Linda Nield - Academia.edu (original) (raw)
Papers by Linda Nield
Clinical Pediatrics, Nov 1, 2006
A4-year-old boy presented to the general pediatric clinic with a 1-month history of a nonproducti... more A4-year-old boy presented to the general pediatric clinic with a 1-month history of a nonproductive cough. He had been well with a negative review of systems, except for a rectal temperature of 103.6°F and two bouts of emesis experienced 1 day before presentation. His past medical and family histories were unremarkable. On physical examination, he appeared well nourished, very playful, and in no acute distress with normal vital signs. His otolar yngolic, pulmonary, and cardiac examinations were completely normal. The rest of his examination was also normal, except for the finding of a firm, nontender mass in the right upper quadrant of his abdomen. A laboratory investigation consisted of a complete blood count, electrolytes, glucose, serum liver enzymes (aspartate amino transferase, amino alanine transferase, alkaline phosphatase, and lactate dehydrogenase), blood urea nitrogen, creatinine, and human chorionic gonadotropin and α-fetoprotein levels, which were within normal limits. His urinalysis was normal and microscopic examination revealed less than 5 red blood cells per high power field. A chest radiograph revealed a cardiac silhouette that projected primarily into the left hemithorax; lungs were hypoinflated with a medial right hemithorax confluent opacity. An abdominal radiograph showed a nonobstructed intestinal gas pattern and no evidence of significant stool retention. A right upper quadrant ultrasound revealed a large mass involving the mid and lower right kidney, suspicious for Wilms’ tumor.
Clinical Pediatrics, Nov 1, 2006
Journal of Healthcare Risk Management, Oct 22, 2020
Journal Of Public Health, Jul 5, 2021
Journal of Dental Education, Dec 28, 2021
Purpose/ObjectiveDue to the coronavirus pandemic, virtual interviews became a mainstay of graduat... more Purpose/ObjectiveDue to the coronavirus pandemic, virtual interviews became a mainstay of graduate dental and medical education selection processes. To gain a handle on how to navigate lingering uncertainties about how interviews should be conducted in the future, this study examined the benefits and pitfalls of the virtual interview process (VIP) and assessed program plans to implement in the next interview cycle.MethodsAn anonymous online survey, for completion by one program representative (director or associate director), was sent to graduate medical education (GME) and advanced dental education programs at West Virginia University (N = 74).ResultsFifty‐two (52) of the programs (70%) completed the survey. Zoom was the most frequently used interview platform (78.8%). Approximately two thirds (65.4%) of the interviewers thought VIP allowed the program to promote the university, the school, and their program and also reported experiencing video‐conferencing fatigue. About six in 10 perceive VIP can introduce bias in selecting applicants (59.6%) and potentially disadvantage some applicants (67.3%). Compared to the previous in‐person cycle, 67.4% of programs invited more applicants, and 73.1% interviewed more applicants. Regarding the 2021–2022 interview cycle, 55.8% of programs plan to offer either an in‐person or VIP, while 7.7% plan to keep their process completely virtual.ConclusionGraduate programs in this study demonstrated the indispensability of technology in transitioning from in‐person to virtual interviews during COVID‐19 pandemic. VIP has several advantages and disadvantages; this style of interview is forecasted to have a presence in applicant selection in the future.
West Virginia Medical Journal, 2021
Journal of Healthcare Risk Management, 2020
MedEdPublish, 2017
This article was migrated. The article was not marked as recommended. Introduction: A probationar... more This article was migrated. The article was not marked as recommended. Introduction: A probationary history reported on students' Medical Student Performance Evaluations (MSPE) may have implications on whether medical students match with a residency program in the National Residency Matching Program (NRMP) in the United States (US). Students who fail to follow academic advisors' advice and apply a considered residency application plan may be in jeopardy of needing to enter the Supplemental Offer Acceptance Program (SOAP). The SOAP is a much less desirable means to securing a position in a US residency program. The purpose of this study was to examine how a probationary history reported on the MSPE and failing to follow academic advice may put students at risk for entering the SOAP. Methods: The NRMP results for 3 graduating classes (N=380) at West Virginia University School of Medicine (2013-2016) and 2 graduating classes (N= 378) at Michigan State University College of Human...
