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

{"title":"2024 Scholars' Research Symposium Abstract: Metacognitive Analysis of Simulation-Based Education Identifies a Gap in Healthcare Education.","authors":"Brianne K Haskell Hanisch","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Simulation has become an integral part of healthcare education. Studies demonstrate rapid knowledge and skill acquisition with the use of simulation and rapid knowledge degradation if it is not further reinforced. Effect of simulation on metacognitive processes, or the ability to understand one's own knowledge, is not well-investigated yet. The University of South Dakota Sanford School of Medicine in the U.S. and Royal College of Surgeons in Ireland - Bahrain campus, collaborated on combining the best simulation-based and team-based learning (TBL) practices to investigate team dynamics and knowledge exchange among team members in high-fidelity simulation (HFS) for 3rd year medical students. The purpose of the study was to assess metacognitive processes and their impact by simulation.</p><p><strong>Methods: </strong>The activity consisted of four clinical scenarios (atrial fibrillation, anaphylaxis, meningitis complicated with septic shock and ARDS, and burns). A total of 68 students were tested before the activity for their concrete knowledge and its level of assurance. Immediately after the activity and prior to debriefing, students were assessed for their conceptual knowledge relevant for the simulation scenario and its level of assurance. Knowledge test answers had values of \"+1\" and \"-1\" for correct and incorrect answers respectively, while the assurance level was assessed on a scale from 1 to 4. Calibration index (CI) was calculated as a product of knowledge-based answer value and level of assurance, thus its value ranged from \"-4\" to \"+4.\"</p><p><strong>Results: </strong>Data analysis revealed a weak correlation between individual-readiness assurance test (I-RAT) and insimulation decisions (Spearman correlation, 0.336, p less than 0.001). Performance in I-RAT showed non-significant correlation with either the decision making in the simulation or post-simulation test. Irrespective of accuracy, students maintained the same level of certainty across all the assessments (I-RAT, in-simulation, and post-simulation) with Spearman correlation Rho: I-RAT vs in-simulation (case 1) = 0.354, p less than 0.005, I-RAT vs in-simulation (case 2) = 0.419 p less than 0.001, and in-simulation (case 1) vs in-simulation (case 2) = 0.505, p less than 0.001.</p><p><strong>Conclusions: </strong>The obtained results demonstrated low correlation between knowledge correctness and level of certainty. Additionally, learners demonstrated misinformed confidence. This was true for both extremes: some students were overconfident in their wrong answers while others struggled to be assured in their correct answers. This indicated that current simulation educational curricula do not enhance skills in self-assessment. Furthermore, multiple studies have shown medical students lack this skill, highlighting the prevalence of both imposter syndrome and cognitive bias contributing to overconfidence. These are concerning findings considering healthc","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 9","pages":"398"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013541","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: Immunosuppressive Opioids are Associated with Longer Hospital Length of Stay in SARS-CoV-2 Patients.","authors":"Luke Merrill","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Since late 2019, SARS-CoV-2 has infected over 767 million people worldwide with over one million deaths in the United States alone. One risk factor identified for possible worse outcomes from the virus is medication-induced immune suppression. Some opioids have been associated with immunomodulatory effects. One immunomodulatory effect that has been linked to the use of these medications is reduced lymphocyte proliferation and macrophage dysfunction. Immune dysfunction has been associated with increased length of stay (LOS) in SARS-CoV-2 hospitalized patients. In the early years of the pandemic, hospitals quickly became overwhelmed by the number of patients needing hospitalization for treatment of the virus. Identifying risk factors and decreasing patient length of stay can ease the burden on staff and equipment needs. It was hypothesized that previous or current use of an immunosuppressive opioid is associated with longer hospital LOS for patients with SARS-CoV-2.</p><p><strong>Methods: </strong>A retrospective chart review with 732 patients included in the final analysis was performed. Patient charts were collected from a regional Midwestern health system for hospitalized SARS-CoV-2 patients between July 1, 2020 through December 31, 2020. LOS stay was categorized as long (5 or more days) or short (less than 5 days). Patient demographics/ comorbid conditions were gathered and statistical analysis was performed using Microsoft Excel.