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physician retirement

Jinho Shin
Arterial pulsation which had long been studied for estimation of blood pressure or mean blood pressure was replaced by the measurement of systolic and diastolic blood pressure using Korotkoff sound detected by stethoscope in the beginning of the previous century. In the meantime, vast of modern knowledge of human hypertension from epidemiology to randomized clinical trial had been built on the Korotkoff sound and stethoscope methodology. Hypertension is very special clinical entity in terms of the diagnosis is solely dependent on the manual blood pressure measurement by a physician or nurse...
September 2016: Journal of Hypertension
Michelle Pannor Silver
No abstract text is available yet for this article.
October 2016: Canadian Family Physician Médecin de Famille Canadien
Bradley D Holbrook, Stephen M Petterson, William F Rayburn
Objectives Retirement of "baby boomer" physicians is a matter of growing concern in light of the shortage of certain physician groups. The objectives of this investigation were to define what constitutes a customary retirement age range of maternal-fetal medicine (MFM) physicians and examine how that compares with other obstetrician-gynecologist (ob-gyn) specialists. Study Design This descriptive study was based on American Medical Association Masterfile survey data from 2010 to 2014. Data from the National Provider Identifier were used to correct for upward bias in reporting retirement ages...
October 12, 2016: American Journal of Perinatology
Mojca Juričič, Polonca Truden Dobrin, Sonja Paulin, Margareta Seher Zupančič, Nataša Bratina
Slovenia's health system is financed by a Bismarckian type of social insurance system with a single insurer for a statutory health insurance, which is fully regulated by national legislation and administered by the Health Insurance Institute of Slovenia. The health insurance system is mandatory, providing almost universal coverage (98.5% of the population). Children and adolescents have the right to compulsory health insurance as family members of an insured person until the end of their regular education. Slovenia has a lower number of physicians per capita than both the European Union and the Central and Eastern Europe countries...
October 2016: Journal of Pediatrics
Pooya Hosseinzadeh, Lawson Copley, Holly Ruch-Ross, Richard M Schwend, Jeffrey R Sawyer
INTRODUCTION: The opinions of the pediatric orthopaedic workforce are shaped by market forces, regulatory processes, and local experience. The purpose of this report is to summarize the findings of the recent Workforce Survey of the American Academy of Pediatrics (AAP) Section on Orthopaedics (SOOr). This submission has been reviewed and approved by the Board of Directors of the Pediatric Orthopaedic Society of North America (POSNA). METHODS: In 2014, the AAP generated a survey to assess perceptions of pediatric orthopaedic surgeons about current issues that affect practice...
September 22, 2016: Journal of Pediatric Orthopedics
Jinho Shin
Arterial pulsation which had long been studied for estimation of blood pressure or mean blood pressure was replaced by the measurement of systolic and diastolic blood pressure using Korotkoff sound detected by stethoscope in the beginning of the previous century. In the meantime, vast of modern knowledge of human hypertension from epidemiology to randomized clinical trial had been built on the Korotkoff sound and stethoscope methodology. Hypertension is very special clinical entity in terms of the diagnosis is solely dependent on the manual blood pressure measurement by a physician or nurse...
September 2016: Journal of Hypertension
Clay J Cockerell
Physicians are faced with many stressors today that place them at risk of disenchantment, depression, and burnout. Although this is costly to the individual physician, it is equally costly to society, because physician stress can lead to exercise of poor judgment and medical errors. It also threatens to exacerbate physician shortages, as more physicians opt to retire or, in some cases, change careers altogether. In this essay, suggestions are made as to how to deal with these stressors that, if used, can ameliorate them at least to some degree...
September 2016: Clinics in Dermatology
Lulu Song, Lijun Shen, Chrispin Mandiwa, Siyi Yang, Yuan Liang, Jing Yuan, Youjie Wang
BACKGROUND: The relationship between abortion and uterine fibroids has received little attention. The aim of the present study was to explore the association between number of induced and spontaneous abortions and the risk of uterine fibroids in middle-aged and older Chinese women. METHODS: A total of 14,595 retired female employees from the Dongfeng-Tongji cohort study were included in our analysis. Information on induced and spontaneous abortions was collected by trained interviewers through face-to-face interviews...
September 15, 2016: Journal of Women's Health
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
Fredric D Wolinsky, Lioness Ayres, Michael P Jones, Yiyue Lou, George L Wehby, Fred A Ullrich
BACKGROUND: Proxy respondents are frequently used in health surveys, and the proxy is most often the spouse. Longstanding concerns linger, however, about the validity of using spousal proxies, especially for older adults. The purpose of this pilot study was to evaluate the concordance between self-reports and spousal proxy reports to a standard health survey in a small convenience sample of older married couples. METHODS: We used the Seniors Together in Aging Research (STAR) volunteer registry at the University of Iowa to identify and consent a cross-sectional, convenience sample of 28 married husband and wife couples...
2016: BMC Health Services Research
Marc L Berk
Physicians continue to be the subject of many survey efforts asking them about a wide range of issues including training, retirement plans, satisfaction with practice, practice organization, and practice costs. The resources dedicated to the collection of different types of data have changed over time. Collection efforts have both expanded and contracted. Here I discuss this phenomenon for several types of physician surveys, with particular focus on the reduction in ongoing survey efforts about physician practice costs...
