South Dakota medicine : the journal of the South Dakota State Medical Association最新文献

{"title":"2025 Scholars' Research Symposium Abstract: Ultrasonographic Accuracy in Rural vs Urban Counties.","authors":"Riley T Paulsen","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Rural women experience substantial, multifactorial health disparities including lower socioeconomic status, insurance access, and geographic barriers. South Dakota has the second largest proportion of maternity care deserts (56.1%) and births to parents residing in these areas (23.2%) in the United States. These factors delay prenatal care initiation and increase infant mortality. Reliable prenatal ultrasonography for rural Americans is critical for birth planning and referral to higher care facilities. The objective of this study was to determine whether ultrasonography performed in rural counties, in the second trimester, is as accurate for newborn weight prediction and detection rate for congenital abnormalities compared to ultrasonography performed in urban counties.</p><p><strong>Methods: </strong>Retrospective, longitudinal chart review study approved by the Sanford Health Institutional Review Board correlating the second trimester prenatal screening examination with postnatal outcomes. Accuracy of newborn weight prediction for term pregnancies and congenital anomalies was compared between rural and urban clinics for mother-newborn dyads across the Sanford Health blueprint. Patients were classified as rural if they received their second trimester ultrasound at a facility in a county with a population of less than 50,000. Groups were compared via two sample t-test, Analysis of Variance, and linear regression to identify relationships and potential confounders as appropriate using Graphpad Prism software version 10 with p-values less than 0.05 considered significant.</p><p><strong>Results: </strong>A total of 278 mother-newborn dyads (n = 70 rural and n = 208 urban) were included in the study. Nonsingleton infants, pregnant individuals less than 18 years old, and patients whose second trimester ultrasound was unobtainable were excluded. Fetal weight percentile was not determined to be predictive of birth weight percentile in rural (R-squared = 0.165) or urban (R-squared = 0.1103) communities, nor were the differences between the linear regression models statistically significant (p = 0.7478). Detection rate of birth abnormalities for neuro, craniofacial, cardiac, gastrointestinal, renal/genitourinary, and limbs was recorded. The overall percentage of anomalies identified at the second trimester ultrasound was 50.0% for rural and 31.7% for urban, which was not determined to be statistically significant (p = 0.6416).</p><p><strong>Conclusion: </strong>This study showed no statistically significant differences between ultrasonography performed in rural vs urban counties, in the second trimester, regarding the accuracy for newborn weight prediction or detection rate of congenital anomalies within our single health system. To the author's knowledge, this is the first study to investigate disparities in ultrasonography accuracy across U.S. rural and urban communities. Enhanced understanding of how potential sources","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 9","pages":"418"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2025 Scholars' Research Symposium Abstract: 3D Printing in Medicine: An Educational Seminar.","authors":"Anthony Drazick","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Three-dimensional (3D) printing is a transformative technology with significant implications for the future of medicine, enabling innovations in patient-specific treatments (i.e. anatomic models and patient education), surgical planning (i.e. preoperative visualization), and medical education (i.e. 3D anatomic structures). Despite its growing impact, 3D printing remains an underexplored topic in traditional medical education, leaving many medical students and physicians unfamiliar with its potential applications. The purpose of this 30-minute seminar was to introduce the fundamentals of 3D printing, emphasize its relevance to modern medicine and provide a foundation for understanding its diverse applications in clinical practice and research. By bridging this knowledge gap, the session aimed to inspire future healthcare professionals to integrate 3D printing into their practice.</p><p><strong>Methods: </strong>A 30-minute, virtual seminar was offered to medical students at the Sanford School of Medicine, Engineering students and Physicians. Participants were asked to view a You-Tube video prepared by the author and complete a pre- and post-session survey, consisting of six multiple-choice questions designed to assess knowledge of, and interest in 3D printing and its applications in medicine. Additional survey questions captured demographic information, including the participant's profession and prior experience with 3D printing. Pre- and post-survey responses were analyzed using paired Student's t-tests to evaluate the impact of the session on participants' understanding and interest. A p-value of less than 0.05 was considered statistically significant, indicating meaningful improvements in knowledge or interest after the session.