keyword
https://read.qxmd.com/read/38546706/evaluation-of-telehealth-services-that-are-clinically-appropriate-for-reimbursement-in-the-us-medicaid-population-mixed-methods-study
#1
JOURNAL ARTICLE
Sanjeev Saravanakumar, Andrey Ostrovsky
BACKGROUND: When the US Department of Health and Human Services instituted a State of Public Health Emergency (PHE) during the COVID-19 pandemic, many telehealth flexibilities were fast-tracked to allow state Medicaid agencies to reimburse new specialty services, sites of care, and mediums such as FaceTime to communicate with patients.. This resulted in expanded access to care for financially vulnerable Medicaid patients, as evidenced by an uptick in telehealth use. Research has mostly focused on telehealth reimbursement for limited use cases such as rural primary care, without broader consideration for how telehealth can be appropriately mainstreamed and maintained...
March 28, 2024: Journal of Medical Internet Research
https://read.qxmd.com/read/38546009/virtual-interviews-and-equity-the-pediatric-pulmonary-fellow-perspective
#2
JOURNAL ARTICLE
Kristen Richard, Laura Chiel, Traci M Kazmerski, Samar Atteih, Ben Nelson, Robyn Cohen, Theresa A Laguna, Rachel D'Anna, Suzanne Dahlberg, Magan Zecena, Alicia Casey
BACKGROUND AND OBJECTIVES: The SARS-CoV-2 pandemic shifted medical training programs to utilize virtual interviews (VIs) starting with the 2020 interview cycle. Fellowship interviews continue in the virtual format. It is unknown how this shift has affected equity for applicants as compared to in-person interviews. Equity in this study includes consideration of the opportunity for an applicant to accept, access, and conduct a VI. This study assessed pediatric pulmonary fellows' perception of equity associated with VIs and preferences for future cycles...
March 28, 2024: Pediatric Pulmonology
https://read.qxmd.com/read/38539205/needs-assessment-for-direct-ophthalmoscopy-training-in-neurology-residency
#3
JOURNAL ARTICLE
Jasmeet Saroya, Noor Chahal, Alice Jiang, Douglas Pet, Nailyn Rasool, Mark Terrelonge, Madeline Yung
BACKGROUND: Assessment of the ocular fundus, traditionally by direct ophthalmoscopy (DO), is essential to evaluate many neurologic diseases. However, the status of DO training in neurology residencies is unknown. We conducted a needs assessment to determine current attitudes, curricula, and gaps in DO training. METHODS: A survey was developed and administered to residents and program directors (PDs) at ACGME accredited neurology residencies in the United States...
March 27, 2024: BMC Medical Education
https://read.qxmd.com/read/38537667/social-frailty-and-functional-status-in-japanese-older-adults-the-mediating-role-of-subjective-cognitive-function
#4
JOURNAL ARTICLE
Mingyu Cui, Dandan Jiao, Kumi Watanabe Miura, Yang Liu, Xiang Li, Zhu Zhu, Yuko Sawada, Taeko Watanabe, Emiko Tanaka, Tokie Anme
OBJECTIVE: This study aimed to explore the direct and indirect effects of social frailty on functional state trajectories mediated by subjective cognitive function in older adults. DESIGN: Longitudinal study. SETTING AND PARTICIPANTS: Overall, 514 adults aged ≥65 years living in a suburban area of central Japan were included in this study. METHODS: Five-item social frailty index (going out, visiting, feeling helpful, living alone, and talking to others), subjective cognitive function from the Kihon Checklist, and instrumental activities of daily living disability...
March 24, 2024: Journal of the American Medical Directors Association
https://read.qxmd.com/read/38536140/primary-care-access-for-all-a-roadmap-for-addressing-the-primary-care-crisis-in-rhode-island
#5
JOURNAL ARTICLE
Jeffrey Borkan, Denise Coppa, Patricia Flanagan, Debra Hurwitz, Andrew Saal, Yolanda Bowes, Elena Nicolella, Peter Hollmann
BACKGROUND: Primary care in Rhode Island is in crisis. The dearth of primary care providers is already affecting access to services and the situation is likely to worsen unless major steps are taken. There are inadequate numbers of trainees in primary care medical residencies, nurse practitioner (NP) and physician assistant (PA) training programs who plan to practice primary care in our state. The Care Transformation Collaborative of RI (CTC-RI) has assembled a broadly representative task force of physicians, NPs, PAs, and others to build a strong and robust primary care delivery system across the state that recruits, trains, retains, and sustains primary care providers...
