SREMI Summer Student Report


This summer, SREMI hosted Reaves Houston, an undergraduate student from the University of North Carolina at Chapel Hill. Reaves is a Morehead-Cain Scholar and a chemistry major, who spent 10 weeks at SREMI working with Dr. Varner as well as observing her while on shifts in the emergency department. The Morehead-Cain Scholarship is four-year merit scholarship at the University of North Carolina at Chapel Hill which supports summer enrichment programs, including Reaves’ time in Toronto.

During her time at SREMI, Reaves was instrumental in the organization and launch of Dr. Varner’s randomized controlled trial comparing prescribed light exercise to standard management for emergency department patients with acute mild traumatic brain injury and developed sophisticated followup procedures which have been integral to the study’s success. Reaves also scheduled and completed fifteen physician interviews as part of our McMaster collaboration making clinical decisions in the era of clinical decision rules, which completed our contribution to this study.

Reaves also joined the SREMI team at the Canadian Association of Emergency Physicians Conference in Whistler, British Columbia. It was a wonderful opportunity for her to see the best of Canadian emergency medicine research, while taking in the spectacular vistas of the Canadian Rockies. She was a fantastic, productive member of the research team and will be the first of many Morehead-Cain Scholars to spend their summer with SREMI.

This summer, Krista Hawrylyshyn a 3rd year University of Toronto medical student joined the SREMI team as a summer r esearch student, funded by the Comprehensive Research Experience for Medical Students (CREMS) Program. Supervised by Dr. Catherine Varner and Shelley McLeod, Krista completed a retrospective chart review to determine the clinical outcomes of over 660 pregnant women discharged from the ED where ectopic pregnancy had not yet been excluded. Our r esults showed that 41.8% of patients discharged from the ED with a suspected ectopic pregnancy are subsequently diagnosed and managed for an ectopic pregnancy, and 5.1% ruptured after their index ED visit. These results may be useful for ED physicians counselling women with symptomatic early pregnancies about the risk of ectopic pregnancy after they are discharged from the ED. Currently, 2 manuscripts from this study are under review and these results will be presented nationally at CAEP 2018.

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