Journal of Maine Medical Center最新文献_第3页

Optimizing Psychological Safety: Using a Focus Group to Acquire Perspectives from Standardized Patients Who Identify as LGBTQ+ 优化心理安全:使用焦点小组获取来自LGBTQ+标准化患者的观点

Journal of Maine Medical Center Pub Date : 2023-08-09 DOI: 10.46804/2641-2225.1158

B. Brown, Rachel Kupferman, Bethany Rocheleau, Christine Mallar, Karissa Hannifan, Bette Gray, V. Hayes, Leah A. Mallory

{"title":"Optimizing Psychological Safety: Using a Focus Group to Acquire Perspectives from Standardized Patients Who Identify as LGBTQ+","authors":"B. Brown, Rachel Kupferman, Bethany Rocheleau, Christine Mallar, Karissa Hannifan, Bette Gray, V. Hayes, Leah A. Mallory","doi":"10.46804/2641-2225.1158","DOIUrl":"https://doi.org/10.46804/2641-2225.1158","url":null,"abstract":"Introduction: Gender and sexual minority (lesbian, gay, bisexual, transgender, questioning; LGBTQ+) patients report poor health care experiences, partly because health care providers are not trained to meet their needs. Simulation can help learners practice competencies related to diversity, equity, and inclusion, but there are psychological safety considerations when recruiting standardized patients (SPs). Our objective was to incorporate the expertise of members of the LGBTQ+ community in our SP pool as we developed related curriculum. Methods: All SPs were invited to participate in a focus group if they identified as LGBTQ+ and wanted to contribute. Content experts developed a focus group guide and facilitated the meeting. Additional members of the research team took de-identified notes. After notes were reviewed for agreement, a thematic analysis was performed. An anonymous survey was sent to SP participants after the focus group meeting. Results: Six SPs verbally participated in a 90-minute focus group, and 4 completed an anonymous follow-up survey. SPs acknowledged psychological safety risks but universally supported the developing curriculum. Most were willing to assume personal risk for the greater good. They emphasized the importance of lived experience to authentic portrayal, but they were open to eventual broader casting with coaching and proposed SP peer support and learner preparation as possible protective measures. Discussion: SPs appreciated the recognition of content expertise and opportunity to influence curricular design. They shared concerns about LGBTQ+ SP self-portrayal in simulation and offered creative suggestions to promote psychological safety. Conclusion: SPs with lived experience can share nuanced feedback and be a resource to co-create curriculum related to diversity, equity, and inclusion.","PeriodicalId":93781,"journal":{"name":"Journal of Maine Medical Center","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45629995","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}

引用次数: 1

Improving Inclusive Communication: Pilot Results from a Simulation-Based Learning Opportunity to Practice Taking a Sexual Health History 改善包容性沟通：基于模拟的性健康史实践学习机会的试点结果

Journal of Maine Medical Center Pub Date : 2023-08-09 DOI: 10.46804/2641-2225.1157

Rachel Kupferman, Bette Gray, Bethany Rocheleau, Christine Mallar, Karissa Hannifan, V. Hayes, Leah B. Mallory, B. Brown

{"title":"Improving Inclusive Communication: Pilot Results from a Simulation-Based Learning Opportunity to Practice Taking a Sexual Health History","authors":"Rachel Kupferman, Bette Gray, Bethany Rocheleau, Christine Mallar, Karissa Hannifan, V. Hayes, Leah B. Mallory, B. Brown","doi":"10.46804/2641-2225.1157","DOIUrl":"https://doi.org/10.46804/2641-2225.1157","url":null,"abstract":"Sexual and gender minority (lesbian, gay, bisexual, transgender, questioning; LGBTQ+) patients experience health care inequities. Simulation using standardized patients (SPs) is an effective tool for communication-based training. To promote equitable practice, we created an experiential learning opportunity for residents to practice inclusive communication and improve their comfort in caring for LGBTQ+ patients while maintaining the psychological safety of SPs. Methods: Our interdisciplinary team explored relevant simulation curricula, conducted a focus group with LGBTQ+ SPs, created a didactic presentation, and designed and implemented a simulated case. Family medicine residents participated in the training and completed pre-and post-training surveys rating their confidence in sexual health communication and working with sexual and gender minority patients. We compared Likert scale ratings in pre-and post-training surveys using a Wilcoxon signed-rank test. SPs completed post-simulation surveys rating their psychological safety. Results: Residents completed pre-training (n = 13) and post-training (n = 12) surveys. Confidence improved in every category, reaching significance for confidence in obtaining a sexual health history from LGBTQ+ patients. Four SPs completed post-simulation surveys. All SPs reported that the event had educational value and was a positive experience.","PeriodicalId":93781,"journal":{"name":"Journal of Maine Medical Center","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46093140","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}

引用次数: 1

Under One Roof – An Integrated Clinic for Substance Use Disorder and Viral Hepatitis/HIV Treatment 在一个屋檐下-药物使用障碍和病毒性肝炎/艾滋病毒治疗的综合诊所