April 1, 2024: Rhode Island Medical Journal
https://read.qxmd.com/read/38534085/lasting-impact-of-the-covid-19-pandemic-on-care-and-prevention-of-sexually-transmitted-infections-in-the-midwest
#6
JOURNAL ARTICLE
Maya Patel, Nicholas Cardoza, Lawrence Weingarten, Nebu Kolenchery, Anne Trolard, Benjamin Cooper, Hilary Reno
BACKGROUND: The COVID-19 pandemic reduced the general accessibility of health services. Many sexually transmitted infection (STI) testing and treatment sites modified services (e.g., reduced hours, limited walk-in availability, decreased testing capacity), changes that may result in permanent change in STI service availability. At the same time, systems were driven to innovate in ways that could benefit patients. This study aimed to describe how the COVID-19 pandemic changed STI clinical services, with a focus on long-term impacts...
April 1, 2024: Sexually Transmitted Diseases
https://read.qxmd.com/read/38528898/the-canmeds-competency-framework-in-laboratory-medicine-a-phenomenographic-study-exploring-how-professional-roles-are-applied-outside-the-clinical-environment
#7
JOURNAL ARTICLE
Chloe Bogaty, Janneke Frambach
BACKGROUND: The CanMEDS Competency Framework is an internationally recognized model used to outline the proficiencies of a physician. It has predominantly been studied in clinical environments but not all medical specialties take part in direct patient contact. In laboratory medicine, the role of the physician is to promote and enhance patient diagnostics by managing and overseeing the functions of a diagnostic laboratory. METHODS: This phenomenographic study explores the lived experiences of biochemistry, microbiology, and pathology residency program directors to better understand how they utilize the CanMEDS competencies...
February 2024: Canadian Medical Education Journal
https://read.qxmd.com/read/38527798/on-the-art-of-audio-description-naomi-kawase-s-radiance
#8
JOURNAL ARTICLE
Aleksandra Glos, Felipe Toro Franco
Audio description improves access to visual culture for people who are unable to fully participate in it due to visual impairments. Because of this direct benefit to disabled people, it is usually defined as an accommodation or inclusion service. Rather than adopting this view, we see disability as a creative force, arguing that it can engender a new dimension of art: audio description as a form of cinematic ekphrasis. This claim is made by drawing on the 2017 movie Radiance , by Japanese director Naomi Kawase...
March 25, 2024: Medical Humanities
https://read.qxmd.com/read/38527702/demographics-and-characteristics-of-us-based-minimally-invasive-gynecologic-surgery-fellowship-program-directors-a-2023-descriptive-analysis
#9
JOURNAL ARTICLE
Rabab Shahid Isa, Jared Moon, Marian Yvette Williams-Brown, Michael Breen
STUDY OBJECTIVE: Fellowship program directors (FPDs) play an important role in the development of fellows and learners, but little is known about their demographics. This cross-sectional study aims to examine the characteristics of minimally invasive gynecologic surgery (MIGS) FPDs. DESIGN: A retrospective cross-sectional study. SETTING: Data obtained from publicly available information on official websites of the program directors studied...
March 23, 2024: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/38527336/diversity-equity-and-inclusion-in-plastic-surgery-a-systematic-review
#10
JOURNAL ARTICLE
Eric Swanson
BACKGROUND: The number of publications on the subject of diversity, equity, and inclusion has surged in the last 5 years. However, a systematic review of this topic has not been published. METHOD: Six top plastic surgery journals were queried from 2018 to 2023 using the search term "diversity." Methods, conclusions, and recommendations were tabulated. RESULTS: A total of 138 publications were identified; 68 studies presented data suitable for analysis...
