Gretchen A. Diemer, MD and Emily Stewart, MD
Orientation is a whirlwind of regulations, reminders, rules and usually some social outlets. Very little of it helps new interns foster and celebrate their blossoming professional identity. The book club combats the hidden curriculum emphasizing regulations and policies by nurturing the growing sense of whom they are as physicians, actively placing value on the idea that they are developing a professional identity.
Shashank Jain, MD; Priya Rajagopalan, MD; Mitul Kanzaria, MD; and Meir Mazuz, MD
- Acute myocardial infarction (MI) in young adults can present a diagnostic and therapeutic challenge
- Kawasaki disease (KD) is a vasculitis of unknown etiology that occurs in infancy and childhood
- Coronary artery aneurysms (CAA) are the most serious complication of untreated KD seen in upto 25% of patients
- Thrombosis of these CAA or coronary stenosis can present as MI in less than 2% of cases which mainly occur in the 1st year of disease onset
- Late presentations in adult life is extremely rare
Donald M. Friedman, MD and Vic Compher, MSS, LCSW
Poster presented at International Conference of Physician Health in Boston Massachusetts.
Supplementary handout with definitions and extensive bibliography available at bottom of page.
Film is basis for poster: Portraits of Professional Caregivers-Their Passion. Their Pain (click on picture to view movie trailer)
Quotes about movie from IMDB
1. Become more aware of what secondary trauma is and its prevalence in health care professionals
2. Recognize the importance of personal wellness and intentional self-care by physicians and other allied professionals
3. Encourage the development of medical systems in the formation of effective peer support structures
The documentary filmmaker, Vic Compher, a former administrator, supervisor and social worker in the Department of Human Services in Philadelphia, realized the presence of secondary trauma in professionals who rescue, assist and/or treat injured, traumatized or physically ill patients. His film, “Portraits of Professional Caregivers – Their Passion, Their Pain,” contains narrative interviews with a broad spectrum of professional empathetic caregivers who describe the stressful effects of their work and how those stresses affect them emotionally and functionally. The purpose of these stories is to promote awareness of secondary trauma/compassion fatigue and how it can be toxic and lead to burnout, promote provider self-care and emphasize the need for an organizational structure that provides support and healing for the medical staff.
Our poster will provide a colorful chart with the statistics of physician burnout and a display of the statistics of secondary trauma in allied professions. The poster will also include definitions of secondary trauma/compassion fatigue, burnout and compassion satisfaction. There will be dramatic still shots from the film depicting professional narratives, self-care in action and group peer debriefing/support sessions. Handouts will include a bibliography of current research, definitions and symptoms of secondary trauma and burnout, illustrations of compassion satisfaction, and examples of organizational structures that provide emotional support and healing for medical staff.
Secondary trauma is prevalent among a wide variety of professional caregivers and can lead to poor performance, dissatisfaction with work and burnout. Provider self-care and institutional support of the caregiver are crucial for promoting compassion satisfaction and resiliency.
Secondary trauma is a recognized occupational hazard of professional caregivers but can be countered by self-awareness, self-care and institutional support.
Anthony J. Frisby, PhD; Steven Herrine, MD; and Deborah Ziring, MD
The Sidney Kimmel Medical College (SKMC) at Thomas Jefferson University (TJU) is creating a new medical curriculum (JeffMD), in which more learning will take place in small groups and individual activities.
In their small groups, students will focus on core case studies that will become increasingly complex, each building on the prior phase of the curriculum.
Rhea E. Powell, MD, MPH; Jeffrey Henstenburg, BS; Grace Cooper, BA; Judd Hollander, MD; and Kristin L. Rising, MD, MS
- Telehealth (TH) is an innovative model of care delivery with potential to provide more patient-centered healthcare, allowing patients to receive care when and where is most convenient.
- To date, little is known about patient perceptions of receiving care with the use of TH video visits.
Megan K. Ford, MD; Alana B. Kekevian, DO; Charalambos C. Solomides, MD; and John R. Cohn, MD, FACAAI
- Follicular bronchiolitis (FB) in patients with common variable immune deficiency (CVID) is rarely described and knowledge is based on case reports, case series, and studies on the individual disease entities.1-5
- FB is a granulomatous-lymphocytic interstitial lung disease (GLILD). GLILD is a group of non-infectious lung diseases which also includes lymphocytic interstitial pneumonia, granulomatous disease, and lymphoid hyperplasia.6,7
- FB is caused by an external stimulus or abnormal immune response that incites lymphoid hyperplasia.8
- The etiology of FB is idiopathic or associated with collagen vascular disorders (e.g., Sjogrens, rheumatoid arthritis), hypersensitivity reactions, acquired immunodeficiencies (typically HIV), and less commonly, primary immunodeficiencies.9,10 In case reports, FB has also been linked to primary ciliary dyskinesia, multicentric Castleman’s disease, primary tuberculosis, and eosinophilia with elevated IgE.11-14
- The differential diagnosis of FB includes other types of GLILD, low grade bronchus associated lymphoid tissue lymphoma, and sarcoidosis.1