</p><p><strong>Results: </strong>Patients who have previously used morphine or fentanyl at any point in the prior year are associated with longer LOS (p less than 0.02). Starting morphine or fentanyl in-hospital was associated with longer LOS compared to those who have previously used (p less than 0.001 morphine, p less than 0.001 fentanyl). There was no significant difference between starting fentanyl or morphine in the hospital (p = 0.55).</p><p><strong>Conclusions: </strong>The use of immunosuppressive opioids are associated with longer LOS in patients hospitalized for SARS-CoV-2. Starting an opioid in-hospital is associated with longer LOS than pre-hospital opioid use. No difference in hospital length of stay was found between patients treated with fentanyl or morphine. While it is possible that sicker patients may require more opioids, healthcare providers should consider avoiding the use of opioids with immunomodulatory effects and consider alternative drugs in patients hospitalized with SARS-CoV-2.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 9","pages":"402"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013530","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":"The Tube and the Telos.","authors":"Wendell W Hoffman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 9","pages":"388"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013577","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 Abstracts.","authors":"Paul A Thompson, Candace N Zeigler, Sherri D Koch, Benjamin Aaker, Valeriy Kozmenko","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 9","pages":"392"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013523","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: Analysis of Collegiate Athlete Body Composition Using MuscleSound Technology.","authors":"Matthew N Pohlmann","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Body composition is studied in athletes as a means of measuring physical fitness and progression of training. Athletes can utilize body composition in multiple ways to guide training toward athlete specific goals. Several different methods exist with varying levels of cost, invasiveness, reading complexity, and availability. Ultrasound is a method which, while being affordable and portable, is limited by the training needed to properly read scans. The proposed benefit of MuscleSound is to alleviate the challenge of interpreting scans by providing a program to estimate body composition in ultrasound images. This study compared the use of MuscleSound with skinfold testing, an accepted method of body composition measurement. The hypothesis of this study was that MuscleSound® software would correlate with skinfold testing and serve as an alternative body composition method.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This study was IRB approved through Sanford Research. 35 participants were recruited from a local collegiate men's basketball team over the span of 2018-2023 at varying start points. Each athlete was weighed and measured for body composition metrics using both skinfold testing and ultrasound. Skinfold testing was performed at multiple sites of adipose collection while ultrasound scans were obtained of the rectus femoris. Skinfold testing was assessed through fat mass, skinfold thickness, body fat %, lean mass, and lean mass index while MuscleSound® was assessed through intramuscular adipose tissue (IMAT) % and muscle thickness (MT). Variables were divided into muscle-related and adipose-related before being compared between the two methods. For muscle-related variables, correlation analysis was performed between MT and lean mass, lean mass index, and body weight. Correlation analysis was also performed between IMAT % and fat mass, skinfold thickness, body fat %, and body weight.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The MuscleSound measures were found to have varying levels of correlation to adipose-related variables and muscle-related variables. Adipose correlations included fat mass (r = 0.79, p less than 0.01), body fat % (r= 0.76, p less than 0.01), skinfold thickness (r = 0.71, p less than 0.01), and body weight (r = 0.55, p less than 0.01). Muscle-related variables had lower correlation values with MuscleSound-derived MT, which had correlation values to lean mass (r = 0.27, p greater than 0.05), lean mass index (r = 0.01, p greater than 0.05), and body weight (r = 0.25, p greater than 0.05).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;MuscleSound presents a potential solution for ultrasound use in studying body composition. Correlation between the results from this tool and current standard values vary. Of the variables studied, IMAT% correlated best with adipose-related skinfold measurements while MT lacked correlation with muscle-related skinfold measurements. This misalignment of results suggests a potential lack of reli","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 9","pages":"406"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013241","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: Analysis of First 50 Liver Transplants in a Rural Midwest Medical Center.","authors":"Kyler Hardie","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Chronic