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Choosing a specialty

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https://www.readbyqxmd.com/read/29768480/internal-medicine-trainees-knowledge-and-confidence-in-using-the-american-society-of-hematology-choosing-wisely-guidelines-in-hemostasis-thrombosis-and-non-malignant-hematology
#1
Ariela L Marshall, Sarah Jenkins, Amy S Oxentenko, Alfred I Lee, Mark D Siegel, Joel T Katz, Jatin M Vyas, John Del Valle, Joseph R Mikhael
BACKGROUND: Several specialty societies participate in the Choosing Wisely (CW) campaign in an attempt to reduce waste in health care spending. We surveyed internal medicine (IM) residents with an objective of classifying knowledge of and confidence in using the American Society of Hematology (ASH) CW principles in hemostasis, thrombosis, and non-malignant hematology. METHODS: Multi-institutional study of IM residents at 5 academic training programs in the United States...
2018: PloS One
https://www.readbyqxmd.com/read/29765393/support-of-new-triage-protocol-among-acute-stroke-care-providers
#2
Haitham M Hussein, David C Anderson
Objective: We conducted an online survey to gauge the acceptance of sending acute stroke patients with suspected large vessel occlusion (LVO) directly to an endovascular-capable hospital (ECH) even if that means bypassing a closer alteplase-capable hospital (ACH) without endovascular capability. Methods: The survey was composed of two cases of acute stroke, one with cortical symptoms suggestive of LVO and the other without. In each case, responders were asked to choose between triaging to a closer ACH or an ECH that is further away and to provide an opinion regarding the maximum extra travel time they would tolerate if they chose the ECH...
April 2018: Interventional Neurology
https://www.readbyqxmd.com/read/29762796/institutional-nih-research-funding-and-a-culture-of-support-for-family-medicine-their-relationship-to-family-medicine-specialty-choice
#3
Arch G Mainous, Maribeth Porter, Denny Fe Agana, Alexander W Chessman
BACKGROUND AND OBJECTIVES: The United States suffers from a low proportion of medical students pursuing family medicine (FM). Our objective was to examine institutional characteristics consistent with a focus on National Institutes of Health (NIH) research, institutional support for FM education, and the proportion of medical students choosing FM. METHODS: The 2015 CERA Survey of Family Medicine Clerkship Directors was merged with institutional NIH funding data from 2014 and medical student specialty choice in 2015...
May 2018: Family Medicine
https://www.readbyqxmd.com/read/29742116/choosing-emergency-medicine-influences-on-medical-students-choice-of-emergency-medicine
#4
John C Ray, Laura R Hopson, William Peterson, Sally A Santen, Sorabh Khandelwal, Fiona E Gallahue, Melissa White, John C Burkhardt
BACKGROUND: Relatively little is understood about which factors influence students' choice of specialty and when learners ultimately make this decision. OBJECTIVE: The objective is to understand how experiences of medical students relate to the timing of selection of Emergency Medicine (EM) as a specialty. Of specific interest were factors such as how earlier and more positive specialty exposure may impact the decision-making process of medical students. METHODS: A cross-sectional survey study of EM bound 4th year US medical students (MD and DO) was performed exploring when and why students choose EM as their specialty...
2018: PloS One
https://www.readbyqxmd.com/read/29740525/a-survey-of-current-practices-and-preferences-for-internal-fixation-of-trochanteric-fractures-of-the-femur-in-brazil
#5
Vincenzo Giordano, Denner N Ribeiro, Rafael G Tinoco, Thiago A Alvim, Marcos Giordano, Anderson Freitas, Hilton A Koch
Objective The primary aim of this study was to survey current practices and preferences behind internal fixation of trochanteric femoral fractures among Brazilian orthopedic surgeons. The secondary aim was to identify the main reason for these preferences. Methods A survey containing 20 images of trochanteric fractures of the femur was presented to a group of 62 orthopedists, all members of the Brazilian Society of Orthopedics and Traumatology (SBOT). The first part of the questionnaire was created to identify the surgeons' degree of professional experience, type of practice, and areas of greatest interest and performance within the specialty...
March 7, 2018: Curēus
https://www.readbyqxmd.com/read/29739395/exploring-the-networking-behaviors-of-hospital-organizations
#6
Fausto Di Vincenzo
BACKGROUND: Despite an extensive body of knowledge exists on network outcomes and on how hospital network structures may contribute to the creation of outcomes at different levels of analysis, less attention has been paid to understanding how and why hospital organizational networks evolve and change. The aim of this paper is to study the dynamics of networking behaviors of hospital organizations. METHODS: Stochastic actor-based model for network dynamics was used to quantitatively examine data covering six-years of patient transfer relations among 35 hospital organizations...
