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Strategic Visions, Volume 23, No. 2 (Spring 2024)
The full spring 2024 edition of Strategic Visions
An Imaging Mimicry: A Case Report of Mature Cystic Teratoma or Fat-Containing Lesion: Cystic Teratoma or Lipomatous Lesion
A 52-year-old female patient with a history of autoimmune thyroiditis was diagnosed with a pelvic mass that was initially thought to be an ovarian dermoid cyst, also known as a mature cystic teratoma, on abdominal/pelvic CT imaging in 2017. Later, from 2019 to 2023, various imaging modalities such as CT and MRI revealed that the growing mass developed a cystic component that became encapsulated. Thus, we conclude this mass was likely a lipomatous lesion that underwent fat necrosis due to local inflammation rather than a dermoid cyst. The emergence of a mixed solid and cystic mass with features suggestive of a lipomatous lesion following the disappearance of a left ovarian cyst presented diagnostic challenges. This case emphasizes the pathophysiological aspects of fat necrosis and dermoid cysts, the complexity of discerning between the two on imaging, and the need for a comprehensive, collaborative diagnostic approach between radiologists and other clinicians
Checking in with the CENFAD Emerging Scholar
A brief interview with the current winner of the CENFAD Emerging Scholar grant, Elías Gonzalez
Interview with Dr. Stephanie Freeman
A brief interview with Dr. Stephanie Freeman from the Department of State\u27s Office of the Historian
News from the Director
News from the Director of CENFAD, Dr. Alan McPherson. This section contains a brief note from Dr. McPherson, an overview of the spring 2024 lecture series, and grant recipients
The Effect of Collaborative Patient Simulation in Health Education Students: A Critically Appraised Topic
Context: Patient simulations are one pedagogical strategy that educators use to prepare students for interprofessional practice. Students must work in multidisciplinary teams to enhance patient care. Objective: What is the efficacy of collaborative patient simulation for increasing Students’ Perceptions of Interprofessional Clinical Education-Revised (SPICE-R) scores in health education students? Data Sources: A search of PubMed and CINAHL was conducted in June of 2023 using the Boolean phrases: interprofessional education, interprofessional education AND athletic training, interdisciplinary AND healthcare education, interprofessional education AND simulation training AND SPICE-R. Study Selection: Studies were included if they were conducted in the last 5 years, with 2 or more undergraduate or graduate health professional student groups engaged in an interprofessional activity and using the SPICE-R. Studies were excluded if the IPE simulation was performed electronically or passively and if numerical data was not provided. Data Extraction: The SPICE-R is a 10- item self-report that measures interprofessional teamwork and team-based practice, roles and responsibilities for collaborative practice, and patient outcomes from collaborative practice. The outcome measure of interest was the change in SPICE-R scores between pre and post-IPE activity. Data Synthesis: The search yielded 121 articles, and 3 were selected for inclusion after reviewing for eligibility. Active interprofessional learning activities increased students’ perceptions of interprofessional clinical education measured by the SPICE-R. Carmack et al., used a diabetes escape room with nursing and athletic training students. Post-test SPICE-R scores increased significantly across all subscales. Morell et al., utilized a variety of active learning opportunities from students in at least seven health care profession programs, including athletic training. Post-test SPICE-R scores increased significantly across all subscales (p < .001). Fusco et al., used a hospital-based high-fidelity simulation with nursing and pharmacy students. Scores for all 10 questions significantly increased in pharmacy students and for 9/10 in nursing students. Conclusions: Active simulation activities yielded statistically significant increases in all scale dimensions, including roles and responsibilities, team-based practice, and patient outcomes. SORT B Clinical Implications: Simulation is a valuable educational tool to enhance interprofessional clinical education and collaboration.