liver disease, a progressive deterioration of liver function, has become a significant health problem in the United States. According to the National Vital Statistics Report 2017 from the Center for Disease Control and Prevention, approximately 4.5 million adults have been diagnosed with chronic liver disease and cirrhosis (end-stage liver disease), which is 1.8% of the adult population. Liver transplant (LT) is the only definitive treatment with a long-term survival benefit for patients with end-stage liver disease. Over 9,000 LTs are performed in the United States each year. Avera McKennan Hospital and University Center is home to the only LT center in the state of South Dakota. The first LT was performed in 2016 and since then, 50 LTs have been performed to date. In this study, transplant recipient and donor characteristics were reviewed and compared to national data. Also, the study included an assessment of the overall experience with LT at this center.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This study was IRB approved through Avera McKennan Hospital. A retrospective review of all LTs between November 2016 and July 2022 was performed. Donor information and recipient details were reviewed from a prospectively maintained transplant database. This regional data was then compared to national data using the Scientific Registry of Transplant Recipients (SRTR). Recipient data included age, gender, race/ethnicity, body mass index (BMI), etiology of liver disease, model for end-stage liver disease (MELD) score at transplant, and length of post-transplant hospital stay (LOS). Donor information included age, gender, BMI, cause of death, and cold ischemia time (CIT).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;During the study period, 50 LTs were performed. Of these, multi-organ transplants were performed in 5 recipients, all of whom received combined liver and kidney transplants. The most common indication for LT was end-stage liver disease due to alcoholic cirrhosis, which represented the primary diagnosis in 54% of the recipients, vs 35.2% nationally. Hepatocellular carcinoma was present in 20% of the patients. Recipient characteristics included 30 men and 20 women with a median age of 52 years and a median BMI of 28.7 kg/m2 respectively. The most common race/ethnicity was white followed by Native American at 62% and 36%, respectively. The median MELD score at transplant was 33.5 and the median length of post-transplant LOS was 9-days. This center has a cumulative 98% death-censored graft survival rate and 85.7% patient survival rate at one year after transplant. With regards to medical urgency, 42% of the patients received transplants with MELD greater than or equal to 35 and 34% of the patients with MELD 30-34 compared to the national averages of 20.9% and 18.3%, respectively, in 2020. The median donor age was 29-years and median BMI was 26.1 kg/m2. The main cause of donor death was head trauma at 52%, followed by anoxia, and","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 9","pages":"397"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013219","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: ARPID-I: Initial Findings in Medical Students' Professional Identity Development.","authors":"Madison McLaury","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Professional identity is one of the frequently used and least clearly defined terms in healthcare education. Its simplest definition includes feeling, thinking, and acting like a representative of a given professional group. Many other aspects of professional identity exist. Professional identity development (PID) adds another layer of complexity to the topic for educators attempting to assess the process and dynamically measure its individual components. The project's aim was to re-define the term professional identity and create a battery of instruments to assess its development in medical students.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The first module, Assessment Rubric of Professional Identity Development (ARPID) was developed, piloted, reviewed, and deployed. ARPID is a 20-item multi-domain survey that assesses the following medical student characteristics: knowledge, skills, attitudes, feelings, readiness to act like a professional, confidence in decisionmaking, ability to sort relevant and irrelevant issues, ability to shift from fact-based to concept-based and metacognitive reasoning, ability to address ethical issues, and operate in the areas of clinical uncertainty. Answers to each question covered the range from novice to experienced professional. The survey was distributed to an entire body of medical students at a mid-western medical school in the U.S. 74 student responses were collected (26% response rate). Statistical analysis of the collected data included mean and standard deviation of confidence levels in each medical school class. Additionally, Spearman's rho analysis was performed on two sequential questions to better assess correlation of student's self-assessment and actual knowledge.