Journal of Maine Medical Center Pub Date : 2023-08-09 DOI: 10.46804/2641-2225.1140

Sarah Hipkens, E. Caron, W. Craig, K. Thakarar

{"title":"Under One Roof – An Integrated Clinic for Substance Use Disorder and Viral Hepatitis/HIV Treatment","authors":"Sarah Hipkens, E. Caron, W. Craig, K. Thakarar","doi":"10.46804/2641-2225.1140","DOIUrl":"https://doi.org/10.46804/2641-2225.1140","url":null,"abstract":"Introduction: Integration of viral hepatitis/HIV care and substance use disorder (SUD) treatment has been shown to improve patient outcomes, but data are lacking in rural states like Maine. Our study objective was to assess the baseline characteristics and outcomes of patients with SUD who receive combined substance use and viral hepatitis/HIV treatment at a recently established “Bridge Program” in our rural state. Methods: We conducted a retrospective chart review of patients enrolled in the Bridge Program between January 2020 and November 2021. We then performed a descriptive analysis of demographics, health characteristics, preventive services, and treatment outcomes. Results: A total of 14 patients were enrolled in the Bridge Program, of which 13/14 (93%) had hepatitis C, and 3/14 (21%) had HIV. When indicated, 100% of participants received appropriate medication for addiction treatment (buprenorphine/naloxone or naltrexone), naloxone kits, and hepatitis A and B vaccinations. Among patients with hepatitis C, 12/13 (92%) started antiviral treatment, of which 10/12 (83%) either achieved treatment cure or are receiving ongoing treatment. Discussion: Integrated care models can successfully treat SUD and HIV/viral hepatitis as co-occurring medical conditions. These models must consider approaches to reduce the number of visits and travel time required for optimal treatment, and enhance recovery by consistently prescribing evidence-based medication for SUD. Conclusions: Our study shows how an integrated clinic model in a rural state can provide comprehensive care, including SUD treatment, naloxone prescribing, vaccinations, and, importantly, high rates of successful hepatitis C/HIV treatment.","PeriodicalId":93781,"journal":{"name":"Journal of Maine Medical Center","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44881102","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}

引用次数: 0

How Are Our Athletes Doing? A Cross-Sectional Analysis of Student-Athlete Mental Health in Fall 2022 at a Maine Division III University 我们的运动员怎么样？缅因州第三赛区大学2022年秋季学生运动员心理健康的横断面分析

Journal of Maine Medical Center Pub Date : 2023-07-12 DOI: 10.46804/2641-2225.1155

Emma Cronk, Adriana Isacke, Amy E. Haskins, C. Holt, Krystian Bigosinski

引用次数: 0

Artificial Intelligence (AI): Promise or peril for the publishing world? 人工智能：出版界的希望还是危险？

Journal of Maine Medical Center Pub Date : 2023-06-12 DOI: 10.46804/2641-2225.1166

R. Bing-You

引用次数: 0

Improving PubMed for the Novice at the Expense of the Expert: Surveying Librarians 3 Years Post-New PubMed 以专家为代价为新手改进PubMed：新PubMed后3年的测量馆员

Journal of Maine Medical Center Pub Date : 2023-05-24 DOI: 10.46804/2641-2225.1163

Tim Kenny, Heather Kemp

引用次数: 0

A Cascade of Care of Patients with Hepatitis C Infection in a Rural State 农村地区丙型肝炎感染患者的级联护理

Journal of Maine Medical Center Pub Date : 2023-04-20 DOI: 10.46804/2641-2225.1137

W. Agmas, W. Craig, Kathleen M. Fairfield, B. F. King, Elizabeth Eisenhardt, K. Thakarar

引用次数: 0

A Case of Congenital Coronary Sinus Ostial Atresia with Persistent Left Superior Vena Cava 先天性冠状窦口闭锁伴持续性左上腔静脉1例

Journal of Maine Medical Center Pub Date : 2023-03-06 DOI: 10.46804/2641-2225.1136

Laura L. Onderko, T. Miller, Sean H Novak, J. Rosenblatt

引用次数: 0

HIV Screening Among Immigrants Establishing Care in Maine, 2017-2021 2017-2021年缅因州建立护理机构的移民中的艾滋病毒筛查

Journal of Maine Medical Center Pub Date : 2023-03-06 DOI: 10.46804/2641-2225.1135

Elizabeth Mazzeo, E. Danielson, Benjamin Felix, Kimberly J. Toomire, Elizabeth Eisenhardt, Evelyn Roach, Katlyn Breton, Karen Thompson, Stephen M. DiGiovanni, Kathleen M. Fairfield

引用次数: 0

Let's pick up the iPace Leveraging innovative educational research to redesign healthcare delivery 让我们以iPace为例，利用创新的教育研究来重新设计医疗保健服务

Journal of Maine Medical Center Pub Date : 2023-03-06 DOI: 10.46804/2641-2225.1142

K. Varaklis, T. E. Van der Kloot, Sarah A M Hallen, Thomas Gearan, Lesley B Gordon, Melissa Zelaya-Floyd, Patricia White, Alec :Luro

引用次数: 0