Abi Fitzgerald practices one day every week in the emergency department at the SFVA as part of her one year fellowship in advanced clinical simulation. She is an RN and achieved her MSN at San Francisco State University. Read the following interview with Abi Fitzgerald to find out more about her experience with the simulators!
The Future of Medical Education: Death-Defying Robots
This week the Marin Science Seminar introduces a unique presentation on medical education with Rich Fidler PhD MBA and Abi FitzGerald MSN RN of the VA Medical Center and their special guests – robots! These humanlike robots are utilized by medical practitioners at the Simulation Center at the VMCA in San Francisco to learn how to perform a variety of procedures and respond appropriately to different emergency scenarios.
Rich Fidler is the Director of the Healthcare Simulation which places him in charge of all of the simulation research, education, training, and process evaluations that take place in the entire hospital, including emergency, critical care, surgery, and disaster preparedness. Fidler is also the Co-Director of the Fellowship Program in Advanced Clinical Simulation. Fidler explains this role in the following quote; “I am responsible for ensuring that our advanced fellows are receiving challenging experiences, quality didactic education in statistics, research design, thoughtful data analysis. I also ensure that they will be able to go out to conduct clinical simulations independently.” In order to obtain these job titles, Fidler has collected numerous degrees and gone through extensive medical training.
Read the interview with Rich Fidler below and be sure to attend this weeks’s Marin Science Seminar.
How did you become interested in the medical field?
I developed a special interest in healthcare when my grandfather became ill with heart problems while I was young. As early as 8 years old, I would go to spend every evening with my grandfather to try to make him feel better by pushing the fluid out of his legs. From there, I got more interested in why his heart was failing and how I could make it better. I got more interested in cardiac resuscitation after my grandfather had a sudden cardiac death event and we saved him. Then my own father had a series of 3 cardiac arrests which he survived from high quality CPR and early defibrillation, but he eventually died with the fourth cardiac arrest.
How did you become involved in the Simulation Center?
I have always liked teaching, and I think that learning with your hands is better than someone talking you to death. When I told my father about what I did with simulation, he said, ” You can’t make a living playing with dolls.” I guess I showed that you should do what you like to do, even if your parents don’t think it’s worthwhile. You have to make yourself, not your parents, happy with your career. The harder stunt is to figure out how to make lots of money doing what you love!
What advice do you have for young people aspiring to have a career in the medical field?
Do it! My grandfather said that I should either be an obstetrician or an undertaker, that way you can get people either coming or going! If you aspire to go into the healthcare field, explore your options. Becoming a physician or nurse is not your only option to make a meaningful contribution to healthcare. Medical research, especially with the human genome, is really exciting. If I were growing up now, I would probably be fascinated with that. Also, the roles of pharmacists and therapists are frequently overlooked as vital members of the healthcare team. The money should NOT be a factor in your decision. No job is worth getting up every day if you hate going. I love going to my job every single day.
Check out this very exciting presentation “Death-Defying Robots in Medical Education” with Rich Fidler PhD MBA and Abi FitzGerald MSN RN of the VA Medical Center on Wednesday, May 14 7:30 – 8:30 pm, Terra Linda High School, San Rafael, Room 207.
Read an excellent article about Rich Fidler here
~Claire Watry
Links:
http://scienceofcaring.ucsf.edu/acute-and-transitional-care/improving-cardiac-care-science-human-use
http://www.ucsf.edu/news/2011/01/8397/new-teaching-and-learning-center-transform-health-education-ucsf
https://www.youtube.com/watch?v=cZNa0vmdgSI
Spreading Smiles Around the World
Public Health Challenges in Kenya
As inhabitants of a developing nation, the people of Kenya face many obstacles in receiving basic healthcare. According to the Global Health Department at the Massachusetts Institute of Technology, there are five main issues in delivering adequate healthcare in Kenya: infrastructure, lack of funding, access to care in rural areas, price and affordability of medicines, and politics. Statistics from the World Health Organization in 2006 showed that the top five causes of death in Kenya were HIV/AIDS followed by respiratory infections, diarrheal disease, tuberculosis, and malaria. While healthcare in Kenya has been steadily improving, there are still many challenges to overcome especially concerning healthcare access in rural areas. The video below shows the hardships people in rural areas of Kenya face in obtaining healthcare.
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The objectives of Kenya Smiles |
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Loitikotok Oral Health and Nutrition Project |
UnAIDS http://www.unaids.org/en/resources/presscentre/featurestories/2014/january/20140130beyondzerocampaign/
Kenya Smiles http://www.kenyasmiles.org/
Valley Orthodontics http://www.valleyorthodontics.net/#!about4/csaq
Video Source:
https://www.youtube.com/watch?v=_ansnQOfz2Y
~ Claire Watry
Do Fetuses Experience Pain?
