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Academic medicine

Saad S Alzahrani, Yoon Soo Park, Ara Tekian
PURPOSE: Study habits of medical students contribute to better understanding learner achievement and success. This study examines the relationship between study habits, including gender and nonacademic factors that affect learning, to investigate their relationship with performance outcomes. METHODS: This study was conducted in March 2015 at the College of Medicine and Applied Medical Science at Taif University. A survey was administered, measuring study habits such as study time, study partners, source of study, breaks, study interruptions, difficulty concentrating, study activity, and delayed study...
June 16, 2018: Medical Teacher
Deepa Rani Nandiwada, Gary S Fischer, Glenn Updike, Margaret B Conroy
BACKGROUND: As electronic health records have become a more integral part of a physician's daily life, new electronic health record tools will continue to be rolled out to trainees. Patient access to provider notes is becoming a more widespread practice because this has been shown to increase patient empowerment. OBJECTIVE: In this analysis, we compared differences between resident and attending physicians' perceptions prior to implementation of patient access to provider notes to facilitate optimal use of electronic health record features and as a potential for patient empowerment...
June 15, 2018: JMIR Medical Education
Bobbie Ann A White, Angela Eklund, Tresa McNeal, Angie Hochhalter, Alejandro C Arroliga
Most teams in hospital medicine are ad hoc, meaning that the teams vary in participants. Ad hoc teams can be found in academic teaching hospitals where team members change across shifts and rotations. Due to varying team membership, these teams face significant hurdles, because they lack an opportunity to develop a team identity, shared mental models, and trust. This article discusses facilitators and barriers to effective functioning of ad hoc teams. Communication, conflict management, power, and leadership are areas that either serve as facilitators or barriers to positive team function...
July 2018: Proceedings of the Baylor University Medical Center
Giuseppe Agapito, Pietro Hiram Guzzi, Mario Cannataro
Personalized medicine is an aspect of the P4 medicine (predictive, preventive, personalized and participatory) based precisely on the customization of all medical characters of each subject. In personalized medicine, the development of medical treatments and drugs is tailored to the individual characteristics and needs of each subject, according to the study of diseases at different scales from genotype to phenotype scale. To make concrete the goal of personalized medicine, it is necessary to employ high-throughput methodologies such as Next Generation Sequencing (NGS), Genome-Wide Association Studies (GWAS), Mass Spectrometry or Microarrays, that are able to investigate a single disease from a broader perspective...
June 14, 2018: High-throughput
Laura Kann, Tim McManus, William A Harris, Shari L Shanklin, Katherine H Flint, Barbara Queen, Richard Lowry, David Chyen, Lisa Whittle, Jemekia Thornton, Connie Lim, Denise Bradford, Yoshimi Yamakawa, Michelle Leon, Nancy Brener, Kathleen A Ethier
PROBLEM: Health-risk behaviors contribute to the leading causes of morbidity and mortality among youth and adults in the United States. In addition, significant health disparities exist among demographic subgroups of youth defined by sex, race/ethnicity, and grade in school and between sexual minority and nonsexual minority youth. Population-based data on the most important health-related behaviors at the national, state, and local levels can be used to help monitor the effectiveness of public health interventions designed to protect and promote the health of youth at the national, state, and local levels...
June 15, 2018: MMWR. Surveillance Summaries: Morbidity and Mortality Weekly Report. Surveillance Summaries
Reena Pattani, Shiphra Ginsburg, Alekhya Mascarenhas Johnson, Julia E Moore, Sabrina Jassemi, Sharon E Straus
PURPOSE: A rise in incivility has been documented in medicine, with implications for patient care, organizational effectiveness, and costs. This study explored organizational factors that may contribute to incivility at one academic medical center and potential systems-level solutions to combat it. METHOD: The authors completed semi-structured individual interviews with full-time faculty members of the department of medicine (DOM) at the University of Toronto Faculty of Medicine, Toronto, Canada, with clinical appointments at six affiliated hospitals, between June and September 2016...
