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Matthew Siuba, Michael Wagner, Thomas Melgar
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
Michael J Donnelly, Lauren Lubrano, Carrie L Radabaugh, Michael P Lukela, Allen R Friedland, Holly S Ruch-Ross
OBJECTIVE: There is no published literature about the med-peds hospitalist workforce, physicians dually trained in internal medicine and pediatrics. Our objective was to analyze this subset of physicians by using data from the American Academy of Pediatrics (AAP) workforce survey to assess practice patterns and workforce demographics. We hypothesized that demographic differences exist between hospitalists and nonhospitalists. METHODS: The AAP surveyed med-peds physicians from the Society of Hospital Medicine and the AAP to define workforce demographics and patterns of practice...
November 2015: Hospital Pediatrics
Jennifer K O'Toole, Allen R Friedland, Alda Maria R Gonzaga, Jason R Hartig, Scott Holliday, Michael Lukela, Sandra A Moutsios, Russ Kolarik
OBJECTIVES: To identify the current practice patterns and professional activities of internal medicine-pediatrics (med-peds) hospitalists who have graduated in the past 5 years (June 2009-June 2013). METHODS: The national Medicine-Pediatrics Program Directors Association (MPPDA) conducted a cross-sectional survey study of the 79 residency program directors who are members of the MPPDA regarding the practice patterns of recent graduates (from 2009-2013) currently practicing as hospitalists...
June 2015: Hospital Pediatrics
Sara E Gardner, Alda Maria Gonzaga, Russ C Kolarik
No abstract text is available yet for this article.
November 2014: Academic Pediatrics
Koichi Sairyo, Tetsuya Matsuura, Kosaku Higashino, Toshinori Sakai, Yoichiro Takata, Yuichiro Goda, Naoto Suzue, Daisuke Hamada, Tomohiro Goto, Toshihiko Nishisho, Ryosuke Sato, Takahiko Tsutsui, Ichiro Tonogai, Kazuaki Mineta
The minimally invasive percutaneous endoscopic discectomy (PED) as the postero-lateral approach with the local anesthesia was started in the late 20th century. The procedure only requires 8 mm of skin incision; thus, it is the least invasive disc surgery presently. The surgery related complications were reviewed in the initial 100 cases from the single surgeon (K. S., first author). Two cases showed exiting nerve irritation, and complained of leg paresthetic pain for 6 to 12 weeks after the surgery (2.0%). The symptoms got better with medicines...
2014: Journal of Medical Investigation: JMI
Koichi Sairyo, Hiroshi Egawa, Tetsuya Matsuura, Mitsuhiko Takahashi, Kosaku Higashino, Toshinori Sakai, Naoto Suzue, Daisuke Hamada, Tomohiro Goto, Yoichiro Takata, Toshihiko Nishisho, Yuichiro Goda, Ryosuke Sato, Takahiko Tsutsui, Ichiro Tonogai, Kenji Kondo, Fumitake Tezuka, Kazuaki Mineta, Kosuke Sugiura, Makoto Takeuchi, Akira Dezawa
Minimally invasive percutaneous endoscopic discectomy (PED) with a transforaminal approach under local anesthesia was started in the late 20th century. As the procedure requires a skin incision of only 8 mm, it is the least invasive disc surgery procedure at present, and owing to advances in instruments and optics, the use of this technique has gradually spread. In Japan, Dr. Dezawa from Teikyo University Mizonokuchi Hospital introduced this technique in 2003. Thanks to his efforts, the number of surgeons who can perform PED has increased, although the number of active PED surgeons is still only around 20...
2014: Journal of Medical Investigation: JMI
Michele St Martin
No abstract text is available yet for this article.
June 2014: Minnesota Medicine
John L Falcone
OBJECTIVE: The purpose was to evaluate American Board of Pediatrics Certifying Examination performance based on if a residency offers a dual internal medicine-pediatrics program, hypothesizing that having a dual-accreditation program is associated with higher exam performance. METHODS: Pediatric residency programs in the United States were retrospectively evaluated from 2010 to 2012. The accreditation status was determined. Mann-Whitney U tests were performed for continuous variables, and χ(2) tests were performed for categorical variables, using an α = ...
August 2014: Clinical Pediatrics
Michael J Donnelly, Janelle M Clauser, Rochelle E Tractenberg
BACKGROUND: It is unclear why systematic training in end-of-residency clinic handoffs is not universal. PURPOSES: We assessed Internal Medicine-Pediatrics (Med-Peds) residency program directors' attitudes regarding end-of-residency clinic handoff systems and perceived barriers to their implementation. METHODS: We surveyed all Med-Peds program directors in the United States about end-of-residency outpatient handoff systems. RESULTS: Program directors rated systems as important (81...
