There is a range of pedagogical strategies used in emergency medicine (EM) residency programs for teaching residents to identify and address healthcare disparities. We theorized that the inclusion of resident-presented lectures in our curriculum would promote a more profound comprehension of cultural humility and a sharper insight into the characteristics of vulnerable populations amongst the resident physicians.
Between 2019 and 2021, a curriculum intervention was developed for our four-year, single-site emergency medicine residency program, accommodating 16 residents annually. All second-year residents focused on a single healthcare disparity issue, delivered a 15-minute presentation, described pertinent local resources, and led a subsequent group discussion. Using electronic surveys, a prospective observational study investigated the curriculum's effect on all current residents, collecting data pre- and post-intervention. Our analysis of patient demographics, such as race, gender, weight, insurance type, sexual orientation, language, and ability, aimed to evaluate cultural humility and the detection of healthcare discrepancies. The Mann-Whitney U test was used for the statistical comparison of mean responses in ordinal data.
Presentations by 32 residents focused on vulnerable patient populations, encompassing Black individuals, migrant farm workers, individuals identifying as transgender, and the deaf community. The survey response rate among 64 potential participants was 38 individuals (594%) before the intervention, rising to 43 individuals (672%) after the intervention. Cultural humility among residents showed improvement, specifically in their perceived responsibility to learn about different cultures (mean responses of 473 versus 417; P < 0.0001) and their understanding of different cultural perspectives (mean responses of 489 versus 442; P < 0.0001). Residents reported a pronounced increase in their understanding that variations in patient treatment exist within the healthcare system, differentiated by race (P < 0.0001) and gender (P < 0.0001). A similar tendency was observed in all other queried domains, albeit not statistically significant.
This study demonstrates a heightened readiness among residents to engage with cultural humility and establishes the workability of near-peer resident instruction for a broad spectrum of vulnerable patients they encounter in their clinical practice. Potential future research could explore the curriculum's effect on how residents approach and resolve clinical decisions.
This research confirms residents' augmented commitment to cultural humility, and the viable nature of peer-to-peer learning approaches concerning a large variety of vulnerable patients seen in their clinical environments. Further studies could inquire into the effect this curriculum has on how residents make clinical judgments.

Biorepositories are deficient in representation, both in terms of patient demographics and the spectrum of clinical conditions of their participants. The Emergency Medicine Specimen Bank (EMSB) is committed to assembling a diverse patient pool for research investigating acute medical conditions. This research sought to differentiate the demographic profiles and reported health concerns of emergency medical service (EMS) patients from the general emergency department (ED) population.
Retrospective data analysis encompassed EMSB participants and the complete UCHealth population at the University of Colorado Anschutz Medical Center (UCHealth AMC) Emergency Department across three phases: peri-EMSB, post-EMSB, and COVID-19. We evaluated age, sex, ethnicity, race, patient symptoms, and disease severity in consenting EMSB participants against the entire emergency department population to establish contrasts. To analyze the categorical variables, chi-square tests were applied, and the Elixhauser Comorbidity Index was applied to evaluate differences in the seriousness of illnesses between the groups.
Consented encounters in the EMSB totalled 141,670 between February 5, 2018 and January 29, 2022, with 40,740 distinct patients affected and exceeding 13,000 blood samples collected. Simultaneously, the ED had 387,590 patient encounters involving a total of 188,402 distinct individuals. The Emergency Medical Services Board (EMSB) population showed marked improvement in participation rates across several categories, with patients aged 18-59 (803% vs 777%) displaying substantial increase, as well as White patients (523% vs 478%) and women (548% vs 511%) relative to the overall Emergency Department population. check details The EMSB program saw lower patient participation among those aged 70 and over, Hispanic patients, Asian patients, and male patients. The EMSB population's comorbidity scores averaged higher than those of other populations. Within six months of Colorado's first COVID-19 case, there was an upward trend in both patient consent rates and sample collection. The COVID-19 study period saw consent odds of 132 (95% confidence interval 126-139) and sample capture odds of 219 (95% confidence interval 20-241).
Across various demographics and clinical presentations, the EMSB is a representative sample of the entire ED population.
Regarding most demographics and clinical presentations, the EMSB's characteristics align with the entire emergency department patient base.

