Maine Medical Center
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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

Barach P, Ahmed R, Agarwal G . . . Hein C, et al. Navigating personal health crises, imposter syndrome, sexual harassment, clinical mistakes, and leadership challenges: Lessons for work-life wellness in academic medicine. Kansas Journal of Medicine. 2023; 165-171.

Agarwal I, Sarma D, Burke RC, Babineau M, Benson S, Strout T, Bilello LA, Sanchez LD. Resident attitudes toward performing pelvic examinations in the emergency department. Womens Health Reports (New Rochelle). 2023; 4(1): 89-93.

Swenson J, Bloch R, Croft P. Male adolescent with syncope and abnormal chest x-ray. Ann Emerg Med. 2023; 81(2): e13-e14.

Christensen E, Crispo M, Croft P. Woman with facial swelling. Ann Emerg Med. 2023; 82(1): e11-e12.

Gaudet C, Wilson C, Croft P. Man with abdominal pain. Ann Emerg Med. 2023; 81(1): 36-46.

Kaczor EE, Greene K, Zacharia J, Tormoehlen L, Neavyn M, Carreiro S. Correction to: The potential proconvulsant effects of cannabis: a scoping review. J Med Toxicol. 2023; 19(1): 54-60.

Wolf L, Delao A, Perhats C, Valdez A, Strout T, Clark P, Moon M, Frisch S, Callihan M. The experiences of United States emergency nurses related to witnessed and experienced bias: a mixed-methods study. J Emerg Nurs. 2023; 49(2): 175-197.

Racine CW, Johnston DN, Quigley KM, Strout TD, Durst LS, Guido BJ, Wolfrum LA. Utilization of the Fordham Risk Screening Tool for violence risk assessment in an emergency department. 2023; Apr 6. doi: 10.1111/acem.14735. Online ahead of print.

Albert EB, Mick N, Strout TD. A case of pediatric rash. Ann Emerg Med. 2023; 81(6): e161-e162.

Whitledge JD, Watson CJ, Simpson M, Bakkar A, Boussi L, Scott M, Boyle KL. Diphenhydramine-induced antimuscarinic delirium treated with physostigmine and transdermal rivastigmine. J Med Toxicol. 2023; 19(2): 219-223.

Overbeek DL, Janke AT, Watson CJ, Salhi RA, Kim E, Boatright D, Losman ED. Disparate utilization of urine drug screen nationwide in the evaluation of acute chest pain. West J Emerg Med. 2023; 24(2): 135-140.

Simpson MD, Watson CJ, Whitledge JD, Monuteaux MC, Burns MM, Toxicology Investigators Consortium. Intensive care interventions among children with toxicologic exposures to cardiovascular medications. Pediatr Crit Care Med. 2023; May 3. doi: 10.1097/PCC.0000000000003274. Online ahead of print.

Pare B, Link R, Jones I, Haydar S. Mystery at the meatus. Am J Emerg Med. 2023; 68: 214.e1-214.e2.

Fallon TS, Germann CA, Anderson RS, Strout TD. The research escape hunt: an escape room-scavenger hunt for resident education. AEM Education & Training. 2022; 6(6): e10833.

MacVane CZ, Puissant M, Fix M, Strout TD, Bonney C, Welsh L, Mittelman A, Ricker J, Agarwal I. Scheduling practices for pregnant emergency medicine residents. AEM Education & Training. 2022; 6(6): e10813.

Kring RM, Mackenzie DC, Wilson CN, Rappold JF, Strout TD, Croft PE. Ultrasound-guided serratus anterior plane block (SAPB) improves pain control in patients with rib fractures. J Ultrasound Med. 2022; 41(11): 2695-2701.

Gaudet C, Crispo M, Wang X, Leslie M, Kerr M. A sight for sore eyes. J Emerg Med. 2022; 62(3): 399-400.

Gaudet C, Swenson J, Biggs D, Crispo M. Recreational dissociation leading to bloody urination. J Emerg Med. 2022; 63(2): e60-e61.

Wilson C, Mackenzie D, Croft P, Hansen J, Rehberg J, Fried A. Woman with cardiac arrest. Ann Emerg Med. 2022; 80(2): 170-177.

Akhavan AR, Strout TD, Germann CA, Nelson SW, Jauregui J, Lu DW. ‘Going through the motions:’ A qualitative exploration of the impact of emergency medicine resident burnout on patient care. AEM Education & Training. 2022; 6(5): e10809.

