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professionalism residency

Whitney Grace McLaughlin
The purpose of this viewpoint is to discuss the lack of research on resident advisor (RA) self-care and how behavioral interventions can be used in housing programs to educate and improve RA self-care. It is essential for live-in housing staff (both professional and paraprofessional) to learn how to develop appropriate strategies that target problem behaviors to improve self-care. An overview of the RA position, the effects of increased demands (i.e., burnout), and the research on self-care behavioral interventions are discussed...
February 15, 2018: Journal of American College Health: J of ACH
Dawn M Guthrie, Jacob G S Davidson, Nicole Williams, Jennifer Campos, Kathleen Hunter, Paul Mick, Joseph B Orange, M Kathleen Pichora-Fuller, Natalie A Phillips, Marie Y Savundranayagam, Walter Wittich
OBJECTIVES: The objective of the current study was to understand the added effects of having a sensory impairment (vision and/or hearing impairment) in combination with cognitive impairment with respect to health-related outcomes among older adults (65+ years old) receiving home care or residing in a long-term care (LTC) facility in Ontario, Canada. METHODS: Cross-sectional analyses were conducted using existing data collected with one of two interRAI assessments, one for home care (n = 291,824) and one for LTC (n = 110,578)...
2018: PloS One
Guo Li, Xiaorong Zhou, Jianbing Liu, Yuanqi Chen, Hengtao Zhang, Yanyan Chen, Jianhua Liu, Hongbo Jiang, Junjing Yang, Shaofa Nie
BACKGROUND: In order to better assist medical professionals, this study aimed to develop and compare the performance of three models-a multivariate logistic regression (LR) model, an artificial neural network (ANN) model, and a decision tree (DT) model-to predict the prognosis of patients with advanced schistosomiasis residing in the Hubei province. METHODOLOGY/PRINCIPAL FINDINGS: Schistosomiasis surveillance data were collected from a previous study based on a Hubei population sample including 4136 advanced schistosomiasis cases...
February 15, 2018: PLoS Neglected Tropical Diseases
Jacquie Boyang Lu, Kristin J Danko, Michael D Elfassy, Vivian Welch, Jeremy M Grimshaw, Noah M Ivers
BACKGROUND: Socially disadvantaged populations carry a disproportionate burden of diabetes-related morbidity and mortality. There is an emerging interest in quality improvement (QI) strategies in the care of patients with diabetes, however, the effect of these interventions on disadvantaged groups remains unclear. OBJECTIVE: This is a secondary analysis of a systematic review that seeks to examine the extent of equity considerations in diabetes QI studies, specifically quantifying the proportion of studies that target interventions toward disadvantaged populations and conduct analyses on the impact of interventions on disadvantaged groups...
February 14, 2018: BMJ Open
Aleksandra Pytel, Iwona Demczyszak, Edyta Sutkowska, Joanna Rosińczuk, Izabela Kuberka, Aleksandra Kołtuniuk
BACKGROUND: Rheumatoid arthritis (RA) is an incurable disease resulting in progressive disability, which is associated with the loss of productivity and the inability to earn money, which might lead to a financial burden on the patient's family. Undoubtedly, the clinical picture of the disease and its consequences lead to the reduction of the quality of life. OBJECTIVES: The aim of this study is to evaluate the influence of selected factors on the subjective assessment of the quality of life and general health of patients with RA...
December 2017: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
Andrew King, Chad Mayer, Andrew Starnes, Kelly Barringer, Lancelot Beier, Harsh Sule
Each year, residency programs work diligently to identify the best applicants for their respective programs, given the increasing volume of applications. Interview offers are often based on a mix of subjective and objective measures, with different programs relying more or less on each. A holistic application review involves a flexible and individualized way of assessing an applicant's capabilities through a balanced consideration of experiences, attributes, and academic metrics. When considered collectively, these attributes may define how an individual may perform as a physician...
