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  1. Article ; Online: Teaching Trainees Effective Patient Communication Skills in the Clinical Environment: Best Practices Under Crisis Conditions.

    Dubosh, Nicole M / Carter, Keme

    Academic medicine : journal of the Association of American Medical Colleges

    2023  Volume 99, Issue 4, Page(s) 370–373

    Abstract: Abstract: Communication within the health care setting has significant implications for the safety, engagement, and well-being of patients and physicians. Evidence shows that communication training is variable or lacking in undergraduate and graduate ... ...

    Abstract Abstract: Communication within the health care setting has significant implications for the safety, engagement, and well-being of patients and physicians. Evidence shows that communication training is variable or lacking in undergraduate and graduate medical education. Physician-patient communication presents a vulnerable point in patient care, which was heightened by the COVID-19 pandemic and its aftermath. Physicians have to adapt their strategies to meet new challenges, including communicating through the necessary barriers of personal protective equipment and telecommunication platforms. They also face uncharted challenges of facilitating discussions around proactive planning and scarce resources. Medical educators must be equipped to provide trainees with the skills needed to maintain empathy, facilitate trust and connection, and adapt communication behaviors under such crisis conditions. Using the Calgary-Cambridge model as a framework, the authors describe 3 new challenges to effective physician-patient communication for which COVID-19 was the impetus-face masks, visitor restrictions, and resource allocation/proactive planning discussions-and propose educational solutions.
    MeSH term(s) Humans ; Pandemics ; Physician-Patient Relations ; Education, Medical, Graduate ; Communication ; Physicians
    Language English
    Publishing date 2023-12-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 96192-9
    ISSN 1938-808X ; 1040-2446
    ISSN (online) 1938-808X
    ISSN 1040-2446
    DOI 10.1097/ACM.0000000000005595
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: COVID-19: A Faculty Educator's Perspective.

    Dubosh, Nicole M

    AEM education and training

    2020  Volume 4, Issue 3, Page(s) 185–186

    Keywords covid19
    Language English
    Publishing date 2020-05-21
    Publishing country United States
    Document type Journal Article
    ISSN 2472-5390
    ISSN (online) 2472-5390
    DOI 10.1002/aet2.10466
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: COVID‐19

    Dubosh, Nicole M.

    AEM Education and Training

    A Faculty Educator’s Perspective

    2020  Volume 4, Issue 3, Page(s) 185–186

    Keywords covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    ISSN 2472-5390
    DOI 10.1002/aet2.10466
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Diagnosis and Initial Emergency Department Management of Subarachnoid Hemorrhage.

    Dubosh, Nicole M / Edlow, Jonathan A

    Emergency medicine clinics of North America

    2020  Volume 39, Issue 1, Page(s) 87–99

    Abstract: Atraumatic subarachnoid hemorrhage represents a small proportion of strokes, but is a true medical emergency that results in significant morbidity and mortality. Making the diagnosis can be challenging and misdiagnosis can result in devastating ... ...

    Abstract Atraumatic subarachnoid hemorrhage represents a small proportion of strokes, but is a true medical emergency that results in significant morbidity and mortality. Making the diagnosis can be challenging and misdiagnosis can result in devastating consequences. There are several time-dependent diagnostic and management considerations for emergency physicians and other frontline providers. This article reviews the most up-to-date literature on the diagnostic workup of subarachnoid hemorrhage, avoiding misdiagnosis, and initial emergency department management recommendations.
    MeSH term(s) Emergency Service, Hospital ; Humans ; Neuroimaging/methods ; Subarachnoid Hemorrhage/diagnosis ; Subarachnoid Hemorrhage/diagnostic imaging ; Subarachnoid Hemorrhage/therapy
    Language English
    Publishing date 2020-11-05
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 605637-4
    ISSN 1558-0539 ; 0733-8627
    ISSN (online) 1558-0539
    ISSN 0733-8627
    DOI 10.1016/j.emc.2020.09.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Guidelines on the use of race as patient identifiers in clinical presentations.

    Olufadeji, Ayobami / Dubosh, Nicole M / Landry, Alden

    Journal of the National Medical Association

    2021  Volume 113, Issue 4, Page(s) 428–430

    Abstract: The value of including race as part of the patient identifier in care and medical education has been a topic of debate among clinicians, medical educators, and sociologists. ...

    Abstract The value of including race as part of the patient identifier in care and medical education has been a topic of debate among clinicians, medical educators, and sociologists.
    MeSH term(s) Education, Medical ; Humans ; Physicians ; Schools, Medical ; Students, Medical
    Language English
    Publishing date 2021-03-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 419737-9
    ISSN 1943-4693 ; 0027-9684
    ISSN (online) 1943-4693
    ISSN 0027-9684
    DOI 10.1016/j.jnma.2021.02.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Measuring and Predicting Faculty Consensus Rankings of Standardized Letters of Evaluation.

    Sehdev, Morgan / Schnapp, Benjamin / Dubosh, Nicole M / Alvarez, Al'ai / Pelletier-Bui, Alexis / Bord, Sharon / Schrepel, Caitlin / Park, Yoon Soo / Shappell, Eric

    Journal of graduate medical education

    2024  Volume 16, Issue 1, Page(s) 51–58

    Abstract: ... ...

