Blog

Posted by on Nov 10, 2018 in Featured, Staff | 0 comments

This month we would like to thank and recognize Marten Hawkins. Thank you for being a part of MSRJ, Marty!

Here is a little bit about him:

Marten is an integral staff member at MSRJ! Last year he took on the newly created role of secretary and made it a valuable one within the organization. We were thrilled when he agreed to serve in the role again for 2018-2019. So far this year he has gone above and beyond by not only organizing monthly meetings across campuses and providing tech support, but also helping with article follow up to insure things get done at our busy student-run Journal. MRSJ is lucky to have someone like Marty!
Marty is currently interviewing for an internal medicine residency which he will follow up with a Fellowship in his true passion – Infectious Disease.

 

Thank you, Marty!

Layers

Posted by on Nov 9, 2018 in ePubs, Reflections | 0 comments

“Layers”
by Andrew Albert

Layers of dirt, rock and bone,
dark, damp, days of carefully peeling off one by one with a fine-tooth comb.
Focus, hope, patience, needed to defend against anticipation.
The agitation can become overwhelming in the mine, I’ve seen it happen ore’ again.

When digging too deep without repose
this awakens the earth, protecting what is trying to be exposed.
One can put their whole being into this purpose, scars and ache to tell.
Know well that under dirt, rock and bone there may be gold.

Folding layers of hardship and worn nerve can hide a soul.
Life like gold.
Just as the treasures of the earth are hidden.

Let then, the miner and physician know,
that below the surface there is true color to show.
For how much more precious is a life than metal?
We must persist in uncovering the layers.

 

 

Poem Commentary

The central theme of this poem was to describe the persistence required of physicians when working with patients that may be difficult to understand, and how that could connect to the process of gold mining. They both share a persistence in the act of uncovering, whether uncovering a precious metal in mining, or removing individual barriers to get to know a patient (alternative: person). Structurally the poem includes two lines of true rhyming followed by two lines of dissidence to build tension. Every new paragraph begins with an early connecting rhyme to attempt to bring relief to the previous paragraph’s tension. This echoes the fact that the physician’s process of uncovering is an ebb and flow of tension and resolve. The poem was designed to end without a resolve with a reference to the title. This was meant to prompt the reader to look inward, contemplate the theme as a whole and connect the weight of how much time and effort should be invested in people. It may be difficult to appreciate the complete meaning throughout the lines, so this next section is meant to address some of those nuances.

Lines 1-4: The poem begins with a vague reference to mining that may be unfamiliar to most. In placer mining, many days are spent in machinery peeling back the earth, slowly descending towards the layers in which gold can be found. This mystery to which the poem is initially referring, was meant to draw the reader in and promote a moment of wonder. The type of wonder that is defined as “a moment of admiration, caused by something unexpected, unfamiliar, or inexplicable.” This wonder and curiosity can be the same way students and physicians may feel initiating a connection with a new patient. Line 3 describes how gold mining can feel like an endless process. You may find yourself asking, “Will this be worth it; are we going to find gold? What does it even look like”? The anticipation is unbearable, and one needs a strong sense of hope and vision to keep going. The same concept must be applied to patients. It may be easy to give up on someone, and believe there is nothing worth digging for. Sometimes all you want to do is give up, and the anticipation and waiting can seem overwhelming, but hope helps you persist.

Lines 5-8: Mining can be a dangerous process. If you are not careful with maintaining the angle of repose (defined as, “the steepest angle at which a sloping surface formed of a particular loose material is stable.”) when excavating the earth, the walls can cave in. Mistakes like this happen when the miner gets impatient or greedy. Just like the earth can protect its precious metals, so too patients cover themselves and hide if “rubbed” the wrong way. The process requires great care and patience, but if done in a careful manner there may be a reward at the end.

Lines 9-11: The next section reveals and confirms the connection between gold mining and humanity, with layers of hardship being the experiences that may need to be uncovered to find what is beneath. The gold in humanity is not meant to be a specific human trait, but rather the unique good in each individual. Also, a fascinating characteristic about gold is that every piece is highly unique in color and shape, and you do not need to be an expert to find a piece of it in an inconceivably large mess of dirt. You always know when you see it.

