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https://www.readbyqxmd.com/read/29296133/from-physician-to-patient-a-personal-journey
#1
Colin Powell
Going from physician to patient is a journey from which few of our tribe will be spared, and about which we have comparatively little formal reflection. This paper describes some of the lessons learned on such a journey from a retired Professor of Geriatric Medicine, whose course of vascular parkinsonism offers lessons both professional and personal.
December 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/29282463/prevalence-of-work-related-musculoskeletal-disorders-among-surgeons-and-interventionalists-a-systematic-review-and-meta-analysis
#2
Sherise Epstein, Emily H Sparer, Bao N Tran, Qing Z Ruan, Jack T Dennerlein, Dhruv Singhal, Bernard T Lee
Importance: Physicians in procedural specialties are at high risk for work-related musculoskeletal disorders (MSDs). This has been called "an impending epidemic" in the context of the looming workforce shortage; however, prevalence estimates vary by study. Objectives: To estimate the prevalence of work-related MSDs among at-risk physicians and to evaluate the scope of preventive efforts. Data Sources and Study Selection: Systematic search in MEDLINE (Ovid), Embase (Elsevier), Web of Science, PubMed (National Center for Biotechnology Information), and 2 clinical trial registries, without language restriction, for studies reporting on the prevalence and prevention of work-related MSDs among at-risk physicians published until December 2016...
December 27, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/29243461/physicians-working-conditions-health-and-working-capacity
#3
Marko Elovainio, Marianna Virtanen, Tuula Oksanen
Changes in the working environment will also influence the work of physicians. The greatest of these changes on the Finnish scale, the SOTE reform (the reform in social welfare and public health services), still lies ahead. Labor shortage, on-call duties and patient record systems providing little support to work add to the burden. In surveys related to psychosocial working conditions, physicians' greatest work load factors have been rush, forced working pace and poor communication despite the fact that, on average, they consider their working conditions to be good, frequently better than those of other professional groups, and are committed to carry on with their work until retirement age...
2017: Duodecim; Lääketieteellinen Aikakauskirja
https://www.readbyqxmd.com/read/29241720/physician-training-in-cancer-prevention-and-control-a-population-health-imperative
#4
Miranda A Moore, Richard A Goodman
Cancer is the second leading cause of morbidity and mortality in the U.S. Although reducing the number of new cancer cases is a national health goal, the continuing growth of the older adult population ensures that the burden of cancer will increase. Despite documentation of the shortage of oncologists to meet the growing need, relatively limited attention has been focused on increasing the physician workforce trained in the prevention and control of cancer. The existing physician workforce with such specialized training in cancer prevention and control is small, aging, increasing at a low rate, and likely to decrease because of an imbalance between retiring physicians and new entrants...
December 11, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29239799/occupational-determinants-of-successful-aging-in-older-physicians
#5
Chanaka Wijeratne, Carmelle Peisah, Joanne Earl, Georgina Luscombe
OBJECTIVES: Demographic, physical and psychological associations of successful aging (SA) have been evaluated, but occupational factors have not. Nor has SA been evaluated in a specific occupational group. The aims of this study were to examine the occupational associations of SA in older physicians, and to explore the concept of occupational SA. METHODS: Physicians aged 55+ years completed self-ratings of occupational and personal SA on a 10-point visual analogue scale (VAS; 1 being "least successful" and 10 "most successful")...
November 24, 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29234657/social-profile-and-cost-analysis-of-deep-infection-following-total-hip-replacement-surgery
#6
Vera Lucia Frazão, Helder de Souza Miyahara, Ricardo Akihiro Kirihara, Ana Lucia Lei Munhoz Lima, Alberto Tesconi Croci, José Ricardo Negreiros Vicente
Objective: To characterize the socio-economic and demographic profile of patients undergoing surgery for revision total hip arthroplasty regarding the diagnosis of deep prosthetic infection. Methods: Twenty patients were retrospectively studied, admitted in the period between 2009 and 2010 by the Hip Surgery Group with the diagnosis of deep prosthetic infection, whose proposed treatment was surgical. This study was carried out in the presence of the patient by completing two forms applied by the social worker of the Group...
November 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29229713/patterns-of-physician-retirement-and-pre-retirement-activity-a-population-based-cohort-study
#7
Lindsay Hedden, M Ruth Lavergne, Kimberlyn M McGrail, Michael R Law, Lucy Cheng, Megan A Ahuja, Morris L Barer
BACKGROUND: Knowing when physicians retire and how they practise in the pre-retirement years is important information for health human resource planning. We identified patterns of retirement for physicians in British Columbia and the determinants of when and how physicians retire. METHODS: For this population-based retrospective cohort study, we used administrative data to examine activity levels and to identify retirements among BC's practising physicians. We included all physicians who were at least 50 years of age as of March 2006 and who had received payments for clinical services in at least 1 year between 2005/06 and 2011/12...
