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Scholarly Activity

To fulfill the scholarly activity requirement, each resident must participate in or complete an approved scholarly project by the end of his or her residency. Some examples include:

Original Research Project: The resident serves as principle investigator, co-investigator, or a sub-investigator on a project. Presentation of the protocol and/or completed project to the Director of Research and faculty at the departmental Emergency Medicine Research Committee meeting is required. A written manuscript is required. Close communication with the Director of Research is necessary to be certain the level of participation is sufficient to meet the requirement.

Evidence-Based Medicine Critically Appraised Topic: The resident chooses a clinical question, searches the literature for pertinent articles, and writes approximately ten one-page critiques in the style of ACP Journal Club. These articles and reviews are assembled in a notebook and filed for future use by our training program. The Director of Research will determine if the review is of sufficient quality to meet the graduation requirement.

Case Report: A publication-ready manuscript is required. The Director of Research will determine if the end product is of sufficient quality to meet the graduation requirement.

Review Article: The resident prepares a publication-quality review based on the medical literature and submits it for publication. The Director of Research will determine if the paper meets the graduation requirement.

Departmental Practice Guideline: After selecting a clinical question, the resident searches the literature for pertinent articles or previously published guidelines and uses an evidence-based medicine approach to assess their validity and develop a departmental practice guideline. The Director of Research and Jeff Holmes, MD will determine if the work is sufficient to meet the graduation requirement.

Computer-Based Project: The resident designs a computer application or educational project. A written description and completed prototype or products are expected endpoints. The resident will review the process for protecting intellectual properties. The Director of Research will determine if the project meets the graduation requirement.

Product/Device Development: The resident designs a medical product/device. A written description and prototype or products are required. In addition, the resident will review the process for protecting intellectual properties. The Director of Research will determine if the product or device meets the graduation requirement.

Quality Project: The resident participates in a significant quality-focused investigation or project. In order to ensure the ability to disseminate quality findings outside of the institution, quality projects are handled as research projects and require submission to our Institutional Review Board. A written manuscript is required. The Director of Research and Director of Emergency Medicine Quality will determine if the work meets the graduation requirement.

Other: Residents are encouraged to present ideas for alternative projects to the Director of Research. With approval, these may meet the academic requirement for graduation. Scholarly writing is required for all projects.

Scholarly Publications and Presentations

Alicia G. Bond, MD; Tania D. Strout, PhD, RN, MS; Samir A. Haydar, DO, MPH; Paul K.J. Han, MD, MA, MPH. Emergency Physician Responses to the Surprise Question and Identification of Unmet Palliative Care Needs. Oral Presentation, Thursday, May 15, 2014, 1600-1700.

Pelletier J, Strout TD, Baumann MR. A Systematic Review and Meta-Analysis of Smoking Cessation Interventions for Adult Emergency Department Patients. Academic Emergency Medicine 2013; 20(s1): 170. (Research Abstract)

Angles E, Perron AD, Sholl M, Strout TD. Timeliness of Simulated Endotracheal Intubation by Emergency Medicine Residents: A Comparison of Direct and Video Laryngoscopy. Academic Emergency Medicine 2013; 20(s1): 297. (Research Abstract)

Britton D, Bloch RB, Strout TD, Baumann MR. Impact of a Computerized Order Set on Compliance with Centers for Disease Control Guidelines for the Treatment of Victims of Sexual Assault. Journal of Emergency Medicine 2013; 44(2): 528-535. (Research Based).

Anderson RS, Hallen SAM. Generalized Weakness in the Geriatric Emergency Department Patient: An Approach to Initial Management. Clinics in Geriatric Medicine. 2013; 29: 91-100. (Review).

Holmes JA. Therapeutic Uses of Hypertonic Saline in the Critically Ill Emergency Department Patient. EM Critical Care 2013; 3(1): 1-16.

DeLaney M, Zimmerman K, Strout TD, Fix M. Effect of Student and Resident Trainees on Markers of Flow in a Mixed Adult and Pediatric Emergency Department. Academic Medicine (Accepted, In Press, Research Based).