Zanno A, Melendi M, Cutler A, Stone B, Chipman M, Holmes J, Craig A. Simulation-based outreach program improves rural hospitals’ team confidence in neonatal resuscitation. Cureus. 2022; 14(9): e28670.

Bauman WJ, Lange AR, Swenson JA, Wilson CN, Mackenzie DC. Boy with wheezing. Ann Emerg Med. 2022; 80(5): 421-459.

Rehberg JL, Mackenzie DC, Mieritz P, Wilson CN. Infant with respiratory distress. Ann Emerg Med. 2022; 80(4): 318-357.

Rehberg J, Hansen JN, Mackenzie DC. Woman with chest wall bruising. Ann Emerg Med. 2022; 79(5): 495-499.

Kaczor EE, Greene K, Zacharia J, Tormoehlen L, Neavyn M, Carreiro S. The potential proconvulsant effects of cannabis: a scoping review. J Med Toxicol. 2022; 18(3): 223-2324.

Kaczor EE, Greene K, Zacharia J, Tormoehlen L, Neavyn M, Carreiro S. Correction to: The potential proconvulsant effects of cannabis: a scoping review. J Med Toxicol. 2022; 18(4): 357.

Wolf L, Perhats C, Delao A, Burchill CN, Clark P, Callihan M, Edwards C, Frisch S, Moon M, Strout TD. Role and training of emergency department charge nurses: a mixed methods analysis of processes, needs, and expectations. J Emerg Nurs. 2022; 48(4): 390-405.

Wentzell K, Strout TD, Laffel LMB, Vessey JA. Assessing diabetes distress in emerging adults with type 1 diabetes: development and validation of the problem areas in diabetes – emerging adult version. Can J Diabetes. 2022; 46(5): 503-509.

Han PKJ, Scharnetzki E, Anderson E, DiPalazzo J, Strout TD, Gutheil C, Lucas FL, Edelman E, Rueter J. Epistemic beliefs: Relationship to future expectancies and quality of life in cancer patients. J Pain Symptom Manage. 2022; 63(4): 512-521.

Watson CJ, Simpson MD, Whitledge JD, Patterson A, Burns MM. Warfarin overdose in an adolescent not dependent on anticoagulation: reversal strategy and kinetics. J Med Toxicol. 2022; 18(4): 334-339.

Watson CJ, Overbeek DL, Allegri-Machado G, Kellogg MD, Patterson A, McAlvin JB, Burns MM. Thiocyanate toxicity: a teaching case. Clin Toxicol (Phila). 2022; 60(7): 876-881.

Watson CJ, Stone GL, Overbeek DL, Chiba T, Burns MM. Performance-enhancing drugs and the Olympics. J Intern Med. 2022; 291(2): 181-196.

Orlikowski CA, Siegel S, Wilson C. Woman with groin pain. Ann Emerg Med. 2022; 80(1): 87-94.

Huyler A, Mackenzie D, Wilson CN. Lung abscess diagnosed by ultrasound. Clin Exp Emerg Med. 2022; 9(1): 70-71.

Roche AM, Klingel K, Toth K, Pepper K, Francis SA. Spontaneous Coronary Artery Dissection in the Setting of COVID-19 Pandemic-Related Stressors: A Case Report. Cureus. 2022; 14(3): e23069.

Agarwal I, Joseph JW, Sanchez LD. Time on shift in the emergency department and decision to prescribe opioids to patients without chronic opioid use. Clin Exp Emerg Med. 2022; 9(2): 108-113.

Haley CB, Mackenzie D. Cat got your artery? Point of care ultrasound in the evaluation of penetrating trauma by a feline: a case report. Clin Exp Emerg Med. 2022; 9(10): 63-66.

Haley CB, McKelvy D, Mackenzie DC. Growth and globalization of point of care ultrasound publications in emergency medicine. J Clin Ultrasound. 2022; 50(4): 515-520.

Kenny JS, Eibl JK, Mackenzie DC, Barjaktarevic I. Guidance of IV fluid by ultrasound will improve with technology. Chest. 2022; 161(2): e132-e133.