Lines 12-15: The last section alludes to “true colors.” This makes an important distinction of neutrality because what is revealed may in fact not be beautiful or precious, but they are true colors none the less. Sometimes, even after the long hours, days, and years of trying to uncover this treasure, there may not be any gold at the end of your pursuit. It is a sad truth, but both the miner and the physician must continue on in hope regardless. In regard to the line “life more precious than metal,” one must consider how vigorously we seek and sacrifice for our worldly desires, and question whether we ought to give an even more significant effort in caring for our patients.

“What I hope the reader takes from this poem is that people and situations can be complex and difficult to work with, but one must persist in hope of finding the value in a person. Physicians, after all, are just like miners, and despite major setbacks, wall cave ins, bankruptcy, or hardship, they will be back to continue digging with a renewed vigor and hope for treasure.”

 

The author is currently in his fourth year of medical school. Prior to committing to a career in medicine he worked for six summer seasons, gold mining in the Alaska Range.

 

Publication DOI: 10.15404/msrj/10.2018.0159
Corresponding author: Andrew Albert
Contact: drewalbert7@gmail.com
College of Human Medicine, Michigan State University, East Lansing, MI, USA

MSRJ 2018-2019 Editorial Staff

Posted by on Oct 19, 2018 in Articles, In The News, Staff | 0 comments

MSRJ 2018-2019 Editorial Staff

2018-2019 MSRJ Editorial Staff

Visit another recent post to meet our Executive Editorial Board: http://msrj.chm.msu.edu/2018-2019-msrj-executive-editorial-board/

Senior Editors

Olivia Hudson- Olivia is a 4th year medical student serving as Senior Editor for the MSRJ. She is originally from Okemos, MI. She studied Human Biology at Michigan State University and played club lacrosse prior to medical school. She is interested in pursuing a career Interventional Cardiology. In her spare time, she enjoys biking, cooking and competitive sports.

James Parkkonen is a 4th year medical student serving as Senior Editor for the MSRJ. He hails from Negaunee, MI and majored in Psychology and Criminal Justice at the University of Michigan. He is a future Emergency Medicine physician whose hobbies include basketball, sitcoms, reading and kittens.

Aidan Tan is a 5th year medical student studying at the University of New South Wales and serving as a Senior Editor for the MSRJ.

Daniel Havlichek- Dan is a 4th year student at MSU-CHM serving MSRJ as a senior editor. He is an alumnus of the University of Michigan with a degree in microbiology. Career interests include Gastroenterology and general internal medicine. He is still seeking the perfect chicken tikka masala recipe.

Meghan Hill – Meghan is a 4th year medical student serving as Senior Editor for MSRJ. She is from Caledon, Ontario and received her Bachelors in Pharmacology at McGill University in Montreal, Quebec prior to starting medical school at MSU CHM. She is pursuing a career in Internal Medicine with potential specialization in Pulmonology and Critical Care.

Larissa Georgeon is a 4th year medical student at Michigan State University College of Human Medicine. She received her B.A. in Biology from Clark University and her M.P.H. in Epidemiology from Texas A&M University. Prior to medical school, she was an Epidemiological Fellow at the Centers for Disease Control and Prevention (CDC) in Atlanta, GA. She is interested in Global Health and has gained international experience through her public health internship in Mumbai, India and volunteering at a rural clinic in Surin, Thailand. Her passion is to pursue a career in women’s health and help alleviate domestic and global health disparities.

Francesca Cazzulino is a 4th year medical student serving as a Senior Editor for MSRJ. She is from Pasadena, CA and received her Bachelors of the Arts in Biology from Oberlin College and a Masters in Public Health in Epidemiology from UCLA Fielding School of Public Health. She is interested in pursuing a career in Internal Medicine.

Junior Editors

Maria Rich – Maria is a 2nd year medical student at Michigan State University College of Human Medicine. She grew up in Grand Rapids, Michigan and received her B.A. in Biology from Kalamazoo College where she enjoyed studying abroad in Quito, Ecuador and playing varsity soccer. Prior to starting medical school, she worked as a Clinical Research Coordinator with the BeatCC Pediatric Oncology Research Team. At this point in her medical education, she is excited about pediatrics, genetics, and palliative care.

Ninette Musili – Ninette is a 2nd year medical student at Michigan State College of Human Medicine. She grew up in Ann Arbor, Michigan and attended the University of Michigan for a Bachelor of Science in Biomolecular Science. She is strongly interested in Global Health disparities and how they affect women and children healthcare. At this point in her education she has a strong interest in Surgery and Obstetrics/Gynecology.