Amar AF, Strout TD, Simpson S. College and University Administrators Perceptions of Campus Adjudication, Protocols and Response, and Student Prevention Efforts Related to Sexual Assault. Violence and Victims (Accepted, In Press, Research Based).

Vessey JA, DiFazio R, Strout TD. “Names Can Also Hurt Me” Youth Bullying: A Review of the Science and Call to Action. Nursing Outlook (Accepted, In Press, Literature Review).

Higgins GL III, Borofsky JS, Irish CB, Cochran TS, Strout TD. Presentation and Outcomes of Patients with Spontaneous Peri-Partum Coronary Artery Dissection: A Challenge for Primary Care Providers. Journal of the American Board of Family Medicine 2013; 26(1): 82-89 (Case Report & Review).

Angles EM, Nelson SW, Higgins GL III. A woman with facial weakness: a classic case of Ramsay Hunt syndrome. Journal of Emergency Medicine. 2013; 44(1): e137-e138. (Image & Case Report).

Schoengold JD, Higgins GL III. A case of acute long-head biceps tendon rupture. Journal of Emergency Medicine. 2013; 44(1): e115-e116. (Image & Case Report).

Papacostas N, Bowe C. Visual Diagnosis: Lesser Trochanter Avulsion Fracture. The Journal of Emergency Medicine (Image & Case Report, Accepted, In Press).

Croft PE, Cabral K, Strout TD, Baumann MR, Gibbs MA, DeLaney M. Managing blunt Trauma in Patients on Dabigatran Etexilate: Case Study and Review of the Literature. Journal of Emergency Nursing. 2013; 39(3): 302-309 (Case Report, Literature Review, Evidence-based Clinical Guideline).

Retention Of ST-elevation Myocardial Infarction ECG Interpretation Competency By Paramedics: Urban Versus Rural Differences. Michael Roehlk, MD; George L. Higgins, III, MD; Kevin M. Kendall, MD; Tania D. Strout, PhD, RN, MS. Computed Tomography Usage For ED Patients With Suspected Appendicitis Following Implementation Of A Multidisciplinary Scoring-System Based Protocol. Christopher T. Bowe, MD; Cecelia Trydestam, MD; Douglas Gregory, MD; Tania D. Strout, PhD, RN, MS; Jonathan Dreifus, MD.

Cases in Geriatric Emergency Medicine: An Integrated Simulation Experience. Robert Anderson, MD.

Performance-Based Compensation For Emergency Physicians Improves Adherence To Interventions Focused On Reducing ED Length Of Stay. Samir A. Haydar, DO, MPH; Tania D. Strout, PhD, RN, MS; Michael R. Baumann, MD.

Strout TD, Baumann MR. Rasch Analysis of the Agitation Severity Scale when Used with Emergency Department Acute Psychiatry Patients.

Gibbs MA, Baumann MR, Lyden J, Strout TD, Knowles D. Effect of the Implementation of an Electronic Clinical Decision Support Tool on Adherence to Joint Commission Pneumonia Core Measures in an Academic Emergency Department.

Sledge A, Germann CA, Strout TD. Impact of Emergency Physicians Board Certification on Patient Perceptions of ED Care Quality. 
Haydar SA, Botler J, Strout TD. Emergency Department Holding Orders Reduce ED Length of Stay by Decreasing Time to Bed Order.

Strout TD, Baumann MR, Pelletier J, Dolbec K. Reliability of the Revised Professional Practice Environment Scale when Used with Emergency Physicians.

Periyanayagam U, Dreifuss B, Hammerstedt H, Chamberlain S, Nelson S, Kamugisha J, Bisanzo, M. Feasibility of Emergency Care in Rural Uganda: A Pilot Study. Periyanayagam U, Bisanzo M, Chamberlain S, Hammerstedt H, Nelson S, Koshaba P, Dreifuss B Emergency Care Training Needs in Sub-Saharan Africa: A Pilot Study from Rural Uganda.