Kenny JS, Barjaktarevic I, Mackenzie DC, Elfarnawany M, Yang Z, Eibl AM, Eibl JK, Kim CH, Johnson BD. Carotid artery velocity time integral and corrected flow time measured by a wearable Doppler ultrasound detect stroke volume rise from simulated hemorrhage to transfusion. BMS Res Notes. 2022; 15(1): 7.

Lufler RS, Davis ML, Afifi LM, Willson RF, Croft PE. Bringing anatomy to life: Evaluating a novel ultrasound curriculum in the anatomy laboratory. Anat Sci Educ. 2022; 15(3): 609-619.

Rajamani A, Galarza L, Sanfilippo F, Wong A, Goffi A, Tuinman P, Mayo P, Arntfield R, Fisher R, Chew M, Slama M, Mackenzie D, Ho E, Smith L, Renner M, Tavares M, Prabu R N, Ramanathan K, Knudsen S, Bhat V, Arvind H, Huang S; SPARTAN Collaborative (Small Projects, Audits and Research Projects-Australia/New Zealand). Criteria, Processes, and Determination of Competence in Basic Critical Care Echocardiography Training: A Delphi Process Consensus Statement by the Learning Ultrasound in Critical Care (LUCC) Initiative. Chest. 2022; 161(2): 492-503.

Agarwal I, Grossestreuer A, Joseph JW, Leventhal EL, Sanchez LD. Association of resident characteristics with patterns of patient self-assignment. American Journal of Emergency Medicine. 2021;44: 112-115.

Barak-Corren Y, Agarwal I, Michelson KA, et al. Prediction of patient disposition: comparison of computer and human approaches and a proposed synthesis. Journal of the American Medical Informatics Association. 2021; 28(8):1736-1745.

Korley FK, Durkalski-Mauldin V, SIREN-C3PO Investigators (Baumann, Strout). Early Convalescent Plasma for High-Risk Outpatients with COVID-19. New England Journal of Medicine. 2021; 385(21): 1951-1960.

Fried AM, Strout TD, Perron AD. Electrical Cardioversion for Atrial Fibrillation in the Emergency Department: A Large, Single Center Experience. American Journal of Emergency Medicine. 2021; 42: 115-120.

Holmes J, Chipman M, Barbour T, et al. A Simulation Systems Testing Program Using HFMEA Methodology Can Effectively Identify and Mitigate Latent Safety Threats for a New On-Site Helipad. Joint Commission Journal on Quality and Patient Safety. 2021: S1553-7250(21)00246-4.

Kwock J, Holmes J, et al. Patient Transport in the Time of COVID-19: Using Healthcare Failure Mode and Effect Analysis with Simulation to Test and Modify a Protocol. Journal of Maine Medical Center. 2021; 3(2).

Huyler A; MacVane CZ; Strout TD; Perron AD. Outpatient Treatment of Pulmonary Embolism: A Single-Center 4-Year Experience. American Journal of Emergency Medicine. 2021; 45:169-172.

Kenny JE, Barjaktarevic I, Mackenzie DC, et al. Carotid Doppler ultrasonography correlates with stroke volume in a human model of hypovolemia and resuscitation: analysis of 48570 cardiac cycles. British Journal of Anesthesia. 2021; 127(2): e60-e63.

Kline JA, Adler DH, Alanis N . . . Mackenzie DC, et al. Monotherapy Anticoagulation to Expedite Home Treatment of Patients Diagnosed with Venous Thromboembolism in the Emergency Department: A Pragmatic Effectiveness Trial. Circulation. Cardiovascular Quality and Outcomes. 2021; 14(7): e007600.

Kenny JE, Barjaktarevic I, Mackenzie DC, et al. Carotid Doppler Measurement Variability in Functional Hemodynamic Monitoring: An Analysis of 17822 Cardiac Cycles. Critical Care Explorations. 2021; 3(6): e0439.

Graham EM, Ferrel M, Wells KM, Egan DJ, MacVane CZ, Gisondi MA, Burns BD, Madsen TE, Fix ML. Gender-based Barriers in the Advancement of Women Leaders in Emergency Medicine: A Multi-Institutional Qualitative Study. Western Journal of Emergency Medicine. 2021; 22(6).

Samuels-Kalow ME, Boggs KM, Cash RE, Herrington R, Mick NW, Rutman MS, Venkatesh AK, Zabbo CP, Sullivan AF, Hasegawa K, Zachrison KS, Camargo CA Jr. Screening for health-related social needs of emergency department patients. Annals of Emergency Medicine. 2021; 77(1): 62-68. PMID: 33160720.