April 1, 2024: Annals of Plastic Surgery
https://read.qxmd.com/read/38526424/program-directors-perspectives-on-residency-applications-in-the-post%C3%A2-united-states-medical-licensing-examination-step-1-era-a-case-for-standardized-letters-of-recommendation
#11
JOURNAL ARTICLE
Angeline Johny, Patrick J Shenot, Charles Green, Leah Chisholm, Steve Riggs, Stephen V Jackman, Aqsa A Khan, Peter N Kolettis, Brian K McNeil, Wesley A Mayer
INTRODUCTION: The United States Medical Licensing Examination (USMLE) Step 1 test evolved into a key metric utilized by program directors (PDs) in assessing candidates for residency. The transition to a USMLE Step 1 binary pass/fail scoring system has resulted in a loss of an important objective assessment. With national movements toward pass/fail systems for clerkship grading and trends toward abandonment of class ranking, assessing residency applications has become increasingly challenging...
March 23, 2024: Urology Practice
https://read.qxmd.com/read/38525544/supporting-faculty-development-for-obesity-education-a-national-survey-of-united-states-family-medicine-residency-programme-directors
#12
JOURNAL ARTICLE
Jonathan Gabison, Beatrice Palazzolo, Christina Saleh, Olivia Ritchie, Kayla Sheehan, Amal Othman, Diane M Harper, Lauren Oshman
Obesity is the most common chronic condition in the United States (US), yet primary care physicians face barriers in providing obesity treatment. This study examines the prevalence of American Board of Obesity Medicine (ABOM) certified obesity specialists on the faculty of US Family Medicine residency training programmes, the preparedness of graduating resident physicians to treat obesity, and residency training programme director preferences for supporting faculty development to improve residency education in obesity management...
March 25, 2024: Clinical Obesity
https://read.qxmd.com/read/38524034/the-prevalence-and-distribution-of-osteopathic-chief-residents-in-emergency-medicine
#13
JOURNAL ARTICLE
Emma Wandro, Sahar Rammaha, Kevin McGurk
Background The chief resident position fulfills important administrative and educational functions for emergency medicine (EM) residency programs and has been associated with advanced academic and career opportunities. This study seeks to determine the prevalence and distribution of Doctor of Osteopathic Medicine (D.O.) and allopathic Doctor of Medicine (M.D.) degrees among chief residents within EM residencies. Methodology EM residency program websites, affiliated social media accounts on X (formerly Twitter) and Instagram, and program coordinator surveys were used to collect data, including the number of current residents, chief residents, and the listed medical degrees for residents and program directors during the 2021-2022 and 2022-2023 academic years...
February 2024: Curēus
https://read.qxmd.com/read/38522004/analysis-of-fellowship-program-director-opinions-of-entrustable-professional-activities-in-adolescent-medicine-fellowship
#14
JOURNAL ARTICLE
Nicole Cifra, Sarah Pitts, Richard Mink, Alan Schwartz, Bruce Herman, David A Turner, Susan Yussman
OBJECTIVES: This study aimed to explore the minimum entrustable professional activity (EPA) supervision levels at which pediatric fellowship program directors (FPDs) would be willing to graduate fellows and the levels deemed necessary for safe and effective practice for each of the common pediatric subspecialty and the four adolescent medicine-specific EPAs. METHODS: This cross-sectional study utilized survey data from pediatric FPDs in 2017. FPDs indicated the minimum level of supervision (LOS) for fellows at graduation and for safe and effective practice...
March 25, 2024: International Journal of Adolescent Medicine and Health
https://read.qxmd.com/read/38521851/lack-of-diversity-in-transplant-hepatology-fellowship-program-directorship
#15
JOURNAL ARTICLE
Faraz Jafri, Shahbaz Saad, Hamna Riaz, Farah Saleem, Sara Gottesman
BACKGROUND: Diversity in medicine has garnered significant attention in recent medical workforce research, as studies consistently reveal the beneficial impact of race-concordant visits on patient outcomes, adherence, and satisfaction. While diversity among residency and fellowship program directors has been studied in other fields, little is known about the diversity within niche fellowship programs such as transplant hepatology. This study aims to investigate the demographic information of program directors in transplant hepatology fellowship programs...
