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professionalism residency

Mosaburo Kainuma, Makoto Kikukawa, Masaharu Nagata, Motofumi Yoshida
OBJECTIVES: To clarify competencies for inclusion in our curriculum that focuses on developing leaders in community medicine. DESIGN: Qualitative interview study. SETTING: All six regions of Japan, including urban and rural areas. PARTICIPANTS: Nineteen doctors (male: 18, female: 1) who play an important leadership role in their communities participated in semistructured interviews (mean age 48.3 years, range 34-59; mean years of clinical experience 23...
April 17, 2018: BMJ Open
Kiersten L Gurley, Shamai A Grossman, Margaret Janes, C Winnie Yu-Moe, Ellen Song, Carrie D Tibbles, Nathan I Shapiro, Carlo L Rosen
BACKGROUND: Data are lacking on how emergency medicine (EM) malpractice cases with resident involvement differs from cases that do not name a resident. OBJECTIVES: To compare malpractice case characteristics in cases where a resident is involved (resident case) to cases that do not involve a resident (non-resident case) and to determine factors that contribute to malpractice cases utilizing EM as a model for malpractice claims across other medical specialties. METHODS: We used data from the Controlled Risk Insurance Company (CRICO) Strategies' division Comparative Benchmarking System (CBS) to analyze open and closed EM cases asserted from 2009-2013...
April 17, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Duc T Nguyen, Helen E Jenkins, Edward A Graviss
BACKGROUND: Estimating mortality risk during TB treatment in HIV co-infected patients is challenging for health professionals, especially in a low TB prevalence population, due to the lack of a standardized prognostic system. The current study aimed to develop and validate a simple mortality prognostic scoring system for TB/HIV co-infected patients. METHODS: Using data from the CDC's Tuberculosis Genotyping Information Management System of TB patients in Texas reported from 01/2010 through 12/2016, age ≥15 years, HIV(+), and outcome being "completed" or "died", we developed and internally validated a mortality prognostic score using multiple logistic regression...
2018: PloS One
Jody E Steinauer, Jema K Turk, Tali Pomerantz, Kristin Simonson, Lee A Learman, Uta Landy
BACKGROUND: Nearly 15 years ago, 51% of US obstetrics and gynecology residency training program directors reported that abortion training was routine, 39% reported training was optional, and 10% did not have training. The status of abortion training now is unknown. OBJECTIVE: To determine the current status of abortion training in obstetrics and gynecology residency programs. STUDY DESIGN: Through surveying program directors of US obstetrics and gynecology residency training programs, we conducted a cross-sectional study on the availability and characteristics of abortion training...
April 12, 2018: American Journal of Obstetrics and Gynecology
Dan Cohen, Stephen G Post, Angela Lo, Robin Lombardo, Brandon Pfeffer
Background Dysphagia and difficulty with eating affects a significant portion of individuals with advanced dementia. Such problems with oral intake can have serious health consequences including mealtime distress, dehydration and malnutrition, aspiration, reduced quality of life, and increased mortality risk. Design We present the first data indicating that "Music & Memory" interventions improve swallowing in individuals with advanced dementia, thereby making oral feeding easier and potentially diminishing reliance on PEG...
January 1, 2018: Dementia
Roberta Smith, Katelyn E Hall, Paul Etkind, Mike Van Dyke
The effects of marijuana use on workplace safety are of concern for public health and workplace safety professionals. Twenty-nine states and the District of Columbia have enacted laws legalizing marijuana at the state level for recreational and/or medical purposes. Employers and safety professionals in states where marijuana use is legal have expressed concerns about potential increases in occupational injuries, such as on-the-job motor vehicle crashes, related to employee impairment. Data published in 2017 by the Colorado Department of Public Health and Environment (CDPHE) showed that more than one in eight adult state residents aged ≥18 years currently used marijuana in 2014 (13...