Controversy over abortion laws has led to many other discussions surrounding the development of the fetus. When does a fetus begin to feel pain? When does it gain consciousness? What are its cognitive abilities in the womb? This essay will attempt to answer these questions.
In conclusion, it is unclear exactly when the fetus reaches a conscious perception of pain. Though the fetus develops the anatomy to respond to pain during the latter part of pregnancy, and can even make facial expressions of pain and/or distress, there is no correlation with the fetus’s actual comfort level. The placental sedation of the fetus means that it has no memory or “experiences” and therefore is unable to experience pain in the conscious way that adults and children understand. Further research may someday uncover more information on this complex and controversial question.
The Adorable, Rewarding, and Sometimes Difficult Task of Birthing Babies
A common misconception is that the only job of a midwife is to deliver babies. In reality, the duties of a midwife begin long before the baby is born. A midwife can screen for diseases, prescribe certain
Matteo explained that midwifery in the U.S. has undergone many changes throughout history.
“Before the early 20th century, most babies in the US were delivered by midwives at home. Then
medicine, mostly male doctors, brought birth into hospitals and birth became a medical condition.
Women were put to sleep and babies were delivered with forceps. Moms were encouraged to bottle
feed. Midwifery pretty much vanished. In the 1970’s, with the rise of feminism and the “natural birth”
movement, midwifery as a profession started to grow again. Unlike many other industrialized countries
with better childbirth statistics where midwifery care is the norm, midwifery in the US has stayed on
the fringe and been seen as an “alternative” birth option. In the 15 years that I have been practicing,
I have seen many midwifery services grow and disband based on whatever economic issue was driving
healthcare at that time. Healthcare in the US is still largely driven by economics and legislation, but
midwives and other “mid levels” or “allied health professionals” are rising in use and stature. We
have rigorous education and certification maintenance programs and are fully integrated into healthcare
teams with nursing, case managers and social workers, as well as doctors. The profession is growing in
numbers and strength and our good outcomes are more commonly recognized by clients and medicine
professionals.” According to Time magazine, approximately 8% of babies born in the U.S. – a record
high – and about 24% of babies in New Mexico were delivered by midwives in 2009. While delivery in
the U.S. usually takes place in a hospital in the presence of obstetricians, more and more women are
turning to midwives.
Read the rest of the interview with Sheri Matteo for a sneak peek preview of her upcoming MSS
presentation “Birthing Babies: What it Takes to be a Nurse Midwife”.
For more information go to:
Our Bodies Ourselves Health Resource Center
Dimensions Healthcare System
Student Medics
Time Magazine
Image credits:
https://drewstarr.wordpress.com/pictures/early-american-midwifery/
http://www.sciencemuseum.org.uk/broughttolife/themes/birthanddeath/childbirthandmedicine.aspx
http://healthsciencetechnology.wikispaces.com/Midwife
http://firststepskent.org/welcome-home-baby/welcome-home-baby-book/
A Renewed Sense of Porpoise – An Interview with Jonathan Stern
Fast Fasts about the Harbor Porpoise from the National Geographic Society:
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Terra Linda High School graduate Jonathan Stern is a lecturer and adjunct professor in the Biology Department at San Francisco State University. He has studied minke whales since 1980 and currently serves as a Co-Principal Investigator at Golden Gate Cetacean Research, where he studies harbor porpoises, bottlenose dolphins, and minke whales locally in the San Francisco Bay. He has also studied an assortment of whales including gray whales, killerwhales, fin whales, humpback whales, and pilot whales. He was the first volunteer at the Marine Mammal Center when it opened in 1975.
How did you decide to study marine life?
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From left: Lloyd Bridges stars in Sea Hunt, Seashell collection, Explorer Jacque Cousteau |
How do you conduct your research?
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Harbor Porpoise sighting near the Golden Gate Bridge |
Report your porpoise sightings! Golden Gate Cetacean Research’s page for Porpoise, Dolphins & Whale sightings in SF Bay & the NorCal coast. http://www.ggcetacean.org/
To learn more about the return of the harbor porpoise and its ecological implications, attend the Marin Science Seminar presentation “San Francisco Bay Has a Renewed Sense of Porpoise” with Jonathan Stern Ph.D. of San Francisco State University, January 29, 2014, 7:30 – 8:30 pm, Terra Linda High School, San Rafael, Room 207. See the flyer here
Want more information? Check out the websites below.