Consultant, 2006
Physicians around the country are being bombarded with questions about avian flu. This brief revi... more Physicians around the country are being bombarded with questions about avian flu. This brief review of the current status of the avian flu outbreak and its treatment and prevention provides the information you will need to answer the most pressing patient questions.
Pediatric emergency care
International travel by children is becoming increasingly common over the last few decades. As a ... more International travel by children is becoming increasingly common over the last few decades. As a result, clinicians may be asked to assist in the evaluation and treatment of an ill child after international travel. Along with recording the typical thorough history of present illness and medical history, the physician who cares for a child in this situation will have to take a thorough travel history and consider not only local conditions, but also possible pathogens that the child may have encountered during the journey. A detailed travel history should be routinely performed to investigate specific exposures. Reference materials are available that can guide the clinician in determining which infectious agents are endemic to various areas of the world. With the exception of obtaining a basic laboratory screen, further evaluation of the young patient should be dictated by the most likely cause of the illness. Repeated testing and examinations and close follow-up may be necessary to arrive at the proper diagnosis and initiate appropriate treatment in a timely manner.
Pediatrics in review / American Academy of Pediatrics, 2015
Journal of graduate medical education, 2011
Clinical pediatrics, 2006
The following Brief Report was written by a resident. A discussion by members of the resident'... more The following Brief Report was written by a resident. A discussion by members of the resident's faculty follows. We invite any resident to submit such articles, together with commentary by a faculty member.
Pediatrics in review / American Academy of Pediatrics, 2009
Journal of Graduate Medical Education, 2013
American family physician, Jan 15, 2006
Rickets develops when growing bones fail to mineralize. In most cases, the diagnosis is establish... more Rickets develops when growing bones fail to mineralize. In most cases, the diagnosis is established with a thorough history and physical examination and confirmed by laboratory evaluation. Nutritional rickets can be caused by inadequate intake of nutrients (vitamin D in particular); however, it is not uncommon in dark-skinned children who have limited sun exposure and in infants who are breastfed exclusively. Vitamin D-dependent rickets, type I results from abnormalities in the gene coding for 25(OH)D3-1-alpha-hydroxylase, and type II results from defective vitamin D receptors. The vitamin D-resistant types are familial hypophosphatemic rickets and hereditary hypophosphatemic rickets with hypercalciuria. Other causes of rickets include renal disease, medications, and malabsorption syndromes. Nutritional rickets is treated by replacing the deficient nutrient. Mothers who breastfeed exclusively need to be informed of the recommendation to give their infants vitamin D supplements begin...
MedEdPORTAL, 2013
Abstract Introduction Research suggests that well-being impacts residents' ability to learn a... more Abstract Introduction Research suggests that well-being impacts residents' ability to learn and provide patient care. The purpose of this study was to investigate the descriptive statistics, factor...
Pediatric Annals, 2008
Cultural competence may be described as the clinician’s ability to provide equal and appropriate ... more Cultural competence may be described as the clinician’s ability to provide equal and appropriate healthcare to patients from all cultures. Reports that minority youth have received suboptimal medical care emphasize the importance of high cultural competence in pediatric medical personnel. Sensitivity toward and consideration of the family’s social circumstances and culturally based beliefs and expectations can improve the overall healthcare experience. Pediatricians are generally skilled at speaking to parents and extended family members. Cultural competence requires pediatricians to take the added steps of considering the unique cultural circumstances of each child. ABOUT THE AUTHOR Linda S. Nield, MD, is Associate Professor of Pediatrics, West Virginia University School of Medicine. Address correspondence to: Linda S. Nield, MD, Associate Professor of Pediatrics, West Virginia University School of Medicine, Morgantown, WV 26505; fax: 304-293-1216; e-mail: lnield@hsc.wvu.edu. Dr. N...
