Academic Health Sciences Library Develops Novel Online Teaching and Learning Resource for Dermatology

Journal of Cutaneous PathologyVolume 39, Issue 4 p. 401-401 Glomeruloid Hemangiomas in the Absence of POEMS Syndrome Erick Jacobson-Dunlop MD, Erick Jacobson-Dunlop MD Department of Pathology, Oregon Health and Science University, Portland, ORSearch for more papers by this authorHelen Liu MD, Helen Liu MD Department of Dermatology, Oregon Health and Science University, Portland, ORSearch for more papers by this authorEric L. Simpson MD, MCR, Eric L. Simpson MD, MCR Department of Dermatology, Oregon Health and Science University, Portland, ORSearch for more papers by this authorClifton R. White Jr. MD, Clifton R. White Jr. MD Departments of Dermatology and Pathology, Oregon Health and Science University, Portland, ORSearch for more papers by this authorKevin P. White MD, Corresponding Author Kevin P. White MD Departments of Dermatology and Pathology, Oregon Health and Science University, Portland, ORe-mail: whiteke@ohsu.eduSearch for more papers by this author Erick Jacobson-Dunlop MD, Erick Jacobson-Dunlop MD Department of Pathology, Oregon Health and Science University, Portland, ORSearch for more papers by this authorHelen Liu MD, Helen Liu MD Department of Dermatology, Oregon Health and Science University, Portland, ORSearch for more papers by this authorEric L. Simpson MD, MCR, Eric L. Simpson MD, MCR Department of Dermatology, Oregon Health and Science University, Portland, ORSearch for more papers by this authorClifton R. White Jr. MD, Clifton R. White Jr. MD Departments of Dermatology and Pathology, Oregon Health and Science University, Portland, ORSearch for more papers by this authorKevin P. White MD, Corresponding Author Kevin P. White MD Departments of Dermatology and Pathology, Oregon Health and Science University, Portland, ORe-mail: whiteke@ohsu.eduSearch for more papers by this author First published: 23 March 2012 https://doi.org/10.1111/j.1600-0560.2012.01898_1.xCitations: 2Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article.Citing Literature Volume39, Issue4April 2012Pages 401-401 RelatedInformation

Journal-related Activities and Other Special Activities at the 2011 American Society of Anesthesiologists Annual Meeting

How can health sciences librarians and biomedical informaticians offer relevant support to Clinical and Translational Science Award (CTSA) personnel? The Spencer S. Eccles Health Sciences Library and the associate vice president for information technology for the health sciences office at the University of Utah conducted a needs assessment. Faculty and staff from these two units, with the services of a consultant and other CTSA partners, employed a survey, focus groups, interviews, and committee discussions. An information portal was created to meet identified needs. A directive white paper was created. The process employed to plan a virtual and physical collaborative, collegial space for clinical researchers at the university and its three inter-institutional CTSA partners is described. The university's model can assist other librarians and informaticians with how to become part of a CTSA-focused infrastructure for clinical and translational research and serve researchers in general.

The Neuro-Ophthalmology Virtual Education library (NOVEL) is a partnership between the Spencer S. Eccles Health Sciences Library (EHSL) at the University of Utah and the North American Neuro-Ophthalmology Society (NANOS) that resulted in a peer reviewed digital collection of educational publications, journal articles, conference proceedings, a patient portal, and an illustrated curriculum of neuro-ophthalmology resources. This unique and innovative collaboration has evolved and expanded for more than 18 years. The partnership takes advantage of the strengths of each organization and combines them to create valuable scholarly products that support education and research in neuro-ophthalmology.

Various studies have revealed that there is a disproportionately low representation of skin of colour (SOC) in medical school dermatologic curriculum and board study resources. First-year and second-year medical students were emailed an 18-question survey regarding (1) identifying correct diagnoses of dermatologic conditions on either White skin or SOC and (2) their confidence in identifying dermatologic conditions on SOC. 15% of the images of dermatologic conditions included in the institutional preclinical curriculum show images of patients with SOC. Regarding overall scores for diagnosing dermatologic diseases, students performed similarly on both the White image survey (61.73%) and SOC image survey (66.20%) with no statistically significant differences between surveys (p=0.14). Second-year medical students performed better than first-year medical students overall (p=0.01) and on White skin image survey scores (p=0.02) but not on people of colour image survey scores (p=0.09). Students largely agreed that they were more comfortable identifying dermatologic diagnoses on White skin and that their school could benefit from increased SOC dermatological resources. The overall low scores for the diagnosis of common skin conditions on both the White image and SOC image survey by first- and second-year students are not surprising given the results of a prior study and support the need for re-exposure to dermatology presentations in all skin types during the preclinical curriculum. The low scores support the need for changes in the pre-clinical dermatology curriculum to improve diagnostic ability. Second-year students performed better at diagnosing dermatologic conditions overall and on White skin compared to SOC at the end of their didactic years, possibly due to an underrepresentation of SOC images in institutional and outside educational resources. Attitudes towards school-specific dermatologic SOC education demonstrated a clear desire amongst students for more exposure to dermatologic conditions in various skin colours throughout the curriculum.

