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SUMMARYBackground : During basic life support ( BLS ) training, medical students receive little instruction on their role during a resuscitation attempt. Research is sparse regarding trainee perceptions of the resuscitation team. This study sought to describe trainee experiences and perceptions of resuscitation teams. Methods : Clinical third-year medical students ( MS 3s) and incoming interns ( PGY 1s) reported on survey items addressing prior BLS education, knowledge of BLS , and the student ' s perceptions and experiences during a resuscitation attempt. Results : Of the 61 third-year medical students surveyed,

Background Novel methods to boost interest in scientific research careers among minority youth are largely unexplored. Social media offers a unique avenue toward influencing teen behavior and attitudes, and can therefore be utilized to stimulate interest in clinical research. Objective The aim of this study was to engage high-achieving minority youth enrolled in a science pipeline program to develop a targeted social media marketing campaign for boosting interest in clinical research careers among their peers. Methods Students enrolled in the Training Early Achievers for Careers in Health program conducted focus groups in their communities to inform themes that best promote clinical research. They then scripted, storyboarded, and filmed a short video to share on social media with a campaign hashtag. Additionally, each student enrolled peers from their social circle to be subjects of the study. Subjects were sent a Career Orientation Survey at baseline to assess preliminary interest in clinical research careers and again after the campaign to assess how they saw the video, their perceptions of the video, and interest in clinical research careers after watching the video. Subjects who did not see the video through the online campaign were invited to watch the video via a link on the postsurvey. Interest change scores were calculated using differences in Likert-scale responses to the question “how interested are you in a career in clinical research?” An ordinal logistic regression model was used to test the association between watching a peer-shared video, perception of entertainment, and interest change score controlling for underrepresented minorities in medicine status (Black, American Indian/Alaska Native, Native Hawaiian, or Pacific Islander), gender, and baseline interest in medical or clinical research careers. Results From 2014 to 2017, 325 subjects were enrolled as part of 4 distinct campaigns: #WhereScienceMeetsReality, #RedefiningResearch, #DoYourResearch, and #LifeWithoutResearch. Over half (n=180) of the subjects watched the video via the campaign, 227/295 (76.9%) found the video entertaining, and 92/325 (28.3%) demonstrated baseline interest in clinical research. The ordinal logistic regression model showed that subjects who viewed the video from a peer (odds ratio [OR] 1.56, 95% CI 1.00-2.44, P=.05) or found the video entertaining (OR 1.36, 95% CI 1.01-1.82, P=.04) had greater odds of increasing interest in a clinical research career. Subjects with a higher baseline interest in medicine (OR 1.55, 95% CI 1.28-1.87, P<.001) also had greater odds of increasing their interest in clinical research. Conclusions The spread of authentic and relevant peer-created messages via social media can increase interest in clinical research careers among diverse teens. Peer-driven social media campaigns should be explored as a way to effectively recruit minority youth into scientific research careers.

A lford et al 1 shared an outstanding educational innovation on how to improve the comprehension of internal medicine residents on safe opioid prescribing. This study showed that all groups reported improvement in knowledge, and among those who participated in the objective structured clinical examination (OSCE), there was improvement in confidence and self-reported practices when compared to the control. These are extremely important outcomes for graduate medical education; however, the intervention was not able to continue after grant funding ceased, hence the basis of our letter. The authors mention that the intervention had an impact but additional resources are needed, and thus we offer a suggestion on how to obtain these resources.We are in the midst of an opioid epidemic, and the time to influence the practices of prescribing physicians is now. We commend the authors on providing the first study to address prescribers in graduate medical education. It has been reported that primary care specialties account for almost half of opioid prescriptions; however, others were also noted in pain medicine, surgery, physical medicine and rehabilitation, and in the emergency department.2 Although these specialties are directly named, we can imagine how this epidemic touches many other specialties in some way.Knowing we are all affected, we propose that this education be provided during intern orientation when prescribers from all specialties can be impacted. Many institutions are utilizing the ''boot camp'' model of orientation. With this format, information is provided and skills are assessed of all incoming first-year residents during their on-boarding process.3-5 Implementing a safe opioid module with accompanying OSCE during intern orientation would allow for delivery to a larger audience, resulting in a more effective impact on turning the tide on this epidemic. Multi-patient Observed Simulated Handoff Experience (M-OSHE): assessment and feedback for entering residents on handoff performance.