April Also Brings Nurses

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PRNU 111 Students work with Dana Librarian Nancy Bianchi

For the past two weeks, 89 nursing students in PRNU 111, Research in Nursing, have worked with six Dana librarians to hone their research skills. PRNU 111 is a required research class in the nursing major. Twenty-four groups of 3-4 students conduct comprehensive searches in CINAHL for a wide range of clinical questions, from the “impact of kangaroo care” to “alarm fatigue.” Librarians meet with each group to fine-tune their research questions, suggest research strategies, and evaluate the results. Each student in the group then selects one article and analyzes it to determine how well the study was designed, and if the conclusions can be applied to similar situations. The project ends with each group giving a presentation about their findings to the rest of the class.

Gary Atwood, Education Coordinator at Dana, has been embedded in this nursing class since 2013, but library involvement in the class goes back to 2003. The role of the Library has evolved from one library lecture during class time, to multiple class visits from the Nursing Librarian plus a small group session with one of 6 Dana librarians.

Marcia Bosek, the course faculty member, explains the impact. “The reference librarians use the students’ initial search strategy to individualize their approach to meet the students where they are in the process. Students comment on how ‘our librarian’ helped them search more efficiently and/or taught them new databases. At the end of their session with their designated reference librarian, the nursing students have identified appropriate research articles, have refined their clinical question as necessary, and are ready to complete their project. When presenting their EBP project, student groups frequently comment: ‘Our librarian was THE BEST’ or other expressions of praise and appreciation.”

The nursing students aren’t the only ones full of praise. Gary and all librarians who work on this project agree it is a great way to learn more about the nursing curriculum, dive deep into nursing research, and connect with nursing students. Frequently librarians meet students they end up working with again and again over the course of the next few years. Professor Bosek agrees that everyone gets something out of the experience. “Each time Gary works with my students, I learn something new too.”

Library to Create Digital Images of Historic Instrument Collection

Doctor kits

Dana Medical Library has received a contract to create digitized images of a portion of its historical Medical Instrument Collection. This collection includes 19th and 20th century medical kits and instruments that were used in rural Vermont. The contract will fund the creation of images for 223 individual instruments and 36 kits. The award will provide funding to process the images of the instruments along with information about these unique items. The collection will be available in ScholarWorks @ UVM, joining the College of Medicine Yearbook and Catalog collections. For further information contact Donna O’Malley, MLS, PI at Donna.OMalley@uvm.edu. and Sarah McGlynn, PC, MLS at Sarah.McGlynn@uvm.edu.

Library Restores Connectivity and Power in Study Area

DTK_5492At the beginning of March, workmen installed power and data into many of the carrels and tables around the library. With the addition of the seven tables along the back wall, carrels by tech services, the reference desk, and the new hallway; wireless, data, and electrical capability are strong once again in the student study areas at Dana Library allowing patrons more opportunity to use power and data.

This increased connectivity was needed. You may have noticed with the addition of the Larner classroom, the study area moved from the front to the back of the library reducing the number of tables and carrels with power and data temporarily. The new study area of the library had less than half the connectivity and power available in the former space. The wireless capability has now tripled and data ports and electrical outlets are available at nearly all study tables and carrels.

Now nursing, health science, and medical students are able to study in the library without worrying about electricity or losing data. This upgrade is a final stage of the collaboration to build the classroom with the College of Medicine.

For more information please contact: Donna O’Malley at 656-4415 or
Donna.OMalley@uvm.edu

MEDSINC App Co-Developed by UVM Medical Faculty

Tablet physician

University of Vermont Professor (Pediatrics, Microbiology, and Molecular Genetics) and Pediatrician Barry Finette has co-developed a mobile phone app MEDSINC (Medical Evaluation and Diagnostic System for Infants, Newborns and Children) set to be deployed in the field later this year. This app, which is downloadable onto any mobile device, has the ability to medically assess children in developing countries even if healthcare workers aren’t available.

Finette, having treated sick children with limited access to medical care in some of the world’s poorest countries, saw a great need for this app; which provides users (even those with little or no medical training) a series of questions to ask when assessing a sick child. The app then determines the severity of the child’s conditions and gives recommended treatment based on the user’s skill set. This app allows for life saving treatment even if the patient’s underlying condition can not be determined.

For more information, head over to Seven Days: Burlington Vermont’s weekly newspaper recently featured an article that highlights the MEDSINC app.

Part 1 – Inspirational Women in Medicine: Celebrating Women’s History Month

In celebration of Women’s History Month, Dana Medical Library is sharing empowering stories of inspirational women in medicine starting with Rebecca Davis Lee Crumpler.

Rebecca Davis Lee Crumpler was the first African American woman in the United States to earn an M.D. degree and in the process challenged the prejudice that prevented African Americans from pursuing careers in medicine.

Born in Delaware in 1831, Rebecca Davis Lee Crumpler was raised by an aunt who spent much of her time caring for sick neighbors which influenced Crumpler’s career path. She worked as a nurse for 8 years before being accepted to the New England Female Medical College in 1860.