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Wikis are part of the suite of Web 2.0 technologies enhancing collaboration and communication. This article describes the ways in which one academic health sciences library has utilized wiki software. The Eccles Health Sciences Library has found wikis to be valuable collaboration tools. Case scenarios and software selection recommendations will be outlined. Examples of collaborations using wikis include grant writing, strategic planning, departmental documentation, and committee work. Comparisons are made between externally hosted and locally hosted wiki software.

Skin of color representation in medical education: An analysis of National Board of Medical Examiners' self-assessments and popular question banks

During a recent set of telemedicine consultations, Joaquin E. Cigarroa, MD, a cardiologist at Oregon Health & Science University in Portland, was able to establish relationships with 4 new patients and their families, conduct a physical examination using an electronic stethoscope, review the patients’ laboratory results, and develop a care plan. The best part was that the patients, who all live in coastal Lincoln City, Oregon, were able to skip the 3-hour drive to Portland through traffic and often fog. Figure 1. A mock telecardiology consult. Increasingly, cardiologists across the country are leveraging technology to provide remote care, whether through virtual visits and exams, consultations, or continuous monitoring using a growing array of implantable or wearable devices. “Patients love it,” said Cigarroa. They only need to make the trek to Portland when they need advanced diagnostics or procedures. For Cigarroa and his colleagues at Oregon Health & Science University, providing such off-site care is “critical to providing patient-centered care,” he said. He explained that ≈60% of the patients admitted to the cardiovascular service line at Oregon Health & Science University’s hospital are from outside of the Portland metro area, and many are from rural regions of the state. He and his colleagues have increasingly made use of Oregon Health & Science University’s telemedicine portals, which can even be used to perform echocardiograms, to care for patients closer to their homes. “It’s compassionate to the patient and their family to maintain them in their community and only transfer them if they need procedural or …

Chapter 9 - e-channel: A Platform for Disseminating the Scholarly Output of Innovators

Introduction: Student-run free clinics (SRFCs) are a recent popular addition to medical school education, and a subset of studies has looked at the influence of SRFC volunteering on the medical student’s career development. The majority of the research done in this area has focused on understanding if these SRFCs produce physicians who are more likely to practice medicine in underserved communities, caring for the uninsured. The remainder of the research has investigated if volunteering in an SRFC influences the specialty choice of medical school students. The results of these specialty choice studies give no definitive answer as to whether medical students chose primary or specialty care residencies as a result of their SRFC experience.Keeping Neighbors in Good Health through Service (KNIGHTS) is the SRFC of the University of Central Florida College of Medicine (UCF COM). Both primary and specialty care is offered at the clinic. It is the goal of this study to determine if volunteering in the KNIGHTS SRFC influences UCF COM medical students to choose primary care, thereby helping to meet the rising need for primary care physicians in the United States.Methods: A survey was distributed to first, second, and third-year medical students at the UCF COM to collect data on demographics, prior volunteering experience, and specialty choice for residency. Responses were then combined with records of volunteer hours from the KNIGHTS Clinic and analyzed for correlations. We analyzed the frequency and Pearson’s chi-squared values. A p value of less than 0.05 was considered statistically significant.Results: Our survey had a total response rate of 39.8%. We found that neither the act of becoming a KNIGHTS Clinic volunteer nor the hours volunteered at the KNIGHTS Clinic influenced the UCF COM student’s choice to enter a primary care specialty (p = NS). Additionally, prior volunteering/clinical experience or the gender of the medical school student did not influence a student’s choice to volunteer at the KNIGHTS Clinic.Discussion: Volunteering at KNIGHTS Clinic did not increase student choice to enter primary care, with students choosing other specialties at equal rates, probably due to the variety of specialties present at the KNIGHTS Clinic. This suggests that the volunteer attending physicians present at an SRFC may influence the choice of residency for students. It also suggests that SFRCs are not a viable tool to increase the number of primary care doctors in the United States.

This paper deals with the some of the important variable factors relating to health care in Saudi Arabia, with special emphasis on primary health. Other aspects considered are the financial influen...