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Survey questions analyzing mean confidence, knowledge, and competence levels exhibited a positive relationship between these factors and years in medical school. Additionally, several aspects of data exhibited a Dunning-Kruger like trend involving knowledge and mean confidence level as medical students progressed through training. Spearman's rho analysis assessing correlation between confidence and competence level in students displayed a positive correlation in the first- and fourth-year student cohorts, and no correlation in the second- and third-year cohorts. The first-year cohort displayed a rho value of 0.510 with a p-value of 0.009. The second-year cohort displayed a rho of 0.000 with a p-value of 1.000, the third-year cohort displayed a rho of 0.002 with a p-value of 0.995, and the fourth-year cohort displayed a rho value of 0.497 with a p-value of 0.042.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;ARPID is a component in the battery of instruments used to measure and monitor medical students' PID. Given the importance of determining and following medical students' PID to optimize medical curricula and support students, this tool will enhance the way educators approach healthcare educa","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 9","pages":"401"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013222","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: ACLS Instructor Course to Enhance Medical Students' Resuscitation Competency and Confidence.","authors":"Katherine Nielson","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Physicians are expected to be competent in the management of cardiovascular emergencies. Despite the demand, there is a lack of research regarding how to better provide training for medical students to address cardiovascular emergencies. The authors of this project hypothesize that medical students participating in the Advanced Cardiac Life Support Instructors (ACLS-I) program will improve their emergency management and clinical teaching competencies and confidence.</p><p><strong>Methods: </strong>At the beginning of Pillar 2 (MS2) and after completion of ACLS training and certification, 16 medical students were accepted into the ACLS-I course. During Pillar 2 (MS2- MS3) participants completed the ACLS Instructor training course, obtained ACLS Instructor certification status, and taught at least 2 ACLS classes under supervision of the experienced ACLS instructors. At the end of Pillar 2 (MS3), 5 student-instructors and 58 noninstructors took a multiple-choice question (MCQ) quiz enhanced with the level of assurance rubric. Obtained data were analyzed to investigate ACLS instructors' competency in ACLS/non-ACLS knowledge compared to their peers. Students' performances were also assessed for correlation between knowledge accuracy and confidence in selected answers on the quiz. Additionally, the project investigated if course participants were more confident to participate in ACLS codes as providers and teach ACLS to healthcare students or providers using the 5-point Likert scale.</p><p><strong>Results: </strong>There was significant evidence (p less than 0.05) to suggest that ACLS-I students had a greater or equal mean raw score, were more competent in ACLS-I factual questions, and felt more comfortable teaching medical professionals and healthcare students how to manage cardiopulmonary emergencies and ACLS codes. There was not sufficient evidence (p greater than 0.05) to suggest that ACLS-I students were more competent in ACLS-I conceptual questions, more confident in their answers (correct and incorrect), and more confident in performing as a provider or team-leader in ACLS codes and cardiopulmonary emergencies.</p><p><strong>Conclusions: </strong>Completing an ACLS instructor course and participating as an ACLS instructor throughout medical school increases a medical student's factual ACLS knowledge and confidence in teaching ACLS codes compared to their peers. It does not increase accuracy and confidence of conceptual knowledge of cardiovascular emergencies.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 9","pages":"405"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012965","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: Kindling Wellness: Creating a Student-Run Podcast Series on Medical Student Wellness.","authors":"Kristi Pond","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Research has consistently shown that the prevalence of burnout symptoms (such as emotional and physical exhaustion, cynicism, or lack of interest in schoolwork, the sense of incompetence, or the feeling that you cannot be effective) in medical students is greater than the prevalence in the general population. Students with preexisting anxiety, depression, mood disorder or other psychological distress are more vulnerable to burnout. It is estimated that at least half of U.S. medical students experience or are affected by burnout during their education. With the high rates of burnout symptoms in medical students, it is becoming increasingly important to implement strategies to build student resilience to burnout. Overall, one of the first steps to decrease rates of burnout and improve medical student wellbeing is for students and faculty to develop an awareness and understanding of burnout, by exploring issues that may contribute to it. The Kindling Wellness podcast was created to serve as a wellness resource for medical students and health professionals.