</p><p><strong>Results: </strong>20 participants completed both the pre- and post-surveys. Participants included medical students, engineering students, and other (Physician, HR, undergraduate student, and business manager). Of these, only 30% had prior experience with 3D printing. Analysis of the survey responses demonstrated a statistically significant improvement in participants' knowledge and understanding of 3D printing applications in medicine, with average scores increasing in 5 out of 6 questions (p less than 0.05). Additionally, participants reported increased interest in integrating 3D printing into their clinical research or education.</p><p><strong>Conclusion: </strong>This 30-minute, virtual You-Tube educational seminar effectively introduced participants to the fundamentals of 3D printing and its applications in medicine, addressing a significant knowledge gap among medical students and physicians. The statistically significant improvement in survey scores demonstrates the session's success in enhancing understanding and generating interest in this transformative technology. By equipping future healthcare professionals with foundational knowledge of 3D printing, such sessio","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 9","pages":"405"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2025 Scholars' Research Symposium Abstract: Walk With Ease Benefiting South Dakota.","authors":"Bailey Pickering","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Walk With Ease (WWE) is an evidence-based arthritis self-management program developed by the Arthritis Foundation. Although the target audience is individuals with arthritis, any adult interested in increasing their physical activity can benefit. WWE provides community-level access to physical activity in rural South Dakota through internet access or trained local leaders. Before WWE started in South Dakota in 2018, South Dakota did not have an online, state-specific physical activity program. WWE is a free program that aims to help sedentary adults increase their physical activity and improve their overall health.</p><p><strong>Methods: </strong>This project evaluated the self-reported benefits to participants that accessed the online portal for WWE using multiple metrics collected during the year 2022. 234 participants filled out the pre-survey, 145 people were lost to follow up and not included in analysis, 89 participants completed the pre- and post-survey and were included in the analysis. Of the 89 participants, 15 were male, 70 were female, and 4 participants preferred not to answer that question. The average age of the participants included in analysis was 50 years old, (the minimum age was 23 and maximum age was 77). Of note, the pre- and post-surveys asked about participants' self-reported \"overall health,\" \"daily minutes walked,\" and how the participants felt they \"managed their chronic health condition(s).\" The post-survey also included questions about the ease of use of the online portal to access additional resources. These metrics were measured before participants began the program and after completion of the program to see if this free program provided benefits.</p><p><strong>Outcome: </strong>From pre-survey to post-survey, 26% of participants reported their \"overall health\" improved, 67% stayed the same, and 7% reported a decrease. \"Minutes walked\" was another metric analyzed, 30% of participants increased their daily minutes walked by anywhere from 1 minute to 30+ minutes, 57% stayed the same, and 13% decreased. Participants reported \"management of their chronic health condition(s)\" were 44% improved, 34% stayed the same, and 22% decreased. As for \"Ease of online portal usage\", 44% of participants reported the online portal was \"very easy to use,\" 46% reported it was \"easy to use,\" and 10% reported it was \"neutral.\"</p><p><strong>Conclusion: </strong>Overall, the majority of participants in the WWE program improved or stayed the same for their selfreported \"overall health,\" \"daily minutes walked,\" and \"management of their chronic health condition(s).\" Limitations of this study include the small sample size (of 234 initial participants, only 91 participants completed the pre- postsurveys and were included in the study. This study did show that an evidence-based, arthritis self-management program like WWE has potential to help participants improve their exercise metrics with the implementation of a","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 9","pages":"420"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical Education, The Final Frontier.","authors":"Jason J Kemnitz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 9","pages":"387-388"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Menstrual Hygiene Screening Needs Assessment in South Dakota.","authors":"Mariah M Shafer, DenYelle Kenyon","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Menstrual hygiene management (MHM) is essential to women's reproductive health; literature demonstrates there are mental, social, and economic consequences to inadequate MHM in rural and developing countries. Emerging studies show that US women who are impoverished, experiencing homelessness, or incarcerated also face poor MHM. To understand the implications of poor MHM in South Dakota, a largely rural state, a thorough gynecologic health history is essential; this needs assessment explores the scope of MHM questions asked by SD providers.