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  1. Article ; Online: Capsule Commentary on Chretien et al., A Digital Ethnography of Medical Students who use Twitter for Professional Development.

    Makdissi, Regina

    Journal of general internal medicine

    2015  Volume 30, Issue 11, Page(s) 1701

    MeSH term(s) Humans ; Patient Care/ethics ; Professional-Patient Relations/ethics ; Social Behavior ; Social Media/ethics
    Language English
    Publishing date 2015-11
    Publishing country United States
    Document type Comment ; Journal Article
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-015-3373-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2205: Show issues Location:
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  2. Article: The Attending of the Day ("The Pretending"): An Exercise in Autonomy.

    Makdissi, Regina / Nallapeta, Naren / Moss, Eric / Mishra, Archana / Diaz Del Carpio, Roberto O

    Cureus

    2022  Volume 14, Issue 11, Page(s) e31134

    Abstract: Background As regulations governing appropriate resident supervision increase, it has become increasingly difficult to provide residents with the appropriate level of autonomy during their training years. The "Attending of the Day" describes an ... ...

    Abstract Background As regulations governing appropriate resident supervision increase, it has become increasingly difficult to provide residents with the appropriate level of autonomy during their training years. The "Attending of the Day" describes an experiential teaching method that provides a balance between learners' autonomy and appropriate supervision. Methodology Each day one member of the inpatient team is selected as the "Attending of the Day," or "The Pretending." She or he then performs the typical duties of the teaching faculty, from medical decision-making regarding patient care to educating other team members during rounds. "The Pretending" is directly supervised by the clinical faculty. Results Using the grounded theory methodology, we analyzed 935 anonymous evaluations from students and residents over 14 years, leading to the identification of the following three major themes: created an enabling learning environment, provided autonomy, and improved confidence. These results led to the inclusion of the technique as part of the Back to Bedside initiative, which was rated as an essential tool in building confidence and autonomy by 75% of the participants in the 2018 Accreditation Council for Graduate Medical Education's Back to Bedside residents' well-being survey. Recently, the Jacobs School of Medicine launched the Moments of Excellence in Education: Recognition and Inspiration (MEE:RI) program which gives students a way to recognize exemplary moments of teaching they encounter. The "Attending of the Day" method received recognition as a transformative experience in students' medical education. Conclusions The "Attending of the Day" is the first innovative experiential learning technique that allows learners of all levels in both Undergraduate Medical Education (UME) and Graduate Medical Education (GME) to practice and assess autonomy. This innovation suggests that residents and students are looking for opportunities to challenge themselves. "The Pretending" allows them to experience those challenges in an empowering learning environment while they gradually build their confidence on the path to achieving progressive autonomy.
    Language English
    Publishing date 2022-11-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.31134
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Letter: Intestinal Strongyloidiasis and Hyperinfection Syndrome Mimicking Bronchial Asthma

    Miranda, Clive Jude / Al Sabbagh, Riad / Sarquiz, Ashley Michelle / Piliguian, Mark / Makdissi, Regina

    Journal of Gastrointestinal Infections

    2022  Volume 12, Issue 02, Page(s) 143–145

    Language English
    Publishing date 2022-07-01
    Publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
    Publishing place Stuttgart ; New York
    Document type Article
    ISSN 2583-844X
    ISSN (online) 2583-844X
    DOI 10.1055/s-0043-1760739
    Database Thieme publisher's database

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  4. Article: Escape MD: Using an Escape Room as a Gamified Educational and Skill-Building Teaching Tool for Internal Medicine Residents.

    Khanna, Aakanksha / Ravindran, Adharsh / Ewing, Brandon / Zinnerstrom, Karen / Grabowski, Connor / Mishra, Archana / Makdissi, Regina

    Cureus

    2021  Volume 13, Issue 9, Page(s) e18314

    Abstract: Purpose To create an innovative medicine-themed escape room (EsR) and assess its feasibility as a learner-centered educational model for medical trainees. This platform could be used to teach and reinforce medical knowledge as well as enhance team- ... ...

