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https://www.readbyqxmd.com/read/27914724/medical-students-understanding-of-oral-and-maxillofacial-surgery-an-irish-perspective
#1
P G C Kielty, B R O'Connor, C J Cotter, A M C Goodson, K F B Payne, A Tahim
Oral and Maxillofacial Surgery (OMFS) remains an enigmatic specialty in Irish medicine and many students are unaware of its scope and the unique career pathway involved. We performed a multicentre cross-sectional study to identify their ability to identify the requirements for entry to specialty training year 3 (ST3) in OMFS, to assess their awareness of OMFS surgeons, and their general awareness of, and exposure to, the specialty. Data were collected through an electronic questionnaire. Participants were asked to select the most suitable surgical specialty to treat a number of common conditions in the head and neck, and to choose the requirements they deemed essential for specialist training...
November 30, 2016: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/27913563/-you-can-t-be-a-person-and-a-doctor-the-work-life-balance-of-doctors-in-training-a-qualitative-study
#2
Antonia Rich, Rowena Viney, Sarah Needleman, Ann Griffin, Katherine Woolf
OBJECTIVES: Investigate the work-life balance of doctors in training in the UK from the perspectives of trainers and trainees. DESIGN: Qualitative semistructured focus groups and interviews with trainees and trainers. SETTING: Postgraduate medical training in London, Yorkshire and Humber, Kent, Surrey and Sussex, and Wales during the junior doctor contract dispute at the end of 2015. Part of a larger General Medical Council study about the fairness of postgraduate medical training...
December 2, 2016: BMJ Open
https://www.readbyqxmd.com/read/27913455/inherited-thrombophilia-a-double-edged-sword
#3
Saskia Middeldorp
Inherited thrombophilia is a blood coagulation disorder that increases the risk for venous thromboembolism (VTE). During the last decades, the practice of testing has evolved from testing selected populations, leading to high perceived risks, to broad testing for various conditions that included VTE, arterial thrombosis, and pregnancy complications. Because results of such tests usually do not guide treatment decisions, not testing patients with VTE for inherited thrombophilia is on the "Choosing Wisely" list endorsed by multiple specialty societies, including ASH...
December 2, 2016: Hematology—the Education Program of the American Society of Hematology
https://www.readbyqxmd.com/read/27913412/the-impact-of-a-plastic-surgeon-s-gender-on-patient-choice
#4
Eva A Huis In 't Veld, Francisco L Canales, Heather J Furnas
BACKGROUND: In the patient-driven market of aesthetic surgery, an understanding of the factors that patients consider in their choice of surgeon can inform the individual plastic surgeon's marketing strategy. Previous studies have investigated patient gender preferences for physicians in other specialties, but none has investigated whether patients consider gender when choosing a plastic surgeon. OBJECTIVES: The purpose of this study is to determine the impact of a plastic surgeon's gender on patient choice...
December 2, 2016: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/27876683/preferences-of-referring-physicians-regarding-the-role-of-radiologists-as-direct-communicators-of-test-results
#5
Nuri Erdoğan, Hakan İmamoğlu, Süreyya Burcu Görkem, Serap Doğan, Serkan Şenol, Ahmet Öztürk
PURPOSE: Currently, there is a growing need for patient-centered radiology in which radiologists communicate with patients directly. The aim of this study is to investigate the preferences of referring physicians (RPs) regarding direct communication between radiologists and patients. METHODS: This study was conducted in a single academic hospital using a survey form. The survey items investigated the preferences of RPs regarding: 1. who should be the communicator of test results when a patient with abnormal findings requests information (the options were the radiologist; another health professional with communication skills training (CST); and the RP with CST); and 2...
November 23, 2016: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
https://www.readbyqxmd.com/read/27855673/gender-and-physician-specialization-and-practice-settings-in-ecuador-a-qualitative-study
#6
Rita Bedoya-Vaca, Kathryn P Derose, Natalia Romero-Sandoval
BACKGROUND: The increasing proportion of women in the medical profession is a worldwide phenomenon often called the "feminization of medicine." However, it is understudied in low and middle-income countries, particularly in Latin America. METHODS: Using a qualitative, descriptive design, we explored the influence of gender and other factors on physician career decision-making and experiences, including medical specialty and public vs. private practice, in Quito, Ecuador, through in-depth, semi-structured interviews (n = 31) in 2014...
November 17, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27845692/-expert-opinion-about-the-use-of-transdermic-oxybutynin-in-spain-for-the-treatment-of-adult-overactive-bladder
#7
Carlos Müller-Arteaga, Salvador Arlandis Guzmán, María Fernanda Lorenzo Gómez, Carlos Errando-Smet, Raquel González López, Javier Cambronero Santos, José Luis Gutiérrez Baños, Manuel Sánchez Marcos, Antonio Ortiz Gamiz, Sergio Merino Salas, Roberto Martínez Rodriguez, Ivan Olano Grasa
OBJECTIVES: To define the different characteristics of transdermal oxybutynin (TO) for the treatment of overactive bladder in adults, to know the barriers for the use of this drug and to establish proposals to minimize these barriers. METHODS: Local sessions were held with 111 urologists from all over the country divided into 12 sessions. They were moderated by a brainstorming technique led by an external consultant. RESULTS: 75% of experts believe that tolerability and clinical efficacy (50%) are the most important attributes to choose this formulation, being the lack of scientific publications the least valued (12%)...