June 12, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Stephanie K Mueller, Evan Shannon, Anuj Dalal, Jeffrey L Schnipper, Patricia Dykes
OBJECTIVES: Although existing data suggest marked variability in interhospital transfer (IHT), little is known about specific factors that may impact the quality and safety of this care transition. We aimed to explore transferred patients' and involved physicians' experience with IHT to better understand the components of the transfer continuum and identify potential targets for improvement. METHODS: We performed a qualitative study using individual interviews of adult patients recently transferred to cardiology, general medicine, and oncology services at a tertiary care academic medical center, as well as their transferring physician, accepting attending physician, and accepting/admitting resident physician...
June 12, 2018: Journal of Patient Safety
Megan Cox, Natasha Afonso, Loeto Mazhani, David Kloeck, Mohan Mysore, Kevin Roy, Segolame Setlhare, Tlamelo Daman, Peter A Meaney
OBJECTIVES: To describe provider characteristics, knowledge acquisition, perceived relevance, and instruction quality of the Society of Critical Care Medicine's Pediatric Fundamentals of Critical Care Support course pilot implementation in Botswana. DESIGN: Observational, single center. SETTING: Academic, upper middle-income country. SUBJECTS: Healthcare providers in Botswana. INTERVENTIONS: A cohort of healthcare providers completed the standard 2-day Pediatric Fundamentals of Critical Care Support course and qualitative survey during the course...
June 12, 2018: Pediatric Critical Care Medicine
Ameneh Safari, Yahya Safari
Evidence-based medicine (EBM) is defining proper and wise use of the best evidence in clinical decision for patient׳s care. This study have done with the aim of evaluating health information system for decision-making with EBM approach in educational hospital of Kermanshah city. The statistical population include all the specialist and specialty, and also head nurses of educational hospitals in Kermanshah city. The data collected by researcher made questionnaire. The content validities of the questionnaire were confirmed by experts to complete the questions of the questionnaire...
August 2018: Data in Brief
Enrique Cuevas-Orta, Ángel Javier Pedro-Martínez, Cristina Ramírez-Rodríguez, Carlos Abud-Mendoza
BACKGROUND: Medical meetings are a tool to help physicians advance and update their medical knowledge. Their quality is the responsibility of colleges and institutions. OBJECTIVE: To assess and compare the academic level of four different annual rheumatology meetings. MATERIAL AND METHODS: As a source of information, we used the abstracts published in the supplements of the journal Reumatología Clínica, SE1 Vol. 12, issued in February 2016, SE 1 Vol...
June 8, 2018: Reumatología Clinica
Byeongsang Oh, Albert Yeung, Penelope Klein, Linda Larkey, Carolyn Ee, Chris Zaslawski, Tish Knobf, Peter Payne, Elisabet Stener-Victorin, Richard Lee, Whanseok Choi, Mison Chun, Massimo Bonucci, Hanne-Doris Lang, Nick Pavlakis, Fran Boyle, Stephen Clarke, Michael Back, Peiying Yang, Yulong Wei, Xinfeng Guo, Chi-Hsiu D Weng, Michael R Irwin, Aymen A Elfiky, David Rosenthal
Evidence of the health and wellbeing benefits of Tai Chi and Qigong (TQ) have emerged in the past two decades, but TQ is underutilized in modern health care in Western countries due to lack of promotion and the availability of professionally qualified TQ instructors. To date, there are no government regulations for TQ instructors or for training institutions in China and Western countries, even though TQ is considered to be a part of Traditional Chinese medicine that has the potential to manage many chronic diseases...
June 8, 2018: Medicines (Basel, Switzerland)
Liza Weavind, Tracy Jobin McGrane
No abstract text is available yet for this article.
2018: International Anesthesiology Clinics
Avik Nath, Krishan Yadav, Jeffrey J Perry
CLINICIAN'S CAPSULE What is known about the topic? Little has been published on the structure and curricula of the Canadian College of Family Physicians Emergency Medicine [CCFP(EM)] programs across Canada. What did this study ask? Describe the major components of CCFP(EM) programs and how they are incorporated into curricula. What did this study find? Programs have similar clinical rotations, ultrasound, and simulation requirements. Variation exists in administrative structures, financial resources, academic projects, and competency-based curricula...
