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Transitional year residency

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https://www.readbyqxmd.com/read/29016395/neighborhood-socioeconomic-status-predicts-health-after-hospitalization-for-acute-coronary-syndromes-findings-from-trace-core-transitions-risks-and-actions-in-coronary-events-center-for-outcomes-research-and-education
#1
Lisa Nobel, William M Jesdale, Jennifer Tjia, Molly E Waring, David C Parish, Arlene S Ash, Catarina I Kiefe, Jeroan J Allison
OBJECTIVE: To explore the influence of contextual factors on health-related quality of life (HRQoL), which is sometimes used as an indicator of quality of care, we examined the association of neighborhood socioeconomic status (NSES) and trajectories of HRQoL after hospitalization for acute coronary syndromes (ACS). METHODS: We studied 1481 patients hospitalized with acute coronary syndromes in Massachusetts and Georgia querying HRQoL via the mental and physical components of the 36-item short-form health survey (SF-36) (MCS and PCS) and the physical limitations and angina-related HRQoL subscales of the Seattle Angina Questionnaire (SAQ) during hospitalization and at 1-, 3-, and 6-month postdischarge...
October 9, 2017: Medical Care
https://www.readbyqxmd.com/read/28983854/a-pilot-study-examining-factors-influencing-readiness-to-progress-to-indirect-supervision-among-first-year-residents-in-a-general-psychiatry-training-program
#2
Bryan Touchet, Ashley Walker, Sarah Flanders, Heather McIntosh
OBJECTIVE: In the first year of training, psychiatry residents progress from direct supervision to indirect supervision but factors predicting time to transition between these levels of supervision are unknown. This study aimed to examine times for transition to indirect levels of supervision and to identify resident factors associated with slower progression. METHODS: The authors compiled data from training files from years 2011-2015, including licensing exam scores, age, gender, medical school, month of first inpatient psychiatry rotation, and transition times between levels of supervision...
October 5, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28981668/should-i-stay-or-should-i-go-consistency-and-switching-of-delivery-locations-among-new-mothers-in-39-sub-saharan-african-and-south-southeast-asian-countries
#3
Lenka Benova, David Macleod, Emma Radovich, Caroline A Lynch, Oona M R Campbell
The objective of this article is to assess the extent and determinants of switching delivery location between women's first and second deliveries. We used Demographic and Health Survey data from 39 low- and middle-income countries on delivery locations from >30 000 women who had their first two deliveries in the 5-year survey recall period. Each delivery was characterized as occurring at home or in a health facility, facilities were classified as public- or private-sector. The extent of switching was estimated for each country, region and overall...
November 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28978324/factors-affecting-residents-transition-from-long-term-care-facilities-to-the-community-a-scoping-review
#4
Shannon Freeman, Kristen Bishop, Lina Spirgiene, Erica Koopmans, Fernanda C Bothelo, Trina Fyfe, Beibei Xiong, Stacey Patchett, Martha MacLeod
BACKGROUND: Long-term care facilities (LTCFs) are often places where persons with complex health needs that cannot be met in a community setting, reside and are cared for until death. However, not all persons experience continuous declines in health and functioning. For some residents who experience improvement in personal abilities and increased independence, transition from the LTCF to the community may be an option. This scoping review aimed to synthetize the existing evidence regarding the transition process from discharge planning to intervention and evaluation of outcomes for residents transitioning from LTCFs to the community...
October 4, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28978301/dying-comfortably-in-very-old-age-with-or-without-dementia-in-different-care-settings-a-representative-older-old-population-study
#5
Jane Fleming, Rowan Calloway, Anouk Perrels, Morag Farquhar, Stephen Barclay, Carol Brayne
BACKGROUND: Comfort is frequently ranked important for a good death. Although rising numbers of people are dying in very old age, many with dementia, little is known about symptom control for "older old" people or whether care in different settings enables them to die comfortably. This study aims to examine, in a population-representative sample, associations between factors potentially related to reported comfort during very old people's final illness: physical and cognitive disability, place of care and transitions in their final illness, and place of death...
October 5, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28973181/scholar-7-the-development-of-regional-community-hospitals-scholastic-environment
#6
Brian P Peppers, Priya Varma, Yoon Mi Kim, Robert W Hostoffer, Michael P Rowane
The importance of increasing scholarly activity has been highlighted among residency programs currently accredited by the American Osteopathic Association (AOA) to ensure a smooth transition to the single accreditation system. The Scholar 7 program, a series of seven 2-hour sessions, was created to aid faculty and residents in the pursuit of scholarly work and to facilitate change in an entire community hospital system's environment by creating a self-replicating scholarly culture in a timely and cost-efficient manner...
