Research Focus on Medical Student and Resident Research

Focus on Medical Student and Resident Research

Research Spotlight is a new initiative by the SAEM Research Committee to highlight research presented by students and residents at SAEM regional and national meetings. Full abstracts for all of the projects highlighted below can be found in the SAEM22 Annual Meeting Abstract Supplement.

Evaluation of Dispositions During a Marathon

Raymond Jabola, DO; Haley Durdella, DO; Dylan Henry; Benjamin Boswell, DO; Jason Zeller, MD; Frank Forde, MD; Jeffrey Luk, MD First author Raymond Jabola, DO, is an emergency medicine (EM) graduate of Case Western Reserve/ University Hospitals and currently works as an emergency physician in Denver, Colorado. He was a resident when he worked on this project. Author Conclusion: This study showed that the vast majority of race participants presenting to a medical station will be treated with no transport. However, medical staff should be

prepared for some participants refusing recommended transport, and medical procedures should detail procedures for such a disposition. While few participants are transported to hospitals, it should nevertheless be anticipated, and appropriate coordination with Raymond Jabola transport agencies as well as hospitals is imperative to ensure proper care of these patients.

Most rewarding aspect of my

work on this project: I am grateful to have had the opportunity to mesh my interests in both EMS and sports medicine into a project that can help others planning to work medically at mass sporting events

Emergency Department to Emergency Department Transfers: What happens to these patients?

Kristen Septaric, MPH; Courtney M. Smalley, MD, FACEP; Jessica A. Krizo, PhD; Caroline Mangira, MPH; Baruch S. Fertel, MD, MPA; Erin L. Simon, DO First author Kristen Septaric is a secondyear medical student at Northeast Ohio Medical University in Rootstown, OH. She is a student research assistant with the department of emergency medicine at Cleveland Clinic Akron General. As a future physician, she plans to pursue a career in emergency medicine. Author Conclusion: Our study found nearly 75% of all ED-to-ED transfers to be necessary due to the need for specialty consultation or admission at the receiving facility.

Most rewarding aspect of my work

on this project: The most rewarding element of working on this research project was being able to be involved in the study from start to finish. Often, medical students only assist in one aspect of large studies, so I appreciated the opportunities to grow in my research skills through long-term involvement in this project. I began working on the data collection about one year ago and helped to draft the manuscript once the results came back from our statistician. I was honored to be the member of our research team to ultimately present our findings to the emergency medicine community at SAEM22.

Kristen Septaric

Characteristics of Children Boarding in Emergency Departments for Mental Health Conditions in a Rural State

Taylor Marquis, MD; Peter Callas, PhD; Nathan Schweitzer; Mark Bisanzo, MD; Haley McGowan, DO, MA; Ryan J. Sexton, MD; Christian D. Pulcini, MD, MEd, MPH

First author, Taylor Marquis, MD, is a graduate of the University of Vermont Larner College of Medicine and a current intern in the Brown University Emergency Medicine Residency program. His interests include public health research, political advocacy, and community engagement. He was a medical student when he worked on this project. Author conclusion: In this multicenter study of Vermont hospitals, we found that the duration of Emergency Department boarding for mental health conditions exceeded Joint Commission standards in a large sample of children. Our data highlight the severity of mental health conditions among a rural pediatric population despite many receiving prior outpatient treatment, as well as prolonged boarding times in all types of Emergency Departments across the state.

Most rewarding aspect of my work

on this project: Impact. Our research has been highlighted on local news, cited in a recent New York Times article, and presented to members of the Vermont legislature. Hopefully, we can bring about positive change through raising awareness of this issue.

Taylor Marquis

Coinfections of SARS-CoV-2 with Other Respiratory Pathogens: Prevalence and Outcomes

Ryan S. Waters, MD, PhD; Austin Porter, DrPH; Crystal Sparks, MSAM; Thomas Maloney, BS; Susan Hurley, MD; Ericka Olgaard, DO, MBA; Carly Eastin, MD First author, Ryan, S. Waters, MD, PhD, is a chief resident in the department of emergency medicine at the University of Arkansas for Medical

Ryan S. Waters Sciences.

Author conclusion:

Patients who tested positive for SARSCoV-2 were less likely to test positive for other respiratory pathogens and vice versa. Overall, 10.2% of our population tested positive for SARS-CoV-2 while 5.7% tested positive for non-SARSCoV-2 respiratory pathogens. Only 0.2% tested positive for SARS-CoV-2 and another pathogen simultaneously. Additionally, patients who tested positive for SARS-CoV-2 had higher 30-day mortality (6%) versus patients who were negative for all pathogens (4.4%) or positive for a non-SARS-CoV-2 respiratory pathogen only (0.5%). Our next steps are expanding the dates of our data set through February 2022 to examine whether coinfection patterns have changed as more SARS-CoV-2 variants have emerged over time.

Most rewarding aspect of my work

on this project: I have appreciated the opportunity to work with colleagues across other disciplines and foster relationships outside of my typical clinical sphere. Gaining insights from our colleagues in the public health department and pathology has provided new perspectives on some of the interesting challenges we have faced during the pandemic. In the end I hope that our insights can improve the care we provide to our community.