Ngo TB, . . . Neavyn M, et al. SARS-CoV-2 Seroprevalence and Drug Use in Trauma Patients from Six Sites in the United States. medRxiv. 2021; 11:2021.08.10.21261849. doi: 10.1101/2021.08.10.21261849. PMID: 34401892.

Cameron-Burr KT, Conicella A, Neavyn MJ. Opioid Use and Driving Performance. Journal of Medical Toxicology. 2021; 17(3):289-308. doi: 10.1007/s13181-020-00819-y. PMID: 33403571.

Tavakolikashi M, Hallen S, Zelaya-Floyd M, White P, Varaklis K, Van der Kloot T, Perron AD, Wilson E, Bing-You R. Using design thinking to spread iPACE™: an interprofessional medical education innovation in an academic medical center. Journal of Maine Medical Center. 2021; 3(1): Article 8.

Antkowiak PS, Stenson BA, Strout TD, et al. A retrospective multistate analysis: Do regional football games impact emergency department patient volume. Journal of the American College of Emergency Physicians Open. 2021; 2(5)e12551.

Tripp D, Janis J, Jarrett B, Lucas FL, Strout TD, Han PKJ, Stumpf I, Hutchinson RN. How well does the surprise question predict 1-year mortality for patients admitted with COPD? Journal of General Internal Medicine. 2021; 36(9): 2656-2662. PMID: 33409886.

Han PKJ, Strout TD, Gutheil C, Germann C, King B, Ofstad E, Gulbrandsen P, Trowbridge R. How Physicians Manage Medical Uncertainty: A Qualitative Study and Conceptual Taxonomy. Medical Decision Making. 2021; 41(3): 275-291. PMID: 33588616

Anderson RS, et al, Eds. Emergencies in the Older Adult. Emergency Medicine Clinics of North America. 2021; 39(2): 243-452.

Pontius EA, Anderson RS. Physical Therapy, Occupational Therapy, and Speech Language Pathology in the Emergency Department: Specialty Consult Services to Enhance the Care of Older Adults. In: Anderson RS Jr. et al. (Eds). Emergency Medicine Clinics of North America. 2021; 39(2): 419-428.

Crispo MM, Strout TD, Munzig LM, Lerwick PA. A ‘good death’ during coronavirus disease 2019: outdoor terminal extubation facilitates safe family presence for a dying patient. Journal of Pain and Symptom Management. 2021; 61(1): 1264-1274. PMID: 33137421.

Fried AM, Mackenzie DC. A 66-Year-Old Woman with Hypoxia and Shock. Chest. 2021; 159(5):e349-e352. PMID: 33965161.

Fling N, Fried AM. Young Man with Swollen Knee. Annals of Emergency Medicine. 2021; 78(1): 56.

Hansen JN, Hine J, Strout TD. COVID-19 and preeclampsia with severe features at 34-weeks gestation. American Journal of Emergency Medicine. 2021; 39:252.e3-252.e5 PMID: 33008706.

Huyler A, Mackenzie D, Wilson CN. Woman with Unilateral Facial Swelling. Annals of Emergency Medicine. 2021; 77(6): e109-e110. PMID: 34030783

Iyer M, Bachur R, Wang V, Hsu D, Mistry RD . . . Mick N, et al. Maintenance of Certification Pediatrics: Pediatric Emergency Medicine (PEM): The New Part 3 Maintenance of Certification Option. Pediatr Emerg Care. 2021; 37(6): 329-333. PMID: 34009897

Schlichting E, Welter C, Schaeffer T, Strout TD. Serotonin Syndrome Associated with Vilazodone Overdose in a 22-month-old Treated with Dexmedetomidine. Journal of Emergency Medicine. 2021; 60(2): e19-e21. PMID: 33158691.

Strout TD, Baumann MR, Wendell LT. Understanding ED buprenorphine initiation for opioid use disorder: a guide for emergency nurses. Journal of Emergency Nursing. 2021; 47(1): 139-154. PMID: 33390217

Payonk EA, Williams RJ. More than just gastritis: An unusual presentation of strangulated transmesenteric hernia in a pediatric patient. American Journal of Emergency Medicine. 2021; 46. PMID: 33541742

Hein C, Chessa F, Leclerc A, Mailloux P, Polly R, Rose-Norfleet E, Strout TD, Tooker J, Wipfler M. MMC Wellbeing and Peer Support Program. Journal of Maine Medical Center. 2021; 3(2): Article 17.

