Seeing is Believing: Inclusion of Biomedical Scientist Educators as Observers on Clinical Rounds.

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2022-06

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Abstract

Increasingly, medical school curricula seek to integrate the biomedical and clinical sciences. Inclusion of the basic sciences into the clinical curricula is less robust than including clinical content early in medical school. We describe inclusion of biomedical scientists on patient care rounds to increase the visibility of biomedical sciences, to nurture relationships between clinicians and biomedical scientists, and to identify additional opportunities for integration throughout medical school.

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Published Version (Please cite this version)

10.1007/s40670-022-01546-5

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Clay, Alison, Matt Velkey, Kathryn M Andolsek and Nancy W Knudsen (2022). Seeing is Believing: Inclusion of Biomedical Scientist Educators as Observers on Clinical Rounds. Medical science educator, 32(3). pp. 607–609. 10.1007/s40670-022-01546-5 Retrieved from https://hdl.handle.net/10161/26107.

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Scholars@Duke

Clay

Alison Suzanne Clay

Adjunct Associate Professor of the Practice of Medical Education
Andolsek

Kathryn Marijoan Andolsek

Professor in Family Medicine and Community Health

My career focuses on interprofessional medical education, and collaboration in community and population health.  These are critically important areas with tremendous potential for creativity, innovation, and learning from one another.  These are also strategic tools to advance health equity.

Knudsen

Nancy Wolters Knudsen

Professor of Anesthesiology

Healthcare costs in the United States are at an all time high. In 1997, 13.5% of the Gross Domestic Product was spent on healthcare. Ten percent or 1.3% was spent in the intensive care unit (ICU). Over 500,000 patients/year die in an ICU setting. ICU mortality rates average 10-20%. Intensivists are now widely recognized as one of the keys to improving outcome in the length of stay and cost/case. My research interests lie in utilizing our scarce resources for the most appropriate patients, those who will derive the most benefit from ICU care. Through analyzing the transfers to our ICU, we have found that those patients on a ventilator and with renal failure have a higher mortality than other patients. Scoring systems have been routinely used as well, but can be difficult to apply in the small hospital setting. We have also documented that over half of the trauma and floor emergencies appear at night when most institutions do not have attendings available. The Duke ICU has had in-house attending coverage since 1998 and has a mortality rate of 4% for the year 2001. It is not enough to just improve care, but to improve the experience for the family during this very stressful time. We have shown that the presence of intensivists 24/7 has improved family communication and satisfaction as well. My goals are to continue to improve outcomes for patients and their families by streamlining care yet keeping an eye on the individual patient and their family's emotional needs.
I am also interested in mechanical ventilation and ways to improve morbidity/mortality in this group of patients. I am a member of the Duke ARDSnet and Duke ARDSnet2 research teams.


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