August 2018, Volume 111 - Issue 8

ICD Discussions: Closing the Gap between What We Say and What They Understand

Miriam Zylberglait Lisigurski, MD, Marlena Fernandez, MD, Binna Chokshi, MD, Nader Lamaa, MD, Hamid Feiz, MD

Abstract: More than 20 million adults worldwide have a diagnosis of heart failure (HF).1 The prevalence in the United States is expected to increase by 46% from 2012 to 2030, resulting in an increase from 5 million to 8 million Americans living with this condition.2 Approximately 50%...

(pp 501-503)

Moving Career Development Upstream: Evaluation of a Course for Internal Medicine Trainees Contemplating Career Pathways in Academic Medicine

Ryan R. Kraemer, MD, Jessica F. Wakelee, MPH, Lisle Hites, MS, PhD, Stuart J. Frank, MD, Kenneth Saag, MD, MSc, David A. Rogers, MD, MHPE, Anoma Nellore, MD, Nathan Erdmann, MD, PhD, Ashley C. Nichols, MD, Jessica S. Merlin, MD

Abstract: Objectives: Despite training in academic medical centers, many residents and fellows lack an understanding of the different career paths in academic medicine. Without this fundamental knowledge, choosing an academic career pathway and transitioning to junior faculty is...

(pp 471-475)

Commentary on “Are All Teaching Activities Valued the Same? Their Relative Worth Is in the Eye of the Beholder”

Deborah A. Humphrey, DO

Abstract: Teaching brings enjoyment to many. This gratification comes from the inherent rewards it brings most of us involved in this career. Helping students learn, observing their growth, and making a difference in their development are rewarding elements of an academic teaching...

(pp 470)

Bathing Habits in Emergency Department Patients with Cellulitis or Abscess Versus Controls

Daniel Barkhuff, MD, Carlos H. Nitta, , Robert Cobb, NP-C, Amy A. Ernst, MD, Steven J. Weiss, MD

Abstract: Objective: Cellulitis is a leading cause of emergency department (ED) visits, with more than 200 cases per 100,000 people per year. Although many risk factors have been identified, including edema, skin breakdown, and penetrance of the skin, there are few data available on...

(pp 489-493)

THAM Administration to Pediatric Trauma Patients in a Combat Zone

Jason F. Naylor, DSc, PA-C, Michael D. April, MD, PhD, Guyon J. Hill, MD, Kelley M. Kempski, , Allyson A. Arana, PhD, Steven G. Schauer, DO, MS

Abstract: Objectives: Pediatric casualties made up a significant proportion of patients during the recent military conflicts in Iraq and Afghanistan. Damage control resuscitation strategies used by military physicians included rapid reversal of metabolic acidosis to mitigate its...

(pp 453-456)

Characteristics of Dog Bites in Arkansas

Aaron M. Smith, MD, Jacob Carlson, MD, Ashley B. Bartels, MD, Cody B. McLeod, MD, Michael S. Golinko, MD

Abstract: Objective: Dog bite injuries are encountered frequently in emergency departments and can cause significant morbidity. The objective of this study was to explore the associations between the multiple variables at play during these occurrences (eg, the patient’s age, the...

(pp 494-500)

Placental Chorioangioma with Nonimmune Hydrops Fetalis

Andrea D. Merry-Sperry, DO, David G. Chaffin, MD, Krista L. Denning, MD, Bassam Shamma, MD, Cynthia Massey, MD, Joseph Werthammer, MD

Abstract: A 38-year-old woman was found to have a large placental chorioangioma. The fetus was studied using ultrasound. The pregnancy became complicated by hydrops fetalis, polyhydramnios, and abruptio placenta. The infant delivered at 29 weeks’ gestational age. The neonatal...

(pp 457-459)

Are All Teaching Activities Valued the Same? Their Relative Worth Is in the Eye of the Beholder

Gustavo R. Heudebert, MD, Carlos A. Estrada, MD, MS

Abstract: Objectives: The pressures for generating revenue from clinical activities dissuade clinician-educators from teaching; taking the steps to develop an educational value system is a way to recognize and perhaps support education. We compared the perceived educational value of...

(pp 465-469)

Association Between the Frank Sign and Cardiovascular Events

Saleh Nazzal, MD, Arnon Blum, MD

Abstract: Clinicians have attempted to find early preclinical physical diagnosis signs to detect vascular diseases at the preclinical stage and to prevent clinical deterioration in time. An interesting example of such signs is the Frank sign, which was first described by Dr Sonders...

(pp 504-509)

Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration Use for Subclassification and Genotyping of Lung Non-Small-Cell Carcinoma

Samih Raad, MD, Nasser Hanna, MD, Shadia Jalal, MD, Edmond Bendaly, MD, Chen Zhang, MD, Shashank Nuguru, MD, Houssam Oueini, MD, Khalil Diab, MD

Abstract: Objectives: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is the primary method for the diagnosis and staging of lung cancer. The purpose of this study was to assess the yield of EBUS-TBNA in the subtyping and genotyping of lung...

(pp 484-488)

Effect of the Adoption of a Comprehensive Electronic Health Record on Graduate Medical Education: Perceptions of Faculty and Trainees

Jullia A. Rosdahl, MD, PhD, Mariah Rudd, BS, Robert Benjamin, MD, John S. Wiener, MD, Richard Sloane, MPH, Audrey Brown, PSM, W. Robert Lee, MD, MS, David Turner, MD, Rosie Qin, MD, Amber Reck Atwater, MD

Abstract: Objectives: Health systems are adopting electronic health records (EHRs). There are few studies on the effects of EHR implementation on graduate medical education. The authors sought to longitudinally assess perceptions of the impact of EHRs on graduate medical education...

(pp 476-483)

Playing Music for Hospitalized Patients Enhances Mood and Reduces Perceptions of Pain

Feifei Xue, MD, Regina Landis, BA, Scott M. Wright, MD

Abstract: Objectives: For most people, music serves as a calming influence or as a pleasurable stimulus that lifts their spirits. In an attempt to both distract and cheer up hospitalized patients, we designed a brief intervention that would bring music to their hospital rooms in...

(pp 460-464)