and improvement, Systems-based practice.
Author: Anuradha Gautam
Posted: June 29, 2020, 12:00 am
Heena Sahni, Hunny Sharma

International Journal of Academic Medicine 2020 6(2):70-75

The world is facing the extensive spread of severe acute respiratory syndrome-coronavirus 2. This epidemic puts intensive pressure on healthcare, economic, and social structures. Commitment to implementing effective approaches for public health will take bold interventions by public health professionals and strong leadership by the nation's governing bodies. During this crisis, lack of awareness, knowledge, and preparedness would put people and health care staff at risk. The dilemma is how to pass the knowledge of current disease statistics and its prevention to the general population at a rate equivalent to or better than the spreading epidemic. At the same time, a huge amount of health-threatening misinformation is spreading at a faster rate than the disease itself. The major proportion of this false rumor is disseminated in the web-2 era through social media. Thus, delivering fast, accurate and reliable information addressing critical problems of infection control is, therefore, of key importance. This review outlines both the positive and negative impact of social media during coronavirus epidemic on health-care professionals and on the general population. However, if used wisely and prudently, social media serves as a powerful tool for changing people's behavior and to promote the well-being of individual and public health. The following core competencies are addressed in this article: Medical knowledge, Interpersonal and communication skills, Practice-based learning.
Author: Heena Sahni
Posted: June 29, 2020, 12:00 am
Bianca Bertuzzi, Silvana T Dal Ponte, Marcio Rodrigues, Christina Bloem

International Journal of Academic Medicine 2020 6(2):64-69

The objective of this article is to describe the response of the hospitals of the city of Porto Alegre, Brazil, in reference to the pandemic of coronavirus disease 2019 (COVID-19) up to the present moment. Data collected from publicly available case information from the municipal department of health database were compiled and public health measures were described. Based on the current information, Porto Alegre's slope of the curve for COVID-19 in Porto Alegre appears to be flattened, and may be correlated with the implementation of social distancing and other measures taken in the city. The following core competencies are addressed in this article: Systems-Based Practice.
Author: Bianca Bertuzzi
Posted: June 29, 2020, 12:00 am
Malvika Singh

International Journal of Academic Medicine 2020 6(2):56-63

Coronavirus infection has become a matter of serious concern for the world these days. Signs and symptoms include dry cough, fatigue, coughing sputum, and shortness of breath. Due to the continuous production of aerosol in periodontal clinics and because of the fact that the virus remains alive for 12 h, periodontists are highly susceptibility risk for the same. This article is an attempt to throw light on coronavirus infection and enumerating certain preventive measures to be taken in a periodontal setup for the prevention of the same. The following core competencies are addressed in this article: Medical knowledge, Patient care, Practice-based learning, Systems-based practice.
Author: Malvika Singh
Posted: June 29, 2020, 12:00 am
Diksha Mishra, Manish Garg

International Journal of Academic Medicine 2020 6(2):136-138

Author: Diksha Mishra
Posted: June 29, 2020, 12:00 am
Salma Iftikhar, Jithinraj Edakkanambeth Varayil, Ryan T Hurt, Matthew S Salerno, Paul S Mueller

International Journal of Academic Medicine 2020 6(2):103-109

Background: Obesity is a leading cause of preventable deaths in the United States, likely second only to tobacco-related diseases. However, studies have shown that the formal diagnosis rate is low, at 19.9%. Furthermore, of the patients with a diagnosis of obesity, only 22.6% receive a treatment plan. Objective: The objective was to determine rates of identification and diagnosis of obesity and referral for counseling in an ambulatory general internal medicine practice. Design: The electronic health records (EHR)of patients seen and examined for a 6-month period were searched for obesity-related terms (ORTs) which included: obese, overweight, weight-related issues, and elevated body mass index (BMI). Patients: All patients with a documented BMI of more than 30 kg/m2 who underwent a medical examination in the Division of General Internal Medicine at Mayo Clinic in Rochester, Minnesota, from October 1, 2012, through March 31, 2013, constituted the study population. Main Measures: Of 7484 patients seen for a medical examination, 2044 (27.3%) had a BMI more than 30 kg/m2. Of these, 946 (46.3%) were female. Key Results: The mean BMI was 34.8 kg/m2 (range, 30.0–64.4), and the mean age was 60.7 years (range, 18.5–94.6). Only 473 patients (23.1%) had the International Classification of Disease, Ninth Revision (ICD-9), code for diagnosis of obesity: Class 1 in 192 (41%), class 2 in 162 (34%), and class 3 in 119 (25%). Of the remaining 1571 patients with a BMI more than 30 kg/m2 but without the diagnosis of obesity, 748 (47.6%) had ORTs in their medical notes. Those with an obesity diagnosis were more likely to be referred for nutrition counseling than those with ORTs (9.3% vs. 4.4%; P < 0.0006). Conclusions: Physicians are meaningfully identifying obesity and discussing its health consequences through the use of ORTs, but they are failing to document ICD diagnoses in the medical records. The following core competencies are addressed in this article: Medical knowledge, Practice-based learning, Systems-based practice.
Author: Salma Iftikhar
Posted: June 29, 2020, 12:00 am
Thomas John Papadimos

International Journal of Academic Medicine 2020 6(2):139-141

Author: Thomas John Papadimos
Posted: June 29, 2020, 12:00 am
Nicole Defenbaugh, Lorraine A Dickey