Graduating in 1864, she first practiced medicine in Boston, Massachusetts. However, after the Civil War ended, she saw a great need for medical services in the postwar South. Crumpler based herself in Richmond, Virginia and took part in missionary work providing urgent medical care to freed slaves. She worked in Richmond for many years before returning to Boston later in life.

The little that we do know about Crumpler is learned from the introduction of her book published in 1883 titled A Book of Medical Discourses where you can read about her remarkable achievements as a physician and medical writer.

If you have any suggestions for an inspirational woman in medical history for the Dana Medical Library blog please contact: Robin Katrick at the following email address: rkatrick@uvm.edu

2015 Bruce A. Gibbard Memorial Lecture

Bruce A. Gibbard, M.D. Memorial Lectureship Program
Sponsored by the University of Vermont College of Medicine Department of Psychiatry

Richard Chefetz, M.D.

“Relentless Shame: The Paradoxical Protective Use of Self-Eviscerating Power in the Wake of Interpersonal Trauma”

Friday, March 27, 2015

The Davis Auditorium
UVM Medical Education Center/University of Vermont Medical Center, Burlington

Morning Program:

10:15 – 10:30 A.M.    Vermont Psychiatric Association’s Presentation of the Bruce A. Gibbard, M.D. Award for Clinical Excellence

10:30 – 11:45 A.M.     Bruce A. Gibbard, M.D. Memorial Lecture
(Grand Rounds Workshop # 15-128-30)
Entering a Mind Filled with Relentless Shame: A Frame for Exploration and Engagement in Psychotherapy

12:00 – 1:00 P.M.       Lunch Reception—Davis Auditorium Lobby

Afternoon Program:

1:00 – 3:00 P.M.         Workshop* (Davis Auditorium)
Negativity and Negative Therapeutic Reaction: Negativity as Paradoxical Personal Power

*The Afternoon Workshop is open to Clinicians and Mental Health Professionals only.  Attendance and clinical affiliation will be taken at the door. 

Lecture and Workshop Descriptions:

Morning Lecture
We will explore how there is neither a more pervasive nor more toxic emotional experience than discovering a mind is wrapped in a caul of shame, as if from birth onward. The withering of human potential that shame provokes sometimes creates a paradoxical oasis of misery from which a suffering soul cannot seem to be coaxed. In this exploration, shame will become more visible through an understanding of its physiologic and somatic origins, relevant neurobiology, role in attachment, and context in the organization of a multiple self-state model of mind.

Afternoon Workshop
Using verbal case presentation, PowerPoint, and digital video of material from the long-term treatment of a woman subject to negative therapeutic reaction, we will explore the unique paradoxically life-preserving nature of a person becoming ensconced in negativity and negative therapeutic reaction. Particular attention is given to the dissociative processes active in her treatment.

The workshop uses an “in-the-trenches” approach both to convey clinical knowledge and to bring out the best in ourselves and our patients. The existence of the wish to change while staying the same is a normal human paradox, however it exerts an especially strong force in the treatment of severe disturbances in otherwise talented people. Armed with the knowledge and perspective in this presentation, participants will take home a greater understanding of what needs to be accomplished in these difficult treatments.

References

Lewis, H. B. (1987). The Role of Shame in Symptom Formation. Hillsdale, N.J.: Lawrence Earlbaum Associates, inc.
Nathanson, D. L. (1992). Shame and Pride: Affect, Sex, and the Birth of the Self. New York: W.W. Norton & Company.
Valenstein, A. F. (1973). On attachment to painful feelings and the negative therapeutic reaction. Psychoanalytic Study of the Child, 28: 365-392.
Wurmser, L. (2000). The Power of the Inner Judge: Psychodynamic Treatment of the Severe Neuroses. Northvale, NJ: Jason Aronson.
Wurmser, L., Jarass, H., Eds. (2013). Nothing Good is Allowed to Stand: An Integrative View of the Negative Therapeutic Reaction. Psychoanalytic Inquiry Book Series. New York: Routledge.

Learning Objectives:
At the conclusion of these presentations participants will be able to:

  1. Describe the difference between the words affect, feeling, and emotion, as well as the clinical utility of distinguishing between them.
  2. Explain the likely sources of negative therapeutic reaction in the treatment of a person with a complex dissociative disorder.
  3. Describe a clinical stance that will slowly erode the use of negativity and the negative therapeutic reaction.
  4. Explain the value of a self-state psychology in working with negativity and the negative therapeutic reaction.

