Marissa C Galicia-Castillo

Eastern Virginia Medical School, Norfolk, VA, United States

Are you Marissa C Galicia-Castillo?

Claim your profile

Publications (4)4.59 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: Chronic pain is a major health issue that causes significant patient morbidity as well as economic loss. Many studies have highlighted the lack of training in chronic pain management for resident physicians and the need to develop programs that address the challenges of providing care to chronic pain patients. We wanted to determine whether a workshop using a combination of standardized patients, small groups, and large group lectures addresses residents' curricular needs regarding chronic pain management. We developed a 1-day workshop for residents at Eastern Virginia Medical School, which has a nationally recognized professional skills center. After completing the workshop, residents showed significant gains in knowledge (post-test vs pre-test overall mean +23.4%, P < .001). Significant gains in clinical skills were also seen (overall +5.9%, P < .001) with improvements in the areas of pain assessment (+6.3%, P < .001), physical examination (+7.7%, P < .03), and pain management (+8%, P < .01). Physicians also reported increased comfort regarding chronic pain management. Almost all residents stated they would make specific practice changes in the assessment and management of chronic pain patients. The results suggest our workshop is a novel model that is effective in teaching residents how to assess and manage chronic pain. PERSPECTIVE: This article demonstrates that the use of standardized patients with other teaching methods is an effective approach in teaching resident physicians regarding the assessment and management of chronic pain patients. The findings have the potential to restructure our methods of teaching in chronic pain education.
    Journal of Pain 02/2007; 8(2):152-60. · 3.24 Impact Factor
  • Marissa Galicia-Castillo
    Geriatrics 07/2006; 61(6):12-3. · 1.35 Impact Factor
  • Marissa C Galicia-Castillo, Caren McHenry Martin
    [Show abstract] [Hide abstract]
    ABSTRACT: Difficulty eating is one of the markers of end-stage dementia and poses difficult care decisions for family members and health care providers. In particular, family members often struggle with the decision of whether to provide artificial nutrition via feeding tube. While it is important that surrogate decision makers be provided with information on the risks and benefits of artificial nutrition, studies have shown that many health care providers are misinformed about the rationale for recommending a percutaneous endoscopic gastrostomy tube. Current literature suggests that for the elderly patient with dementia there is little clinical evidence that artificial nutrition provides any benefit to the patient.
    The Consultant pharmacist: the journal of the American Society of Consultant Pharmacists 10/2005; 20(9):722-33.
  • Marissa C Galicia-Castillo, Janet McElhaney
    [Show abstract] [Hide abstract]
    ABSTRACT: Persistent pain is a challenging problem in the elderly and is not a normal process in aging. Successful management of persistent pain can be achieved through comprehensive assessment, use of routine pain medication and careful monitoring of medical functional status.
    Comprehensive Therapy 02/2003; 29(1):43-6.

Publication Stats

18 Citations
4.59 Total Impact Points

Institutions

  • 2003–2005
    • Eastern Virginia Medical School
      • Glennan Center for Geriatrics and Gerontology
      Norfolk, VA, United States