October 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28970404/making-the-transition-from-student-to-resident-a-method-to-individualize-a-pgy1-program
#7
Amy N Thompson, Jean Nappi, Brian McKinzie, Jason Haney, Nicole Pilch
A Postgraduate Year One (PGY1) resident's concerns, limitations, and strengths may be self-identified early in the residency year but are reliant on self-awareness and insight. Program directors commonly find difficulty in identifying a resident's specific knowledge deficits at the beginning of the program. A standardized resident examination can identify limitations early in training and these results can be incorporated into a tailored resident development plan. A total of sixty-two PGY1 residents completed the examination pre- and post-training over a five-year timespan...
October 20, 2016: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/28968075/transitioning-from-a-human-right-to-an-infrastructure-service-water-wastewater-displaced-persons-in-germany
#8
Jessica A Kaminsky, Kasey M Faust
Water and sanitation utilities across Europe have recently been challenged to provide services to asylum seekers and refugees fleeing complex humanitarian disasters. We explore public perceptions regarding how secondary disaster impacts - or, mass migration into an undamaged area - has impacted the utilities. We show that the hosting population is typically willing to provide water and sanitation services to displaced persons for a set period of time, even if the displaced persons are unable to pay (water and sanitation as human rights)...
October 2, 2017: Environmental Science & Technology
https://www.readbyqxmd.com/read/28934326/the-effect-of-electronic-health-record-software-design-on-resident-documentation-and-compliance-with-evidence-based-medicine
#9
Yasaira Rodriguez Torres, Jordan Huang, Melanie Mihlstin, Mark S Juzych, Heidi Kromrei, Frank S Hwang
This study aimed to determine the role of electronic health record software in resident education by evaluating documentation of 30 elements extracted from the American Academy of Ophthalmology Dry Eye Syndrome Preferred Practice Pattern. The Kresge Eye Institute transitioned to using electronic health record software in June 2013. We evaluated the charts of 331 patients examined in the resident ophthalmology clinic between September 1, 2011, and March 31, 2014, for an initial evaluation for dry eye syndrome...
2017: PloS One
https://www.readbyqxmd.com/read/28929716/-developing-an-algorithm-based-on-health-and-social-sources-to-stratify-general-population-in-different-levels-of-health-socio-sanitary-frailty-and-disability
#10
Laura Andreoni, Antonio Giampiero Russo
OBJECTIVES: to describe an innovative algorithm to classify the general population, in homogeneous groups of severity and complexity of disease and real needs, by using three dimensions: health, frailty, and disability. DESIGN: retrospective cohort study. SETTING AND PARTICIPANTS: the study includes the population covered by the Agency for health protection of Metropolitan Area of Milan (3,4 million of habitants). We identified two cohorts of residents: the first at 01...
May 2017: Epidemiologia e Prevenzione
https://www.readbyqxmd.com/read/28903578/mental-health-services-use-trends-in-canadian-veterans-a-population-based-retrospective-cohort-study-in-ontario
#11
Alyson L Mahar, Alice B Aiken, Heidi Cramm, Marlo Whitehead, Patti Groome, Paul Kurdyak
OBJECTIVE: A substantial evidence base in the peer-reviewed literature exists investigating mental illness in the military, but relatively less is documented about mental illness in veterans. This study uses provincial, administrative data to study the use of mental health services by Canadian veterans in Ontario. METHOD: This was a retrospective cohort study of Canadian Armed Forces and Royal Canadian Mounted Police veterans who were released between 1990 and 2013 and resided in Ontario...
January 1, 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28900753/fertility-treatment-for-the-transgender-community-a-public-opinion-study
#12
Randi H Goldman, Daniel J Kaser, Stacey A Missmer, Leslie V Farland, Scout, Rachel K Ashby, Elizabeth S Ginsburg
PURPOSE: The purposes of this study were to evaluate public opinion regarding fertility treatment and gamete cryopreservation for transgender individuals and identify how support varies by demographic characteristics. METHODS: This is a cross-sectional web-based survey study completed by a representative sample of 1111 US residents aged 18-75 years. Logistic regression was used to calculate odd ratios (ORs) and 95% confidence intervals (CIs) of support for/opposition to fertility treatments for transgender people by demographic characteristics, adjusting a priori for age, gender, race, and having a biological child...
September 12, 2017: Journal of Assisted Reproduction and Genetics
https://www.readbyqxmd.com/read/28898986/building-a-new-transfusion-service
#13
John R Hess, Brenda K Hayden, Virginia G Cruz-Cody, Max J Louzon, Erin E Tuott, Nina E Sen, Roxann Gary, Patrick J Ramos, Jennifer A Daniel-Johnson, Ryan A Metcalf, Monica B Pagano
Objectives: For over 60 years, Harborview Medical Center (HMC) in Seattle has received its blood components and pretransfusion testing from a centralized transfusion service operated by the regional blood supplier. In 2011, a hospital-based transfusion service (HBTS) was activated. Methods: After 5 years of operation, we evaluated the effects of the HBTS by reviewing records of hospital blood use, quality system events, blood product delivery times, and costs. Furthermore, the effects of in-house expertise on laboratory medicine resident and medical laboratory scientist student training, as well as regulatory and accrediting agency concerns, were reviewed...