Community-based health promotion programs for people with disabilities: Mapping the literature landscape

When I was young, I wanted to become a physician because I was interested in human beings and curious to know more about the biology and psychology of these creatures. If you are interested in people, there is no better job than that of a GP. Many young medical students share my enthusiasm for their career, yet few of them would like to specialize in general practice. As a teacher of medical students, I have noticed that during the first years of study general practice seems to be a possible choice for them, yet the longer the studies continue, the more a good many of them prefer a career in a narrower, hospital-based specialty. A recent article in this journal surveyed fifth-year medical students’ opinions on general practice [1]. While students respected GPs’ versatile and challenging work, they were concerned that the work was too hasty and pressing. The majority of the students (82%) considered that the most important aim of the GP's work is to identify serious diseases in order to refer patients for specialized care, which means that they overlooked the GP's important role in public health, i.e. the aim of better health for all people. Another concern among medical students was that GPs have to deal too much with non-medical problems. Bureaucratic duties such as sickness certification take up a large part of a GP's day, and GPs often consider these tasks problematic [2]. We need a continuous discussion about which jobs GPs should and should not do. As generalists, we are needed for many different tasks; however, not all of them are considered efficient use of the GP's time nor do they contribute to achieving the main aims of the GP's work. In Helsinki, the general practice training has been updated to help young doctors cope with the current challenges of primary care. General practice courses now get more positive feedback than before, and the number of young doctors wanting to specialize in general practice has increased. Nevertheless, young doctors who choose a career in primary care still face several barriers. The shortage of primary care physicians seems to continue, and young doctors often tend to leave after their mandatory period in general practice. In Finland, a primary care reform has been planned for several years, and one initiative was launched in 2012. However, it is based on municipalities as organizers of primary health care, and the initiative is strongly linked to a parallel reform of the number of municipalities. Few believe that this reform is going to solve the problems of primary care in Finland. GPs play a decreasing role in the leadership of primary care. High demands and limited resources challenge their role as primary care leaders, a similar situation to what was lately described in rural primary care in Norway [3]. Recently, three enthusiastic young physicians described their vision of future primary care in an editorial in the New England Journal of Medicine [4]. They emphasized multi-professional teams, quality-improvement cycles, patient groups, and the use of new technologies in communication with patients. Some of these ideas, such as teamwork and focus on quality, seem familiar in Scandinavia. Many countries, including the United States, Norway, and Finland, are simultaneously carrying out primary health care reforms. Despite the challenges, the many good practices and innovations in primary health care in Scandinavia are important models for the current reforms. Times are interesting for the transforming of primary care systems. The number of young physicians who choose a career in primary care serves as a good measure for the success of transformation. A journal like this plays an important part in letting us read and write about the importance of primary care and the successful innovations that are made in the few well-functioning systems. All this knowledge is useful for the GPs who are taking the lead in re-imaging the future of primary care.

Libraries are clearly in a state of transition, and library space is also being shaped by new librarian roles. As illustrated in this year's building project column, space is rapidly being redefined in new and exciting ways. In some cases, library space is being transformed into community spaces such as cafes, galleries, and exhibit areas; health sciences libraries are quickly catching up to public and academic libraries that have pioneered these types of facilities and services. In others, library space is being used to solidify partnerships between library staff and other academic personnel collectively working on projects, grants, or other strategic alliances. In these cases, space is leveraged to the library's advantage by inviting in partners who share similar goals and objectives. Sharing space allows experts from different backgrounds and disciplines to share their knowledge and develop collaborative projects. Clinical and Translational Science Award (CTSA) units and innovation centers are prime examples of these expert partnerships. Locating library staff adjacent to these experts has enabled them to share their knowledge and contribute to the shared projects as well. And finally, libraries can be spaces for discovery and creation of new knowledge in a much broader sense. They can be part of the larger learning or teaching center, providing study areas, test centers, laboratories, simulation centers, group collaboration facilities, and research evidence. Academic health sciences librarians and libraries need to remain agile as well as responsive to the needs of their organizations; for only then will they remain relevant. Four academic health sciences libraries exemplify the transformations that are underway. The University of Colorado is a fine example of a library that has created community space. They opened their library to the general community by establishing an art gallery for exhibits of works by local and visiting artists. The University of Utah invited their CTSA personnel into the library space to better support their researchers. The University of Alabama at Birmingham has an exciting new innovation center that encourages conversations about difficult or thorny topics. Their Edge of Chaos provides a place where all types of university personnel can collaborate to reach creative solutions to issues. All three descriptions of the resulting space supporting new roles for librarians can serve as models for how housing nonlibrary projects in library space can meet with success. Finally, the University of Arizona has strategically placed its new Phoenix library in a health sciences education building, next to an educational teaching lab, clinical education suites, and a simulation center. Their success in fully integrating their new library into a health education building provides a model of how a primarily electronic library collection complemented with librarian expertise can support the information needs of a new campus. Connecting community to campus through gallery space Submitted by Melissa De Santis, MLIS, AHIP, and Gerald J. Perry, MLS, AHIP; Health Sciences Library, Anschutz Medical Campus, University of Colorado, Aurora, CO