September 1, 2016: Health Affairs
Michelle Pannor Silver, Sarah A Williams
PURPOSE OF THE STUDY: Some professions foster expectations that individuals cultivate their work identity above all other aspects of life. This can be problematic when individuals are confronted with the expectation that they will readily terminate this identity in later-career stages as institutions seek to cycle in new generations. This study examines the relationship between work identity and retirement by examining multiple generations of academic physicians. DESIGN AND METHODS: This study used a multimethod qualitative design that included document analysis, participant observation, focus groups, and in-depth interviews with academic physicians from one of the oldest departments of medicine in North America...
September 1, 2016: Gerontologist
Kimberly P McClive-Reed, Zvi D Gellis
This article presents findings from an annual program survey of residents of a horizontal neighborhood naturally occurring retirement community (NNORC). The study explored the relationship between several factors (age, co-residents, number of chronic illnesses, self-reported health, loneliness, sense of mastery, locus of control, pain, and psychological distress) and their ability to predict general health, level of psychological distress, and the quantity and type of help-seeking behaviors. Although residents generally reported moderate to high levels of chronic disease, pain, loneliness, and concerns about life issues, 25% of them sought no help from any of the listed resources, and 65% sought help from only one of seven resources...
August 11, 2016: Journal of Gerontological Social Work
Geoffrey J Hoffman, Ron D Hays, Martin F Shapiro, Steven P Wallace, Susan L Ettner
OBJECTIVE: To estimate expenditures for fall-related injuries (FRIs) among older Medicare beneficiaries. DATA SOURCES: The 2007-2009 Medicare claims and 2008 Health and Retirement Study (HRS) data for 5,497 (228 FRI and 5,269 non-FRI) beneficiaries. STUDY DESIGN: FRIs were indicated by inpatient/outpatient ICD-9 diagnostic codes for fractures, trauma, dislocations, and by e-codes. A pre-post comparison group design was used to estimate the differential change in pre-post expenditures for the FRI relative to the non-FRI cohort (FRI expenditures)...
September 1, 2016: Health Services Research
David M Dudzinski, R Sacha Bhatia, Michael Y Mi, Eric M Isselbacher, Michael H Picard, Rory B Weiner
Importance: Appropriate use criteria-based educational initiatives have been shown to improve transthoracic echocardiography (TTE) ordering practices of physicians in training. Whether such an intervention is successful with attending cardiologists remains unknown. Objective: To prospectively investigate the effect of an appropriate use criteria-based educational intervention on ordering of outpatient TTEs by attending academic cardiologists. Design, Setting, and Participants: We conducted a prospective, randomized clinical trial of an educational intervention designed to reduce the number of outpatient TTEs that were deemed to be rarely appropriate by published appropriate use criteria...
August 10, 2016: JAMA Cardiology
L H Calabrese, H A Haupt, L H Moderator, R H Strauss
Magic Johnson's second retirement from the Los Angeles Lakers speaks to the fear athletes have of contracting HIV while participating in sports. Many of your patients may share the anxiety publicly expressed by a few professional basketball players about playing alongside Magic Johnson. Because athletes often turn to primary care physicians to address such concerns, we gathered two medical experts and a college athlete to discuss athletes' perceptions of HIV and the medical evidence of the transmission risk in sports...
March 1993: Physician and Sportsmedicine
G Sheehan
No abstract text is available yet for this article.
March 1989: Physician and Sportsmedicine
Stephen M Petterson, William F Rayburn, Winston R Liaw
PURPOSE: Retirement of primary care physicians is a matter of increasing concern in light of physician shortages. The joint purposes of this investigation were to identify the ages when the majority of primary care physicians retire and to compare this with the retirement ages of practitioners in other specialties. METHODS: This descriptive study was based on AMA Physician Masterfile data from the most recent 5 years (2010-2014). We also compared 2008 Masterfile data with data from the National Plan and Provider Enumeration System to calculate an adjustment for upward bias in retirement ages when using the Masterfile alone...
July 2016: Annals of Family Medicine
Adam G Golden, Peixin Xu, Thomas T H Wan, Saul Barry Issenberg
OBJECTIVES: With a continual shortage of geriatricians, adult-gerontology primary care nurse practitioners have assumed a greater role in the delivery of outpatient care for older adults. Given the long duration of physician training, the high cost of medical school, and the lower salaries compared with subspecialists, the financial advantage of a career as a geriatrician as opposed to a nurse practitioner is uncertain. This study compares the estimated career earnings of a geriatrician and an adult-gerontology primary care nurse practitioner...
July 2016: Southern Medical Journal
Alan M Johns
Health systems, medical societies, medical school faculty and academic leaders have all attempted to define the characteristics of a good physician. What has been absent in these endeavors is the patient's voice. This article explores patients' definitions of the term "good physician" found in the literature and in a recent informal qualitative study of retired university staff and faculty. Common themes include communication, expertise, compassion and respect for patient autonomy. This work will be used to inform changes to the curriculum for first-year medical students at the University of Minnesota, Duluth...
May 2016: Minnesota Medicine
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