December 6, 2017: Curēus
Tamara Backhouse, Julieta Camino, Eneida Mioshi
BACKGROUND: Behavioral crises in dementia are represented by a wide variety of symptoms, regularly require external intervention from professionals, and are reported as a risk factor for hospital admission. Little is known about the factors that are associated with them. OBJECTIVE: To determine the factors associated with dementia-related behavioral crises. METHODS: We searched MEDLINE, CINAHL, PsycINFO, EMBASE, and AMED databases. An additional lateral search including reference lists was conducted...
2018: Journal of Alzheimer's Disease: JAD
B A Timmins, C Thomas Riché, M W Saint-Jean, J Tuck, L Merry
AIM: To describe the facilitators and barriers for nurses to perform quality wound care in three surgical wards of a hospital in Port-au-Prince, Haiti. BACKGROUND: Up to a quarter of patients in low- and middle-income countries may acquire at least one infection while hospitalized. There is a paucity of research investigating nursing wound care practices in low- and middle-income countries regarding the prevention of hospital-acquired infections. METHODS: The design was qualitative descriptive...
February 13, 2018: International Nursing Review
Maja Račić, Aleksandra Virijević, Nedeljka Ivković, Bojan N Joksimović, Vedrana R Joksimović, Biljana Mijovic
AIMS: The aim of this study was to examine self-perceived compassion fatigue and compassion satisfaction among family physicians in Bosnia and Herzegovina and to describe potential contributing factors. MATERIAL AND METHODS: The cross-sectional study enrolled 120 family physicians. Professional Quality of Life Compassion Satisfaction and Fatigue, Version 5 (ProQOL5) was used to assess compassion satisfaction, and two components of compassion fatigue, secondary traumatic stress and burnout...
February 13, 2018: International Journal of Occupational Safety and Ergonomics: JOSE
Paul D Judge, David S Haynes, Kareem O Tawfik
Burnout is common among physicians. Chronic sources of burnout have been previously examined, but little is known about the impact of acute stressors on physician burnout. Otolaryngology residents applying for competitive fellowships provide a good example for how professional disappointment may cause burnout. As otolaryngology comprises highly successful, highly competitive individuals, a long history of success may leave otolaryngologists ill-equipped to cope with such failures. Otolaryngologists should be aware of such pitfalls, preparing appropriate coping mechanisms in cases of professional disappointment...
February 1, 2018: Otolaryngology—Head and Neck Surgery
Emily C Ambrose, Jenna Devare, Carl M Truesdale, Ellen Ricker, Janice Firn, Marc C Thorne, Andrew G Shuman, Cristina Cabrera-Muffly
Rates of burnout, mental illness, and suicide are disproportionately elevated among physicians, and surgical specialists, including otolaryngologists, are at even higher risk for professional burnout. These trends have been identified at both the trainee and attending level. To combat resident burnout, the Accreditation Council for Graduate Medical Education (ACGME) Council of Review Committee Residents (CRCR) designed the Back to Bedside Initiative, the goals of which are to foster meaning in the learning environment and to help trainees to engage more deeply with patients...
February 1, 2018: Otolaryngology—Head and Neck Surgery
Hale Z Toklu, Jacklyn C Fuller
Scholarly activities (i.e., the discovery of new knowledge; development of new technologies, methods, materials, or uses; integration of knowledge leading to new understanding) are intended to measure the quality and quantity of dissemination of knowledge. A successful mentorship program is necessary during residency to help residents achieve the six core competencies (patient care, medical knowledge, practice-based learning and improvement, systems-based practice, professionalism, interpersonal and communication skills) required by the Accreditation Council for Graduate Medical Education (ACGME)...
December 5, 2017: Curēus
Andrea Barbara, Andrea Poscia, Concetta De Meo, Chiara De Waure, Vincenza Anzelmo, Paolo Emilio Santoro, Antonio Maruccia, Gabriele Giubbini, Alice Corsaro, Filippo Berloco, Gianfranco Damiani, Walter Ricciardi, Patrizia Laurenti
INTRODUCTION: In Italy annual flu vaccination for health care workers is recommended but coverage is usually unsatisfying. The compliance is even worse among medical residents (MRs) both in literature, both in our experience: in the flu season 2014/ 15 only 0.6% of MRs enrolled at the Università Cattolica del Sacro Cuore (UCSC) were vaccinated. For this reason, during the influenza season 2015/16, the Institute of Public Health of the UCSC, in collaboration with the Health Management of the "Agostino Gemelli" Teaching Hospital (FPG) and with the directive board of the Medical Specialization Schools (SSM) present at the University has tested several strategies to improve awareness and adherence to flu vaccination campaign by its staff...
