Spring 2013 – Funding the Future

Funding the Future.
David L. Ortiz.

Author Affiliations:
College of Human Medicine, Michigan State University, East Lansing, MI, USA

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Corresponding author: David Ortiz; ortizdav[at]msu.edu
Key Words: N/A

The problems facing healthcare training today are not simple. Predictions about future demand for physicians have a poor track record, as the GMENAC studies of the 1980s showed. Even if one could predict perfectly the demand for physicians in the future, history has shown that it takes 10-40 years for the full effects of increased medical school enrollment to be felt. The rate of GME must rise. In its present state, GME could sustain reductions as great as 10% of funding without the loss of total residency slots, but any decrease in GME funding will undoubtedly perpetuate the inadequacy of the physician workforce. By 2016, without increased GME funding, there will be a substantial increase in the number of unmatched US seniors and a substantial decrease in the number of foreign medical grads.

Published: May 31, 2013
Senior Editor: N/A
Junior Editor: N/A
DOI: Pending
Ortiz DL. Funding the Future. Medical Student Research Journal. 2013;2(Spring):36-39.
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Spring 2013 – Potential Pathogen Transmission on Medical Student Anatomy Laboratory Clothing

Potential Pathogen Transmission on Medical Student Anatomy Laboratory Clothing.
Chandan J. Kabadi1, Carroll R. Smith III1, Fernando Gomez2*

Author Affiliations:
1American University of the Caribbean School of Medicine, Cupecoy, St. Maarten
2Department of Pathology, American University of the Caribbean School of Medicine, Cupecoy, St. Maarten

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*Corresponding author: Fernando Gomez MD; fgomez[at]aucmed.edu
Key Words: Pathogen Transmission; Infectious Precautions; White Coat; Medical Students; Contamination; Cadaver.
Introduction: Despite great advances in the fields of medicine and sanitation, nosocomial infections remain a very common and serious issue. Many of these problems can be avoided by simple hand washing; however, pathogenic microbes can spread through other modes too. In our study, we aim to determine if the setting of an open cadaver laboratory was conducive to the transmission of pathogens such as Staphylococcus aureus, Streptococcus pyogenes, and Enterococcus faecalis. Methods: For this investigation, 67 volunteer medical students had their laboratory coats swabbed and sampled during their time in anatomy laboratory class. Each coat was sampled prior to cadaver contact and at the end of their time in the laboratory, which coincided with the exploration of the gastrointestinal tract. Results: We found that pathogens were present on the laboratory coats of the students. An increase in each of the three microbes for which we tested was detected at the end of the anatomy laboratory course on the garments of the participants. There were six more student laboratory coats with S. aureus in the post-dissection swabbing and there were three more student laboratory coats with S. pyogenesin the post-dissection swabbing than originally documented. E. faecalis was found on four student laboratory coats in the post-dissection swabbing compared to none pre-dissection. Discussion: From these results, we conclude that stronger infection control measures are warranted to prevent the occurrence of unnecessary disease transmission in this setting. Our study provides data that support further investigation of potential pathogen transmission by student laboratory clothing and supports the use of universal infection control procedures to provide safer
environments for medical students and their contacts, including laundering protocols for coats.

Published: May 31, 2013
Senior Editor: Jon Zande
Junior Editor: Kailyne Van Stavern
DOI: Pending
Kabadi CJ, Smith III CR, Gomez F. Potential Pathogen Transmission on Medical Student Anatomy Laboratory Clothing. Medical Student Research Journal. 2013;2(Spring):30-35.
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Spring 2013 – A Comprehensive Stroke Center Patient Registry: Advantages, Limitations, and Lessons Learned

A Comprehensive Stroke Center Patient Registry: Advantages, Limitations, and Lessons Learned.
James E. Siegler1$, Amelia K. Boehme2,3$, Adrianne M. Dorsey1, Dominique J. Monlezun1, Alex J. George1, Amir Shaban4, H. Jeremy Bockholt5,6, Karen C. Albright2,3,7,8, Sheryl Martin-Schild4*.
Author Affiliations:
1Tulane University School of Medicine, New Orleans, LA, USA
2Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA
3Department of Neurology, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
4Stroke Program, Department of Neurology, Tulane University Hospital, New Orleans, LA, USA
5Advanced Biomedical Informatics Group, LLC, Iowa City, IA, USA
6Department of Psychiatry, University of Iowa, Iowa City, IA, USA
7Health Services and Outcomes Research Center for Outcome and Effectiveness Research and Education (COERE), University of Alabama at Birmingham, Birmingham, AL, USA
8Center of Excellence in Comparative Effectiveness Research for Eliminating Disparities (CERED), Minority Health & Health Disparities Research Center (MHRC), University of Alabama at Birmingham, Birmingham, AL, USA

$James E. Siegler and Amelia K. Boehme contributed equally to the production of this manuscript.


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*Corresponding Author: Sheryl Martin-Schild; smartin2[at]tulane.edu
Key Words: Stroke; Registries; Methodology; Epidemiological Methods; Common Data Elements; Source Data Verification.
There has been a trend to portray doctors as “all” - all knowing, all thinking, all seeing, all doing. We’re all brains, learning and memorizing, and all hands, cutting and suturing. Doctors can be any or none of these things, but sometimes we miss our greatest strength: we can be all Heart. And by being all Heart, we must be careful how our experiences affect us.

Published: May 31, 2013
Senior Editor: Kevin C. Patterson
Junior Editor: Jessica L. Wummel
DOI: Pending
Siegler JE, Boehme AK, Dorsey AM, Monlezun DJ, George AJ, Shaban A, Bockckholt HJ, Albright KC, Martin-Schild S. A Comprehensive Stroke Center Patient Registry: Advantages, Limitations, and Lessons Learned. Medical Student Research Journal. 2013;2(Spring):21-29.
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Spring 2013 – All Heart

All Heart.
Brittney M. Benjamin.
Author Affiliations:
College of Human Medicine, Michigan State University, Grand Rapids, MI, USA

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Corresponding author: Brittney M. Benjamin; brittneymichellebenjamin[at]gmail.com
Key Words: N/A

There has been a trend to portray doctors as “all” - all knowing, all thinking, all seeing, all doing. We’re all brains, learning and memorizing, and all hands, cutting and suturing. Doctors can be any or none of these things, but sometimes we miss our greatest strength: we can be all Heart. And by being all Heart, we must be careful how our experiences affect us.

Published: May 31, 2013
Senior Editor: N/A
Junior Editor: N/A
DOI: Pending
Benjamin BM. All Heart. Medical Student Research Journal. 2013;2(Spring):20.

Spring 2013 – Letter From the Editors

Letter From the Editors.
Chad Klochko.
Author Affiliations:
College of Human Medicine, Michigan State University, East Lansing, MI, USA

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Corresponding Author: Chad Klochko; Chad[at]msrj.chm.msu.edu
Key Words: N/A
It has been a pleasure to work as an editor over the past year. I believe that this can be a significant outlet for medical students to publish their research work, enabling them to receive credit for publishing, but even more importantly, contributing to the general body of medical knowledge and teaching valuable academic skills.

Published: May 31, 2013
Senior Editor: N/A
Junior Editor: N/A
DOI: Pending
Klochko C. Letter From the Editors. Medical Student Research Journal. 2013;2(Spring):19.