    Abstract Purpose To create an innovative medicine-themed escape room (EsR) and assess its feasibility as a learner-centered educational model for medical trainees. This platform could be used to teach and reinforce medical knowledge as well as enhance team-building skills. Materials and Methods We created an internal medicine (IM) themed EsR, in which participants are locked and instructed to solve a series of puzzles using both medical and nonmedical concepts to "escape" the room within a given set of time. The players must use their critical thinking and communication skills to solve puzzles consisting of complex activities (such as image identification and object matching or retrieval) linked in a nonlinear pattern. A pre-activity survey was used to collect basic demographic information and initial perceptions of the activity. A post-activity survey consisting of a modified Likert scale and free-response questions was used to assess perceived activity use and satisfaction. The activity was followed by a debriefing session with a faculty member to reflect on individual and team-based learning. This study was approved by the Institutional Review Board. Results Each week, a group of four to seven residents participated in a one-hour long EsR session, which was replicated 15 times over five weeks, for a total of 86 internal medicine residents. 76 of 86 residents completed the post-activity survey. Overall, residents expressed a high level of satisfaction with the session (x̄ = 4.89), found it fun to play (x̄ = 4.89), and felt immersed in medicine (x̄ = 3.95). Residents thought the activity was most suitable for reinforcing knowledge (x̄ = 4.26) and greatly tested their communication skills (x̄ = 4.48).  Conclusion The medical EsR experience was enjoyed by the vast majority of residents with very positive oral and survey feedback. Hence, we successfully created an active, learner-centered, gamified teaching tool that can be used for teaching/reinforcing medical concepts in a fun, competitive, and team-building format. The EsR, as a teaching tool, can be replicated with ease several times and requires very few resources to create.
    Language English
    Publishing date 2021-09-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.18314
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Care for hospitalized patients with unhealthy alcohol use: a narrative review.

    Makdissi, Regina / Stewart, Scott H

    Addiction science & clinical practice

    2013  Volume 8, Page(s) 11

    Abstract: There is increasing emphasis on screening, brief intervention, and referral to treatment (SBIRT) for unhealthy alcohol use in the general hospital, as highlighted by new Joint Commission recommendations on SBIRT. However, the evidence supporting this ... ...

    Abstract There is increasing emphasis on screening, brief intervention, and referral to treatment (SBIRT) for unhealthy alcohol use in the general hospital, as highlighted by new Joint Commission recommendations on SBIRT. However, the evidence supporting this approach is not as robust relative to primary care settings. This review is targeted to hospital-based clinicians and administrators who are responsible for generally ensuring the provision of high quality care to patients presenting with a myriad of conditions, one of which is unhealthy alcohol use. The review summarizes the major issues involved in caring for patients with unhealthy alcohol use in the general hospital setting, including prevalence, detection, assessment of severity, reduction in drinking with brief intervention, common acute management scenarios for heavy drinkers, and discharge planning. The review concludes with consideration of Joint Commission recommendations on SBIRT for unhealthy alcohol use, integration of these recommendations into hospital work flows, and directions for future research.
    MeSH term(s) Alcohol Deterrents/therapeutic use ; Alcohol-Related Disorders/diagnosis ; Alcohol-Related Disorders/therapy ; Counseling ; Hospital Administration ; Humans ; Patient Education as Topic ; Patients ; Prevalence ; Severity of Illness Index
    Chemical Substances Alcohol Deterrents
    Language English
    Publishing date 2013-06-05
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2492632-2
    ISSN 1940-0640 ; 1940-0640
    ISSN (online) 1940-0640
    ISSN 1940-0640
    DOI 10.1186/1940-0640-8-11
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Multiple cranial nerve palsies as the initial presentation of peripheral T-cell lymphoma.