April 13, 2018: MMWR. Morbidity and Mortality Weekly Report
Min-Jeong Cho, Eun-Kyung Jung, Yun-Sook Jung, Hae-Eun Shin, Eun-Kyong Kim, Hyeon-Chang Kim, Youn-Hee Choi, Keun-Bae Song
AIM: The aim of the present study was to investigate the association between the activities of daily living and the oral health-related quality of life and dementia in older adults. METHODS: Over a period of 18 months, we visited 12 elderly care facilities and recruited 375 participants, 345 of whom were selected to undergo oral health examinations and oral health-related surveys. Each investigation was carried out face-to-face by a professional worker. RESULTS: Cognitive ability was found to be good when the results of the activities of daily living and the oral health-related quality of life examinations were good...
April 11, 2018: Geriatrics & Gerontology International
Jordan H Rhodes
BACKGROUND: The onset of Medicare eligibility at age 65 in the U.S. is accompanied by significant changes in health insurance coverage rates. This presents a unique opportunity to study the interaction among health insurance, health care utilization, and health outcomes. AIMS: This study examines if changes in mental health outcomes accompany the changes in health insurance coverage rates at age 65. METHODS: 2006-2013 data from the Sample Adult and Person File components of the National Health Insurance Survey are used to explore the link between the onset of Medicare and the utilization of mental health care services and mental health...
March 1, 2018: Journal of Mental Health Policy and Economics
Jacqueline F Lavallée, Trish A Gray, Jo Dumville, Nicky Cullum
BACKGROUND: Pressure ulcers are areas of localised damage to the skin and underlying tissue; and can cause pain, immobility, and delay recovery, impacting on health-related quality of life. The individuals who are most at risk of developing a pressure ulcer are those who are seriously ill, elderly, have impaired mobility and/or poor nutrition; thus, many nursing home residents are at risk. OBJECTIVES: To understand the context of pressure ulcer prevention in nursing homes and to explore the potential barriers and facilitators to evidence-informed practices...
January 4, 2018: International Journal of Nursing Studies
Marta Barreto, Irina Kislaya, Vânia Gaio, Ana Paula Rodrigues, Ana João Santos, Sónia Namorado, Liliana Antunes, Ana Paula Gil, José Manuel Boavida, Rogério Tavares Ribeiro, Ana Clara Silva, Patrícia Vargas, Tamara Prokopenko, Baltazar Nunes, Carlos Matias Dias
AIMS: Diabetes Mellitus is a major public health threat worldwide and continues to increase in numbers and significance. Estimates of diabetes prevalence, awareness, treatment and control are essential to effectively monitor its trends, plan and evaluate interventions. METHODS: We conducted a nationwide health examination survey in the population residing in Portugal aged between 25 and 74 years old in 2015. It consisted in a cross sectional prevalence study which included the measurement of HbA1c, a physical examination and a general health interview of a probabilistic sample of 4911 individuals (Authorization n°9348/2010 of the National Committee for Data Protection)...
April 4, 2018: Diabetes Research and Clinical Practice
Filipa Bombert, Ana Cristina Manso, Cristina Sousa Ferreira, Paulo Nogueira, Carla Nunes
OBJECTIVES: The aim of this study was to characterise the daily oral hygiene behaviours and the frequency of, and reasons for, oral health appointments, among 12-year-old adolescents in Portugal. We also investigated whether there were any associations between these behaviours and sociodemographic factors. METHODS: We conducted an observational descriptive study based on 1,309 Portuguese adolescents from rural, peri-urban and urban populations. Data were drawn from the III National Prevalence Study of Oral Health Diseases...
April 6, 2018: International Dental Journal
Daniel Lüdecke, Barbara Bien, Kevin McKee, Barbro Krevers, Elizabeth Mestheneos, Mirko Di Rosa, Olaf von dem Knesebeck, Christopher Kofahl
OBJECTIVES: Demographic change has led to an increase of older people in need of long-term care in nearly all European countries. Informal carers primarily provide the care and support needed by dependent people. The supply and willingness of individuals to act as carers are critical to sustain informal care resources as part of the home health care provision. This paper describes a longitudinal study of informal care in six European countries and reports analyses that determine those factors predicting the outcomes of family care over a one-year period...
