Holly Noel Beach

Interests

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Courses

Scholarly Contributions

Chapters

• Beach, H. N. (2020). Vascular Injuries. In Sports Related Fractures, Dislocations and Trauma.
• Beach, H. N. (2019). Subconjunctival Hemorrhage. In 5 Minute Sports Medicine Consult. LWW.

Journals/Publications

• Beach, H. N., Waterbrook, A. L., Myrdal, C. N., Huang, S., & Beach, H. N. (2017). Comparison of knowledge, perception and attitudes of concussion in previously concussed versus non-concussed youth soccer players.. The Physician and sportsmedicine, 45(3), 286-292. doi:10.1080/00913847.2017.1345569
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  To examine if history of concussion is correlated with a difference in knowledge, attitude, and perception of concussive injuries in youth soccer players..A convenience sample of youth soccer athletes aged 14 to 18 years completed a survey assessing prior history of concussive injury, knowledge of concussive injury, self-reporting attitudes, and perception of the injury. The survey consists of 16 knowledge questions (eleven on a scale of 1-2, and five on a scale of 1-4) and 12 attitude questions (seven on a scale of 1-4, and five on a scale of 1-5). The primary outcomes are the total scores calculated by summing the standardized raw scores for all knowledge questions and attitude questions, respectively. Linear regression was used to estimate the mean difference in the primary outcomes between previously concussed and non-concussed athletes (calculated as previously concussed - non-concussed)..Surveys were obtained from 90 athletes, with 32 (36%) previously sustaining at least one concussion. Thirty-one out of these 32 concussions were diagnosed by a medical provider. On average, the mean total raw scores of all knowledge questions are 34.6 (82.2% of 42 possible points) and 33.7 (80.2% of 42 total points) for previously concussed and non-concussed athletes, respectively, and the mean total raw scores of all attitude questions are 38.7 (72.9% of 53 possible points) and 39.6 (74.7% of 53 possible points), respectively. Mean differences estimated from univariate linear regression in the standardized total scores of knowledge questions and attitude questions are 1.56(95% confidence interval: -1.52-4.65) and -1.23 (%95 confidence interval: -4.64-2.19), respectively. Adjusting for age and years of playing soccer gave similar results..Although we did not find significant differences between previously concussed and non-concussed athletes in either the knowledge or the attitude questions as measured by their total scores, this study showed a high level of awareness of concussion in youth soccer players, while still highlighting a need for education. Limited distinctions were made among subgroups of players, suggesting directions of future research in investigating the role that outside factors may have on knowledge and perception of concussion.
• Beach, H. N., Gordon, P., & Beach, H. N. (2016). VIDEOS IN CLINICAL MEDICINE. Clinical Examination of the Shoulder.. The New England journal of medicine, 375(11), e24. doi:10.1056/nejmvcm1212941
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  Shoulder pain leads many patients to see a primary care physician. This video reviews the anatomy of the shoulder, common shoulder injuries, and the procedures for obtaining the patient's history and performing a physical examination of the shoulder.
• Pritchard, G., Stoneking, L. R., Koch, B. D., McAtee, R., Grall, K., Min, A., Waterbrook, A. L., Lane, A. D., Prior, J., Farrell, I. J., Mcnulty, H. G., Stolz, U., Pritchard, G., Stoneking, L. R., Koch, B. D., McAtee, R., Grall, K., Min, A., Waterbrook, A. L., , Lane, A. D., et al. (2016). Development of a novel sports medicine rotation for emergency medicine residents.. Advances in Medical Education and Practice.
• Waterbrook, A. L., Pritchard, T. G., Lane, A. D., Stoneking, L. R., Koch, B. D., McAtee, R., Grall, K. H., Min, A. A., Prior, J., Farrell, I. J., McNulty, H. G., & Stolz, U. (2016). Development of a novel sports medicine rotation for emergency medicine residents. Advances in medical education and practice, 7, 249-55. doi:https://doi.org/10.2147/AMEP.S92428
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  Musculoskeletal complaints are the most common reason for patients to visit a physician, yet competency in musculoskeletal medicine is invariably reported as a deficiency in medical education in the USA. Sports medicine clinical rotations improve both medical students' and residents' musculoskeletal knowledge. Despite the importance of this knowledge, a standardized sports medicine curriculum in emergency medicine (EM) does not exist. Hence, we developed a novel sports medicine rotation for EM residents to improve their musculoskeletal educational experience and to improve their knowledge in musculoskeletal medicine by teaching the evaluation and management of many common musculoskeletal disorders and injuries that are encountered in the emergency department. The University of Arizona has two distinct EM residency programs, South Campus (SC) and University Campus (UC). The UC curriculum includes a traditional 4-week orthopedic rotation, which consistently rated poorly on evaluations by residents. Therefore, with the initiation of a new EM residency at SC, we replaced the standard orthopedic rotation with a novel sports medicine rotation for EM interns. This rotation includes attendance at sports medicine clinics with primary care and orthopedic sports medicine physicians, involvement in sport event coverage, assigned reading materials, didactic experiences, and an on-call schedule to assist with reductions in the emergency department. We analyzed postrotation surveys completed by residents, postrotation evaluations of the residents completed by primary care sports medicine faculty and orthopedic chief residents, as well as the total number of dislocation reductions performed by each graduating resident at both programs over the last 5 years. While all residents in both programs exceeded the ten dislocation reductions required for graduation, residents on the sports medicine rotation had a statistically significant higher rate of satisfaction of their educational experience when compared to the traditional orthopedics rotation. All SC residents successfully completed their sports medicine rotation, had completed postrotation evaluations by attending physicians, and had no duty hour violations while on sports medicine. In our experience, a sports medicine rotation is an effective alternative to the traditional orthopedics rotation for EM residents.

Presentations

• Sunderman, K. A., Sunderman, K. A., Beach, H. N., Beach, H. N., Gordon, P. R., Gordon, P. R., Sunderman, K. A., Beach, H. N., Gordon, P. R., Sunderman, K. A., Beach, H. N., Gordon, P. R., Sunderman, K. A., Beach, H. N., Gordon, P. R., Sunderman, K. A., Beach, H. N., Gordon, P. R., Sunderman, K. A., , Beach, H. N., et al. (2017, May). Balancing the need for personal wellness and the demands of education and future clinical practice- a longitudinal perspective through clerkship, residency, and fellowship.. Society for Teachers in Family Medicine. San Diego, CA: STFM.

Poster Presentations

• Zagroba, S., & Beach, H. N. (2022, April). Not Just Another Concussion. AMSSM 2022: 31st Annual Meeting.. Austin, Texas: AMSSM.
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  Zagroba, S., Beach, H. Not Just Another Concussion. Poster presented at AMSSM 2022: 31st Annual Meeting. 2022 Apr 11; Austin TX
• Beach, H. N. (2016, April). BMI Screening During Athletic Preparticipation Physical Exams. AMSSM Annual Conference. Dallas.
• Mcnulty, H. G. (2015, April). Return to learn following a concussion: A literature review. AMSSM Annual Conference.

Others

• Beach, H. N., & Gordon, P. R. (2016, September). Clinical Examination of the Shoulder. NEJM.