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Accessible Medical Education & TIC: Increasing Equitable Care for Disabled Patients

katheride Hot Topics in Research, Uncategorized

An estimated 1 in 4 U.S. adults has a disability, and this number continues to increase. Disabled individuals face significant healthcare inequities, including but not limited to inaccessibility and mistreatment. Our current healthcare system is ill-equipped to provide equitable care to this population. There is a lack of accessibility in healthcare environments, lack of accessible medical training to enable disabled people to become healthcare providers serving their own community, and lack of thorough medical education that encompasses care for disabled patients. Furthermore, the increased risk of trauma, as well as increased risk of medical trauma specifically, endured by disabled people puts them at greater risk of long-lasting adverse effects. In this commentary, we analyze three key areas: 1) the current state of healthcare for disabled patients, 2) disability in medical education & physician workforce, and 3) the relationship between trauma and disability. We argue that the road to more equitable care for disabled patients involves changes to medical education that address all three of these areas. Medical training should expose trainees to disability early and throughout their training, should be made more accessible to support disabled physicians, and finally, should be trauma-informed in a manner that explicitly includes caring for disabled patients and their other intersecting identities.

Citation:

Su CJ, Cyr PEP. Accessible Medical Education & TIC: Increasing Equitable Care for Disabled Patients. Harv Public Health Rev (Camb). 2021;44:https://hphr.org/edition-44-su/. Epub 2022 Jan 30. PMID: 36176338; PMCID: PMC9518008.

Global Aging With Pride: International Perspectives on LGBT Aging

katheride Uncategorized

This special issue is a testament that around the globe attention to LGBT (lesbian, gay, bisexual, and transgender) aging is growing. Building upon on the preconference, Global Aging with Pride (), held at the 21st International Association of Gerontology and Geriatrics World Congress, this special issue provides an unprecedented compilation of LGBT aging research from across the world. Participants from 16 countries and 5 continents attended the Global Aging with Pride preconference at the World Congress, and it was from this dynamic and interactive exchange of thoughts and experiences that the idea originated for this special issue. In addition to the preconference, multiple symposia and papers were presented on LGBT aging throughout the World Congress further highlighting the emerging nature of the field.

Citation:

Fredriksen Goldsen K, de Vries B. Global Aging With Pride: International Perspectives on LGBT Aging. Int J Aging Hum Dev. 2019 Jun;88(4):315-324. doi: 10.1177/0091415019837648. Epub 2019 Apr 4. PMID: 30947513; PMCID: PMC6815223.

Mental Health in Lesbian, Gay, Bisexual, and Transgender (LGBT) Youth

katheride Uncategorized

Today’s lesbian, gay, bisexual, and transgender (LGBT) youth come out at younger ages, and public support for LGBT issues has dramatically increased, so why do LGBT youth continue to be at high risk for compromised mental health? We provide an overview of the contemporary context for LGBT youth, followed by a review of current science on LGBT youth mental health. Research in the past decade has identified risk and protective factors for mental health, which point to promising directions for prevention, intervention, and treatment. Legal and policy successes have set the stage for advances in programs and practices that may foster LGBT youth mental health. Implications for clinical care are discussed, and important areas for new research and practice are identified.

Citation:

Russell ST, Fish JN. Mental Health in Lesbian, Gay, Bisexual, and Transgender (LGBT) Youth. Annu Rev Clin Psychol. 2016;12:465-87. doi: 10.1146/annurev-clinpsy-021815-093153. Epub 2016 Jan 14. PMID: 26772206; PMCID: PMC4887282.

Pride in all Who Served: Development, Feasibility, and Initial Efficacy of a Health Education Group For LGBT Veterans

katheride Uncategorized

Many of the more than 1 million military veterans who identify as lesbian, gay, bisexual, and/or transgender (LGBT) have encountered “rejecting experiences in the military” and stigma from prior “Don’t Ask Don’t Tell” policies. Associated minority stress and social isolation have been linked to a disproportionate risk for depression and suicide, as well as a reluctance to seek medical care at Veterans Health Administration (VHA) facilities. This paper describes feasibility and preliminary outcomes of the newly developed, Pride in All Who Served Health Education Group created to meet the unique needs of sexual and gender minority veterans. The 10-week, closed, health education group (e.g., continuums of identity, military culture) enables open dialogue, fosters social connectedness, and empowers veterans to be more effective self-advocates within the healthcare system. Feedback from formative evaluations (n = 29 LGBT veterans and n = 25 VHA stakeholders) was incorporated before conducting a small scale, non-randomized pilot. Preliminary pre-post surveys (n = 18) show promise (i.e., Cohen’s d range ± 0.40 to 1.59) on mental health symptoms (depression/anxiety, suicidal ideation), resilience indicators (identity affirmation, community involvement, problem-focused coping), and willingness to access care within the VA system (satisfaction with VA services, perception of staff competence). Results suggest that the 10-week Pride Group may be an effective tool for addressing minority-related stress in LGBT veterans. A full-scale, randomized clinical trial of this intervention is needed to determine short and long-term impacts on clinical and healthcare access-related outcomes.

Citation:

Lange TM, Hilgeman MM, Portz KJ, Intoccia VA, Cramer RJ. Pride in all Who Served: Development, Feasibility, and Initial Efficacy of a Health Education Group For LGBT Veterans. J Trauma Dissociation. 2020 Jul-Sep;21(4):484-504. doi: 10.1080/15299732.2020.1770147. PMID: 32584707.