December 11, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/29229711/physician-retirement-gender-geography-flexibility-and-pensions
#8
Michelle Pannor Silver
No abstract text is available yet for this article.
December 11, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/29228491/regional-healthcare-delivery-and-demographic-change-in-germany-scenarios-for-dermatological-care-in-2035
#9
Anne Kis, Matthias Augustin, Jobst Augustin
BACKGROUND: The 'demand planning guidelines' issued by the Federal Joint Committee are meant to ensure nationwide delivery of healthcare in Germany. The calculatory variable used to reflect the actual care situation in relation to a given geographical entity is referred to as 'adjusted supply rate'. Against the backdrop of demographic change and already existing problems in replacing retiring physicians, the question arises as to how future dermatological care will evolve at the regional level...
December 2017: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
https://www.readbyqxmd.com/read/29190209/national-study-of-burnout-and-career-satisfaction-among-physician-assistants-in-oncology-implications-for-team-based-care
#10
Eric Daniel Tetzlaff, Heather Marie Hylton, Lyudmila DeMora, Karen Ruth, Yu-Ning Wong
PURPOSE: A high rate of burnout has been reported in oncology physicians. Physician assistants (PAs) may also face similar risks of burnout. We sought to measure the personal and professional characteristics associated with burnout and career satisfaction and the potential impact on the oncology PA workforce. PARTICIPANTS AND METHODS: A national survey of PAs in oncology was completed by using the Maslach Burnout Inventory from September 2015 to January 2016. RESULTS: In all, 855 PAs were contacted and 250 submitted complete surveys (response rate, 29...
November 30, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/29101937/an-organization-model-to-assist-individual-physicians-scientists-and-senior-health-care-administrators-with-personal-and-professional-needs
#11
REVIEW
Tait D Shanafelt, Deborah J Lightner, Christopher R Conley, Steven P Petrou, Jarrett W Richardson, Pamela J Schroeder, William A Brown
Working as a physician, scientist, or senior health care administrator is a demanding career. Studies have demonstrated that burnout and other forms of distress are common among individuals in these professions, with potentially substantive personal and professional consequences. In addition to system-level interventions to promote well-being globally, health care organizations must provide robust support systems to assist individuals in distress. Here, we describe the 15-year experience of the Mayo Clinic Office of Staff Services (OSS) providing peer support to physicians, scientists, and senior administrators at one center...
November 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/29072527/william-osler-and-the-fixed-period-of-creativity
#12
Charles T Ambrose
In 1905, William Osler was the pre-eminent physician in American medical circles but was unknown to the general public. The latter suddenly learned of him through damning newspaper accounts of his address announcing his retirement from the Johns Hopkins Medical School. In it Osler mentioned two "fixed ideas" he held-(1) that most major advances in civilization have been made by men under age 40 (the "fixed period") and (2) that those over 60 should retire because they create little of significance and sometimes stifled the initiatives of younger colleagues...
January 1, 2017: Journal of Medical Biography
https://www.readbyqxmd.com/read/29067517/the-physician-attrition-crisis-a-cross-sectional-survey-of-the-risk-factors-for-reduced-job-satisfaction-among-us-surgeons
#13
Theresa N Jackson, Chris P Pearcy, Zhamak Khorgami, Vaidehi Agrawal, Kevin E Taubman, Michael S Truitt
INTRODUCTION: A physician shortage is on the horizon, and surgeons are particularly vulnerable due to attrition. Reduced job satisfaction leads to increased job turnover and earlier retirement. The purpose of this study is to delineate the risk factors that contribute to reduced job satisfaction. METHODS: A cross-sectional survey of US surgeons was conducted from September 2016 to May 2017. Screening for job satisfaction was performed using the abridged Job in General scale...
October 24, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/29053607/does-migration-limit-the-effect-of-health-insurance-on-hypertension-management-in-china
#14
Hai Fang, Yinzi Jin, Miaomiao Zhao, Huyang Zhang, John A Rizzo, Donglan Zhang, Zhiyuan Hou
Background: In China, rapid urbanization has caused migration from rural to urban areas, and raised the prevalence of hypertension. However, public health insurance is not portable from one place to another, and migration may limit the effectiveness of this non-portable health insurance on healthcare. Our study aims to investigate whether migration limits the effectiveness of health insurance on hypertension management in China. Methods: Data were obtained from the national baseline survey of the China Health and Retirement Longitudinal Study in 2011, including 4926 hypertensive respondents with public health insurance...
