Barnes, Christie

Johnson, Matthew

Klute, Lauren

Nelson, Kari

English

University of Nebraska Medical Center Research: DigitalCommons@UNMC

Graduate Medical Education Research Journal Volume 2 Issue 1 Article 63 September 2020 Rural Otolaryngology - A Review of Resident Education and the Impact on Future Practice Selection Lauren Klute et al. Follow this and additional works at: https://digitalcommons.unmc.edu/gmerj  Part of the Higher Education Commons, and the Medicine and Health Sciences Commons Recommended Citation Klute, L. Rural Otolaryngology - A Review of Resident Education and the Impact on Future Practice Selection. Graduate Medical Education Research Journal. 2020 Sep 29; 2(1). https://digitalcommons.unmc.edu/gmerj/vol2/iss1/63 This Conference Proceeding is brought to you for free and open access by DigitalCommons@UNMC. It has been accepted for inclusion in Graduate Medical Education Research Journal by an authorized editor of DigitalCommons@UNMC. For more information, please contact digitalcommons@unmc.edu. Rural Otolaryngology - A Review of Resident Education and the Impact on Future Practice Selection Creative Commons License This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License. This conference proceeding is available in Graduate Medical Education Research Journal: https://digitalcommons.unmc.edu/gmerj/vol2/iss1/63 Sept. 2020  |  Vol. 2  |  Issue 1 Poster Presentations 55*Names in bold type indicate presenting author.state. Several medications, including hormonal therapies, constipation inducing drugs, laxatives, and illicit drugs have been associated with ischemic colitis. Taking a thorough medication history is essential  when a patient is diagnosed with ischemic colitis. The recognition of medication  induced colonic ischemia and prompt discontinuation of offending agent is vital to patient outcomes. https://doi.org/10.32873/unmc.dc.gmerj.2.1.060Rural Otolaryngology – A Review of Resident Education and the Impact on Future Practice Selection Lauren Klute1, Christie Barnes1, Matthew Johnson1,2, Kari Nelson31 University of Nebraska Medical Center, Department of Otolaryngology  2Ear, Nose and Throat Physicians of Kearney, Kearney, NE 3University of Nebraska Medical Center, Department of Graduate Medical EducationMentor: Christie BarnesProgram: OtolaryngologyType: Original ResearchBackground: The University of Nebraska Medical Center, Department of Otolaryngology – Head and Neck Surgery (OHNS) established a rural residency rotation in Kearney, Nebraska, in 2016. Each resident spends two months on the service as a junior (years two or three), and two 				been cited that residency rotations in rural 					of family practice and surgical physicians, however, there is not similar data available for Otolaryngology. This study provides data from current and prior OHNS residents on their rural rotation experience and the factors that contributed to future practice decisions.Methods: In this qualitative study, we used a semi-structured interview guide to probe rural rotation participants on their experience and 		practice decisions.Results: 				residents’ selection of future practice and did encourage residents to pursue rural practice. 		autonomy, diversity of cases, education in the private practice environment, and improved quality of life. The disadvantages included time away from family.Conclusion: The University of Nebraska Medical Center OHNS Rural Rotation provides invaluable experience, education, 					in the selection of future practices and encouraged several residents to pursue rural Otolaryngology practices. A rural rotation experience in residency may lead to retention of Otolaryngologists for rural areas. https://doi.org/10.32873/unmc.dc.gmerj.2.1.062															 Problem and Creating GuidelinesDavid J. Kusin1, Emily A. Boes2, Zachary C. Bailey1, Erin L. Stockwell1, Ryan E. Miller3, Kaeli K. Samson4, Sara M. Putnam1, Justin C. Siebler1,  Matthew A. Mormino11University of Nebraska Medical Center, Department of Orthopaedic Surgery and Rehabilitation 2University of Nebraska Medical Center, College of Medicine  3Loma Linda University Medical Center 4University of Nebraska Medical Center, College of Public Health, Department of BiostatisticsMentor: Matthew A MorminoProgram: Orthopaedic Surgery and RehabilitationType: Original ResearchBackground: About 80% of the global supply of opiates is consumed in the United States, 			morbidity and safer approaches to pain control exist1-15. The purpose of this two-part study is to quantify our opioid prescribing practices and to formulate guidelines for safe and effective opioid stewardship.Methods: The quantity of opioids prescribed (as Morphine Milligram Equivalents) at discharge and in the 90 days after surgery in adults with operatively treated, isolated fractures was correlated to patient demographics, comorbidities, fracture characteristics, and patient reported pain control.Results: There were 56 males (47%) and 63 females (53%). Ankle fractures were the most common injury (34.2%). 9 (7.6%) fractures were open. The mean VAS pain scores at the 		4.1 and 3.4, respectively. The mean initial quantity of opiates prescribed for all patients was 390 MME and the mean total quantity was 535 MME (range 60-1800, Stdev 256; 60-2550, Stdev 245, respectively). 44% 		Figure 1. Colonoscopy demonstrating a diffusely edematous, ulcerated, and violaceous segment of the sigmoid colon

Rural Otolaryngology - A Review of Resident Education and the Impact on Future Practice Selection

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Rural Otolaryngology - A Review of Resident Education and the Impact on Future Practice Selection

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