November 2016: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/27811323/quality-of-eggs-from-different-laying-hen-production-systems-from-indigenous-breeds-and-specialty-eggs
#8
M Lordelo, E Fernandes, R J B Bessa, S P Alves
Consumers are concerned about the quality of commercially available eggs. Eggs used in this study were marketed in Portugal and originated from laying hens raised in cages, barns, free-range, organic eggs, and eggs enriched with n-3 polyunsaturated fatty acids (PUFA), and from native Portuguese breeds. The eggs were analyzed for chemical and physical properties. Results indicated that yolk color was lighter in organic eggs and darker in n-3 PUFA enriched eggs. Eggs from caged hens had lower Haugh units in contrast with organic eggs...
November 2, 2016: Poultry Science
https://www.readbyqxmd.com/read/27777447/plant-based-milk-alternatives-an-emerging-segment-of-functional-beverages-a-review
#9
Swati Sethi, S K Tyagi, Rahul K Anurag
Plant-based or non-dairy milk alternative is the fast growing segment in newer food product development category of functional and specialty beverage across the globe. Nowadays, cow milk allergy, lactose intolerance, calorie concern and prevalence of hypercholesterolemia, more preference to vegan diets has influenced consumers towards choosing cow milk alternatives. Plant-based milk alternatives are a rising trend, which can serve as an inexpensive alternate to poor economic group of developing countries and in places, where cow's milk supply is insufficient...
September 2016: Journal of Food Science and Technology
https://www.readbyqxmd.com/read/27776418/twenty-five-years-on-outcomes-of-a-longitudinal-evaluation-of-the-nsw-rural-resident-medical-officer-cadetship-program
#10
Melanie J Lewis, Rose Ellis, Sunil K Adusumilli, Ian Cameron
INTRODUCTION: The New South Wales Rural Resident Medical Officer Cadetship Program began in 1988 as a strategy to increase the numbers of junior doctors in rural hospitals. This article outlines the results of an evaluation undertaken in 2014. Specifically, it will look at where former cadets who entered the program between 1989 and 2010 were working in 2014, what training programs they chose and their attitudes toward the program. METHOD: Data were collected using a semi-structured questionnaire sent to all the former cadets who entered the program from 1989 until 2010...
October 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/27771033/factors-associated-with-burnout-among-french-digestive-surgeons-in-training-results-of-a-national-survey-on-328-residents-and-fellows
#11
Rachid Chati, Emmanuel Huet, Lucie Grimberg, Lilian Schwarz, Jean-Jacques Tuech, Valérie Bridoux M D Ph D
BACKGROUND: Digestive surgery training is notoriously difficult and medical students choose this path less and less often leading to a veritable demographic crisis for this specialty in France. The aim of this study was to evaluate the working conditions to measure the prevalence of burnout syndrome (BOS) and to identify potential risk factors to implement preventive measures and appropriate support. METHODS: This was a multicenter, cross-sectional study. An anonymous questionnaire was sent by e-mail to 500 French digestive surgeons in training (residents and fellows)...
August 31, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27764048/anesthesiology-mentoring
#12
Volker Wenzel, Nikolaus Gravenstein
PURPOSE OF REVIEW: Mentoring is fundamentally valuable and important to students considering a path into our specialty, as well as to colleagues already in it and with ambition to advance. General principles and personal experiences are collected and described to help inform future mentors and to reinforce the value of having a mentor and the satisfaction (and work) that is associated with such a role. RECENT FINDINGS: Detecting a latent talent among medical students or residents may be challenging but is worth the effort to develop personal careers and the specialty itself...
December 2016: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/27748208/a-survey-of-how-and-why-medical-students-and-junior-doctors-choose-a-career-in-ent-surgery
#13
M Bhutta, R Mandavia, I Syed, A Qureshi, R Hettige, B Y W Wong, S Saeed, J Cartledge
OBJECTIVE: To ascertain determinants of an interest in a career in ENT surgery through a survey of medical students and junior doctors. METHODS: A survey was administered, comprising Likert scales, forced response and single option questions, and free text responses, at five different courses or events for those interested in a career in ENT. RESULTS: The survey had an 87 per cent response rate; respondents consisted of 43 applicants for national selection, 15 foundation doctors and 23 medical students...