</p><p><strong>Methods: </strong>This study used survey methodology to determine the quality and depth of gynecologic health histories commonly taken regarding hygiene. The electronic survey was sent to local primary care providers and nursing staff via email. The survey records the provider's awareness of their patients' menstrual hygiene, and the frequency of specific questions asked. The results of this needs-assessment led to the development of a waiting room screening tool that would allow providers efficient access to their patients' MHM information.</p><p><strong>Results: </strong>Providers' (N = 70) awareness of MHM in South Dakota varied. The maximum score (57) denotes a respondent who selected \"very aware\" and \"always\" for each question. The average score was 22.11; scores ranged from 9 to 47. Twenty-four percent said they were not at all aware of their patients' access to MHM products. Seventy-four percent report never asking their patients if they have access to adequate water and sanitation resources. Fifteen percent report never asking their patients which type of hygiene product they use.</p><p><strong>Discussion: </strong>This needs assessment demonstrates providers may lack vital information with the potential to inform patient care. While poor MHM is considered in less developed nations, it persists unidentified in populations in South Dakota.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 9","pages":"396-400"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2024 Scholars' Research Symposium Abstract: Developing Program Infrastructure for Effective Intercultural Patient Care Education at the University of South Dakota Sanford School of Medicine.","authors":"Andrew Nerland","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Patient health outcomes are significantly influenced by social and cultural factors. Preparing future physicians to understand these factors during their medical education provides an opportunity to improve patient health outcomes. Diverse patient care education is required by the Liaison Committee on Medical Education, but there is not a universally recommended method on how to achieve this. Surveying the recipient stakeholders, the medical students, provides a unique lens through which to evaluate the intercultural patient care education at the University of South Dakota Sanford School of Medicine (USD-SSOM) as well as a framework for improving its future implementations.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A 29-question mixed methods survey was created to explore topics relevant to intercultural patient care education at USD-SSOM including endorsement, satisfaction, and self-reported outcomes, among other variables. The survey was sent to all students at the USD-SSOM via email from the period of 8/11/2022-9/9/2022. A Likert scale format was utilized for the majority of questions ranging from strongly disagree (1), disagree (2), neutral (3), agree (4), to strongly agree (5). Correlational analysis and t-test analysis were used to analyze the data.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;92 of the 109 initial respondents from a student body of approximately 280 were determined eligible based on the completion of at least one full question block. Respondent demographic data generally resembled that of the student body with a slight majority female and large majority white. Responses revealed a strong general endorsement of intercultural patient care education contrasted with a varied satisfaction level for the education received which trended towards neutral overall. Female and non-white respondents had lower levels of satisfaction when compared to their counterpart groups. Self-reported outcomes trended positive by year in medical school. Respondents identified an adequate level of understanding regarding intercultural patient care topics relating to rural health disparities in South Dakota. Students identified topics of interest including the role of Indian Health Service within Native American healthcare and resources for underserved patients in South Dakota (SD). Respondents identified the ideal intercultural patient care education format as a required, in-person course, offered longitudinally, and in a clinical or community setting with methods which emphasize clinical or community involvement.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Survey data supported that USD-SSOM students strongly endorse the concept of intercultural patient care education. Student satisfaction for currently implemented programming varies significantly, especially with female and non-white respondents. This result highlights the complexity of providing effective, intercultural patient care education to all recipients. Self-reports revealed that senior","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 9","pages":"412"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severe Linear Retinal Burn from a Handheld Laser Pointer in a Pediatric Patient: A Case Report.","authors":"Kevin Shan, Elizabeth A Atchison","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>This paper presents a unique case of handheld laser-induced retinal injury associated with maculopathy and linear scotoma in a pediatric patient.</p><p><strong>Results: </strong>A 12-year-old boy with no significant medical or ocular history presented with a scotoma in his right eye after using a handheld green laser pointer, labeled as 5 mW, 532 nm. Visual acuity was 20/20 in both eyes. Fundus examination revealed focal retinal damage at the macula with a linear burn extending from the 10 o'clock to 4 o'clock position, consistent with laser-induced phototoxicity. Fundus autofluorescence (FAF) demonstrated focal hyperfluorescence along the linear path, indicative of outer retinal and retinal pigment epithelium (RPE) disruption. With observation, symptoms improved, although the scotoma remained at most recent outside follow-up three years after injury.