May 8, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29724626/the-stability-of-factors-influencing-the-choice-of-medical-specialty-among-medical-students-and-postgraduate-radiology-trainees
#7
Adam J Yen, Emily M Webb, Eric J Jordan, Kimberly Kallianos, David M Naeger
OBJECTIVE: To investigate whether general psychological motivating factors that guide career selection of a medical specialty differ over the course of medical school and to compare differences in motivating factors among students choosing "controllable" lifestyle specialties, students choosing "uncontrollable" lifestyle specialties, and a cohort of radiology residents. MATERIALS AND METHODS: An anonymous survey was distributed to first- through fourth-year medical students and radiology residents at a single institution...
April 30, 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29720298/addressing-the-shortage-of-geriatric-specialists
#8
Casandra A Holveck, Jeannette Y Wick
With a population that is increasingly "gray," our nation faces a shortage of primary care providers who specialize in geriatrics. The number of geriatricians per 10,000 adults older than 65 years of age has decreased steadily since 2000. Health care providers from all disciplines (medicine, nursing, and pharmacy) tend not to choose geriatrics as a specialty area. Some are intimidated by the complexity of caring for elderly patients with geriatric syndromes and multiple morbidities. Others, who have little exposure to geriatrics in their undergraduate and graduate programs, are simply unaware of the personal and professional rewards associated with practice in geriatrics...
March 1, 2018: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/29713963/a-versatile-integrated-ambient-ionization-source-platform
#9
Wanpeng Ai, Honggang Nie, Shiyao Song, Xiaoyun Liu, Yu Bai, Huwei Liu
The pursuit of high-throughput sample analysis from complex matrix demands development of multiple ionization techniques with complementary specialties. A versatile integrated ambient ionization source (iAmIS) platform is proposed in this work, based on the idea of integrating multiple functions, enhancing the efficiency of current ionization techniques, extending the applications, and decreasing the cost of the instrument. The design of the iAmIS platform combines flowing atmospheric pressure afterglow (FAPA) source/direct analysis in real time (DART), dielectric barrier discharge ionization (DBDI)/low-temperature plasma (LTP), desorption electrospray ionization (DESI), and laser desorption (LD) technique...
April 30, 2018: Journal of the American Society for Mass Spectrometry
https://www.readbyqxmd.com/read/29701107/do-women-with-breast-cancer-who-choose-adjunctive-integrative-oncology-care-receive-different-standard-oncologic-treatment
#10
Leanna J Standish, Fred Dowd, Erin Sweet, Linda Dale, M Robyn Andersen
PURPOSE: To determine if women with breast cancer who choose adjunctive naturopathic oncology (NO) specialty care receive different standard oncologic treatment when compared with breast cancer patients who receive only standard care. PARTICIPANTS: Women with breast cancer stages 0 to 4, aged 18+ who spoke English and sought care from outpatient naturopathic doctor clinics were enrolled in an observational study of clinical and quality of life outcomes. Women who sought NO care 2 or more times within the first 2 years postdiagnosis were identified as NO cases...
April 1, 2018: Integrative Cancer Therapies
https://www.readbyqxmd.com/read/29669573/medical-specialty-selection-criteria-of-israeli-medical-students-early-in-their-clinical-experience-subgroups
#11
Alexander Avidan, Charles Weissman, Uriel Elchalal, Howard Tandeter, Rachel Yaffa Zisk-Rony
BACKGROUND: Israeli medical school classes include a number of student subgroups. Therefore, interventions aimed at recruiting medical students to the various specialties should to be tailored to each subgroup. METHODS: Questionnaires, distributed to 6 consecutive 5th-year classes of the Hebrew University - Hadassah School of Medicine, elicited information on criteria for choosing a career specialty, criteria for choosing a residency program and the importance of finding a specialty interesting and challenging when choosing a residency...
April 18, 2018: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29628830/medical-students-attitude-toward-anesthesia-as-a-future-career
#12
Rakan M AlKhilaiwi, Abdulaleem Alatassi, Amjaad H Almohawis, Turki A Alhumaid, Khalid A Almazyad, Rami T Bustami
Objectives: The purpose of this study is to understand the attitude of medical students at King Saud bin Abdulaziz University for Health Sciences (KSAU-HS) toward anesthesia as a specialty and to determine common factors influencing their career choice options. Study Design: This was a cross-sectional study. Methods: The study was conducted between March 25, and April 20, 2017, at KSAU-HS. The survey was distributed among 5th and 6th years medical students...
April 2018: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/29587732/influence-of-japan-s-2004-postgraduate-training-on-ophthalmologist-location-choice-supply-and-distribution
#13
Rie Sakai-Bizmark, Rei Goto, Shusuke Hiragi, Hiroshi Tamura
BACKGROUND: Highly-competent patient care is paramount to medicine. Quality training and patient accessibility to physicians with a wide range of specializations is essential. Yet, poor quality of life for physicians cannot be ignored, being detrimental to patient care and leading to personnel leaving the medical profession. In 2004, the Japanese government reformed postgraduate training for medical graduates, adding a 2-year, hands-on rotation through different specialties before the specialization residency was begun...