September 2017: Igiene e Sanità Pubblica
Michael R Daly, Jennifer M Mellor, Marco Millones
PURPOSE: To examine whether geographic information systems (GIS)-based physician-to-population ratios (PPRs) yield determinations of geographic primary care shortage areas that differ from those based on bounded-area PPRs like those used in the Health Professional Shortage Area (HPSA) designation process. METHODS: We used geocoded data on primary care physician (PCP) locations and census block population counts from 1 US state to construct 2 shortage area indicators...
February 12, 2018: Journal of Rural Health
Mengjie Diao, Xingrong Shen, Jing Cheng, Jing Chai, Rui Feng, Panpan Zhang, Rongyao Zhou, Helen Lambert, Debin Wang
OBJECTIVE: To investigate the occurrence of reported respiratory tract infection (RTI) symptoms and their effects on use of self and professional care among patients in the community. DESIGN: A cross-sectional retrospective household survey. SETTING: 12 administrative villages from rural Anhui, China. PARTICIPANTS: 2160 rural adult residents aged ≥18 years registered as rural residents and actually living in the sampled villages when this study was conducted...
February 3, 2018: BMJ Open
C L Covell, M D Primeau, I St-Pierre
AIM: To examine internationally educated nurses' perceptions of the extent to which participating in bridging programmes is beneficial for preparing to practise nursing in Canada. BACKGROUND: Internationally educated nurses continue to migrate from low-income to high-income countries. Many experience challenges when attempting to practise their profession in the destination country. Canada and other top destination countries offer educational support, such as bridging programmes, to assist internationally educated nurses' with preparing to practise nursing in the destination country...
February 12, 2018: International Nursing Review
Ariel S Winn, S Jean Emans, Lori R Newman, Thomas J Sandora
No abstract text is available yet for this article.
February 6, 2018: Academic Pediatrics
Qing Wang, Jay J Shen, Michelle Sotero, Casey A Li, Zhiyuan Hou
BACKGROUND: The association between socioeconomic status (SES) and smoking behaviors may differ across countries. This study aimed to estimate the association between socioeconomic status (income, occupation and education) and multiple measures of smoking behaviors among the Chinese elderly population. METHODS: Using data from the China Health and Retirement Longitudinal Study in 2013, we examined the relationship between socioeconomic status and smoking behaviors through multivariate regression analysis...
2018: PloS One
Peter J Krause, Madeleine Carroll, Natalia Fedorova, Janna Brancato, Cecilia Dumouchel, Fredua Akosa, Sukanya Narasimhan, Erol Fikrig, Robert S Lane
To determine whether human Borrelia miyamotoi infection occurs in the far-western United States, we tested archived sera from northwestern California residents for antibodies to this emerging relapsing fever spirochete. These residents frequently were exposed to I. pacificus ticks in a region where B. miyamotoi tick infection has been reported. We used a two-step B. miyamotoi rGlpQ assay and a B. miyamotoi whole-cell lysate (WCL) assay to detect B. miyamotoi antibody. We also employed Borrelia hermsii and Borrelia burgdorferi WCL assays to examine if these Borrelia induce cross reacting antibody to B...
2018: PloS One
Bridget C O'Brien
Transitions are both a blessing and a curse for learning and professional development. While transitions can afford valuable opportunities for growth, they can also burden learners in ways that stymie performance and development. In this Commentary, the author focuses on the transition to residency-a transition that many believe has tipped too far toward burden. The Commentary explores three ways of problematizing the transition to residency: as a transaction problem, as a transfer problem, and as a trajectory problem...
February 6, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
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