</p><p><strong>Conclusion: </strong>High-power handheld laser pointers are widely available and capable of causing significant retinal damage, particularly in children. This case demonstrates a previously unreported pattern of retinal injury, highlights the importance of multimodal imaging in diagnosis, and underscores the need for further investigation into treatment options. Additionally, increased public awareness and stricter safety regulations are essential to reducing the incidence and impact of these preventable injuries.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 9","pages":"392-395"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2025 Scholars' Research Symposium Abstract: Leadership Course in Team-Based Communication Skills for Medical Students.","authors":"Claire Foerster","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Healthcare has shifted toward team-based patient care to address the increasing complexities of patient care as studies have demonstrated that a team-based approach results in better outcomes and safer patient care. Medical students are future leaders of healthcare teams yet current medical school curricula does not include a leadership or team-based teaching component. The goal of this project was to design a pilot program to teach the fundamentals of leadership and communication skills as relevant to medical students.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;To assess the aptitude and educational need of the target audience, a medical school-wide student survey was distributed to all the medical students. Course curriculum was subsequently developed to include an online didactic component and an in-person simulation component. The didactic activity taught fundamentals of communication, active listening, giving and receiving feedback. Participant knowledge was assessed upon completion of the didactic course (pre-activity) and after completion of the simulation component (post-activity) using a 10-question quiz. Participants were divided into groups, given specific scenarios and roles that explored these themes. Students were primarily in their pre-clinical years however, each group had one student who was completing clinical clerkships. Participants rotated through the three scenarios and had an opportunity to complete each role within their group. At the end of the session, feedback was given and participants completed a final survey and post-quiz. A paired t-test was used to analyze the participants' answers on each of these questions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The survey was deployed to all 280 medical students and 78 responses were obtained which demonstrated an interest in a leadership development course. Initial interest exceeded capacity. A total of 14 students completed the pilot course in its entirety, including the post-activity survey. Participant knowledge before and after the course was analyzed using a t-test which evaluated knowledge of the 4-part communication model, active listening skills, and fundaments of giving and receiving feedback. Each question in the 10-question survey was analyzed using a t-test with each question having its own p-value. There were no statistically significant differences between the results of the pre-activity quiz and the post-activity quiz.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Student interest in this course exceeded the expectations of the author, which strengthens the assertion that medical students would benefit from formal communication and leadership training as future leaders of the healthcare team. There was no statistically significant difference between the results of the pre-activity quiz and the post-activity quiz. This was likely due to several factors including small sample size, and the fact that the pre-activity quiz took place after completion of the dida","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 9","pages":"406"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2025 Scholars' Research Symposium Abstract: Minimizing Grief and Loss Through Advanced Care Planning.","authors":"Hannah Paauw","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Advanced care planning (ACP) is a process that enables patients to specify their preferences for healthcare should they become unable to communicate their wishes. With the global population aged 60 and older comprising 11% of the total population-projected to rise to 22% by 2050-the need for ACP is increasingly urgent. This issue is even more pronounced in rural areas, like South Dakota, where older and sicker populations are disproportionately represented. Despite the numerous benefits of ACP, only 28% of adults in South Dakota have an advanced directive, and alarmingly, between 65% and 76% of physicians are unaware of their patients' existing advanced directives.