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1.
Med Sci Educ ; 34(4): 847-855, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39099862

RESUMEN

Introduction: Representation of female and minority physicians varies across specialties and may influence career selection by medical students. To investigate the effect of demographic concordance between medical students and clinical role models on specialty selection, we conducted a survey of graduating medical students to assess the perceived importance and influence of third-year clerkship experiences with demographically concordant preceptors on their choice of specialty for post-graduate training. Methods: An 11-question survey was shared nationally through AAMC Organizational Student Representatives to medical students in the Class of 2023. Information gathered included demographics; specialty of choice; extent of exposure to preceptors of the same gender, race, or ethnicity during clinical clerkships; and perceived importance and influence of those interactions (Likert 1-5, Low-High) on specialty selection. Results: A total of 84 students responded. Female students ascribed more importance to gender concordance with preceptors on the third-year clerkship most associated with their specialty of choice than males [3.4 (SD 1.2) vs. 1.3 (SD 0.8) respectively, p < 0.0001] and greater influence to gender concordance on final specialty selection [2.37 (SD 1.1) vs. 1.31 (SD 0.8) respectively, p < 0.0001]. Non-Caucasians ascribed more importance to race/ethnicity concordance than Caucasians [2.8 (SD 1.4) vs. 1.2 (SD 0.5) respectively, p < 0.0001] and greater influence to race/ethnicity concordance on final specialty selection [2.0 (SD 1.3) vs. 1.1 (SD 0.4) respectively, p < 0.0001]. Caucasian females ascribed the greatest importance to gender concordance (p < 0.001), non-Caucasian females ascribed the greatest influence of gender concordance (p < 0.001), and non-Caucasian females ascribed both the greatest importance (p < 0.001) and influence (p < 0.001) to race/ethnicity concordance. Conclusions: We found that gender and race/ethnicity concordance between students and clinical preceptors during third year clerkships is perceived as especially important and influential in specialty selection by minority and female medical students. These findings highlight the importance of diversity in gender and race/ethnicity representation by preceptors on clinical clerkships. Supplementary Information: The online version contains supplementary material available at 10.1007/s40670-024-02044-6.

2.
Cureus ; 16(1): e52175, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38344601

RESUMEN

Erythema multiforme (EM) is a rare and typically self-limited mucocutaneous reaction known to present secondary to various triggers, with the most common being from an infectious etiology. Medications account for a small percentage of EM cases. Here, we report a case of a 55-year-old female who presented to her primary care physician with a circular rash on the palm of her right hand, which she noticed five days after being started on atorvastatin due to right branch retinal artery occlusion. The rash was identified as case of non-photoinduced EM associated with atorvastatin use presenting solely on the palmar aspect of the patient's hand and resolving four days after discontinuation of the medication. Current literature only describes photoinduced cases of EM secondary to statin use making this case unique, and it provides important insights about considering alternative lipid-lowering treatment options for patients with recurrent or persistent cases.

3.
South Med J ; 116(7): 542-544, 2023 07.
Artículo en Inglés | MEDLINE | ID: mdl-37400099

RESUMEN

OBJECTIVES: It often is challenging to deliver clerkship didactic sessions in a time-effective and engaging manner for learners. The flipped classroom approach, which fosters independent learning before applying knowledge in group settings, is an evidence-based way to enhance engagement and learning. Electronic learning methodologies were used widely during the coronavirus disease 2019 pandemic to ensure student safety while continuing didactics remotely. Student teaching of didactics delivers key content in innovative ways while also providing students with the opportunity to teach their peers. METHODS: During the Family Medicine clerkship at Florida International University Herbert Wertheim College of Medicine, students deliver an interactive, 15-minute presentation on a core Society of Teachers of Family Medicine National Clerkship Curriculum topic. During the first year of the pandemic (2020), this assignment was transitioned to be conducted remotely via Zoom. For the 2020-2021 academic year, students completed an anonymous, optional, computer-based, postactivity survey to assess their satisfaction with and perceptions of the assignment. RESULTS: The majority (80%) of respondents reported that they enjoyed teaching in the online format. In addition, students reported that this assignment made them feel confident in their teaching abilities, that they learned from their peers, and that teaching helped clarify their understanding of the topic. CONCLUSIONS: Student-led teaching is beneficial to learners because it enhances engagement. It can be easily implemented and help reduce faculty burden for curricular development. In a distributed, community-based clinical model such as ours, electronic learning allows for coordinated teaching efforts across geographical boundaries.


Asunto(s)
COVID-19 , Prácticas Clínicas , Educación a Distancia , Estudiantes de Medicina , Humanos , Medicina Familiar y Comunitaria , Curriculum , Prácticas Clínicas/métodos , Enseñanza
4.
Cureus ; 15(5): e39037, 2023 May.
Artículo en Inglés | MEDLINE | ID: mdl-37323361

RESUMEN

SARS-CoV-2 (COVID-19) is known to present with a variety of features, with the most common being upper and lower respiratory tract symptoms. However, there are emerging reports of COVID-19 infections with extrapulmonary manifestations, including neurological conditions. We report a case of a patient who presented to his primary care physician with symptoms of Bell's Palsy after recovering from a COVID-19 infection. He was given timely and appropriate treatment that resolved symptoms without residual neurological deficits.

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