June 11, 2018: CJEM
Robin G Lorenz, Donald S Karcher, Michael D Gautreaux, Melvin Limson, Dani S Zander
There has been a recent recognition of the need to prepare PhD-trained scientists for increasingly diverse careers in academia, industry, and health care. The PhD Data Task Force was formed to better understand the current state of PhD scientists in the clinical laboratory workforce and collect up-to-date information on the training and certification of these laboratorians. In this report, we summarize the findings of the PhD Data Task Force and discuss the relevance of the data collected to the future supply of and demand for PhD clinical laboratory scientists...
January 2018: Academic Pathology
Jason Peeler, Hugo Bergen, Alison Bulow
Medical schools have traditionally used a lecture and dissection-based approach for educating students about human anatomy. There is growing interest in the adoption of alternative teaching and learning activities (TLAs) that incorporate the use of cadaveric prosection and computer-based learning into musculoskeletal (MSK) anatomy curricula. The purpose of this investigation was to examine retrospectively how different TLAs influenced student perceptions about learning, and performance on MSK anatomy examinations...
June 7, 2018: Annals of Anatomy, Anatomischer Anzeiger: Official Organ of the Anatomische Gesellschaft
Stacy M Tarango, Phung K Pham, Dayun Chung, Ara Festekjian
BACKGROUND: An ongoing threat to hospitalized patients is delayed recognition of clinical deterioration and its association with increased morbidity and mortality. OBJECTIVE: This study evaluated the ability of Pediatric Emergency Medicine (PEM) clinicians to predict clinical deterioration of patients admitted from the Pediatric Emergency Department (PED). Clinical deterioration was defined as unanticipated transfer to an Intensive Care Unit (ICU) within 12 h of PED-to-ward admission...
June 6, 2018: International Emergency Nursing
Tasneem F Hasan, Walter Duarte, Oluwaseun O Akinduro, Eric D Goldstein, Rebecca Hurst, Neil Haranhalli, David A Miller, Robert E Wharen, Rabih G Tawk, William D Freeman
BACKGROUND: Acute aneurysmal subarachnoid hemorrhage (SAH) is a medical and neurosurgical emergency from ruptured brain aneurysm. Aneurysmal SAH is identified on brain computed tomography (CT) as increased density of basal cisterns and subarachnoid spaces from acute blood products. Aneurysmal SAH-like pattern on CT appears as an optical illusion effect of hypodense brain parenchyma and/or hyperdense surrounding cerebral cisterns and blood vessels termed as "pseudo-subarachnoid hemorrhage" (pseudo-SAH)...
June 5, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Béatrice Ambroise, Hervé Benateau, Raphaëlle Prevost, Hamady Traore, Karine Hauchard, Hamadoun Dia, Alexis Veyssière
Telemedicine enables us to push back the geographical and interactive boundaries of medicine. With a role in humanitarian missions, it is particularly pertinent at two key stages: the preparation phase, and at postoperative follow-up after the mission. It is our intention to describe our experience of telemedicine within a humanitarian context. Four teleconsultations were organized between departments of maxillofacial surgery in Caen (France) and in Bamako (Mali). 21 patients were assessed regarding their care...
May 21, 2018: Journal of Cranio-maxillo-facial Surgery
Jinpeng Du, Hui Li, Yong Fan, Jianan Zhang, Yawei Xu, Tuanjiang Liu, Dingjun Hao
Established in 1987, the Spine Surgery Hospital at Honghui Hospital is one of the oldest spinal surgical departments in China. The first chairman, Yuan Fuyong devoted himself to the development of the department. The current president, Hao Dingjun, assumed the position in November 2008. The current department consists of five wards and 235 beds, encompassing the entire spectrum of spinal surgical diseases, with 27 specialized faculty members and care teams. The remarkable growth of the hospital during the last 30 years made it possible to perform 8000 operations in 2017...
June 5, 2018: World Neurosurgery
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