Mutinta Chisowa- Mutinta is a 3rd year medical student Michigan State University College of Human Medicine. She grew up in Kalamazoo, Michigan and attended Oakwood University and recieved a B.S in Biology. She is interested in pursuing Emergency Medicine.

Baiju Patel – Baiju is a 3rd year medical student at Michigan State University College of Human Medicine. I grew up in Macomb, Michigan after arriving from India when I was a child. Attended Wayne State University and received BA in Biology. At this point in my education I have an interest to various fields ranging from Pediatrics, Psych, Neuro and Emergency Medicine.

Maddie Hulse – Maddie is a 3rd year medical student at Michigan State University College of Human Medicine. She grew up in East Lansing, Michigan and attended the University of Michigan and received a BS in Molecular and Cellular Biology. She is interested in pursuing a career in Internal Medicine or Family Medicine.

Emma Herrman – Emma is a 3rd year medical student at Michigan State University College of Human Medicine. She grew up in Shelby Twp,. MI and attended the University of Michigan, receiving a BS in biomolecular science with a minor in sociocultural anthropology. She is unsure what area of medicine she wants to pursue at this point, but is interested in emergency medicine, pediatrics and heme/onc.

Caitlin McCarthy – Caitlin is a 3rd year medical student at Michigan State University College of Human Medicine. She received her Bachelor of Arts in Chemistry and Psychology in 2013 from Kalamazoo College. After college graduation, she taught high school chemistry at University Prep High School in Detroit for three years. Outside of medical school, Caitlin is a registered yoga teacher and teaches vinyasa weekly at a studio in Grand Rapids. Her professional interests include preventive health, public and community health, women’s health, and education. She hopes to ultimately go into a field of medicine that affords her opportunities in advocacy, continuity of care, and meaningful relationships with patients.

Megan Kechner – Megan is a 3rd year medical student at Michigan State University College of Human Medicine. She received her Bachelor of Science in Neuroscience and Psychology in 2015 from Michigan State University. Her past research experience includes the study of molecular mechanisms underlying neuropsychiatric disorders such as depression and addiction. She has also conducted research at Vanderbilt University exploring the genetic variation in the human dopamine transporter gene and its role in Attention Deficit Hyperactivity Disorder. At CHM, Megan is currently using a pre- and post-test model to assess outcomes of the ThinkFirst injury prevention program. She is spending her clinical years in Flint, MI and is in the Medical Partners in Public Health Certificate program. Her professional interests include injury prevention, mental health, public health, and academic medicine. Ultimately, she is interested in pursuing a career in pediatrics, PM&R, or neurology.

Danielle Sethi – Danielle is a 3rd year medical student at Michigan State University College of Human Medicine. She received her Bachelor of Science in Architecture in 2012 from University of Michigan and her Master of Science in Physiology and Biophysics in 2014 from Georgetown University. After graduate school, she helped implement and manage the scribe program at the University of Michigan. She is in Flint, MI for her clinical years and she is in the Public Health Certificate program. Her professional interests include women’s health, public health, infectious diseases, and global medicine. She is interested in pursuing a career in Surgery or Emergency Medicine.

2018-2019 MSRJ Executive Editorial Board

Posted by on Oct 13, 2018 in Featured, Staff | 0 comments

2018-2019 MSRJ Executive Editorial Board

Marten Hawkins (Secretary), Genevieve Pourzan (Lead Junior Editor), Amina Ramadan (Treasurer), Angie Thayer (Executive Editor-in-Chief), Rohit Nallani (Lead Senior Editor), Kathleen Louis (M3 Executive Editor), *Not pictured: Kyle Hildebrandt (M4 Executive Editor), Benyam Goitom (Public Relations Officer)

Meet our 2018-2019 Executive Editorial Board

Angelyn Thayer, Executive Editor-in-Chief – is a 4th year medical student at Michigan State University College of Human Medicine. She earned her Bachelors of Science in Nursing from Grand Valley State University and worked as a Pediatric Critical Care nurse in Detroit before coming to medical school. She is currently working on a research project looking at outcomes for patients who have had HeRO dialysis grafts placed by vascular surgery. She served as the M3 Executive Editor last year and helped to run the MSRJ elective in her 2nd year. She is pursuing a career in Vascular Surgery.

