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https://www.readbyqxmd.com/read/29743057/specialty-preferences-and-influencing-factors-a-repeated-cross-sectional-survey-of-first-to-sixth-year-medical-students-in-jena-germany
#1
Diana Grasreiner, Uta Dahmen, Utz Settmacher
BACKGROUND: Given the expected increase in those entering retirement, the number of practising physicians is predicted to decrease. Conversely, the number of physicians needed is set to increase, due to higher demands resulting from the increasing average age of the German population. This may cause a deficit in the availability and accessibility of medical care for the population in Germany, as well as in other countries. As such, there needs to be a specific focus on the next generation of physicians...
May 9, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29623293/trends-in-pathology-graduate-medical-education-programs-and-positions-2001-to-2017
#2
Aldis H Petriceks, Darren Salmi
The US medical workforce is facing an impending physician shortage. This shortage holds special concern for pathologists, as many senior practitioners are set to retire in the coming years. Indeed, studies indicate a "pathologist gap" may grow through 2030. As such, it is important to understand current and future trends in US pathology. One key factor is graduate medical education. In this study, we analyzed data from the Accreditation Council of Graduate Medical Education, to determine the change in pathology graduate medical education programs and positions, from 2001 to 2017...
January 2018: Academic Pathology
https://www.readbyqxmd.com/read/29623178/dr-phil-s-art-corner-searching-and-cobra-canyon
#3
(no author information available yet)
Philip Alexander, M.D., is a native Texan, retired physician, and accomplished musician and artist. After 41 years as an internal medicine physician, Dr. Phil retired from his practice in College Station in 2016. A lifelong musician and former music professor, he often performs as an oboe soloist for the Brazos Valley Symphony Orchestra. He began exploring visual art in 1980, evolving from pencil sketches-including an official White House portrait of President Ronald Reagan-to the computer-generated drawings featured in this journal...
January 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29574123/decisional-quality-in-patients-with-small-renal-masses
#4
Joseph D Shirk, Aaron Laviana, Sylvia Lambrechts, Lorna Kwan, Casey Pagan, Amit Sumal, Christopher Saigal
OBJECTIVE: To measure decisional quality in patients being counseled on treatment for small renal masses and identify potential areas of improvement. MATERIALS AND METHODS: 73 patients diagnosed with small renal masses at UCLA Health completed an instrument measuring decisional conflict, patient satisfaction with care, disease specific knowledge, and patient impression that shared decision making occurred in the visit. after counseling by a specialist. Participant characteristics were compared between those with high and low decisional conflict using Chi-square or Student's t-test (or Wilcoxon rank-sum)...
March 21, 2018: Urology
https://www.readbyqxmd.com/read/29566667/work-related-adverse-events-leaving-their-mark-a-cross-sectional-study-among-dutch-gynecologists
#5
Melanie A M Baas, Karel W F Scheepstra, Claire A I Stramrood, Ruth Evers, Lea M Dijksman, Maria G van Pampus
BACKGROUND: Health care professionals who are frequently coping with traumatic events have an increased risk of developing a posttraumatic stress disorder. Research among physicians is scarce, and obstetrician-gynecologists may have a higher risk. Work-related traumatic events and posttraumatic stress disorder among obstetricians-gynecologists and the (desired) type of support were studied. METHODS: A questionnaire was emailed to all members of the Dutch Society of Obstetrics and Gynaecology, which included residents, attending, retired and non-practicing obstetricians-gynecologists...
March 22, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29547994/estimating-a-change-from-tricare-to-commercial-insurance-plans
#6
Carla T Murray, Matthew Schmit
Introduction: We estimate the effect on health care spending of an option to change TRICARE. Under the option, which is based on a proposal made by the Military Compensation and Retirement Modernization Commission (MCRMC), most beneficiaries could choose from a range of commercial health networks instead of the current TRICARE plans. Military treatment facilities would become network providers under the commercial plans. Materials and Methods: We used data from the Department of Defense (DoD) to estimate the cost of providing the current health care benefit to working-age retirees and their dependents and survivors, and active duty family members...
March 14, 2018: Military Medicine
https://www.readbyqxmd.com/read/29530176/pegasus-health-pastoral-care-programme
#7
Caroline Christie, Simon Wynn-Thomas, Bianca McKinnon
INTRODUCTION In New Zealand, 41% of general practitioners (GPs) intend to retire by 2025. Increasing workforce shortages and other stressors are putting doctors at risk of burnout, which in turn can put patients at risk of harm. Offering a range of resources can signal an organisation's commitment to physician wellness while improving patient safety and organisational stability. AIM To replace the current reactive approach to impaired doctors with a proactive system of monitoring performance with the goal of identifying problems early...
September 2017: Journal of Primary Health Care
https://www.readbyqxmd.com/read/29529179/physical-functioning-decline-and-mortality-in-older-adults-with-multimorbidity-joint-modeling-of-longitudinal-and-survival-data
#8
Melissa Y Wei, Mohammed U Kabeto, Andrzej T Galecki, Kenneth M Langa
Background: Multimorbidity is common among older adults and strongly associated with physical functioning decline and increased mortality. However, the full spectrum of direct and indirect effects of multimorbidity on physical functioning and survival has not been quantified. We aimed to determine the longitudinal relationship of multimorbidity on physical functioning and quantify the impact of multimorbidity and multimorbidity-attributed changes in physical functioning on mortality risk...