Despite the apparent appeal of gamified point-of-care ultrasound (POCUS) learning methods for students, the resulting knowledge retention and comprehension of the material remain insufficiently assessed. This study investigated whether implementing a POCUS gamification event yielded better knowledge acquisition regarding POCUS interpretation and clinical application.
A prospective observational study was conducted on fourth-year medical students, who undertook a 25-hour POCUS gamification event that included eight objective-oriented stations. The educational content at each station was coupled with one to three learning objectives. Students' pre-assessment was completed, after which they engaged in a gamification event in groups of three to five at each station, and they concluded with a post-assessment. The Wilcoxon signed-rank test and Fisher's exact test were employed to measure and analyze variations in responses between the pre-session and post-session phases.
A breakdown of data from 265 students, categorized by their pre- and post-event feedback, showed 217 participants (82%) reporting limited or no prior POCUS training. Internal medicine (16%) and pediatrics (11%) were the preferred medical specialties for a notable proportion of students. Post-workshop knowledge assessment scores saw a substantial increase compared to pre-workshop scores, specifically a rise from 68% to 78% (P=0.004). The gamification event resulted in a considerable improvement in self-reported comfort relating to image acquisition, interpretation, and clinical integration, a statistically significant change (P<0.0001).
The results of our study suggest that incorporating gamification into POCUS training, with clearly defined learning objectives, contributed to an improvement in student proficiency in POCUS interpretation, clinical application, and a reported increase in comfort using POCUS.
Our research unveiled that gamified POCUS instruction, supported by clearly defined learning objectives, fostered improved student comprehension of POCUS interpretation, clinical incorporation, and self-reported expertise in using POCUS.

Despite the proven efficacy and safety of endoscopic balloon dilatation (EBD) in adult Crohn's disease (CD) patients with strictures, pediatric data is insufficient. An assessment of EBD's effectiveness and safety in pediatric CD patients with strictures was undertaken.
The international collaboration involved eleven centers located in Europe, Canada, and Israel. check details The recorded data included patient backgrounds, detailed stricture characteristics, clinical results observed, procedural negative effects, and whether surgical intervention was required. check details The primary success measure involved surgery being avoided for over twelve months; the secondary measurements encompassed clinical response and adverse events.
In a study involving 53 patients, 64 series of dilatations yielded a total of 88 procedures. The mean age at Crohn's Disease (CD) diagnosis was 111 years, with a standard deviation of 40 years. Stricture length was 4 cm, with an interquartile range of 28-5 cm. Bowel wall thickness was 7 mm, with an interquartile range of 53-8 mm. Surgery was undertaken on 12 (19%) of the 64 patients within the year after undergoing a dilatation series. This occurred at a median of 89 days (IQR 24-120, range 0-264) following the EBD procedure. In a group of 64 patients, 7 (11%) suffered subsequent unplanned exacerbations of EBD during the year, two of whom ultimately underwent surgical resection. Of the 88 patients studied, 2 (2%) experienced perforations, one requiring surgical intervention and 5 showing minor adverse events handled conservatively.
In this study, the largest of its kind on EBD and pediatric stricturing Crohn's disease, we observed that EBD was successful in alleviating symptoms and circumventing the need for surgical procedures. Low and consistent adverse event rates were observed, aligning with adult data.
In this comprehensive study of pediatric stricturing Crohn's disease (CD) with early behavioral interventions (EBD), we found EBD to be successful in alleviating symptoms and preventing surgical intervention. Low and consistent adverse event rates were observed, aligning precisely with the findings in adults.

Our study examined how public stigma toward the bereaved was shaped by the cause of death and the presence of prolonged grief disorder (PGD). A total of 328 individuals (76% female, with a mean age of 27.55 years) were randomly assigned to review one of four vignettes concerning a man coping with bereavement. A crucial factor in distinguishing each vignette was the patient's PGD status, signifying the presence or absence of a PGD diagnosis, in conjunction with the reason for his wife's death—COVID-19 or brain hemorrhage.