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  1. Article ; Online: Editorial

    Nicole Shilkofski / Niranjan Kissoon

    Frontiers in Pediatrics, Vol

    Insights in pediatric critical care 2022

    2023  Volume 11

    Keywords pediatric critical care ; globalization of medicine ; insights and advancements ; pediatric ICU ; global burden of disease ; Pediatrics ; RJ1-570
    Language English
    Publishing date 2023-07-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Time Management and Task Prioritization Curriculum for Pediatric and Internal Medicine Subinternship Students

    Megan Murphy / Amit Pahwa / Barbara Dietrick / Nicole Shilkofski / Carly Blatt

    MedEdPORTAL, Vol

    2022  Volume 18

    Abstract: Introduction As a physician, it is important to develop time management and task prioritization skills early to promote future career success. In medical education, there is minimal structured time to teach these skills prior to residency. Stephen Covey' ... ...

    Abstract Introduction As a physician, it is important to develop time management and task prioritization skills early to promote future career success. In medical education, there is minimal structured time to teach these skills prior to residency. Stephen Covey's Time Management Matrix Technique (TMMT) is one strategy that can be used to develop these skills. This technique categorizes tasks into a four-quadrant table based on importance and urgency. Using this technique as a model, the authors developed a workshop for medical students on an inpatient pediatric or internal medicine subinternship. Methods Prior to the workshop, students read an article and completed a survey and two self-directed exercises. The exercises asked students to create a list of tasks, develop an individualized TMMT model, and review specialty-specific patient cases. The workshop consisted of discussions on the presession work and group exercises on prioritizing tasks and responding to patient-related pages. Students evaluated the curriculum after the workshop with a survey. Results Most participants (82%) strongly agreed or agreed that the workshop improved their ability to manage time effectively and prioritize tasks on a clinical rotation. There was a statistically significant increase in both median time management and task prioritization confidence scores after completion of the workshop (p < .05). Discussion This workshop provides one strategy that can be implemented within undergraduate medical education to enhance time management skills prior to residency. Future studies should be aimed at evaluating these skills within the clinical setting.
    Keywords Time Management ; Curriculum Development ; Case-Based Learning ; Clinical Skills Training ; Medicine (General) ; R5-920 ; Education ; L
    Subject code 370 ; 650
    Language English
    Publishing date 2022-02-01T00:00:00Z
    Publisher Association of American Medical Colleges
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    Inter-library loan at ZB MED

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  3. Article ; Online: Addressing Trauma and Building Resilience in Children and Families

    M. Cooper Lloyd / Jessica Ratner / Jaime La Charite / Robin Ortiz / Sean Tackett / Leonard Feldman / Barry S. Solomon / Nicole Shilkofski

    MedEdPORTAL, Vol

    Standardized Patient Cases for Pediatric Residents

    2021  Volume 17

    Abstract: Introduction Adverse childhood experiences (ACEs) and trauma are common and can negatively impact children's health. Standardized patient (SP) learning may provide trainees with knowledge and skills to screen for and manage ACEs, apply trauma-informed ... ...

    Abstract Introduction Adverse childhood experiences (ACEs) and trauma are common and can negatively impact children's health. Standardized patient (SP) learning may provide trainees with knowledge and skills to screen for and manage ACEs, apply trauma-informed care approaches, and teach resilience strategies. Methods With content experts, we developed three SP cases based on common clinical encounters, as well as didactic and debriefing materials. Case 1 focused on somatic symptoms in an adolescent with ACEs, case 2 focused on an ACE disclosure by a parent, and case 3 focused on de-escalation. The workshop required facilitators, SPs, simulation exam room and meeting space, and audiovisual equipment. It lasted 4 hours and included an orientation (1 hour), the three SP cases (totaling 2 hours), and group debriefing (1 hour). Results We conducted five identical workshops with 22 pediatric residents. Participants responded favorably to case fidelity and applicability to their clinical work. Resident mean self-assessment scores improved significantly from baseline. Specifically, we assessed comfort with inquiring about and discussing ACEs, explaining the health impacts of trauma, identifying protective factors, resilience counseling, and de-escalation. Over 90% of responses indicated that residents were likely to apply what they had learned to their clinical practice. Discussion These findings demonstrate that our SP cases were well received and suggest that such curricula can help pediatric residents feel more prepared to address trauma and promote resilience. Future work will assess these outcomes, as well as behavior change, in a larger sample to further substantiate these promising findings.
    Keywords Adverse Childhood Experiences ; Trauma-Informed Care ; Resilience ; Standardized Patient ; De-escalation ; Communication Skills ; Medicine (General) ; R5-920 ; Education ; L
    Subject code 360
    Language English
    Publishing date 2021-11-01T00:00:00Z
    Publisher Association of American Medical Colleges
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: ABCD

    Julianna Jung / Nicole Shilkofski

    MedEdPORTAL, Vol

    Responding to Common In-Hospital Emergencies

    2011  Volume 7

    Abstract: Abstract Introduction This is a four-case simulation curriculum for second-year medical students preparing to begin their clinical rotations. The goal of the curriculum is to prepare students to cope with the first few minutes of in-hospital emergency ... ...

    Abstract Abstract Introduction This is a four-case simulation curriculum for second-year medical students preparing to begin their clinical rotations. The goal of the curriculum is to prepare students to cope with the first few minutes of in-hospital emergency situations until help arrives. Methods Learners rotated through the 60 minute scenarios in seven or eight person groups. Scenarios covered common in-hospital emergencies: respiratory arrest with need for assisted ventilation and noninvasive airway management, cardiac arrest with need for defibrillation, shock with need for IV access and volume administration, and altered mental status with need for assessment and glucose administration. At each scenario, the preceptor provided a brief introduction to the case, after which the learners will complete the scenario “cold.” The preceptor then debriefed the group, emphasizing strengths and providing specific feedback on weaknesses. The group then completed the scenario again followed by a short wrap-up debriefing before rotating to the next station. Results We measured the effect of the curriculum using a control group that consisted of 24 third- and fourth-year students and a study group that consisted of 26 second-year students. Compared to the control group, students in the study group were more likely to perform several key resuscitation maneuvers in a timely fashion. The study group was also more likely to administer oxygen, request IV access, and perform rapid defibrillation, though these results were not significant. Discussion Overall, we believe that with instruction and practice, early medical students can master the basic skills required to assess and initiate management for an acutely ill patient during the brief period before help arrives. This will allow them to enhance the safety of their patients, improve their confidence as budding clinicians, and give them a foundation on which to build future resuscitation skills.
    Keywords Cardiac Arrest ; CPR ; Cardiopulmonary Resuscitation ; Ventricular Tachycardia ; Hypovolemia ; Hypoxia ; Medicine (General) ; R5-920 ; Education ; L
    Subject code 420
    Language English
    Publishing date 2011-09-01T00:00:00Z
    Publisher Association of American Medical Colleges
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

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