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https://www.readbyqxmd.com/read/29908767/a-qualitative-cross-sectional-study-of-positive-and-negative-comments-of-residency-programs-across-9-medical-and-surgical-specialties
#1
Brittany O Dulmage, Lisa Akintilo, Leah J Welty, Matthew M Davis, Maria Colavincenzo, Shuai Xu
IMPORTANCE: Residency applicants often use social media to discuss the positive and negative features of prospective training programs. An examination of the content discussed by applicants could provide guidance for how medical education faculty can better engage with prospective trainees and adapt to meet the educational expectations of a new generation of digital-native physicians. OBJECTIVE: To identify unstructured social media data submitted by residency applicants and categorize positive and negative statements to determine key themes DESIGN: Qualitative analysis of a retrospective cohort SETTING: Publically available data sets PARTICIPANTS: Anonymized medical trainees applying to residency training positions in nine specialties: dermatology, general surgery, internal medicine, obstetrics/gynecology, plastic surgery, otolaryngology, physical medicine and rehabilitation, pediatrics, and radiology from 2007 to 2017...
June 14, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/29908027/factors-affecting-empathetic-patient-care-behaviour-among-medical-doctors-and-nurses-an-integrative-literature-review
#2
REVIEW
Muntaha Elayyan, Janet Rankin, M W Chaarani
Background: Healthcare professionals' empathic behaviour is an important component of quality health care. Patients' reports suggest that empathy is often lacking. Specific factors that may facilitate or inhibit empathetic behaviour have not been extensively examined. In Qatar, empathy may be affected by a completely multicultural, multilinguistic setting where healthcare professionals and patients interact. Aim: The purpose of this integrative literature review is to provide the latest evidence on factors that influence the demonstration of empathetic behaviour of nurses and physicians toward patients and to draw general conclusions that increase understanding...
June 10, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/29908023/prevalence-of-and-attitudes-to-waterpipe-smoking-among-saudi-arabian-physicians
#3
Mohammed Al Ghobain, Anwar Ahmed, Zynab Abdrabalnabi, Wjdan Mutairi, Ali Al Khathaami
Background: Tobacco smoking kills more than 5 million people annually and it is the most important cause of preventable death. Waterpipe smoking is common in the Middle East and is prevalent among young people. There is a misconception that it is less harmful than cigarette smoking. Physicians are considered role models in the community and their behaviours and attitudes towards smoking can have direct effects on cessation. Aim: The aim of this study was to estimate current prevalence, attitudes and associated factors in regard to waterpipe smoking among Saudi Arabian physicians...
June 10, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/29907201/a-qualitative-study-of-gender-differences-in-the-experiences-of-general-surgery-trainees
#4
Sara P Myers, Katherine A Hill, Kristina J Nicholson, Matthew D Neal, Megan E Hamm, Galen E Switzer, Leslie R M Hausmann, Giselle G Hamad, Matthew R Rosengart, Eliza B Littleton
BACKGROUND: Women surgeons continue to face unique challenges to professional advancement. Higher attrition rates and lower confidence among female surgical residents suggest that experiences during residency differ by gender. Few studies have investigated gender-specific experiences during training. This study identifies gender-based differences in the experiences of general surgery residents that could affect professional development. MATERIALS AND METHODS: Male and female general surgery residents at the University of Pittsburgh Medical Center participated in a semi-structured interview study exploring the significance of gender in training...
August 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29906795/national-survey-of-neonatal-intensive-care-unit-medication-safety-practices
#5
Rachel G Greenberg, P Brian Smith, Carl Bose, Reese H Clark, C Michael Cotten, Chris DeRienzo
OBJECTIVE:  We conducted a detailed survey to identify medication safety practices among a large network of United States neonatal intensive care units (NICUs). METHODS:  We created a 53-question survey to assess 300 U.S. NICU's demographics, medication safety practices, adverse drug event (ADE) reporting, and ADE response plans. RESULTS:  Among the 164 (55%) NICUs that responded to the survey, more than 85% adhered to practices including use of electronic health records, computerized physician order entry, and clinical decision support; fewer reported adopting barcoding, formal safety surveys, and formal culture training; 137 of 164 (84%) developed at least one NICU-specific order-set with a median of 10 order-sets...
June 15, 2018: American Journal of Perinatology
https://www.readbyqxmd.com/read/29903628/how-female-and-male-physicians-communication-is-perceived-differently
#6
Marianne Schmid Mast, Keou Kambiwa Kadji
OBJECTIVE: This paper is based on a 2017 Baltimore International Conference on Communication in Healthcare (ICCH) plenary presentation by the first author and addresses how female and male physicians' communication is perceived and evaluated differently. Female physicians use patient-centered communication which is the interaction style clearly preferred by patients. Logically, patients should be much more satisfied with female than male physicians. However, research shows that this is not the case...