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Project description: &lt;/strong&gt;The initial 5-episode series of the podcast Kindling Wellness was built on the metaphor of a fire as one's wellness and the necessary components needed to keep a fire burning (heat, oxygen, and fuel). The Podcast was developed in 3 phases. Phase 1: Content Development included planning topics for discussion, choosing guests to interview, and deciding what platform on which to publish content. Phase 2: Podcast Interviews involved researching discussion topics, writing interview questions, interviewing guest speakers, and editing the content. Phase 3: Deployment and Awareness included publishing the Podcast on application platform - Spotify for Podcasters. The podcast was advertised using flyers posted in the medical school building, emails distributed to current medical students, and promotional posts via social media pages dedicated to the podcast. The podcast utilization was evaluated using analytics captured from the podcast application platform.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcomes: &lt;/strong&gt;Podcast episodes were released over a 6-month span from November 2022 to June 2023. The 1st podcast was a discussion with Michelle Schimelpfenig, DO about an overview of the podcast series and of medical student wellness. The 2nd podcast discussed mental health and counseling with Rebecca Glover, LPC-MH. The 3rd podcast was entitled \"Creating margin and practicing gratitude\" with Craig Uthe, MD. The 4th podcast was \"Finding your Fire\" with Gary Timmerman, MD and Jenny Guido, MD, and the 5th podcast was entitled \"Fueling your wellness and leadership\" featuring Tim Ridgway, MD. Podcast analytics were recorded simultaneously as listeners played the podcast episodes. There were 98 all-time plays; the first episode was the most listened to at 60 plays. The age of listeners ranged from 18-59 years old with most listeners in the 23-27 age range (35%).","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 9","pages":"407"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013536","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: Rapid Cycle Deliberate Practice (RCDP) to Master Airway Intubation.","authors":"Kirsten R Kim Sawtelle","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Simulation has become an integral part of health care education curricula that is used to teach a variety of topics, from emergency situations to physical diagnoses. Without further reinforcement, the skills learned through the simulation are subject to deterioration over time. Rapid Cycle Deliberate Practice (RCDP) is a teaching method that was developed to resist this deterioration and achieve mastery of skills. In RCDP, learners cycle through a series of high-intensity and fast-paced scenarios until performance mastery was achieved. The individualized feedback is optimized with a 2:1 learner: instructor ratio. The goal of RCDP is to ensure 100% competency and time-efficiency of learners' performances. This study examined two sub-types of RCDP-style teaching to determine retention after 6-months.</p><p><strong>Methods: </strong>A two-day airway management course was conducted using RCDP to teach endotracheal intubation to second-year medical students using Medical Students as Simulations Educators (MSASE) as instructors. On Day 1, learners participated in 40-minute training sessions using a 2:1 ratio of learners to educators to practice intravenous induction into anesthesia and endotracheal intubation. Half the groups used an immediate-feedback (IF) RCDP approach while the other half used a delayed-feedback (DF) RCDP approach. Day 2 was completed 1 week later using similar methods. Learners participated in a 1-day simulation course in 6 months to assess retention (Day 3).</p><p><strong>Results: </strong>On Day 1, the IF group achieved mastery in fewer trials compared to the DF group (p = 0.004). The DF group required an average of 1.14 (CI = 0.845 - 1.433) trials until mastery, while the IF group required 0.516 (CI = 0.226 - 0.806) trials. The IF and DF groups demonstrated 98% knowledge and skills proficiency on Day 3, which is a significant increase from Day 1 and Day 2 scores of 92% and 88%, respectively. There was no significant difference in retention between the IF and DF groups.</p><p><strong>Conclusions: </strong>RCDP is an effective teaching method to achieve mastery with performing endotracheal intubation to second-year medical students. There was no significant difference between immediate-feedback and delayed-feedback when retention of this clinical skill was reassessed at 6 months.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 9","pages":"408"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013478","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}