Faculty Bibliography
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Placing DDS students in primary care family practice with medical residents
[S.l. : NYU College of Dentistry], 2017
pp. 051-051
ISBN: n/a
CID: 2890092
Charting a Key Competency Domain: Understanding Resident Physician Interprofessional Collaboration (IPC) Skills
BACKGROUND: Interprofessional collaboration (IPC) is essential for quality care. Understanding residents' level of competence is a critical first step to designing targeted curricula and workplace learning activities. In this needs assessment, we measured residents' IPC competence using specifically designed Objective Structured Clinical Exam (OSCE) cases and surveyed residents regarding training needs. METHODS: We developed three cases to capture IPC competence in the context of physician-nurse collaboration. A trained actor played the role of the nurse (Standardized Nurse - SN). The Interprofessional Education Collaborative (IPEC) framework was used to create a ten-item behaviorally anchored IPC performance checklist (scored on a three-point scale: done, partially done, well done) measuring four generic domains: values/ethics; roles/responsibilities; interprofessional communication; and teamwork. Specific skills required for each scenario were also assessed, including teamwork communication (SBAR and CUS) and patient-care-focused tasks. In addition to evaluating IPC skills, the SN assessed communication, history-taking and physical exam skills. IPC scores were computed as percent of items rated well done in each domain (Cronbach's alpha > 0.77). Analyses include item frequencies, comparison of mean domain scores, correlation between IPC and other skills, and content analysis of SN comments and resident training needs. RESULTS: One hundred and seventy-eight residents (of 199 total) completed an IPC case and results are reported for the 162 who participated in our medical education research registry. IPC domain scores were: Roles/responsibilities mean = 37 % well done (SD 37 %); Values/ethics mean = 49 % (SD 40 %); Interprofessional communication mean = 27 % (SD 36 %); Teamwork mean = 47 % (SD 29 %). IPC was not significantly correlated with other core clinical skills. SNs' comments focused on respect and IPC as a distinct skill set. Residents described needs for greater clarification of roles and more workplace-based opportunities structured to support interprofessional education/learning. CONCLUSIONS: The IPC cases and competence checklist are a practical method for conducting needs assessments and evaluating IPC training/curriculum that provides rich and actionable data at both the individual and program levels.
PMCID:4945565
PMID: 27121308
ISSN: 1525-1497
CID: 2092562
Two-Year Outcomes of Surgical Treatment of Moderate Ischemic Mitral Regurgitation
BACKGROUND:In a trial comparing coronary-artery bypass grafting (CABG) alone with CABG plus mitral-valve repair in patients with moderate ischemic mitral regurgitation, we found no significant difference in the left ventricular end-systolic volume index (LVESVI) or survival after 1 year. Concomitant mitral-valve repair was associated with a reduced prevalence of moderate or severe mitral regurgitation, but patients had more adverse events. We now report 2-year outcomes. METHODS:We randomly assigned 301 patients to undergo either CABG alone or the combined procedure. Patients were followed for 2 years for clinical and echocardiographic outcomes. RESULTS:At 2 years, the mean (±SD) LVESVI was 41.2±20.0 ml per square meter of body-surface area in the CABG-alone group and 43.2±20.6 ml per square meter in the combined-procedure group (mean improvement over baseline, -14.1 ml per square meter and -14.6 ml per square meter, respectively). The rate of death was 10.6% in the CABG-alone group and 10.0% in the combined-procedure group (hazard ratio in the combined-procedure group, 0.90; 95% confidence interval, 0.45 to 1.83; P=0.78). There was no significant between-group difference in the rank-based assessment of the LVESVI (including death) at 2 years (z score, 0.38; P=0.71). The 2-year rate of moderate or severe residual mitral regurgitation was higher in the CABG-alone group than in the combined-procedure group (32.3% vs. 11.2%, P<0.001). Overall rates of hospital readmission and serious adverse events were similar in the two groups, but neurologic events and supraventricular arrhythmias remained more frequent in the combined-procedure group. CONCLUSIONS:In patients with moderate ischemic mitral regurgitation undergoing CABG, the addition of mitral-valve repair did not lead to significant differences in left ventricular reverse remodeling at 2 years. Mitral-valve repair provided a more durable correction of mitral regurgitation but did not significantly improve survival or reduce overall adverse events or readmissions and was associated with an early hazard of increased neurologic events and supraventricular arrhythmias. (Funded by the National Institutes of Health and Canadian Institutes of Health Research; ClinicalTrials.gov number, NCT00806988.).
PMID: 27040451
ISSN: 1533-4406
CID: 5451202
PLEASE OPEN YOUR MOUTH: WHAT DO WE NEED TO TEACH RESIDENTS TO HELP ADDRESS HEALTH DISPARITY IN ORAL HEALTH? [Meeting Abstract]
ISI:000392201601085
ISSN: 1525-1497
CID: 2481772
PREPARING THE NEXT GENERATION: BUILDING AN INTERPROFESSIONAL ORAL HEALTH WORKFORCE [Meeting Abstract]
ISI:000392201601108
ISSN: 1525-1497
CID: 2481792
MEETING THE PRIMARY CARE NEEDS OF TRANSGENDER PATIENTS: USING AN OBJECTIVE STRUCTURED CLINICAL EXAM CASE TO ASSESS RESIDENT PHYSICIANS' ABILITY TO PROVIDE PRIMARY CARE TO TRANSGENDER PATIENTS [Meeting Abstract]
ISI:000358386900366
ISSN: 1525-1497
CID: 1730292
IMPLEMENTING INTERPROFESSIONAL, GRADUATE LEVEL, GERIATRIC PRIMARY CARE EDUCATION: REFLECTIONS ON YEAR 1 OF A NEW PROGRAM [Meeting Abstract]
ISI:000358386900315
ISSN: 1525-1497
CID: 1730052
THE SEIZURES MAY BE PSYCHOGENIC, BUT THE CALCIUM IS REAL [Meeting Abstract]
ISI:000358386902050
ISSN: 1525-1497
CID: 1729932
PLEASE, DOC I NEED MEDICINE!: CAN RESIDENTS DIAGNOSE AND MAN-AGE OPIATE USE DISORDER? [Meeting Abstract]
ISI:000358386901025
ISSN: 1525-1497
CID: 1730082
NYU College of Nursing Teaching Oral-Systemic Health (TOSH) Program Interprofessional Education Event [Meeting Abstract]
ISI:000351633500183
ISSN: 1538-9847
CID: 1539202