Strout TD, Baumann MR, Wendell LT, Hawk K, D’Onofrio G. In Reply to Routsolias and Mycyk. Journal of Emergency Nursing. 2021; 47(4): 527-529.

Anderson ED, Hinton A, Lary CW, Strout TD, Antov A, Edelman E, Helbig P, Reed K, Reuter J, Han PKJ. The influence of uncertainty and uncertainty tolerance on attitudes and self-efficacy about genomic tumor testing. Psychol Health Med. 2021; 26(7): 805-817.

Kenny JS, Barjaktarevic I, Mackenzie DC, Rola P, Haycock K, Eibl AM, Eibl JK. Inferring the Frank-Starling curve from simultaneous venous and arterial Doppler: measurements from a wireless, wearable ultrasound patch. Front Med Technol. 2021; 14: 3: 676995.

Graham EM, Ferrel MN, Wells KM, Egan DJ, MacVane CZ, Gisondi MA, Burns BD, Madsen TE, Fix ML. Gender-based Barriers to the Advancement of Women in Academic Emergency Medicine: A Multi-Institutional Survey Study. West J Emerg Med. 2021; 22(6): 1355-1359.

Germann CA, Strout TD, Park YS, Tekian A. Senior-Year Curriculum in US Medical Schools: A Scoping Review. Teaching and Learning in Medicine. 2020; 32(1): 34-44.

Runkle A, Block J, Haydar SA. Man with Cyanosis and Altered Mental Status. Annals of Emergency Medicine. 2020; 75(1): 18, 48.

Lu DW, Germann CA, Nelson SW, Jauregui J, Strout TD. ‘Pulling the Parachute;’ A qualitative study of burnout’s influence on emergency medicine resident career choices. Academic Emergency Medicine Education & Training. 2020; 5(3):e10535.

Lu DW, Germann CA, Nelson SW,
Jauregui J, Strout TD. ‘Necessary Compromises:’ A qualitative exploration of the influence of burnout on resident education. Academic Emergency Medicine Education & Training. 2020; 5(2):e10500.

Lu DW, Pierce A, Jauregui J, Heron S, Lall MD, Mitzman J, McCarthy DM, Hartman ND, Strout TD. Academic emergency medicine faculty experiences with racial and sexual orientation discrimination. West J Emerg Med. 2020; 21(5): 1160-1169.

Hamilton EJ, MacVane C, Strout TD. Dysphagia after cardiopulmonary resuscitation: a case of aspirated dentures. J Emerg Med. 2020; 58(6): 959-961.

Lu DW, Lall MD, Mitzman J, Heron S, Pierce A, Hartman ND, McCarthy DM, Jauregui J, Strout TD. #MeToo in EM: A multicenter survey of academic emergency medicine faculty on their experiences with gender discrimination and sexual harassment. West J Emerg Med. 2020; 21(2): 252-260.

Runkle A, Mackenzie DC. Infant with labial swelling. Ann Emerg Med. 202; 76(6): e123-e124.

Kennedy M, Helfand BKI, Gou RY, Gartaganis SL, Webb M, Moccia JM, Bruursema SN, Dokic B, McCulloch B, Ring H, Margolin JD, Zhang E, Anderson R, Babine RL, Hshieh T, Wong AH, Taylor RA, Davenport K, Teresi B, Fong TG, Inouye SK. Delirium in Older Patients With COVID-19 Presenting to the Emergency Department. JAMA Netw Open. 2020; 3(11): e2029540.

Wilson CN, Fried A. Young man with unilateral vision loss. Ann Emerg Med. 2020; 76(5): e119-e120.

Mick NW, Williams RJ. Pediatric cardiac arrest resuscitation. Emerg Med Clin North Am. 2020; 38(4): 819-839.

Kenny JS, Barjaktarevic I, Mackenzie DC, Eibl AM, Parrotta M, Long BF, Eibl JK. Diagnostic characteristics of 11 formulae for calculating corrected flow time as measured by a wearable Doppler patch. Intensive Care Med Exp. 2020; 8(1): 54.

Mackenzie DC. ‘I know it when I see it.’ Chest. 2020; 158(3): 844-845.