June 7, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29903379/body-mass-index-blood-pressure-and-cause-specific-mortality-in-india-a-prospective-cohort-study-of-500-810-adults
#7
Vendhan Gajalakshmi, Ben Lacey, Vendhan Kanimozhi, Paul Sherliker, Richard Peto, Sarah Lewington
BACKGROUND: The association between cause-specific mortality and body-mass index (BMI) has been studied mainly in high-income countries. We investigated the relations between BMI, systolic blood pressure, and mortality in India. METHODS: Men and women aged 35 years or older were recruited into a prospective study from the general population in Chennai, India between Jan 1, 1998, and Dec 31, 2001. Participants were interviewed (data collected included age, sex, education, socioeconomic status, medical history, tobacco smoking, and alcohol intake) and measured (height, weight, and blood pressure)...
July 2018: Lancet Global Health
https://www.readbyqxmd.com/read/29903050/self-assessment-differences-between-genders-in-a-low-stakes-objective-structured-clinical-examination-osce
#8
Lorenzo Madrazo, Claire B Lee, Meghan McConnell, Karima Khamisa
OBJECTIVE: Physicians and medical students are generally poor-self assessors. Research suggests that this inaccuracy in self-assessment differs by gender among medical students whereby females underestimate their performance compared to their male counterparts. However, whether this gender difference in self-assessment is observable in low-stakes scenarios remains unclear. Our study's objective was to determine whether self-assessment differed between male and female medical students when compared to peer-assessment in a low-stakes objective structured clinical examination...
June 15, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29902039/the-value-of-medical-students-in-support-of-asylum-seekers-in-the-united-states
#9
(no author information available yet)
The global refugee/migrant crisis of displacement because of persecution and conflict carries staggering implications of ambiguity and loss for the individuals affected. In 2013, approximately 25,000 displaced people sought asylum in the United States; many of whom have experienced state-sponsored physical and psychological torture. With Physicians for Human Rights (PHR), several medical student clinics work closely with immigration attorneys and University and Community based clinicians to assist U.S. asylum seekers in their asylum claims...
June 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29901657/the-changing-face-of-hiv-care-expanding-hiv-training-in-internal-medicine-residency-program
#10
Lydia Aoun Barakat, Dana W Dunne, Jeanette M Tetrault, Sarita Soares, David Chia, Onyema E Ogbuagu, John P Moriarty, Stephen J Huot, Michael L Green
PROBLEM: HIV-infected patients are living longer and are at increased risk of comorbidities. A qualified physician workforce is needed to care for this growing HIV population. APPROACH: This report describes the first 5 years of the development and implementation of a novel 3-year HIV Training Track (HIV TT) within the Primary Care Residency Program from 2012 to 2017. It outlines the process of building the infrastructure of the HIV TT, describes the curriculum development based on HIV-specific Entrustable Professional Activities (EPA), and provides the results of the program evaluation in the 5 year period OUTCOMES:: The program enrolled a cohort of 11 trainees with 5 graduates...
June 12, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29900743/basic-training-in-digestive-endoscopy-for-resident-physicians-in-gastroenterology-recommendations-by-the-sociedad-espa%C3%A3-ola-de-endoscopia-digestiva-seed
#11
Álvaro Brotons, Angels Vilella, Cristina Sánchez-Montes, Catalina Garau, Albert Vila, Vicente Pons Beltrán, Carlos Dolz Abadía
Digestive endoscopy is the most effective tool available for the diagnosis of multiple gastrointestinal (GI) tract conditions, and it represents a key aspect in the training of gastroenterology residents according to the Spanish MIR (médico interno residente) program. The Sociedad Española de Endoscopia Digestiva (SEED), aware of all the technical advances that have emerged during the past few years, deems it necessary to define a program of the skills specialists-in-training in gastroenterology should acquire during their residency...
June 14, 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29900081/orthopaedic-resident-practice-management-and-health-policy-education-evaluation-of-experience-and-expectations
#12
Eugene F Stautberg Iii, Jose Romero, Sean Bender, Marc DeHart
Introduction Practice management and health policy have generally not been considered integral to orthopaedic resident education. Our objective was to evaluate residents' current experience and knowledge, formal training, and desire for further education in practice management and health policy. Methods We developed a 29-question survey that was divided into three sections: practice management, initial employment opportunity, and health policy. Within each section, questions were directed at a resident's current experience and knowledge, formal training, and interest in further education...
April 11, 2018: Curēus
https://www.readbyqxmd.com/read/29895306/the-distance-and-chance-of-lifetime-geographical-movement-of-physicians-in-japan-an-analysis-using-the-age-period-cohort-model
#13
Hiroo Ide, Shunsuke Doi, Hidenao Atarashi, Shinsuke Fujita, Soichi Koike
BACKGROUND: The uneven geographical distribution of physicians in Japan is a result of those physicians electing to work in certain locations. In order to understand this phenomenon, it is necessary to analyze the geographic movement of physicians across the Japanese landscape. METHODS: We obtained individual data on physicians from 1978 to 2012 detailing their attributes, work institutions, and locations. The data are from Japanese governmental sources (the Survey of Physicians, Dentists, and Pharmacists)...