February 26, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/29523462/cognitively-impaired-physicians-how-do-we-detect-them-how-do-we-assist-them
#9
Anothai Soonsawat, Gen Tanaka, Marcia A Lammando, Iqbal Ahmed, James M Ellison
Our older physicians, an increasing number of those in practice, constitute a valuable human resource in the medical profession. Professional satisfaction, increasing life expectancy, concerns regarding financial security, and reluctance to retire are among the many reasons a physician might choose to extend practice into later adulthood. Despite the benefits of experience and expertise acquired by older physicians, cognitive changes associated with normal or pathological aging have been shown to have a significant negative effect on physician performance...
February 7, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29507541/projecting-the-adequacy-of-the-multiple-sclerosis-neurologist-workforce
#10
Michael T Halpern, Heather Kane, Stephanie Teixeira-Poit, Corey Ford, Barbara Giesser, June Halper, Shana Johnson, Nicholas G LaRocca, Aaron Miller, Steven P Ringel
Background: Anecdotal reports suggest shortages among neurologists who provide multiple sclerosis (MS) patient care. However, little information is available regarding the current and future supply of and demand for this neurologist workforce. Methods: We used information from neurologist and neurology resident surveys, professional organizations, and previously reported studies to develop a model assessing the projected supply and demand (ie, expected physician visits) of neurologists providing MS patient care...
January 2018: International Journal of MS Care
https://www.readbyqxmd.com/read/29469712/future-growth-of-physicians-and-non-physician-providers-within-the-u-s-dermatology-workforce
#11
Michael R Sargen, Lucy Shi, Roderick S Hooker, Suephy C Chen
Trends in the training, supply, availability, career decisions, and retirement of US dermatology physicians are not well delineated. The current study evaluates whether growth in the dermatology workforce will keep pace with population expansion in the United States. A dermatologist supply model was projected to 2030 drawing on data from the American Academy of Dermatology, American Medical Association, Bureau of Labor Statistics, American Association of Medical Colleges, and other associations. The clinically active dermatologist workforce in 2015 was 36 per capita (1,000,000); entry following postgraduate training was age 30 with career separation at age 65 on average...
September 15, 2017: Dermatology Online Journal
https://www.readbyqxmd.com/read/29453235/a-workforce-survey-on-developmental-behavioral-pediatrics
#12
Carolyn Bridgemohan, Nerissa S Bauer, Britt A Nielsen, Anne DeBattista, Holly S Ruch-Ross, Linda B Paul, Nancy Roizen
BACKGROUND AND OBJECTIVES: Developmental-behavioral conditions are common, affecting ∼15% of US children. The prevalence and complexity of these conditions are increasing despite long wait times and a limited pipeline of new providers. We surveyed a convenience sample of the developmental-behavioral pediatric (DBP) workforce to determine current practices, workforce trends, and future needs. METHODS: An electronic survey was e-mailed to 1568 members of the American Academy of Pediatrics Section on Developmental and Behavioral Pediatrics and Council on Children with Disabilities, the Society for Developmental and Behavioral Pediatrics, and the National Association of Pediatric Nurse Practitioners Developmental and Behavioral Mental Health Special Interest Group...
February 16, 2018: Pediatrics
https://www.readbyqxmd.com/read/29417076/forecasting-the-shortage-of-neurosurgeons-in-iran-using-a-system-dynamics-model-approach
#13
Sima Rafiei, Arman Daneshvaran, Sina Abdollahzade
CONTEXT: Shortage of physicians particularly in specialty levels is considered as an important issue in Iran health system. Thus, in an uncertain environment, long-term planning is required for health professionals as a basic priority on a national scale. AIMS: This study aimed to estimate the number of required neurosurgeons using system dynamic modeling. SETTING AND DESIGN: System dynamic modeling was applied to predict the gap between stock and number of required neurosurgeons in Iran up to 2020...
2018: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/29400009/2015-american-college-of-rheumatology-workforce-study-supply-and-demand-projections-of-adult-rheumatology-workforce-2015-2030
#14
Daniel F Battafarano, Marcia Ditmyer, Marcy B Bolster, John D Fitzgerald, Chad Deal, Ann R Bass, Rodolfo Molina, Alan R Erickson, Jonathan S Hausmann, Marisa Klein-Gitelman, Lisa F Imundo, Benjamin J Smith, Karla Jones, Kamilah Greene, Seetha U Monrad
OBJECTIVE: To describe the character and composition of the 2015 US adult rheumatology workforce, evaluate workforce trends, and project supply and demand for clinical rheumatology care for 2015-2030. METHODS: The 2015 Workforce Study of Rheumatology Specialists in the US used primary and secondary data sources to estimate the baseline adult rheumatology workforce and determine demographic and geographic factors relevant to workforce modeling. Supply and demand was projected through 2030, utilizing data-driven estimations regarding the proportion and clinical full-time equivalent (FTE) of academic versus nonacademic practitioners...
April 2018: Arthritis Care & Research
https://www.readbyqxmd.com/read/29296133/from-physician-to-patient-a-personal-journey
#15
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
#16
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...
February 21, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29243461/-physicians-working-conditions-health-and-working-capacity
#17
REVIEW
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
#18
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...
March 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29239799/occupational-determinants-of-successful-aging-in-older-physicians
#19
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")...
February 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29234657/social-profile-and-cost-analysis-of-deep-infection-following-total-hip-replacement-surgery
#20
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
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