Clinical Pediatrics, Nov 1, 2006
A4-year-old boy presented to the general pediatric clinic with a 1-month history of a nonproducti... more A4-year-old boy presented to the general pediatric clinic with a 1-month history of a nonproductive cough. He had been well with a negative review of systems, except for a rectal temperature of 103.6°F and two bouts of emesis experienced 1 day before presentation. His past medical and family histories were unremarkable. On physical examination, he appeared well nourished, very playful, and in no acute distress with normal vital signs. His otolar yngolic, pulmonary, and cardiac examinations were completely normal. The rest of his examination was also normal, except for the finding of a firm, nontender mass in the right upper quadrant of his abdomen. A laboratory investigation consisted of a complete blood count, electrolytes, glucose, serum liver enzymes (aspartate amino transferase, amino alanine transferase, alkaline phosphatase, and lactate dehydrogenase), blood urea nitrogen, creatinine, and human chorionic gonadotropin and α-fetoprotein levels, which were within normal limits. His urinalysis was normal and microscopic examination revealed less than 5 red blood cells per high power field. A chest radiograph revealed a cardiac silhouette that projected primarily into the left hemithorax; lungs were hypoinflated with a medial right hemithorax confluent opacity. An abdominal radiograph showed a nonobstructed intestinal gas pattern and no evidence of significant stool retention. A right upper quadrant ultrasound revealed a large mass involving the mid and lower right kidney, suspicious for Wilms’ tumor.
Clinical Pediatrics, Nov 1, 2006
Journal of Healthcare Risk Management, Oct 22, 2020
Journal Of Public Health, Jul 5, 2021
Journal of Dental Education, Dec 28, 2021
Purpose/ObjectiveDue to the coronavirus pandemic, virtual interviews became a mainstay of graduat... more Purpose/ObjectiveDue to the coronavirus pandemic, virtual interviews became a mainstay of graduate dental and medical education selection processes. To gain a handle on how to navigate lingering uncertainties about how interviews should be conducted in the future, this study examined the benefits and pitfalls of the virtual interview process (VIP) and assessed program plans to implement in the next interview cycle.MethodsAn anonymous online survey, for completion by one program representative (director or associate director), was sent to graduate medical education (GME) and advanced dental education programs at West Virginia University (N = 74).ResultsFifty‐two (52) of the programs (70%) completed the survey. Zoom was the most frequently used interview platform (78.8%). Approximately two thirds (65.4%) of the interviewers thought VIP allowed the program to promote the university, the school, and their program and also reported experiencing video‐conferencing fatigue. About six in 10 perceive VIP can introduce bias in selecting applicants (59.6%) and potentially disadvantage some applicants (67.3%). Compared to the previous in‐person cycle, 67.4% of programs invited more applicants, and 73.1% interviewed more applicants. Regarding the 2021–2022 interview cycle, 55.8% of programs plan to offer either an in‐person or VIP, while 7.7% plan to keep their process completely virtual.ConclusionGraduate programs in this study demonstrated the indispensability of technology in transitioning from in‐person to virtual interviews during COVID‐19 pandemic. VIP has several advantages and disadvantages; this style of interview is forecasted to have a presence in applicant selection in the future.
West Virginia Medical Journal, 2021
Journal of Healthcare Risk Management, 2020
MedEdPublish, 2017
This article was migrated. The article was not marked as recommended. Introduction: A probationar... more This article was migrated. The article was not marked as recommended. Introduction: A probationary history reported on students' Medical Student Performance Evaluations (MSPE) may have implications on whether medical students match with a residency program in the National Residency Matching Program (NRMP) in the United States (US). Students who fail to follow academic advisors' advice and apply a considered residency application plan may be in jeopardy of needing to enter the Supplemental Offer Acceptance Program (SOAP). The SOAP is a much less desirable means to securing a position in a US residency program. The purpose of this study was to examine how a probationary history reported on the MSPE and failing to follow academic advice may put students at risk for entering the SOAP. Methods: The NRMP results for 3 graduating classes (N=380) at West Virginia University School of Medicine (2013-2016) and 2 graduating classes (N= 378) at Michigan State University College of Human...
