The social determinants of health (SDOH) represent factors that impact the health and effectiveness/compliance of a treatment plan for a patient. The SDOH include such factors as economic stability, education, home and community context, access to healthcare, neighborhood and built environment, and personal behavior. The purpose of this study is to determine the extent of collection and integration of SDOH into clinical practice, and the usefulness of this information in medical decision making. Following a thorough literature review, an online survey was deployed to physicians and administrators around the country, with the aim of answering the following questions: 1) Do provider practices collect information on a patient's social determinants of health? 2) If yes, how is that information being used, if at all? 3) If not, what is preventing them from doing so? 4) Do the answers to questions 1-3 differ based on the type of payment model (Fee-for-Service or Capitation) to which the practice is subject? The results of the study suggest that fee-for-service payment environments present less incentive to use a patient's SDOH in medical decision making.

Suicide is one of the leading causes of death worldwide and statistical analysis of suicide by profession reveals that physicians and veterinarians experience abnormally high suicide rates. This paper seeks to provide a comprehensive literature review over what some general theories of suicide are, why these professions exhibit high suicide rates, what assistance is currently being provided, and where do these assistance efforts succeed or fail. Moreover, this paper addresses what advancements may be made within these fields to further combat suicide in physicians and veterinarians. To achieve this, general theories behind suicide, risk factors unique to or heavily prevalent in these professions, and current assistance efforts are read, organized, and summarized.<br/><br/>A summary of these risk factors includes stress and mental health disorders accumulated through school and work, personal and professional isolation, access to lethal substances, suicide contagion, exposure to euthanasia, and the role of perfectionism. There are several assistance efforts in place with the most successful ones being highly personalized, but many are still underutilized. Moreover, the stigma of suicide pervades these professions and is addressed by several researchers as something to combat or prevent. Going forward, it is hopeful that not only will more assistance efforts will be created and provided for physicians and veterinarians suffering from suicidal tendencies, but efforts to reduce the stigma of suicide be implemented and utilized as soon as possible.

Despite differences in schooling and clinical experience prior to practice, advanced practice providers often have similar scopes of practice, which raises concerns about the quality of care being provided. In this paper, we explore if prescribing patterns are comparable between provider types by comparing differences in time spent on pharmacological interventions utilizing a simulated healthcare environment. Physicians (MDs and DOs), Nurse Practitioners (NPs), and Physician Assistants (PAs) actively practicing in Family Practice/Medicine or Internal Medicine in the U.S. state license/recognition were recruited at healthcare conferences and simulation centers. Participants were provided 20 minutes to complete the patient consultation on a Standardized Patient (SP) presenting with a chief complaint of a post-hospitalization follow-up for heart failure, fatigue, and some edema. All encounters were recorded and uploaded to be reviewed by undergraduate evaluators, who were responsible for quantifying the amount of time the participants spent on each of the task categories, including pharmacologic interventions. With a total of 46 participants in this study, the average amount of time spent discussing this activity per visit across each provider type was 14.8 seconds for MDs/DOs, 29.2 seconds for NPs, and 38.8 seconds for PAs. The results of this study suggest that PAs (p= 0.0028) spent significantly more time discussing pharmacological interventions and were significantly more likely to discuss pharmacological interventions (p=0.0243) when compared with physicians (MD/DOs). It is important to note that the sample size of PAs was very small (N=9), which could potentially skew the results and not be representative of the population. With limited literature that examines whether time spent discussing pharmacological interventions is comparable across provider types, it is important for more simulated healthcare research to be conducted on this topic.

Simplifying science means more than just making science understandable for people of lower chronological age, it also encompasses making science more accessible to people with a lower educational age. Through their “Embryo Tales,” Ask a Biologist discusses topics such as fetal alcohol syndrome, ectopic pregnancies, polio, etc. and the science behind them in an easy-to-understand manner. The Ask a Biologist materials are directed at a younger audience in terms of educational age compared to most textbooks and other sources, which allows them to communicate information to people who otherwise may not comprehend the science at hand. As Ask a Biologist states, their main goal is to “increase communication between scientists and the public” (Ask a biologist). They increase the cognition of the public by using a readability level checker to keep each sentence easy to understand, implementing well thought-out analogies throughout the article, incorporating helpful pictures, and including an engaging, related story at the beginning of each article. This thesis explains studies both for and agains those techniques aiming to make science-related topics more understandable. The thesis encompasses some of my own Embryo Tales with an analysis of them, highlights my role in shaping Embryo Tales into what they are today, and also details how I will apply what I learned to my career as a future physician.