National Wildlife Federation California
Golden Gate Cetacean Research
National Geographic
NPR
SF Gate Article
~Claire Watry
The Fascination Behind Ants
Did you know that ants are capable of carrying 50 times their body weight in their mouth? Or that ants are the original farmers? Or even that the total biomass of all of the ants on the planet is roughly equivalent to the biomass of all of the people on Earth? These are three of the many reasons why ants are so fascinating. The small insect that most of us view a pest is actually a intriguing specimen and worth the time and effort to research.
How did you decide to become entomologist?
I actually thought I was going to be a botanist, but after a trip to Panama as a sophomore at the University of Iowa, I was struck by the ants’ diversity, abundance, and ecological role. Its not just their diversity that is fascinating. After all beetles are diverse – there are 40,000 leaf beetles – but they all just eat leaves. Ants, on the other hand, have evolved the most diverse and surprising ways of making a living from growing fungus to tending to aphids. Also, because ants are social, there is a whole other dimension that is fascinating that is not even possible with solitary insects. After working on plants a bit that year in Panama and I dropped the “pl” and just worked on “ants”.
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Dr. Fisher collecting ants in Madagascar. |
What is the most difficult aspect of your work?
What is one of the most surprising or exciting thing you have discovered about ants?
What information can people learn from ants?
Ants are social and, like humans, face many of the same problems such as communication, group problem solving, food transfer etc. By studying ants, we are learning how ants, after 150 million years of evolution, have solved these shared problems. Some of these studies on group intelligence and neural networks are already making an impact in the field of artificial intelligence.
Be sure to check out the rest of the 10 Fascinating Facts About Ants here.
Still not convinced that ants are fascinating? For countless reasons why, come to the Marin Science Seminar presentation “Ants: The Invisible Majority” with Dr. Brian Fisher Ph.D. of the California Academy of Sciences, January 22, 2014, 7:30 – 8:30 pm, Terra Linda High School, San Rafael, Room 207
See the flyer here
For more information, videos, and pictures about Dr. Fisher check out his page on the California Academy of Sciences website or his ant web site.
~Claire Watry
Image credits:
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Rethinking Buildings with Cyane Dandridge
When I was asked by upcoming MSS speaker Cyane Dandridge, executive director and founder of Strategic Energy Innovations and executive director of the Marin School of Environmental Leadership, what the 5 “R”s are, I easily breezed through the first 3 – reduce, reuse, recycle – and managed to recall the fourth one – rot – but I could not think of the mysterious fifth “R”. Rethink is the fifth “R” and a very important one at that. As a community and as a society we must rethink how we use energy. For Cyane Dandridge and Strategic Energy Innovations, it begins with rethinking all aspects of buildings. People don’t normally think of buildings as the gateway to a more environmentally-friendly and energy-conscious society, but Dandridge maintains that they should be at the forefront. The various components of buildings – space for the building, resources for construction the building, electricity to power the building, even the stuff in the building – can be carefully considered, scrutinized, and altered to be more green.
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Statistics from the EPA |
Learn more about energy-efficent buildings at “Innovations for Combating Climate Change: Clean Energy, Green Building & Energy Efficiency” with Cyane Dandridge, executive director and founder of Strategic Energy Innovations and executive director of the Marin School of Environmental Leadership on Wednesday, November 13, 2013, 7:30 – 8:30 pm, Terra Linda High School, San Rafael, Room 207
Get the flyer here
A Behind the Scenes Look into the Lawrence Berkeley Lab with Polite Stewart
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What makes Polite (pronounced “po-leet”) Stewart stand out from any other person working in the Advanced Light Source department at the Lawrence Berkeley Lab? The answer is that Polite is only nineteen years old. His remarkable story begins with a young boy who has a knack for learning.
- Postbac – Post Baccalaureate (a college level degree)
- ALS – The Advanced Light Source is a specialized particle accelerator that generates bright beams of x rays for scientific research. [2]
- How the ALS works – Electron bunches traveling nearly the speed of light, when forced into a circular path by magnets, emit bright ultraviolet and x-ray light that is directed down beam lines or tubes to different research labs. [2]
- How Bright Is It? – The ALS produces light that is one billion times brighter than the sun. This tool offers research in materials science, biology, chemistry, physics, and the environmental sciences.
- My interest in physics is related to kinetics (motion) Newtonian physics, and that interest was piqued because I knew it would be useful to know about force transmission in the martial arts. It also helped me gain a better understanding of mathematics, engineering, and chemistry via research and self-study; everything is connected. My true interest is bio-engineering. I plan to research neuro-muscular theory to help people improve and repair lost neuron connection.