March 23, 2024: Digestive Diseases and Sciences
https://read.qxmd.com/read/38520477/interactive-pathology-tutorial-in-neoplastic-hematology-disorders-for-medical-hematology-oncology-fellows
#16
JOURNAL ARTICLE
Ahmad Alkhasawneh, Brett Baskovich, Arun Gopinath, Robert Allan, Abdullah Mohamed, Walter Quan
Hematology-oncology (HO) fellows receive limited instruction in the process of establishing a diagnosis for hematologic neoplasms, and learning neoplastic hematology often occurs in limited encounters. In the current study, we developed a web-based interactive pathology tutorial in neoplastic hematologic disorders for HO fellows to work up simulated cases and establish the diagnosis. An online system ("Pathology Playground") was utilized to load case materials including microscopic images and ancillary studies...
March 23, 2024: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://read.qxmd.com/read/38519404/surgical-journal-clubs-navigating-the-post-pandemic-landscape
#17
REVIEW
Taylor A Brown, Maeve Alterio, Erik C Stiles, Michael Vu, Blair B Washington, Theodore R Chauvin, Anjali S Kumar
Pandemic-related distancing regulations gave medical educators at our college an opportunity to reimagine and expand our evidenced-based medicine curriculum to an asynchronous, virtual format. We share the experience of course directors, faculty, and students with our new surgical journal club format. Our goal was to support learners' critical appraisal skills of the surgical literature through active learning modalities such as visual abstract generation and audio-synopsis creation. We included surgeons whose practice locations and schedules may preclude participation...
March 11, 2024: American Journal of Surgery
https://read.qxmd.com/read/38516552/correlation-between-student-performances-on-case-based-constructed-response-formative-assessment-and-summative-assessment
#18
JOURNAL ARTICLE
Deborah Jones, Se-Lim Oh
OBJECTIVES: This study aimed to evaluate the impact of formative assessment with case-based constructed-response question (CRQ) formats on student performance on the final summative assessment in the second-year periodontics course. METHODS: Classroom quizzes with case-based CRQs were implemented as the formative assessment during the course. Each student received feedback on their responses from the course director. After all students (N = 128) took the second-year final examination, the Friedman test was conducted to compare student performances in each assessment over time...
2024: Journal of Medical Education and Curricular Development
https://read.qxmd.com/read/38513172/state-medicaid-initiatives-targeting-substance-use-disorder-in-criminal-legal-settings-2021
#19
JOURNAL ARTICLE
Cashell D Lewis, Christina Andrews, Amanda J Abraham, Melissa Westlake, Faye S Taxman, Colleen M Grogan
Objectives. To document state Medicaid pre- and postrelease initiatives for individuals in the criminal legal system with substance use disorder (SUD). Methods. An Internet-based survey was sent in 2021 to Medicaid directors in all 50 US states and the District of Columbia to determine whether they were pursuing initiatives for persons with SUD across 3 criminal legal settings: jails, prisons, and community corrections. A 90% response rate was obtained. Results. In 2021, the majority of states did not report any targeted Medicaid initiatives for persons with SUD residing in criminal legal settings...
March 21, 2024: American Journal of Public Health
https://read.qxmd.com/read/38512636/survey-on-the-situation-of-medical-departments-in-the-pharmaceutical-industry-in-spain
#20
JOURNAL ARTICLE
Isabel Sanchez-Magro, Susana Gomez-Lus, Javier Martínez-González, Jorge Andrés Muñoz-Robles, Yolanda Riesgo, Beatriz Perez, Carlos Hagen, Pablo Viguera
INTRODUCTION: Medical departments have evolved from a position of support to one of strategic leadership. The number of tasks and the complexity of interactions in which they are involved is increasing. However, the spectrum of their activity in the sector differs significantly from one company to another. Therefore, the aim of this study was to describe their situation within the pharmaceutical industry, analyzing the positions, functions, and profiles of their professionals. METHODS: This study consisted of an online survey containing 25 questions grouped into four blocks (structure, medical direction, training, and activities and responsibilities)...
March 21, 2024: Pharmaceutical Medicine
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