Kathleen Louis- M3 Executive Editor – is a 3rd year medical student at MSU College of Human Medicine. She received her Bachelor of Science degree in Biological Sciences from Illinois State University, and subsequently earned her Ph.D. in Neuroscience from Michigan State University. During her Ph.D., she studied thalamic synaptic plasticity in a rat model using electrophysiological techniques. She is currently in her 3rd year of medical school in the Rural Community Health Program at the Traverse City campus. There, she is involved in research regarding diet interventions during pregnancy in a rural population. She has been an active member of MSRJ since 2016, helped to organize the MSRJ Elective last year, and is currently serving as the M3 Executive Editor. She is interested in neurology or pediatrics, and would like to strongly integrate clinical research with her future specialty.

Eve Pourzan- Junior Editor Coordinator, is a 3rd year medical student serving as the Junior Editor Coordinator and Senior Editor, and is a prior 2017-2018 MSRJ Elective Organizer. She received her Bachelor’s in Politics from UCSC, and worked for the Michigan Legislature before pursuing medicine. Eve has lab experience investigating how to inhibit cell signaling in estrogen-positive breast cancer and systemic sclerosis. She is looking forward to exploring different medical specialities in her clerkship rotations.

Rohit Nallani- Senior Editor Coordinator, is a 4th year medical student in the Medical Partners in Public Health program at Michigan State University College of Human Medicine. He completed his B.S. in Neuroscience and History at the University of Michigan in 2014. Rohit has research experience with decisional conflict in rheumatoid arthritis patients, evaluating efficacy of a medical business and finance elective, public health, and surgery. Rohit aims to increase awareness of the MSRJ and help improve communication and ensure timely and efficient reviews of manuscripts. Besides serving as Junior Editor Coordinator for MSRJ previously, he was also involved with the Physicians for Social Responsibility and the American Medical Association’s chapter at MSU. Rohit plans to pursue a career in Otolaryngology.

Amina Ramadan- Treasurer, is a 3rd year medical student in the Leadership in Medicine for the Underserved program at Michigan State University College of Human Medicine. She completed degrees in Public Health and Cellular & Molecular Biology, with a minor in Global Health, at the University of Washington in Seattle. She is learning to call Michigan home, a process that has been greatly assisted by cider mill donuts, and is proud that she has managed to survive the famously frosty Michigan winter. Amina is also honored to represent her classmates as part of the Dean’s Student Advisory Council. She is, at this point, interested in every available medical specialty, though her past participation in brain injury research has her leaning most strongly towards Emergency Medicine, Neurology, and Pediatrics.

Marten Hawkins- Marten is a 4th year medical student serving as Secretary and Senior Editor for the MSRJ. He is originally from Plymouth, MI and studied Biochemistry and Epidemiology at the University of Michigan prior to starting at MSU-CHM for medical school. Three years later, he is still convinced that Jessica Martín is totally tubular. He is interested in infectious disease medicine, with a focus on infection prevention and antimicrobial stewardship. In his spare time, he enjoys reading, going to musicals and baking.

Advance Directive Status in >65yo ED Population

Posted by on Feb 6, 2018 in Articles, ePubs | 0 comments

Advance Directive Status in the Greater Than 65-Year-Old Emergency Department Population

Author: Kelsey Grace , Michelle Carson MD, August Grace, David Betten MD

Author Affiliations: Sparrow Hospital Department of Emergency Medicine

Full Text Article PDF

Corresponding Author: Kelsey Grace, gracekel@msu.edu

 

Abstract:

Advance directives are an important aspect of medical care for the elderly given the uncertainty of health and longevity. In their absence, family and physicians are often left with questions regarding what patient’s wishes would entail if they become incapacitated. Individuals >65 years presenting to the ED were surveyed during the months of June-September 2015 by study investigators regarding their knowledge and utilization of advance directives. 168 patient surveys were completed with a mean age of 77.2 (SD ±7.45 years; range 65-97). Of those, 91% were either ―very familiar‖ or ―somewhat familiar‖ with Advance Directives with 76.1% having some form of documented advance directives in place. Of those who felt family were aware of their wishes, 84.9% had assigned a Medical Durable Power of Attorney. Only a small minority had developed advance directives with their physician’s assistance (6.8%). The majority of patients stated that they had prepared their end of life documents with a Lawyer (72%). Only 35.8% of patients sampled had even mentioned the topic or their specific wishes with their primary care or ED physician. Overall rates of formalized advance directives would appear to be highly utilized in this patient population with little variation based upon respondents’ self-assessment of physical health. A surprising finding was how minor of a role physicians appear to play in the development of ADs. This provides an opportunity to enhance the physician-patient relationship and improve patient education regarding end of care discussions. Physicians should take initiative and begin having these conversations, in order to ensure that patients are making educated decisions and that proper documentation is occurring.