October 20, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29029240/a-greater-extent-of-insomnia-symptoms-and-physician-recommended-sleep-medication-use-predict-fall-risk-in-community-dwelling-older-adults
#15
Tuo-Yu Chen, Soomi Lee, Orfeu M Buxton
Study Objectives: Cross-sectional studies suggest that insomnia symptoms are associated with falls in later life. This longitudinal study examines the independent and interactive effects of the extent of insomnia symptoms (i.e., multiple co-existing insomnia symptoms) and sleep medications on fall risk over a 2-year follow-up among community-dwelling older adults. Methods: Using data from the Health and Retirement Study (2006-2014, N = 6882, Mage = 74.5 years ± 6...
November 1, 2017: Sleep
https://www.readbyqxmd.com/read/29017546/is-there-a-doctor-in-the-house-availability-of-israeli-physicians-to-the-workforce
#16
Pamela Kuflik Horowitz, Annarosa Anat Shemesh, Tuvia Horev
BACKGROUND: Israeli policymakers have expressed serious concerns about being able to meet the growing demand for physician services. For this reason, the Israel Ministry of Health (MoH) undertook studies based on 2008 and then 2012 data to obtain an accurate assessment of the size, specialty mix, demographic and geographic composition of the physician workforce. This paper highlights the findings from these studies about the number and percentage of licensed physicians in Israel who were not available, were only partially available, or were about to leave the Israeli healthcare workforce...
May 30, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29016982/burnout-in-belgian-physicians-and-nurses
#17
S Vandenbroeck, E Van Gerven, H De Witte, K Vanhaecht, L Godderis
Background: Burnout in healthcare is a worldwide problem. However, most studies focus narrowly on work-related factors and outcomes in one health profession or speciality. Aims: To investigate the prevalence of burnout and its association with job demands, job resources, individual well-being, work-related attitudes and behaviour in physicians and nurses across different specialties. Methods: Multi-centre cross-sectional study of physicians and nurses working in Belgian hospitals...
October 1, 2017: Occupational Medicine
https://www.readbyqxmd.com/read/28994454/healthcare-professionals-work-engagement-in-finnish-university-hospitals
#18
Sari Lepistö, Seija Alanen, Pirjo Aalto, Päivi Järvinen, Kaija Leino, Elina Mattila, Marja Kaunonen
BACKGROUND: Concerns about the sufficiency and dedication of the healthcare workforce have arisen as the baby boomer generation is retiring and the generation Y might have different working environment demands. AIMS AND OBJECTIVE: To describe the association between work engagement of healthcare professionals' and its background factors at five Finnish university hospitals. METHODS: Survey data were collected from nurses, physicians and administrative staff (n = 561) at all five university hospitals in Finland...
October 10, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28991849/u-s-physician-scientist-workforce-in-the-21st-century-recommendations-to-attract-and-sustain-the-pipeline
#19
Robert A Salata, Mark W Geraci, Don C Rockey, Melvin Blanchard, Nancy J Brown, Lucien J Cardinal, Maria Garcia, Michael P Madaio, James D Marsh, Robert F Todd
The U.S. physician-scientist (PS) workforce is invaluable to the nation's biomedical research effort. It is through biomedical research that certain diseases have been eliminated, cures for others have been discovered, and medical procedures and therapies that save lives have been developed. Yet, the U.S. PS workforce has both declined and aged over the last several years. The resulting decreased inflow and outflow to the PS pipeline renders the system vulnerable to collapsing suddenly as the senior workforce retires...
October 3, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28987298/palliative-care-symptom-management-in-the-emergency-department-the-abc-s-of-symptom-management-for-the-emergency-physician
#20
Mari Siegel, Suzanne Bigelow
BACKGROUND: Palliative care is a rapidly evolving area of emergency medicine. With an estimated 5,000 to 10,000 baby boomers per day reaching retirement age, emergency departments (EDs) are treating more patients with chronic and serious disease. Palliative care offers comprehensive care for patients with advanced medical illness, aims to alleviate suffering and improve quality of life, and plays an important role in caring for these patients in the ED. OBJECTIVES: We sought to increase the emergency physician's knowledge of and comfort with symptom control in palliative and hospice patients...
October 5, 2017: Journal of Emergency Medicine
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