October 17, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27737659/factors-associated-with-less-than-full-time-working-in-medical-practice-results-of-surveys-of-five-cohorts-of-uk-doctors-10%C3%A2-years-after-graduation
#14
Shelly Lachish, Elena Svirko, Michael J Goldacre, Trevor Lambert
BACKGROUND: The greater participation of women in medicine in recent years, and recent trends showing that doctors of both sexes work fewer hours than in the past, present challenges for medical workforce planning. In this study, we provide a detailed analysis of the characteristics of doctors who choose to work less-than-full-time (LTFT). We aimed to determine the influence of these characteristics on the probability of working LTFT. METHODS: We used data on working patterns obtained from long-term surveys of 10,866 UK-trained doctors...
October 13, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27672532/research-in-medical-school-a-survey-evaluating-why-medical-students-take-research-years
#15
Akhilesh S Pathipati, Noushafarin Taleghani
INTRODUCTION: In recent years, an increasing number of medical students have taken time off during medical school in order to conduct research. Schools and students have invested millions of dollars and thousands of person-years on research projects, but little is known as to why students choose to take this time off. We aim to characterize why students take research years during medical school. METHODS: The authors distributed an online survey about research in medical school to students at five medical schools that have highly regarded research programs...
2016: Curēus
https://www.readbyqxmd.com/read/27651982/the-influence-of-temperament-and-character-profiles-on-specialty-choice-and-well-being-in-medical-residents
#16
Martin Sievert, Igor Zwir, Kevin M Cloninger, Nigel Lester, Sandor Rozsa, C Robert Cloninger
BACKGROUND: Multiple factors influence the decision to enter a career in medicine and choose a specialty. Previous studies have looked at personality differences in medicine but often were unable to describe the heterogeneity that exists within each specialty. Our study used a person-centered approach to characterize the complex relations between the personality profiles of resident physicians and their choice of specialty. METHODS: 169 resident physicians at a large Midwestern US training hospital completed the Temperament and Character Inventory (TCI) and the Satisfaction with Life Scale (SWLS)...
2016: PeerJ
https://www.readbyqxmd.com/read/27637831/choosing-wisely%C3%A2-a-case-study-of-constructive-engagement-in-health-policy
#17
Daniel Wolfson, Anthony Suchman
Choosing Wisely began at a time when a polarized national debate on healthcare reform stymied effective conversation on effective and efficient resource use. The ABIM Foundation sought to change attitudes and culture and promote the idea that removing waste is an integral component of providing high quality care by using an approach of constructive engagement to persuade specialty societies to identify five wasteful tests or treatments within their field.
September 2016: Healthcare
https://www.readbyqxmd.com/read/27628184/impact-of-the-primary-care-curriculum-and-its-teaching-formats-on-medical-students-perception-of-primary-care-a-cross-sectional-study
#18
Christopher Chung, Hubert Maisonneuve, Eva Pfarrwaller, Marie-Claude Audétat, Alain Birchmeier, Lilli Herzig, Thomas Bischoff, Johanna Sommer, Dagmar M Haller
BACKGROUND: Switzerland is facing an impending primary care workforce crisis since almost half of all primary care physicians are expected to retire in the next decade. Only a minority of medical students choose a primary care specialty, further deepening the workforce shortage. It is therefore essential to identify ways to promote the choice of a primary care career. The aim of the present study was to explore students' views about the undergraduate primary care teaching curriculum and different teaching formats, and to evaluate the possible impact of these views on students' perceptions of primary care...
2016: BMC Family Practice
https://www.readbyqxmd.com/read/27595252/-knowledge-of-the-advance-directive-ad-in-physicians-at-tertiary-care-hospitals
#19
Verónica Alejandra Gaona-Flores, Luz Arcelia Campos-Navarro, Joaquín Ocampo-Martínez, Enrique Alcalá-Martínez, Margarita Patiño-Pozas
UNLABELLED: The Advance Directive is generally conceptualized as the respect that all human beings deserve in the use of their faculties, to deliberate, choose, and decide upon everything that pertains to their existence, including their life goals and personal health. OBJECTIVE: To identify knowledge about the AD that Medical Residents at tertiary care facilities of the Mexican Social Security Institute (Instituto Mexicano del Seguro Social, IMSS) in the District Capital (Mexico City), possess...
July 2016: Gaceta Médica de México
https://www.readbyqxmd.com/read/27582450/choosing-wisely-let-s-start-with-working-wisely
#20
Paul Kurdyak, Lesley Wiesenfeld, Sanjeev Sockalingam
There is an increasing emphasis on quality and, relatedly, cost-effectiveness as it relates to the delivery of health care. Choosing Wisely is an initiative adopted by numerous specialties with the goal of starting a dialogue about efficient use of health care resources. People need to be able to access care to have an opportunity to choose wisely. There is a considerable amount of evidence that access to care is poor for specialty mental health care, particularly access to psychiatrists. Consequently, we suggest that psychiatrists and the broader mental health system need to consider working wisely, and in our paper outline key issues (for example, implementation of wait times and objective measures of need in a centralized referral management system; incorporation of performance indicators with longitudinal monitoring for continuous quality improvement) that need to be addressed to develop a mental health system that would allow people to access care to choose wisely...
January 2016: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
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