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  That’s Not Your Implant!

  Janet Han, DO and Elizabeth Paterek, MD, FAAEM

  History of Present Illness

  CHIEF COMPLAINT: Left breast pain/swelling

  53-year-old female with PMHx of bilateral breast implants, IV drug use, and hypertension presents to the emergency department with swelling and pain to the left breast over the last 5 months after an assault with trauma to the area. She was seen at a previous hospital for these symptoms 3 months ago and reports fluid was drained from the left breast at that time. She reports subjective fevers and chills but denies other symptoms at this time including drainage or discharge from the breast/ nipple, chest pain, or shortness of breath. Her breast implants were placed over 20 years prior. She denies injecting drugs into her breast tissue.

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  Multifaceted Management of COVID in the Medical Student Population of Sidney Kimmel Medical College

  Wayne Bond Lau, Kristin DeSimone, Leonard Levine, Kathryn Trayes, and Charlie Pohl

  COVID has created hardships in the lives of many persons. In a time of chaos, it was clear our institution needed an efficient workflow to track all students requiring quarantine, so that academic progress and student wellness would not be casualties.

  This presentation reviews that workflow in detail, for the purpose of sharing strengths of the process for the greater GSA/OSR network’s benefit.

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  Understanding Patient Uncertainty as a Driver of Emergency Department Utilization: A Concept Mapping Approach

  Angela Gerolamo, PhD, RN; Shannon Doyle, MPH; Rhea E. Powell, MD, MPH; Amanda M.B. Doty, MS; Marianna LaNoue, PhD; and Kristin L. Rising, MD, MSHP

  Background and Purpose

  • Most previous research regarding factors associated with increased risk of emergency department (ED) use has been done via retrospective review of medical records rather than obtaining patients’ perspectives.
  • Recent research identified patient uncertainty related to symptoms as a primary motivator for seeking ED care, and ongoing uncertainty at the time of ED discharge as an unmet need (Rising et al. 2015; Rising, Hudgins, Reigle, Hollander, & Carr 2016).
  • While providers have limited ability to influence many factors identified by retrospective medical record review (e.g. financial concerns), patient uncertainty can be addressed by providers directly. To do so we must first define domains of uncertainty that patients experience in order to inform targeted interventions to address patient uncertainty.
  • The objective of this research was to engage patients through group concept mapping (GCM) to conceptualize the domains of uncertainty that contribute to decisions to seek care in the ED.

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  Identifying and Addressing Hepatitis C Linkage Barriers through an Institutional Screening Process

  Madalene Zale, MPH and Priya Mammen, MD, MPH

  Aim

  This study evaluates the impact of Act 87 on HCV screening in an urban, academic hospital system with particular attention to disparate care and barriers to linkage to specialty treatment