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Correction to: Experiences of early graduate medical students working in New York hospitals during the COVID-19 pandemic: a mixed methods study
Pravder, Harrison D; Langdon-Embry, Liana; Hernandez, Rafael J; Berbari, Nicholas; Shelov, Steven P; Kinzler, Wendy L
PMID: 33731082
ISSN: 1472-6920
CID: 4817882
Experiences of early graduate medical students working in New York hospitals during the COVID-19 pandemic: a mixed methods study
Pravder, Harrison D; Langdon-Embry, Liana; Hernandez, Rafael J; Berbari, Nicholas; Shelov, Steven P; Kinzler, Wendy L
BACKGROUND:The coronavirus disease 2019 (COVID-19) pandemic presented the world with a sudden need for additional medical professionals. Senior medical students were identified as potential workers and many worldwide graduated early to serve as Junior Physicians in hospitals. The authors sought to identify factors that informed the decision to work, describe experiences in this capacity, and elucidate benefits for trainees. METHODS:The investigators conducted a mixed-methods observational cohort study of early medical graduates eligible to work as Junior Physicians at two New York medical centers in April/May 2020 during an initial surge in COVID-19 hospitalizations. Graduates were surveyed, and a sample of Junior Physicians participated in a focus group. Survey responses of those who worked were compared to those who did not. Focus group responses were transcribed, coded, and thematically analyzed. RESULTS:Fifty-nine graduates completed the study methods and 39 worked as Junior Physicians. Primary reasons for working included duty to help (39 [100%]), financial incentive (32 [82%]), desire to learn about pandemic response (25 [64%]), and educational incentive (24 [62%]). All had direct contact with COVID-19 patients, believed working was beneficial to their medical training, and were glad they worked. None contracted a symptomatic infection while working. Compared with non-Junior Physicians, Junior Physicians reported increased comfort levels in completing medical intern-level actions like transitions of care functions, such as writing transfer notes (P < 0.01), writing discharge orders (P = 0.01), and providing verbal sign out (P = 0.05), and they reported more comfort in managing COVID-19 patients. Sixteen themes emerged from the focus group and were placed into four categories: development of skills, patient care, safety, and wellness. CONCLUSIONS:Senior medical students chose to work as Junior Physicians for both personal and educational reasons. Experiences were beneficial to trainees and can inform future innovations in medical education.
PMID: 33602188
ISSN: 1472-6920
CID: 4787122
The ACGME Self-Study-An Opportunity, Not a Burden
Guralnick, Susan; Hernandez, Tamika; Corapi, Mark; Yedowitz-Freeman, Jamie; Klek, Stanislaw; Rodriguez, Jonathan; Berbari, Nicholas; Bruno, Kathryn; Scalice, Kara; Wade, Linda
PMID: 26442623
ISSN: 1949-8357
CID: 3388072
A SECOND LOOK AT POST-INTERVIEW COMMUNICATION [Meeting Abstract]
Feldman, Jonah; Medvedev, Eugene; Yedowitz-Freeman, Jamie; Klek, Stanislaw; Berbari, Nicholas; Hanna, Shirley; Corapi, Mark
ISI:000358386900107
ISSN: 0884-8734
CID: 3388042
DIFFUSE MESENTERIC VENOUS THROMBOSIS RESULTING TN BOWEL ISCHEMIA AND OBSTRUCTION WITH NORMAL LACTATE LEVELS [Meeting Abstract]
Mikityanskiy, Yevgeniy; Carpenter, Gary; Daccueil, Farah; Schloss, Evan; Berbari, Nicholas; Gardner, James
ISI:000340996202091
ISSN: 0884-8734
CID: 3388052
Subacute thyroiditis (de Quervain's) due to influenza A: presenting as fever of unknown origin (FUO) [Case Report]
Cunha, Burke A; Berbari, Nicholas
Subacute (de Quervain's) thyroiditis is a rare but important cause of fever of unknown origin. Most cases of subacute thyroiditis are caused by a variety of viruses, for example, Coxsackie, cytomegalovirus, Epstein-Barr virus, and adenovirus. Influenza immunization or infection may cause subacute thyroiditis. We present the first reported case of a fever of unknown origin due to seasonal influenza A in a 67-year-old woman.
PMID: 22819125
ISSN: 1527-3288
CID: 3388062
A randomized controlled trial of vitamin D3 supplementation for the prevention of symptomatic upper respiratory tract infections
Li-Ng, M; Aloia, J F; Pollack, S; Cunha, B A; Mikhail, M; Yeh, J; Berbari, N
Vitamin D has been shown to be an important immune system regulator. Vitamin D insufficiency during winter may cause increased susceptibility to upper respiratory tract infections (URIs). To determine whether vitamin D supplementation during the winter season prevents or decreases URI symptoms, 162 adults were randomized to receive 50 microg vitamin D3 (2000 IU) daily or matching placebo for 12 weeks. A bi-weekly questionnaire was used to record the incidence and severity of URI symptoms. There was no difference in the incidence of URIs between the vitamin D and placebo groups (48 URIs vs. 50 URIs, respectively, P=0.57). There was no difference in the duration or severity of URI symptoms between the vitamin D and placebo groups [5.4+/-4.8 days vs. 5.3+/-3.1 days, respectively, P=0.86 (95% CI for the difference in duration -1.8 to 2.1)]. The mean 25-hydroxyvitamin D level at baseline was similar in both groups (64.3+/-25.4 nmol/l in the vitamin D group; 63.0+/-25.8 nmol/l in the placebo group; n.s.). After 12 weeks, 25-hydroxyvitamin D levels increased significantly to 88.5+/-23.2 nmol/l in the vitamin D group, whereas there was no change in vitamin D levels in the placebo group. There was no benefit of vitamin D3 supplementation in decreasing the incidence or severity of symptomatic URIs during winter. Further studies are needed to determine the role of vitamin D in infection.
PMID: 19296870
ISSN: 1469-4409
CID: 2599352
Respiratory syncytial virus pneumonia in a heart transplant recipient presenting as fever of unknown origin diagnosed by gallium scan [Case Report]
Berbari, N; Johnson, D H; Cunha, B A
PMID: 7622401
ISSN: 0147-9563
CID: 3437142
Xanthomonas maltophilia peritonitis in a patient undergoing peritoneal dialysis [Case Report]
Berbari, N; Johnson, D H; Cunha, B A
PMID: 8491665
ISSN: 0147-9563
CID: 3437512