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Healthcare professionals who work with vulnerable adult populations were recruited through partnerships with long term care organizations and personnel to participate in an educational program. The program consisted of four separate one-hour long virtual sessions over the lunch hour once monthly and were designed to enhance understanding and use of ACP tools. The program consisted of four discussion-based sessions, focused on the personal grief experienced during the COVID-19 pandemic and how it intersected with the practice of ACP. Half of each session involved didactics, and half was discussion-based facilitated by a physician with extensive long term care experience. Continued medical education credits were provided. Session topics included: 1. Moving forward after the Covid-19 pandemic, 2. Appropriate use of the Medical Order for Scope of Treatment (MOST) form 3. Shared decision making, and 4. Communicating when emotions are intense. Evaluation methods included pre- and post-program knowledge surveys and the Professional Quality of Life Scale (ProQOL), which assesses compassion, satisfaction, burnout, and secondary trauma stress.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The program had variable attendance, with participants from diverse professional roles and settings including nursing, EMS workers, chaplains, administrators, social workers, hospice, community health workers, educators, and physicians. The first session had 58 participants, the second had 42, the third had decreased attendance at 23, and the fourth session had 53 total participants. Post-session evaluations revealed a small, statistically insignificant improvement across all ProQOL subcategories. Notable improvements were observed in participants' confidence and competence in using ACP tools appropriately.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The educational sessions successfully increased health care professionals' comfort in using ACP tools and enhanced their professional well-being. The sessions fostered valuable discussions among participants from various settings including long term care facilities, assisted living facilities, emergency services, and administration. Much of the discussion helped to address difficult topics related to end-of-life care. Des","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 9","pages":"417"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2025 Scholars' Research Symposium Abstract: Influence of Disability Education, Panel Discussion on Comfort and Knowledge of Healthcare Providers in South Dakota.","authors":"Keely Walker","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;It is estimated that 27.2% of adults in the United States and 23.8% of people in South Dakota have a disability of some kind. Though individuals with disabilities are now recognized as an underserved population in healthcare, many disparities persist, infringing on the health of these individuals. A commonly cited barrier to receiving high quality care is provider misconceptions, and fallacies of life with disability. A minority of US medical schools have a specific disability curriculum. The University of South Dakota Sanford School of Medicine (USDSSOM) does not currently have specific training on disability beyond the medical and biological concepts. The objective of this study was to assess the efficacy of a two-session course designed to provide didactic information about caring for individuals with intellectual and developmental disabilities (IDDs) and a hands-on panel discussion with patients with IDD and their caregivers.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Participants were recruited from USD-SSOM to participate in a study including a two-session course to discuss guidelines for caring for patients with disabilities and providing exposure to the disability experience using a panel discussion. Participants were asked to complete a survey before and after each meeting. The survey contained open-ended questions and a series of 13 statements using a Likert scale for rating from \"strongly disagree\" to \"strongly agree.\" The ratings of the statements were converted to numerical values for analysis. The data were analyzed using a paired samples t-test to assess if there was a significant change in responses. A p-value of less than 0.05 was considered to be significant. The data from the first and second meetings were analyzed separately.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcomes: &lt;/strong&gt;Study participants (N=35) were primarily white medical students between the ages of 23 and 29, and a majority of responders endorsed fewer than five hours of formal training on caring for individuals with IDD. For both meetings participants had statistically significant changes in their responses to 11 of 13 survey statements. The first meeting, containing didactic education focused on caring for patients with IDD, showed the most difference in response to statements regarding capability of adapting communication and approach during a visit with a patient with IDD, with mean difference of 1.000. The second meeting, a 90-minute panel discussion led by the researchers with individuals with IDD and a caregiver, showed a mean difference of 1.667 in response to the statement about \"feeling capable of providing the same level of care to a patient regardless of disability status.\"&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Persons with intellectual and developmental disabilities face a multitude of health disparities that can be addressed, in part, by further training of medical professionals. This study demonstrated that medical students are interested in this to","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 9","pages":"423"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}