About Our Speaker:

Richard Chefetz, M.D. is a psychiatrist in private practice in Washington, D.C. He was President of the International Society for the Study of Trauma and Dissociation (2002-3), Founder and Chair of their Dissociative Disorders Psychotherapy Training Program, and is a Distinguished Visiting Lecturer at the William Alanson White Institute of Psychiatry, Psychoanalysis, and Psychology. He is also a faculty member at the Washington School of Psychiatry, the Institute of Contemporary Psychotherapy & Psychoanalysis, and the Washington Center for Psychoanalysis. He is a Certified Consultant at the American Society of Clinical Hypnosis, and is trained in Level I and II EMDR. Dr. Chefetz was editor of Dissociative Disorders: An Expanding Window into the Psychobiology of Mind for the Psychiatric Clinics of North America (March, 2006), “Neuroscientific and Therapeutic Advances in Dissociative Disorders,” in Psychiatric Annals (August, 2005), and “Multimodal Treatment of Complex Dissociative Disorders,” in Psychoanalytic Inquiry (20:2, 2000), as well as numerous journal articles on psychoanalytic perspectives on trauma and dissociation. His recently published book with Norton (2015), in their Interpersonal Neurobiology series, is entitled Intensive Psychotherapy for Persistent Dissociative Processes: The Fear of Feeling Real.

Continuing Education Credits:

The morning lecture (Workshop # 15-128-30) is part of the UVM Department of Psychiatry Grand Rounds Series. Attendees will receive 1.25 AMA PRA Category 1 CreditsTM

The University of Vermont College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The University of Vermont designates this educational activity for a maximum of 1.25 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The Afternoon Workshop is not accredited for Category 1 CME Credits. Application has been made for CEU Credits for Psychologists, Social Workers, and Mental Health Counselors.

Registration and Program Fees—WE WELCOME ALL DONATIONS!

The annual Gibbard Lectureship Program is provided at no charge to participants, thanks to donations made to the Bruce A. Gibbard M.D. Lectureship in Psychiatry Fund at the University of Vermont, College of Medicine. Donations to support future programs are needed and very much appreciated. To make a donation and to learn more about the Gibbard Lectureship Fund contact: Allison.Searson@uvm.edu.

Directions to Davis Auditorium:

From the University of Vermont Medical Center Parking Garage Level 2 (orange), enter the Ambulatory Care Center (ACC). Once inside, follow the signs to the Medical Education Center. At the snack kiosk, turn left through the double glass doors. Davis Auditorium is on the right.

Directions to University of Vermont Medical Center Parking Garage:

Map available online at: uvmhealth.org. Click on Locations, click on The University of Vermont Medical Center, Main Campus, 111 Colchester Avenue, Burlington, and a map will appear.

Or, from Google Maps, type in “FAHC Garage”, click on “garage, near FAHC, Burlington, VT”, and follow directions from your location.

Questions? Contact: Debra at debraalopez@comcast.net or

Jean Pieniadz, Ph.D., Bruce A. Gibbard Lectureship Committee Chair, or Committee Members: James Jacobson, M.D., Judith Lewis, M.D., Debra Lopez, M.D., and Gerri Oppedisano, Ph.D.

New Public Access Policy for the AHRQ

CaptureThe Agency for Healthcare Research and Quality (AHRQ) has announced a policy for public access to research papers and data. This will require accepted article manuscripts from funded authors to be deposited to PubMed Central (PMC) within a year of publication.

According to the AHRQ website, “This policy will be effective for research funded in February 2015. AHRQ will solicit contract proposals and fund a commercial repository by October 2015. Beginning October 2015, AHRQ will require all researchers to submit data in digital format to the commercial repository.”

For more information, head over to The Scholarly Kitchen or The Agency for Research and Quality website

Dana Medical Library Spring Semester Hours

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The hours for the Spring 2015 semester will be as follows:
Monday – Thursday 7:30 am – 12 midnight
Friday – 7:30 am – 9 pm
Saturday 9 am – 9 pm
Sunday 9 am – 12 midnight

Exceptions:
Presidents Day: Monday, February 16, 2015
Memorial Day: Monday, May 25, 2015

See the Hours page for an interactive calendar with complete information on the Library’s hours of operation. Contact us at 656-2200 with any questions.

The Natural Standard Changes Name to Natural Medicines

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The Natural Standard database which offers trustworthy information on complementary and alternative therapies, diets, exercise and nutrition has recently changed their name to Natural Medicines and upgraded their database features.

Natural Medicines was founded by healthcare providers and researchers to provide evidence-based information about complementary and alternative therapies. Grades are used to reflect the level of available scientific data for or against the use of each therapy for a specific medical condition. Users can search by treatment, condition, or herb/supplement. Natural Medicines provides a Foods, Herbs and Supplements database that includes interactions. It also offers interactions and depletion checkers.

Head over to Natural Medicines to find out more.

 

UpToDate Medical Calculators Provide Easy Access to Numerical Data

UpToDate continues to provide easy access to numerical data through the use of 140 interactive medical calculators allowing users to obtain numerical data through commonly used formulas as well as estimate the severity of a condition.

When in UpToDate, you can explore by clicking on the “calculators” tab and then browse the subjects offered.

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For example, the calculator below converts temperature units.Capture2