    Weiss, Guy A / Al-Ustwani, Omar / Makdissi, Regina

    Clinical advances in hematology & oncology : H&O

    2012  Volume 10, Issue 9, Page(s) 620–623

    MeSH term(s) Cranial Nerve Diseases ; Humans ; Lymphoma, T-Cell, Peripheral ; Magnetic Resonance Imaging
    Language English
    Publishing date 2012-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2271951-9
    ISSN 1543-0790
    ISSN 1543-0790
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6505: Show issues Location:
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  7. Article ; Online: Diagnosis of DVT: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines.

    Bates, Shannon M / Jaeschke, Roman / Stevens, Scott M / Goodacre, Steven / Wells, Philip S / Stevenson, Matthew D / Kearon, Clive / Schunemann, Holger J / Crowther, Mark / Pauker, Stephen G / Makdissi, Regina / Guyatt, Gordon H

    Chest

    2012  Volume 141, Issue 2 Suppl, Page(s) e351S–e418S

    Abstract: Background: Objective testing for DVT is crucial because clinical assessment alone is unreliable and the consequences of misdiagnosis are serious. This guideline focuses on the identification of optimal strategies for the diagnosis of DVT in ambulatory ... ...

    Abstract Background: Objective testing for DVT is crucial because clinical assessment alone is unreliable and the consequences of misdiagnosis are serious. This guideline focuses on the identification of optimal strategies for the diagnosis of DVT in ambulatory adults.
    Methods: The methods of this guideline follow those described in Methodology for the Development of Antithrombotic Therapy and Prevention of Thrombosis Guidelines: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines.
    Results: We suggest that clinical assessment of pretest probability of DVT, rather than performing the same tests in all patients, should guide the diagnostic process for a first lower extremity DVT (Grade 2B). In patients with a low pretest probability of first lower extremity DVT, we recommend initial testing with D-dimer or ultrasound (US) of the proximal veins over no diagnostic testing (Grade 1B), venography (Grade 1B), or whole-leg US (Grade 2B). In patients with moderate pretest probability, we recommend initial testing with a highly sensitive D-dimer, proximal compression US, or whole-leg US rather than no testing (Grade 1B) or venography (Grade 1B). In patients with a high pretest probability, we recommend proximal compression or whole-leg US over no testing (Grade 1B) or venography (Grade 1B).
    Conclusions: Favored strategies for diagnosis of first DVT combine use of pretest probability assessment, D-dimer, and US. There is lower-quality evidence available to guide diagnosis of recurrent DVT, upper extremity DVT, and DVT during pregnancy.
    MeSH term(s) Adult ; Ambulatory Care ; Evidence-Based Medicine ; Female ; Fibrin Fibrinogen Degradation Products/analysis ; Fibrinolytic Agents/adverse effects ; Fibrinolytic Agents/therapeutic use ; Hemorrhage/blood ; Hemorrhage/chemically induced ; Hemorrhage/prevention & control ; Humans ; Magnetic Resonance Angiography/methods ; Male ; Phlebography/methods ; Predictive Value of Tests ; Probability ; Pulmonary Embolism/diagnosis ; Pulmonary Embolism/drug therapy ; Pulmonary Embolism/prevention & control ; Risk Factors ; Societies, Medical ; Thrombosis/diagnosis ; Thrombosis/drug therapy ; Thrombosis/prevention & control ; Tomography, X-Ray Computed/methods ; Ultrasonography/methods ; United States ; Venous Thrombosis/diagnosis ; Venous Thrombosis/drug therapy ; Venous Thrombosis/prevention & control
    Chemical Substances Fibrin Fibrinogen Degradation Products ; Fibrinolytic Agents ; fibrin fragment D
    Language English
    Publishing date 2012-02-07
    Publishing country United States
    Document type Journal Article ; Practice Guideline
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1378/chest.11-2299
    Database MEDical Literature Analysis and Retrieval System OnLINE

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