Perfectionism, impostor phenomenon, and mental health in medicine: A literature review

katheride Hot Topics in Research, Uncategorized

Objectives: The aims of this review, focused on medical students, residents, and physicians, were a) to determine the levels of perfectionism and prevalence of impostor phenomenon, b) to assess the relationship between perfectionism, impostor phenomenon, and mental health, and c) explore how medical culture may influence these personality characteristics.

Methods: A narrative literature review was conducted. Search terms were entered into PubMed, PsychINFO, Web of Science, EMBASE, and Google Scholar without date or geographic restrictions. The McMaster Critical Review Forms for Quantitative and Qualitative Studies were used for article appraisal. Final decisions on inclusion and exclusion were reached through discussion. Sixteen articles were included in this review and summarized in a data extraction table.

Results: Medical students had similar perfectionism scores to other student groups but scored lower in maladaptive perfectionism. The overall prevalence of the impostor phenomenon ranged from 22.5% to 46.6%. More females (41% – 52%) experienced clinical levels of impostor phenomenon compared to males (23.7% – 48%). Most studies did not find an association between the impostor phenomenon and academic year of training. Both personality characteristics were associated with negative mental health effects. Medical culture can train for and/or exacerbate these characteristics, affecting professional identity formation. Both characteristics contribute to distress for learners during commonly-used teaching methods in medical education.

Conclusions: Comprehensive changes in medical education that consider the relationship between medical culture, professional identity formation, impostor phenomenon, and perfectionism are needed. Longitudinal studies will help identify the implications of these findings for professional identity formation and medical education.

Citation:

Thomas M, Bigatti S. Perfectionism, impostor phenomenon, and mental health in medicine: a literature review. Int J Med Educ. 2020 Sep 28;11:201-213. doi: 10.5116/ijme.5f54.c8f8. PMID: 32996466; PMCID: PMC7882132.

Open Access Week 2022

katheride Library News, Uncategorized

Open Access Week - PCOM Library - October 24-28, 2022

Join the PCOM Library for a series of events related to Open Access Publishing and learn one means of improving social equity via the choices you make regarding the research you read and publish.

 

Monday, October 24, 2pm-3pm
Making an Impact: The Benefits of Open Access Work in an Institutional Repository

Faculty and students deserve full recognition and the widest possible audience for their research. This session will showcase the many benefits of making student and faculty work open access in the repository, including discoverability, impact, and preservation.

Join “Making an Impact…” Session or View “Making an Impact…” on Events Calendar

 

Tuesday, October 25, 11am-1pm
Open Access Office Hours

Have questions about publishing Open Access? Join Scholarly Communications and Research Librarian Jackie Werner’s virtual office hours to ask for information and advice.

Join “Office Hours” Session or View “Office Hours” on Events Calendar

 

Thursday, October 27, 12pm-12:30pm
Just Access: Thinking Beyond Open Access

Viewing open access as a great start, this talk discusses additional barriers to access and the efforts needed to address them.

Join “Just Access…” the Session or View “Just Access…” on Events Calendar

PCOM Author Series – Joan Naidorf

katheride Library News, Uncategorized

The PCOM Library is pleased to host Class of 1985 alum Joan Naidorf on February 8th for a special presentation on her new work “Changing How We Think about Difficult Patients: A Guide for Physicians and Healthcare Professionals.” This book explores the challenging task of working with challenging patients and provides the skills and attitudes needed to successfully overcome these difficulties and avoid burnout.

PCOM-PA Announced 2022 Student Researcher of the Year

katheride Library News, Uncategorized

It is the Library’s pleasure to announce PCOM-PA’s 2022 Student Researcher of the Year: 

Bridgid Garrity, DO Candidate in the Class of 2023! 
Brigid shows her dedication, passion, and leadership in research with many first-authored and co-authored publications. She comes highly recommended by her Principal Investigators who not only vouch for her work ethic and professionalism, but also for her embodiment of the osteopathic philosophy. Her competitive resume should serve her well in her next steps to represent herself and PCOM for the National SROY against awardees from other osteopathic schools. We are very proud of her and wish her luck in her next endeavor!

Thank you to all who applied for this award.  A special thank you to the Student Researcher of the Year Committee, Dr. Chen, Dr. Reno, Dr. Roberts, Dr. George-Weinstein, and Dr. Lippman-Bell.

PCOM-PA’s 2022 Student Researcher of the Year Announced

katheride Uncategorized

Bridgid Garrity, DO Candidate in the Class of 2023! 

Brigid shows her dedication, passion, and leadership in research with many first-authored and co-authored publications. She comes highly recommended by her Principal Investigators who not only vouch for her work ethic and professionalism, but also for her embodiment of the osteopathic philosophy. Her competitive resume should serve her well in her next steps to represent herself and PCOM for the National SROY against awardees from other osteopathic schools. We are very proud of her and wish her luck in her next endeavor!

Brigid Garrity Headshot.jpg

Thank you to all who applied for this award.  A special thank you to the Student Researcher of the Year Committee, Dr. Chen, Dr. Reno, Dr. Roberts, Dr. George-Weinstein, and Dr. Lippman-Bell.

Library Closure

katheride Library News, Uncategorized

The physical library is currently closed until further notice. But don’t forget, virtual access is available 24/7. Feel free to contact the library and a librarian for any assistance. For library services, such as ILL, please email us.