Higgins GL, III; Baumann MR, Kendall KM. Red Blood Cell Transfusion: Experience in a Rural Aero-Medical Transport Service. Prehospital and Disaster Medicine (Research Based, Accepted, in press)

Emergency Medicine Quality Council. Guideline for the Management of Bleeding on Dabigatran (Pradaxa). Portland (ME): Maine Medical Center, Departments of Emergency Medicine & Pharmacy; 2012. National Guideline Clearinghouse (Systematic Review, Evidence-based Guideline; Accepted, in press).

Vessey JA, DiFazio R, Strout TD. Increasing Meaning in Measurement: A Rasch Analysis of the CATS. Nursing Research (Research Based, accepted, in press).

Irish CB, Carden LO. Emergency ultrasound in patients with respiratory distress. EM Critical Care. 2012; 2(1): 1-24.

Bisanzo M, Nichols K, Hammerstedt H, Dreifuss B, Nelson SW, Chamberlain S, Kyomugisha F, Noble A, Arthur A, Thomas S. Nurse-Administered Ketamine Sedation in an Emergency Department in Rural Uganda. Annals of Emergency Medicine 2012; 59: 268-275. (Research Based).

Buschhorn H, Strout TD, Baumann MR, Sholl M. Emergency Medical Services Triage Using the Emergency Severity Index: Is It Reliable and Valid? Journal of Emergency Nursing (Research Based, accepted, in press).

MacVane C, Irish CB, Owens WB, Strout TD. Accuracy of Transvaginal Ultrasound in an Emergency Department Residency Program. Journal of Emergency Medicine (Research Based, accepted, in press).

Clark A, Bloch R, Gibbs M. Trauma in Pregnancy. Trauma Reports (Accepted, in press).

Haydar SA, Moore ET, Higgins GL III, Irish CB, Owens WB, Strout TD. Effect of Bedside Ultrasonography on the Certainty of Physician Clinical Decision Making for Septic Patients in the Emergency Department. Annals of Emergency Medicine (Accepted, in press).

Foianini A & Weigand T. What is the role of lidocaine and phenytoin in tricyclic antidepressant-induced cardiotoxicity? Clinical Toxicology (Accepted, in press).

Higgins GL III, Wells H, Baumann MR. Implementing an Electronic Point-of-Care Medical Record at an Organized Athletic Event: Challenges, Pitfalls, and Lessons Learned. Clinical Journal of Sports Medicine (Accepted, in press).

Dachs RJ, Kulkarni D, Higgins III GL. The pulmonary embolism rule-out criteria rule in a community hospital ED: a retrospective study of its potential utility. American Journal of Emergency Medicine 2010 (Accepted, in press).

Crispo, M., Fix, M., & Higgins, GL III. A Case of Superior Vena Cava Syndrome Demonstrating Pemberton’s Sign. Journal of Emergency Medicine (Accepted, in press).

Salib TB, Higgins GL III. A Case of Spontaneous Intracranial Hypotension. Journal of Emergency Medicine (Accepted, in press).

Pelletier J, Haydar S, Higgins GL III. Quinoa proctophytobezoar causing severe fecal impaction. Journal of Family Practice (Accepted, in press).

Higgins, GL III. A Case of Human Lightning Strike Demonstrating Lichtenberg Figures and Keraunoparalysis. Annals of Emergency Medicine (Accepted, in press).

Moore E, Strout TD, Saucier J. A Crying Infant with Painful Toes. Journal of Family Practice. (Accepted, in press).

Ward N, MacVane C. Blistering Rash in an Elderly Male. Journal of Family Practice. (Accepted, in press).

Ward N, Little J, Higgins GL III. Man with confusion and resolved paralysis. Annals of Emergency Medicine 2012: 59; 335.

Higgins GL III. A Case of Acute Long-head Biceps Tendon Rupture. Journal of Emergency Medicine. (Accepted, in press).

Angles E, Nelson S, Higgins GL III. A Women with Facial Weakness: A Classic Case of Ramsay Hunt Syndrome. Journal of Emergency Medicine (Case Report and Images, accepted, in press).