Consultant, 2006
Physicians around the country are being bombarded with questions about avian flu. This brief revi... more Physicians around the country are being bombarded with questions about avian flu. This brief review of the current status of the avian flu outbreak and its treatment and prevention provides the information you will need to answer the most pressing patient questions.
Pediatric emergency care
International travel by children is becoming increasingly common over the last few decades. As a ... more International travel by children is becoming increasingly common over the last few decades. As a result, clinicians may be asked to assist in the evaluation and treatment of an ill child after international travel. Along with recording the typical thorough history of present illness and medical history, the physician who cares for a child in this situation will have to take a thorough travel history and consider not only local conditions, but also possible pathogens that the child may have encountered during the journey. A detailed travel history should be routinely performed to investigate specific exposures. Reference materials are available that can guide the clinician in determining which infectious agents are endemic to various areas of the world. With the exception of obtaining a basic laboratory screen, further evaluation of the young patient should be dictated by the most likely cause of the illness. Repeated testing and examinations and close follow-up may be necessary to arrive at the proper diagnosis and initiate appropriate treatment in a timely manner.
Pediatrics in review / American Academy of Pediatrics, 2015
Journal of graduate medical education, 2011
Clinical pediatrics, 2006
The following Brief Report was written by a resident. A discussion by members of the resident'... more The following Brief Report was written by a resident. A discussion by members of the resident's faculty follows. We invite any resident to submit such articles, together with commentary by a faculty member.
Pediatrics in review / American Academy of Pediatrics, 2009
Journal of Graduate Medical Education, 2013
American family physician, Jan 15, 2006
Rickets develops when growing bones fail to mineralize. In most cases, the diagnosis is establish... more Rickets develops when growing bones fail to mineralize. In most cases, the diagnosis is established with a thorough history and physical examination and confirmed by laboratory evaluation. Nutritional rickets can be caused by inadequate intake of nutrients (vitamin D in particular); however, it is not uncommon in dark-skinned children who have limited sun exposure and in infants who are breastfed exclusively. Vitamin D-dependent rickets, type I results from abnormalities in the gene coding for 25(OH)D3-1-alpha-hydroxylase, and type II results from defective vitamin D receptors. The vitamin D-resistant types are familial hypophosphatemic rickets and hereditary hypophosphatemic rickets with hypercalciuria. Other causes of rickets include renal disease, medications, and malabsorption syndromes. Nutritional rickets is treated by replacing the deficient nutrient. Mothers who breastfeed exclusively need to be informed of the recommendation to give their infants vitamin D supplements begin...
MedEdPORTAL, 2013
Abstract Introduction Research suggests that well-being impacts residents' ability to learn a... more Abstract Introduction Research suggests that well-being impacts residents' ability to learn and provide patient care. The purpose of this study was to investigate the descriptive statistics, factor...
Pediatric Annals, 2008
Cultural competence may be described as the clinician’s ability to provide equal and appropriate ... more Cultural competence may be described as the clinician’s ability to provide equal and appropriate healthcare to patients from all cultures. Reports that minority youth have received suboptimal medical care emphasize the importance of high cultural competence in pediatric medical personnel. Sensitivity toward and consideration of the family’s social circumstances and culturally based beliefs and expectations can improve the overall healthcare experience. Pediatricians are generally skilled at speaking to parents and extended family members. Cultural competence requires pediatricians to take the added steps of considering the unique cultural circumstances of each child. ABOUT THE AUTHOR Linda S. Nield, MD, is Associate Professor of Pediatrics, West Virginia University School of Medicine. Address correspondence to: Linda S. Nield, MD, Associate Professor of Pediatrics, West Virginia University School of Medicine, Morgantown, WV 26505; fax: 304-293-1216; e-mail: lnield@hsc.wvu.edu. Dr. N...