    Abstract Background
    MeSH term(s) Humans ; Consensus ; Internship and Residency ; Faculty ; Emergency Medicine/education ; Algorithms
    Language English
    Publishing date 2024-02-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2578612-X
    ISSN 1949-8357 ; 1949-8357
    ISSN (online) 1949-8357
    ISSN 1949-8357
    DOI 10.4300/JGME-D-22-00901.1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Diagnosis of Subarachnoid Hemorrhage: Time for a Paradigm Shift?

    Dubosh, Nicole M / Edlow, Jonathan A

    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

    2017  Volume 24, Issue 12, Page(s) 1514–1516

    MeSH term(s) Humans ; Subarachnoid Hemorrhage
    Language English
    Publishing date 2017-09-18
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 1329813-6
    ISSN 1553-2712 ; 1069-6563
    ISSN (online) 1553-2712
    ISSN 1069-6563
    DOI 10.1111/acem.13267
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Design and Evaluation of a Curriculum on Intimate Partner Violence for Medical Students in an Emergency Medicine Clerkship.

    Darling, Alanna / Ullman, Edward / Novak, Victor / Doyle, Melissa / Dubosh, Nicole M

    Advances in medical education and practice

    2022  Volume 13, Page(s) 1279–1285

    Abstract: Purpose: Intimate partner violence (IPV) is a widespread public health issue that is relevant to all areas of medicine. Patients who suffer from IPV often contact the health care system via the emergency department, making this a particularly important ... ...

    Abstract Purpose: Intimate partner violence (IPV) is a widespread public health issue that is relevant to all areas of medicine. Patients who suffer from IPV often contact the health care system via the emergency department, making this a particularly important but too often overlooked issue in this setting. Education on IPV varies in medical schools and emergency medicine (EM) educational programs, and evidence suggests that a barrier to assessing for IPV is a lack of adequate training of clinicians. In this study, we sought to design, implement and evaluate the efficacy of a curriculum on IPV geared towards medical students on an EM clerkship.
    Methods: We assembled a multi-disciplinary team of EM education faculty, a resident content expert on IPV, and social workers to design a two-part curriculum that was administered to medical students on an EM clerkship. The curriculum involved a 20-minute narrated slide presentation viewed asynchronously, followed by a 1-hour case-based discussion session. The curriculum was evaluated using a 13-item self-assessment survey on knowledge, comfort level and skill in managing victims of IPV, administered electronically before and after the curriculum. Survey results were compared pre- and post-curriculum using Wilcoxon signed-rank test.
    Results: Thirty-four students completed the curriculum and 26 completed both the pre and post self-assessment surveys. A statistically significant improvement in knowledge, comfort level and skills was observed in 11 of the 13 survey elements.
    Conclusion: Based on the self-assessment survey results, this curriculum was well received and successfully increased participants' comfort, knowledge and skill level regarding assessment of patients for IPV. This is a focused and feasible curriculum that can be easily incorporated into an EM clerkship to provide effective education on a relevant but often overlooked topic.
    Language English
    Publishing date 2022-10-13
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 2578539-4
    ISSN 1179-7258
    ISSN 1179-7258
    DOI 10.2147/AMEP.S365450
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Racial disparities in emergency medicine: Implementation of a novel educational module in the emergency medicine clerkship.

    Ellis, Joshua / Landry, Alden M / Darling, Alanna / Cabrera, Payton / Ullman, Edward / Grossestreuer, Anne V / Dubosh, Nicole M

    AEM education and training

    2023  Volume 7, Issue 1, Page(s) e10837

    Abstract: Objectives: Despite decades of literature recognizing racial disparities (RDs) in emergency medicine (EM), published curricula dedicated to addressing them are sparse. We present details of our novel RD curriculum for EM clerkships and its educational ... ...

    Abstract Objectives: Despite decades of literature recognizing racial disparities (RDs) in emergency medicine (EM), published curricula dedicated to addressing them are sparse. We present details of our novel RD curriculum for EM clerkships and its educational outcomes.
    Methods: We created a 30-min interactive didactic module on the topic designed for third- and fourth-year medical students enrolled in our EM clerkships. Through a modified Delphi process, education faculty and content experts in RD developed a 10-question multiple-choice test of knowledge on RD that the students completed immediately prior to and 2 weeks following the activity. Students also completed a Likert-style learner satisfaction survey. Median pre- and posttest scores were compared using a paired Wilcoxon signed-rank test and presented using medians and 95% confidence intervals (CIs). Satisfaction survey responses were dichotomized into favorable and neutral/not favorable.
    Results: For the 36 students who completed the module, the median pretest score was 40% (95% CI 36%-50%) and the posttest score was 70% (95% CI 60%-70%) with a p-value of <0.001. Thirty-five of the 36 students improved on the posttest with a mean increase of 24.2% (95% CI 20.2-28.2). The satisfaction survey also showed a positive response, with at least 83% of participants responding favorably to all statements (overall mean favorable response 93%, 95% CI 90%-96%).ConclusionsThis EM-based module on RD led to improvement in students' knowledge on the topic and positive reception by participants. This is a feasible option for educating students in EM on the topic of RD.
    Language English
    Publishing date 2023-02-05
    Publishing country United States
    Document type Journal Article
    ISSN 2472-5390
    ISSN (online) 2472-5390
    DOI 10.1002/aet2.10837
    Database MEDical Literature Analysis and Retrieval System OnLINE

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