Published on date: February, 2018

DOI: 10.15404/msrj/02.2018.0152

Citation: Grace, K., Carson, M., Grace, A. et al. Advance Directive Status in the Greater Than 65-Year-Old Emergency Department Population, Medical Student Research Journal (2018). doi:10.15404/msrj/02.2018.0152

References:

1. Koch, K. Patient Self-Determination Act. J Fla Med Assoc. 1992. 79:240–243.

2. O’Sullivan, R., Malio, K., Angeles, R., Agarwal, G. Advance directives: survey of primary care patients. Can Fam Physicians. 2015. 61(4):353-356.

3. Oulton, J., Rhodes, S., Howe, C., et al. Advanced directives for older adults in the emergency department: a systematic review. J Pallait Med. 2015. 18(6):500-505.

4. Llovera, I., Ward, M., Ryan, J., et al. Why don’t emergency department patients have Advanced directives? Academic Emergency Medicine. 1999. 6(10):1054-1060.

5. Ishihara KK, Wrenn K, Wright SW, Socha CM, Cross M. Advance directives in the emergency department: too few, too late. Acad Emerg Med. 1996. 3:50–53.

6. Emanuel LL, Barry MJ, Stoeckle JD, Ettelson LM, Emanuel EJ. Advance directives for medical care—a case for greater use. New Engl J Med. 1991;324(13):889–895.

7. Spoelhof GD, Elliott B. Implementing Advance directives in office practice. Am Fam Physician. 2012. 85(5):461–466.

8. Edinger W, Smucker DR. Outpatients’ attitudes regarding Advance directives. J Fam Pract. 1992. 35(6):650–653.

9. Tierney WM, Dexter PR, Gramelspacher GP, Perkins AJ, Zhou XH, Wolinsky FD. The effect of discussions about Advance directives on patients’ satisfaction with primary care. J Gen Intern Med. 2001;16(1):32–40. (Patient satisfaction with physicians increases if directives are discussed).

Vol 5: Fall 2017 Issue

Posted by on Feb 3, 2018 in Featured, Issues | 0 comments

Vol 5: Fall 2017 Issue

MSRJ – Volume 5 – Fall 2017

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Equator Manuscript Reporting Guidelines

Posted by on Feb 3, 2018 in Featured, In The News | 0 comments

Equator Manuscript Reporting Guidelines

Hello authors,

We at MSRJ are working hard to streamline the manuscript review process to reduce the time between submission date and when a decision is made on final publication.   One of the numerous barriers to fast and efficient manuscript review is something that is under author control – the quality of the submitted manuscript.   In this post, I will describe an indispensable tool all authors should use in preparing a manuscript for publication.

The resource I am referring to is the “Reporting Guideline”.  A reporting guideline is a document that outlines the minimum required content for your manuscript.  It is like a checklist of what information should be included in your manuscript. The purpose of a guideline is to ensure authors provide required information such that a reader knows exactly what you did in your study, and if so desired, they could repeat your study using only your manuscript as a guide. The goal is to ensure all published research papers have proper reporting of details to ensure they can be critically appraised, utilized in systematic reviews, or repeated.

Use of a reporting guideline when writing your manuscript will also help shorten the time it takes from manuscript submission to journal decision.  One of the major delays in the review process occurs when submitted manuscripts have missing information.   This requires the journal to request a resubmission of the manuscript with the missing information, often requiring a second review.  To avoid such a needless delay, we strongly recommend using a reporting guideline when submitting a manuscript to MSRJ.

equator_logo

So what should MSRJ authors do?

(1) Go to The Equator Network website (http://www.equator-network.org/). The Equator Network hosts hundreds of reporting guidelines on many different study design types.  There are reporting guidelines for randomized trials, observational studies, systematic reviews, qualitative research, and case reports, among many others.

(2) On the Equator Network website, find the guideline appropriate to your study type.

(3) Once you have found the appropriate guideline, use the associated checklists to ensure you report all required information.

(4) Finally, cite the guideline you used in your manuscript.