August 1, 2017: American Journal of Clinical Pathology
https://www.readbyqxmd.com/read/28888420/transition-to-residency-the-successful-development-and-implementation-of-a-nonclinical-elective-in-perioperative-management
#14
Heather McDonald, Nada Gawad, Isabelle Raîche, Fraser D Rubens
OBJECTIVE: Few medical school programs in Canada address challenges related to the significant increase in responsibility for patient care between medical school and residency. This is particularly important in surgery and anesthesia due to the high-acuity care required during the perioperative period. The purpose of this study was to develop and assess a program that would help students transition to surgical and anesthesia residencies, in terms of knowledge acquisition, clinical decision-making skills, and subjective preparedness...
September 6, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28882683/structured-operative-autonomy-an-institutional-approach-to-enhancing-surgical-resident-education-without-impacting-patient-outcomes
#15
Brandon M Wojcik, Zhi Ven Fong, Madhukar S Patel, David C Chang, Dustin R Long, Haytham M A Kaafarani, Emil Petrusa, John T Mullen, Keith D Lillemoe, Roy Phitayakorn
BACKGROUND: Although barriers to granting surgical residents autonomy in the operating room are well described, few have proposed practical strategies to overcome these barriers. Our department adopted a multidisciplinary approach to develop a rotation that aimed to grant chief residents structured operative autonomy. In this study, we assess the feasibility of implementation, impact on patient safety, and educational benefit to residents after the program's pilot year. STUDY DESIGN: During a 1-month rotation, chief residents began cases alone using their own operative block time...
September 5, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28859630/disability-and-ageing-in-china-and-india-decomposing-the-effects-of-gender-and-residence-results-from-the-who-study-on-global-ageing-and-adult-health-sage
#16
Jennifer Stewart Williams, Fredrik Norström, Nawi Ng
BACKGROUND: China and India are the world's two most populous countries. Although their populations are growing in number and life expectancies are extending they have different trajectories of economic growth, epidemiological transition and social change. Cross-country comparisons can allow national and global insights and provide evidence for policy and decision-making. The aim of this study is to measure and compare disability in men and women, and in urban and rural dwellers in China and India, and assess the extent to which social and other factors contribute to the inequalities...
August 31, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28838750/improving-novice-radiology-trainees-perception-using-fine-art
#17
Thomas Rob Goodman, Michael Kelleher
PURPOSE: To determine if fine art perception training improved performance in novice radiology trainees. METHODS: On the first day of their residency, 15 radiology residents underwent a basic radiology perception test in which they were shown 15 different radiographs that each had a significant abnormality. This was followed by a focused session of interpretation training at a local art gallery where art experts taught the trainees how to thoroughly analyze a painting...
August 22, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28833325/facilitating-the-transition-from-a-nursing-student-to-a-registered-nurse-in-the-final-clinical-practicum-a-scoping-literature-review
#18
REVIEW
Anu-Marja Kaihlanen, Elina Haavisto, Camilla Strandell-Laine, Leena Salminen
BACKGROUND: Transition from a nursing student to a Registered Nurse is a stressful and challenging process. Different postgraduate residency and orientation programmes have been developed to ease the first year of employment, but less attention has been paid to pregraduate programmes and how the final clinical practicum of nursing education should be conducted to facilitate this transition. AIM: To review the empirical studies concerning interventions that aim to facilitate the transition from nursing student to Registered Nurse in the final clinical practicum of nursing education...
August 22, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28806888/breakfast-skipping-is-an-independent-predictor-of-obesity-but-not-overweight-among-children-in-a-southeastern-european-population
#19
Genc Burazeri, Jolanda Hyska, Iris Mone, Enver Roshi
AIM: To assess the association of breakfast skipping with overweight and obesity among children in Albania, a post-communist country in the Western Balkans, which is undergoing a long and difficult political and socioeconomic transition towards a market-oriented economy. METHODS: A nationwide cross-sectional study was carried out in Albania in 2013 including a representative sample of 5810 children aged 7.0 - 9.9 years (49.5% girls aged 8.4 ± 0.6 years and 51.5% boys aged 8...
August 15, 2017: International Journal for Vitamin and Nutrition Research. Journal International de Vitaminologie et de Nutrition
https://www.readbyqxmd.com/read/28801414/transformation-of-mortality-in-a-remote-australian-aboriginal-community-a-retrospective-observational-study
#20
Wendy E Hoy, Susan Anne Mott, Beverly June McLeod
OBJECTIVES: To describe trends in ages and causes of death in a remote-living Australian Aboriginal group over a recent 50-year period. DESIGN: A retrospective observational study, from 1960 to 2010, of deaths and people starting dialysis, using data from local clinic, parish, dialysis and birthweight registers. SETTING: A remote island community in the Top End of Australia's Northern Territory, where a Catholic mission was established in 1911...
August 11, 2017: BMJ Open
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