- At the moment, I work with hard X-Ray Scattering, specifically Small-Angle(SAXS) and Wide-Angle(WAXS). X-ray scattering is an analysis technique that uses x-rays to determine the structural formation of an object. At my beam line, 7.3.3, we specialize in protein, block co-polymer, polymer, and semi-conductor based samples. Transmission SAXS/WAXS is used to view a sample’s interior; whereas, Grazing Incidence(GISAXS/GIWAXS) is used to look at the surface structure of a sample.
- A synchrotron is a huge particle accelerator that uses magnets to control electron bunches. The electron bunches are what make up the particle beam that each beam line end station (workplace) uses. The particle beam at our synchrotron is only a few micrometers wide and over 10x brighter than the sun.
- Well, that has a very long answer. The simplest answer would be to state that the aforementioned electron bunches are necessary to irradiate samples and therefore extract data…but, let’s go deeper than that. First, a synchrotron is a just another version of the particle accelerator. So, we must determine why a particle accelerator is useful. Fundamentally, it is known that everything in this world is made up of atoms and molecules. There are smaller particles but we will only concern ourselves with the structures, for now, and not their components. Atoms and molecules are, of course, too small to see with the naked eye so, in essence, particle acceleration is our window into the world of the micro- and nano-structures.
- How does this work? The electron bunches are sped up to a very high constant speed and then the bunches are sent down each individual beam line’s lead tunnel. The light is then rammed into your sample. When this occurs, the electrons in the beam will then collide with atomic and molecular structure of your sample. This will cause photons (light emission from the bouncing of electrons in particle space) to be emitted. This emission is then recorded and visualized as a scattering profile. This means that a synchrotron is very useful for allowing us to see the unseen. It is one of the many windows that helps us to understand the results of biology, chemistry, and engineering as a whole.
- This research has only one real goal. It is to speed up the progress of science. At the synchrotron, there is something called beamtime. Beamtime is the experiment time given to each scientist who writes a proposal to use our beam line. This implies that many research groups frequent our beam line and the synchrotron itself. My job, and my employers’, is to aid in the experimentation process. This increases (research) paper output, which in turn increases the output of scientific knowledge, and eventually improves consumer life (i.e. you).
- The research that we do at the Advanced Light Source (ALS) is designed to help the commercial (consumer) and financial (business) sectors because helping the commercial automatically helps the financial.
- I have two jobs as a student researcher on the beam line: help the users (various research groups) at the beam line and write programs/make changes to enhance, and increase the efficiency of, the beam line. User assistance only lasts as long as the given research group’s experiments. On the other hand, enhancement of the beam line will never stop.
- There is no such thing as a typical day, but I would say days normally start off with determining whether users are present. If they are, the whole day is generally devoted to helping them with experiment setup and execution. If there are no users, then the morning might be spent cleaning the beam line and the remaining afternoon would be devoted to programming.
- Currently, I see myself working for another year. Hopefully, it will be with Lawrence Berkeley Lab in the life sciences department. If not, I will apply to other labs and try to get a biological position. In the future, I would like to get a Masters in Bio-Engineering, possibly from Berkeley, and then go overseas to get my PH.D. and do my post-doc in Japan.
- This is a difficult question. The first step is to cultivate and maintain a self-driving spirit and will. From a different take, I’m saying that, first and foremost, the level to which you want to learn determines how much you learn. Effort and excellence are proportional; even you don’t see the results immediately.
- Now that effort has been determined as the essential element, let us discuss the limiting factor: resources. Resources (lab equipment and opportunities) are hard to acquire and difficult to locate. However, there is a hack…and then there’s a cheat code. I know they sound the same but they most certainly are not. The cheat code are summer programs. Look up as many as you can, find the ones that interest you, and apply with all the initiative you can possibly muster.
- Finally, the hack is the ability to network. How do you develop this hack? Talk to anyone and everyone who gives off a positive light. In school, on the street, in the store, at home, and especially at a place you would love to work at in the future. The key to your success is your voice and your ability to use it. When you see a person who could benefit you, address him/her, introduce yourself, and begin to discuss how you could help them and they can help you. Only practice can make you adept at communication, but once you can talk with poise and demonstrate mental rigor…there will be no limiting you or the passion which you hold in your heart.
- http://www.marinscienceseminar.com/speakers/pstewart.html
- http://www.huffingtonpost.com/2012/12/17/polite-stewart-18-year-old-physics-major-bachelors-degree-southern-university_n_2315446.html
See the flyer for Polite’s upcoming presentation here.