International Journal of Academic Medicine 2020 6(2):110-115

Aims: The aim of this article is to examine how the facilitation of narrative sessions aids in “flattening the curve” of distress and anxiety experienced by healthcare professionals during the COVID-19 pandemic. Methods and Material: Sixty-eight participants were surveyed. Quantitative and qualitative data were collected through postsession surveys, copies of stories submitted by participants, and de-identified statements captured by facilitators during the sessions. Two primary themes were used (i.e., difficult/challenging and uplifting/inspiring) to structure the writing prompt and to analyze participant stories. Using a layered account, the authors narrate their experiences as session facilitators and the anonymous experiences of session participants. Results: Results show that 90% of participants reported the ability to listen more closely, 92.5% reported improved resilience, and 92.5% reported the ability to immediately apply what they practiced or witnessed in the narrative sessions. Conclusion: Engaging in narrative writing and sharing stories verbatim in online sessions has the potential to address moral distress, increase active listening, and build resilience for health-care professionals. This article highlights the critical role of engaging health-care professionals in reflective practices to process, reflect, and share their personal and professional experiences related to the impact of COVID-19. The following core competencies are addressed in this article: Interpersonal and communication skills
Author: Nicole Defenbaugh
Posted: June 29, 2020, 12:00 am
Andrew Goodbred

International Journal of Academic Medicine 2020 6(2):145-147

Author: Andrew Goodbred
Posted: June 29, 2020, 12:00 am
Anthony Moon, Anna Yang, Connie Lorenzo, Krista Morley, Scott Melanson, Rebecca Jeanmonod

International Journal of Academic Medicine 2020 6(2):116-120

Study Objective: We evaluate the validity of our internal resident applicant interview scoring system with actual resident performance after at least 2 years of training. We also compare our internal scoring system with the Standardized Video Interview (SVI) scores obtained by the Electronic Residency Application Service. Materials and Methods: The first phase of our study was a before-and-after cohort of six consecutive classes from a single emergency medicine residency program. Faculty members were blinded to each resident's interview score before starting residency and asked to assess their current performance on the same scoring system. The second phase of the study was a prospective cohort of 124 emergency medicine residency candidates interviewing during the 2017–2018 cycle. Results: Fifty-one residents at the postgraduate year 2 level or higher had scoring data available from their interviews and participated in the before-and-after phase of this study. Their mean interview score before starting their residencies was 69.2 on a 100-mm Visual Analog Scale (VAS), with a range of 38.5–94.3. Their performance VAS score after at least 2 years of training had a mean of 69.7 (standard deviation: 15.8), with a range of 13.2–90.1. Using Wilcoxon ranked-sum testing for repeated measures, there were no differences (P = 0.95). Only four residents' VAS scores dropped more than 2 cm. The second phase included a cohort of 124 total applicants from the 2017 to 2018 cycle. Applicant VAS scores ranged from 5 to 91.7 mm, with a mean of 60 mm. Their SVI scores ranged from 13 to 27, with an average of 19.4. The values had a weakly negative relationship, with a correlation coefficient of −0.1. Conclusions: Traditional interviews are a relatively accurate predictor of individual resident performance. There is no correlation between traditional interviews and SVI scores. Although the SVI was initiated to help demonstrate an applicant's interpersonal and communication skills, a face-to-face conversation is irreplaceable. The following core competency statement: Systems-based practice.
Author: Anthony Moon
Posted: June 29, 2020, 12:00 am
Adriana Carola Méndez-Suárez, Nicole Defenbaugh

International Journal of Academic Medicine 2020 6(2):151-152

Author: Adriana Carola Méndez-Suárez
Posted: June 29, 2020, 12:00 am
Matthew Krinock, Nicole Defenbaugh, Stephen DeTurk, Anna Ng Pellegrino

International Journal of Academic Medicine 2020 6(2):121-123

Author: Matthew Krinock
Posted: June 29, 2020, 12:00 am
Stanislaw P Stawicki

International Journal of Academic Medicine 2020 6(2):156-158

The coronavirus pandemic is wreaking havoc as it mercilessly devastates communities around the world, disproportionately affecting the most vulnerable populations. Thus far, other than high-acuity mechanical ventilatory support and traditional critical care management strategies, there are no proven or effective ways of lessening the impact of COVID-19 pulmonary infection and the associated acute respiratory distress syndrome. This article outlines a proposal for repeated short-term tracheo-bronchial application of ultraviolet C irradiation as a potential adjunctive treatment option for tracheally intubated patients suffering from severe COVID-19 infections. The following core competencies are addressed in this article: Medical knowledge, Patient care.
Author: Stanislaw P Stawicki
Posted: June 29, 2020, 12:00 am
Alex Hoey, Nakosi J Stewart, Tony Xia, Alex Alers, Ric Baxter, Brian Hoey

International Journal of Academic Medicine 2020 6(2):124-131

Author: Alex Hoey
Posted: June 29, 2020, 12:00 am
Silvana Teixeira Dal Ponte

International Journal of Academic Medicine 2020 6(2):161-162

Author: Silvana Teixeira Dal Ponte
Posted: June 29, 2020, 12:00 am
Christina Bloem, Christine Butts, Annelies De Wulf, Manish Garg, Sona Garg, Ziad Sifri

International Journal of Academic Medicine 2020 6(2):49-53

Author: Christina Bloem
Posted: June 29, 2020, 12:00 am