March 27, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29587722/personality-traits-and-career-choices-among-physicians-in-finland-employment-sector-clinical-patient-contact-specialty-and-change-of-specialty
#14
Sari Mullola, Christian Hakulinen, Justin Presseau, David Gimeno Ruiz de Porras, Markus Jokela, Taina Hintsa, Marko Elovainio
BACKGROUND: Personality influences an individual's adaptation to a specific job or organization. Little is known about personality trait differences between medical career and specialty choices after graduating from medical school when actually practicing different medical specialties. Moreover, whether personality traits contribute to important career choices such as choosing to work in the private or public sector or with clinical patient contact, as well as change of specialty, have remained largely unexplored...
March 27, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29573572/general-practice-tasters-for-foundation-doctors
#15
Bryony Sales, Mike Masding, Samantha Scallan
BACKGROUND: General practice (GP) is currently not viewed positively as a career choice, compared with other specialties, with GP training programmes struggling to fill posts. Opportunities to change this mindset in the early years of training are limited. Trainees may find themselves applying for entry into GP specialty training just 3-4 months after completing Foundation Year 1 (FY1), yet there are few GP attachments during FY1 that can provide experience of primary care and positively inform career choice...
March 24, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29568841/factors-influencing-the-decision-to-pursue-emergency-medicine-as-a-career-among-medical-students-in-singapore
#16
Shi Hao Chew, Irwani Ibrahim, Yan Zhen Yong, Lu Ming Shi, Qi Shi Zheng, Dujeepa D Samarasekera, Shirley Beng Suat Ooi
INTRODUCTION: The introduction of the residency programme in Singapore allows medical students to apply for residency in their graduating year. Our study aimed to determine the interest levels and motivating factors for pursuing emergency medicine (EM) as a career among medical students in Singapore. METHODS: A self-administered questionnaire was distributed to Year 1-5 medical students in 2012. Participants indicated their interest in pursuing EM as a career and the degree to which a series of variables influenced their choices...
March 2018: Singapore Medical Journal
https://www.readbyqxmd.com/read/29540401/indications-for-and-clinical-procedures-resulting-from-magnetic-resonance-imaging-of-the-knee-in-older-patients-are-we-choosing-wisely
#17
Marc-Etienne Parent, François Vézina, Nathalie Carrier, Ariel Masetto
OBJECTIVE: To analyze the indications for and clinical procedures resulting from knee magnetic resonance imaging (MRI) in older patients. DESIGN: We retrospectively analyzed 215 medical records of patients 50 years of age and older who had undergone a unilateral knee MRI in 2009. SETTING: Centre hospitalier universitaire de Sherbrooke in Quebec. PARTICIPANTS: Patients 50 years of age and older who underwent a knee MRI in 2009...
March 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29516205/factors-influencing-medical-students-choice-of-emergency-medicine-as-a-career-specialty-a-descriptive-study-of-saudi-medical-students
#18
Hadeel Alkhaneen, Faisal Alhusain, Khalid Alshahri, Nawfal Al Jerian
BACKGROUND: Choosing a medical specialty is a poorly understood process. Although studies conducted around the world have attempted to identify the factors that affect medical students' choice of specialty, data is scarce on the factors that influence the choice of specialty of Saudi Arabian medical students, in particular those planning a career in emergency medicine (EM). In this study, we investigated whether Saudi medical students choosing EM are influenced by different factors to those choosing other specialties...
March 7, 2018: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29500208/foundation-year-2-doctors-reasons-for-leaving-uk-medicine-an-in-depth-analysis-of-decision-making-using-semistructured-interviews
#19
Samantha E Smith, Victoria R Tallentire, Lindsey M Pope, Anita H Laidlaw, Jill Morrison
OBJECTIVES: To explore the reasons that doctors choose to leave UK medicine after their foundation year two posts. SETTING: All four regions of Scotland. PARTICIPANTS: Foundation year two doctors (F2s) working throughout Scotland who were considering leaving UK medicine after foundation training were recruited on a volunteer basis. Maximum variation between participants was sought. PRIMARY AND SECONDARY OUTCOME MEASURES: Semistructured interviews were coded using template analysis...
March 2, 2018: BMJ Open
https://www.readbyqxmd.com/read/29498178/innovation-in-dental-education-the-on-the-fly-approach-to-simultaneous-development-implementation-and-evidence-collection
#20
I R de Boer, D R Bakker, C M Serrano, P Koopman, P R Wesselink, J M Vervoorn
INTRODUCTION: This study outlines an approach for education innovation and addresses the ambivalence between evidence-based and non-evidence-based conditions. The "on-the-fly" approach was described as involving implementation during the development of an innovation for dental education. MATERIALS AND METHODS: The process of designing and implementing cutting-edge technology of the MOOG Simodont Dental Trainer (DT) whilst systematically collecting evidence illustrates the "on-the-fly" approach...
March 1, 2018: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
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