2018: PloS One
Paul Kukulski, Michael Ward, Keme Carter
Objective Shock is a common emergency condition with high morbidity and mortality, and judicious fluid resuscitation can significantly affect outcomes. The use of a bedside echocardiogram and evaluation of the inferior vena cava (IVC) via ultrasound (US) for collapsibility can predict volume status. Additionally, the Association of American Medical Colleges (AAMC) Entrustable Professional Activities (EPA) 10 states that residents need to be able to address a patient with a critical illness, including hypotension, on Day 1 of residency...
January 30, 2018: Curēus
Alice A Kuo, Mary R Ciccarelli, Niraj Sharma, Debra S Lotstein
BACKGROUND AND OBJECTIVES: The transition from pediatric to adult health care is a vulnerable period for youth with special health care needs. Although successful transitions are recognized as critical for improving adult outcomes and reducing health care utilization and cost, an educational gap in health care transitions for physicians persists. Our aim with this project was to develop a national health care transition residency curriculum for primary care physicians, using an expert-based, consensus-building process...
April 2018: Pediatrics
Vernon R Curran, Diana Deacon, Henry Schulz, Katherine Stringer, Craig N Stone, Norah Duggan, Heidi Coombs-Thorne
OBJECTIVE: Entrustable Professional Activities (EPAs) are explicit, directly observable tasks requiring the demonstration of specific knowledge, skills, and behaviors that learners are expected to perform without direct supervision once they have gained sufficient competence. Undergraduate level implementation of EPAs is relatively new. We examined the characteristics of a workplace assessment form (clinic card) as part of a formative programmatic assessment process of EPAs for a core undergraduate surgery rotation...
March 30, 2018: Journal of Surgical Education
Catherine A Marco, Robert P Wahl M, Hans R House, Deepi G Goyal, Samuel M Keim, O John Ma, Kevin B Joldersma, Mary M Johnston, Anne L Harvey
OBJECTIVE: This study was undertaken to expand on results from a 2014 study on the association between physician age and performance on the American Board of Emergency Medicine (ABEM) ConCert Examination. METHODS: This was a retrospective, longitudinal growth study comparing performance on the ConCert Examination and physicians' ages at the time of examination. All examination attempts from 1990 to 2016 made by residency-trained physicians were eligible for inclusion...
April 2, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Christopher J Salgado, Ajani Nugent, Joseph Kuhn
We are presently at a unique crossroad in medicine, where the healthcare field has the opportunity to recognize and treat transgender patients on a scale that was previously unattainable. As more professionals join the effort to treat this increasingly visible population, we have a duty to set standards for training residents and credentialing our colleagues to protect the wellbeing of this already vulnerable group. Fellowship training may be the fundamental answer to surmounting the significant medical, legal, and social complexities entailed with treating this deserving population...
March 22, 2018: Plastic and Reconstructive Surgery
Aimee Burke Valeras
Provides the nomination letter of Mary Talen, PhD, for the 2017 CFHA's Don Bloch Award. Dr. Mary Talen is a psychologist with an unwavering ability to see the humanness of every individual who interacts with the community health center and residency she works at-patient, staff, faculty, or resident-and her perspective impacts everyone that surrounds her. The nomination details her intellectual, behavioral, and relational qualities as a professional. (PsycINFO Database Record
March 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
Mahboobeh Saber, Seyed Ali Enjoo, Ali Mahboudi, Seyed Ziaadin Tabei
Introduction: The newly deceased patients have long been used in medical schools to teach clinical skills without any challenges as it helps to train skilled doctors. Nowadays, the use of moulages and simulators are common in teaching clinical skills since these tools provide the opportunity for frequent practice without any pain and injury. There are specific procedures which still require the use of cadavers. However, the increased significance of patient rights has generally challenged the practicality of using the deceased bodies for this purpose...
April 2018: Journal of Advances in Medical Education & Professionalism
Vicki Tully, Douglas Murphy, Evridiki Fioratou, Arun Chaudhuri, James Shaw, Peter Davey
BACKGROUND: Investigation of real incidents has been consistently identified by expert reviews and student surveys as a potentially valuable teaching resource for medical students. The aim of this study was to adapt a published method to measure resident doctors' reflection on quality improvement and evaluate this as an assessment tool for medical students. METHODS: The design is a cohort study. Medical students were prepared with a tutorial in team based learning format and an online Managing Incident Review course...
April 2, 2018: BMC Medical Education
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