June 13, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29895297/improving-pathways-to-primary-health-care-among-lgbtq-populations-and-health-care-providers-key-findings-from-nova-scotia-canada
#14
Jacqueline Gahagan, Montse Subirana-Malaret
BACKGROUND: This study explores the perceived barriers to primary health care as identified among a sample of Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) identified individuals and health care providers in Nova Scotia, Canada. These findings, based on a province-wide anonymous online survey, suggest that additional efforts are needed to improve pathways to primary health among LGBTQ populations and in deepening our understanding of how to advance the unique primary health needs of these populations...
June 13, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29895287/billing-by-residents-and-attending-physicians-in-family-medicine-the-effects-of-the-provider-patient-and-visit-factors
#15
Morhaf Al Achkar, Seema Kengeri-Srikantiah, Biniyam M Yamane, Jomil Villasmil, Michael E Busha, Kevin B Gebke
BACKGROUND: Medical billing and coding are critical components of residency programs since they determine the revenues and vitality of residencies. It has been suggested that residents are less likely to bill higher evaluation and management (E/M) codes compared with attending physicians. The purpose of this study is to assess the variation in billing patterns between residents and attending physicians, considering provider, patient, and visit characteristics. METHOD: A retrospective cohort study of all established outpatient visits at a family medicine residency clinic over a 5-year period was performed...
June 13, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29895284/development-and-evaluation-of-a-standardized-peer-training-in-the-context-of-peer-review-for-quality-assurance-in-work-capacity-evaluation
#16
André Strahl, Christian Gerlich, Georg W Alpers, Katja Ehrmann, Jörg Gehrke, Annette Müller-Garnn, Heiner Vogel
BACKGROUND: The German quality assurance programme for evaluating work capacity is based on peer review that evaluates the quality of medical experts' reports. Low reliability is thought to be due to systematic differences among peers. For this purpose, we developed a curriculum for a standardized peer-training (SPT). This study investigates, whether the SPT increases the inter-rater reliability of social medical physicians participating in a cross-institutional peer review. METHODS: Forty physicians from 16 regional German Pension Insurances were subjected to SPT...
June 13, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29894538/establishing-financial-literacy-what-every-resident-needs-to-know
#17
Ashley D Lundgren
Financial literacy is a skill that requires an ongoing investment of time and often is overlooked throughout medical training. Physicians are facing an unprecedented student loan burden upon graduation from medical school, coupled with stagnant and decreasing salaries and few financial skills to help navigate this terrain. The purpose of this article is to address several specific steps every resident should take during training to establish good financial practices.
May 2018: Cutis; Cutaneous Medicine for the Practitioner
https://www.readbyqxmd.com/read/29894394/improving-clinical-proficiency-using-a-3-dimensionally-printed-and-patient-specific-thoracic-spine-model-as-a-haptic-task-trainer
#18
Jeffrey Bortman, Yanick Baribeau, Jelliffe Jeganathan, Yannis Amador, Faraz Mahmood, Marc Shnider, Muneeb Ahmed, Philip Hess, Robina Matyal
BACKGROUND AND OBJECTIVES: Advanced haptic simulators for neuraxial training are expensive, have a finite life, and are not patient specific. We sought to demonstrate the feasibility of developing a custom-made, low-cost, 3-dimensionally printed thoracic spine simulator model from patient computed tomographic scan data. This study assessed the model's practicality, efficiency as a teaching tool, and the transfer of skill set into patient care. METHODS: A high-fidelity, patient-specific thoracic spine model was used for the study...
June 11, 2018: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29893627/practices-attitudes-and-beliefs-of-palliative-care-physicians-regarding-the-use-of-methadone-and-other-long-acting-opioids-in-children-with-advanced-cancer
#19
Kevin Madden, Minjeong Park, Diane Liu, Eduardo Bruera
BACKGROUND: Palliative care physicians often assist with pain management in children with cancer, but little is known about how they use long-acting opioids for chronic pain with these patients. OBJECTIVE: To determine the practices, attitudes, and beliefs of palliative care physicians toward the use of long-acting opioids in children with advanced cancer. DESIGN: An electronic survey was sent to all members of The American Academy of Pediatrics (AAP) Section of Hospice and Palliative Medicine (SOHPM) and those identified as physicians who provide palliative care to children on the AAP SOHPM LISTSERV® ...
June 12, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29893432/factors-that-have-an-impact-on-knowledge-attitude-and-practice-related-to-kangaroo-care-national-survey-study-among-neonatal-nurses
#20
Qingqi Deng, Yao Zhang, Qiufang Li, Hua Wang, Xinfen Xu
AIMS AND OBJECTIVES: To explore factors that impact nurses' knowledge, perceptions, and practice related to kangaroo care (KC) in neonatal intensive care units (NICUs) in China. BACKGROUND: It is recognized extensively that KC is an effective intervention for improving the outcomes of preterm infants and has been recommended as a routine practice for neonatal care. However, this practice is uncommon in China and little is known about neonatal nurses' knowledge and attitude...
June 12, 2018: Journal of Clinical Nursing
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