By utilizing the appropriate guideline and adhering to its recommendations, you will ensure a smooth initial review and help improve the quality of research reporting in general.

Sincerely,

Mark Trottier, Ph.D.

MSRJ Faculty Advisor

Case Report of Glanzmann Thrombasthenia

Posted by on Sep 18, 2017 in Articles, ePubs | 0 comments

Unexplained Bleeding: Case Report of Glanzmann Thrombasthenia

Author: Ahmed Al Wahab1 , Alaa Nugud, M.D.2 , Shomous Nugud M.D.3, Zahran Alras1

Author Affiliations:

1College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
2Department of Pediatrics, Dubai Health Authority, Dubai, United Arab Emirates
3Department of Research, Sharjah Institute for Medical Research, Sharjah, United Arab Emirates

Full Text Article PDF

Corresponding Author: Ahmed Al Wahab, a7md13@gmail.com

Key Words: Glanzmann Thrombasthenia, inherited platelet disorder, the disorder of hemostasis

Abstract:

Background

Glanzmann Thrombasthenia (GT) is a rare inherited genetic platelet disorder characterized by a qualitative, or quantitative mutation in GPIIb/IIIa receptor; which results in defective platelet aggregation and diminished clot retraction.

Case

A 19-year-old Arab descent female presented to emergency department with severe menorrhagia. On examination an ill looking pale patient in addition to generalized fatigue of one-week duration.

Conclusion

Acquired platelet disorders are more frequently encountered in practice than inherited ones, usually due to medical therapy or an underlying medical condition. GT, was previously known as hereditary hemorrhagic thrombasthenia, is an autosomal recessive disorder that is often disregarded as it has many clinical and laboratory findings similar to some acquired platelet disorders.

Published on date: September, 2017

DOI: 10.15404/msrj/09.2017.0127

Citation: Al Wahab, A., Nugud, A., Nugud, S., & Alras, Z. Unexplained Bleeding: Case Report of Glanzmann Thrombasthenia, Medical Student Research Journal (2017). doi:10.15404/msrj/09.2017.0127

References:

  1. Stevens, R. & Meyer, S. (2002). Fanconi and Glanzmann: the men and their works. British Journal Of Haematology, 119(4), 901-904. http://dx.doi.org/10.1046/j.1365-2141.2002.03812.x
  2. Nurden, A., Ruan, J., Pasquet, J., Gauthier, B., Combrié, R., Kunicki, T., & Nurden, P. (2002). A novel 196 Leu to Pro substitution in the β3 subunit of the αIIbβ3 integrin in a patient with a variant form of Glanzmann thrombasthenia. Platelets, 13(2), 101-111. http://dx.doi.org/10.1080/09537100220122466
  3. Solh, M., Solh, T., & Botsford, A. (2015). Glanzmann's thrombasthenia: pathogenesis, diagnosis, and current and emerging treatment options. Journal Of Blood Medicine, 219. http://dx.doi.org/10.2147/jbm.s71319
  4. Di Minno, G., Zotz, R., d’Oiron, R., Bindslev, N., Di Minno, M., & Poon, M. (2015). The international prospective Glanzmann Thrombasthenia Registry: treatment modalities and outcomes in non-surgical bleeding episodes in Glanzmann thrombasthenia patients. Haematologica. http://dx.doi.org/10.3324/haematol.2014.121475
  5. iore, M., Nurden, A., Nurden, P., & Seligsohn, U. (2012). Clinical utility gene card for: Glanzmann thrombasthenia. European Journal Of Human Genetics, 20(10), 1102-1102. http://dx.doi.org/10.1038/ejhg.2012.178
  6. George, J., Caen, J., & Nurden, A. (1990). Glanzmann’s thrombasthenia: the spectrum of clinical disease. Blood, 75(7), 1383-1395.
  7. Seligsohn, U. (2003). Glanzmann thrombasthenia: a model disease which paved the way to powerful therapeutic agents. Pathophysiology Of Haemostasis And Thrombosis, 32(5-6), 216-217. http://dx.doi.org/10.1159/000073569.

Three Wishes Survey

Posted by on Sep 18, 2017 in Articles, ePubs | 0 comments

Are medical students becoming less altruistic and more money-oriented? A three wishes survey

Author: Anna I. Perera MSc1, Anna Serlachius PhD1, Roger J. Booth PhD2 & Keith J. Petrie PhD1

Author Affiliations:

1Department of Psychological Medicine, University of Auckland, NZ

2Department of Molecular Medicine and Pathology, University of Auckland, NZ

Full Text Article PDF

Corresponding Author: Anna I. Perera, anna.perera@auckland.ac.nz

Key Words: undergraduate, motivations, altruism, money, specialization

Abstract:

Purpose

In this study we assessed the underlying values and goals of current medical students by examining personal wishes. The authors also aimed to determine the impact of the increased financial burden of medical training on students‟ motivations by comparing current wishes to those of students from 1999. We also examined the relationships between types of wishes, choice of future medical specialty, and demographic characteristics.

Methods

An anonymous survey with the question: “If you had three wishes, what would you wish for?”, and items pertaining to specialization choice and demographics was completed by 418 medical students. Wishes were coded into seventeen categories. Results were compared to a previous survey conducted in 1999.

Results

The largest category of wishes was altruism (40% of students) followed by achievement (36%), and money (34%). Significantly more medical students in 2015 had altruistic and achievement wishes compared to 1999. However, there was no significant increase in money-related wishes in the 2015 cohort compared to students from 1999. Final year students were more likely to report power-related wishes and male medical students had significantly more wishes related to power, money, and self-esteem. Students who aspired to be surgeons had more affiliation wishes and fewer knowledge-related aspirations. Conversely, medical students planning to enter internal medicine training were more likely to have wishes related to power and self-esteem. Achievement wishes were more common among individuals wanting to enter family medicine.

Conclusion

There was no evidence that medical students are becoming less altruistic and more money-orientated. Further, individuals did not appear to become less altruistic or increasingly financially driven as they progressed through the medical course.

Published on date: September, 2017

DOI: 10.15404/msrj/09.2017.0145

Citation: Perera, A., Serlachius, A., Booth, R., & Petrie K. Are Medical Students becoming Less Altruistic and More Money-Oriented? A Three Wishes Study, Medical Student Research Journal (2015). doi:10.15404/msrj/09.2017.0145

References:

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  3. Newton BW, Barber L, Clardy J, Cleveland E, O’Sullivan P. Is there hardening of the heart during medical school? Acad Med 2008;83(3):244-249. http://dx.doi.org/10.1097/ACM.0b013e3181637837.
  4. Hojat M, Vergare MJ, Maxwell K, Brainard G, et al. The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Acad Med 2009;84(9);1182-1191. http://dx.doi.org/10.1097/ACM.0b013e3181b17e55
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  6. Morley CP, Roseamelia C, Smith J, Villarreal AL. Decline of medical student idealism in the first and second year of medical school: a survey of pre-clinical medical students at one institution. Med Ed 2013;18:21194. http://dx.doi.org/10.3402/meo.v18i0.21194
  7. Mader EM, Roseamelia C, Morley CP. The temporal decline of idealism in two cohorts of medical students at one institution. BMC Med Ed 2014;14:58. http://dx.doi.org/10.1186/1472-6920-14-58.
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Aerococcus Viridans

Posted by on Sep 17, 2017 in Articles, ePubs | 0 comments

Aerococcus Viridans Infectious Endocarditis Complicated by Splenic Infarction

Author: Joshua Budhu M.S, Dorian Wood B.S, Marvin Crawford M.D, Khuram Ashraf M.D, Frederick Doamekpor M.D, Olufunke Akinbobuyi M.D

Author Affiliations: Morehouse School of Medicine, GA, USA

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Corresponding Author: Joshua Budhu, jbudhu@gmail.com

Key Words: splenic infarct, infectious endocarditis, aercoccus viridans, HIV, immunocompromised, hemodialysis

Abstract:

In this case report we discuss splenic infarction as a presentation for infectious endocarditis. While not unheard of, splenic infarctions are usually incidental findings and are not usually used to diagnose infectious endocarditis. Since our patient was on hemodialysis, had AIDS and blood cultures tested positive for Aerococcus viridans and Streptococcus parasanguis, we propose that atypical presentations of IE should be considered in immunocompromised patients.

 

Published on date: September, 2017

DOI: 10.15404/msrj/07.2017.0002

Citation: : Budhu, J., Wood, D., Crawford, M., Ashraf, K., Doamekpor, F., & Akinbobuyi, O. Aerococcus Viridans Infectious Endocarditis Complicated by Splenic Infarction, Medical Student Research Journal (2017). doi:10.15404/msrj/07.2017.0002

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