2014: Teaching and Learning in Medicine
Michael J Donnelly, Janelle M Clauser, Rochelle E Tractenberg
BACKGROUND: End-of-residency outpatient handoffs affect at least 1 million patients per year, yet there is no consensus on best practices. OBJECTIVE: To explore the use of formal systems for end-of-residency clinic handoffs in internal medicine-pediatrics residency (Med-Peds) programs, and their associated categorical internal medicine and pediatrics programs. METHODS: We surveyed Med-Peds program directors about their programs' system for handing off ambulatory continuity patients...
March 2013: Journal of Graduate Medical Education
Allen Friedland, Hoda Abdel Salam, David Kaelber
OBJECTIVE: To list professional activities of dual boarded combined internal medicine-pediatrics (med-peds) program directors. METHODS: A national survey of all med-peds program directors conducted electronically in 2009. RESULTS: Of the 74 dual boarded combined med-peds program directors, 72 (97 percent) completed the survey. The most common academic titles held in both departments were assistant professor (61 percent, n = 44) and associate professor (25 percent, n=18)...
May 2013: Delaware Medical Journal
Damon A Bell, Amanda J Hooper, Robert Bender, Jenny McMahon, Glenn Edwards, Frank M van Bockxmeer, Gerald F Watts, John R Burnett
BACKGROUND: Familial hypercholesterolaemia (FH) is an inherited disorder characterized by increased serum low-density lipoprotein (LDL)-cholesterol concentrations and premature atherosclerotic cardiovascular disease. The majority of people with FH are currently undiagnosed. We sought to determine the ability of a community laboratory to screen for individuals with potential FH. METHODS: Serum LDL-cholesterol concentrations issued by a private community laboratory in Western Australia were reviewed over a one-year period (1 May 2010 to 31 April 2011)...
November 2012: Annals of Clinical Biochemistry
John K Chamberlain, Mary Pat Frintner, Thomas A Melgar, David C Kaelber, Brian D Kan
OBJECTIVE: To examine trends in training satisfaction in graduates of combined internal medicine-pediatrics (Med-Peds) training programs and whether curricular elements designed to enhance the integration of the two disciplines have been successful. STUDY DESIGN: We conducted a cross-sectional survey of all graduating Med-Peds residents (years 2003-2007). Responses across survey years were analyzed to identify trends. Data for all survey years was analyzed for correlations among curricular elements, perceived adequacy of training, and preparation for future activities...
April 2012: Journal of Pediatrics
Harriett Burns, Lauriane Auvergne, Lindsey E Haynes-Maslow, E Allen Liles, Eliana M Perrin, Michael J Steiner
BACKGROUND: Physicians who complete combined residency training in internal medicine and pediatrics (med-peds) have a variety of career options after training. Little is known about career transitions among this group or among other broadly trained physicians. METHODS: To better understand these career transitions, we conducted semistructured, in-depth, telephone interviews of graduates of the University of North Carolina-Chapel Hill School of Medicine med-peds program who self-identified as having had a career transition since completing training...
May 2011: North Carolina Medical Journal
Amy L Fix, David C Kaelber, Thomas A Melgar, John Chamberlain, William Cull, Brett W Robbins
OBJECTIVE: As part-time work is becoming more popular among the primary care specialties, we examined the demographic descriptors of med-peds residents seeking and finding part-time employment upon completion of residency training. METHODS: As part of the 2006 annual American Academy of Pediatrics (AAP) Graduating Med-Peds Residents Survey, we surveyed the graduating residents of all med-peds programs about their interest in and plans for part-time employment. A total of 199 (60%) of the residents responded...
September 2011: Academic Pediatrics
Robert H Lerman, Deanna M Minich, Gary Darland, Joseph J Lamb, Jyh-Lurn Chang, Alex Hsi, Jeffrey S Bland, Matthew L Tripp
BACKGROUND: Metabolic syndrome is associated with increased cardiovascular disease (CVD) risk, a risk that is significantly increased when accompanied by elevated low-density lipoprotein cholesterol (LDL-C). Whereas lifestyle therapies are the initial intervention of choice for both of these risk factors, it has not been clearly determined that this approach is efficacious when they occur concomitantly. OBJECTIVE: To evaluate effects of supplementing a lifestyle program with a medical food and nutraceutical in individuals with metabolic syndrome and elevated LDL-C...
January 2010: Journal of Clinical Lipidology
Nancy M Tofil, Marjorie Lee White, Bryn Manzella, Denise McGill, Lynn Zinkan
BACKGROUND: Pediatric cardiopulmonary arrests are rare. Mock codes were instituted to bridge the gap between opportunity and reality. AIM: The goal was to improve medical caregivers' skills in pediatric resuscitation. METHODS: All pediatric and internal medicine/pediatric (med/peds) residents were anonymously surveyed pre- and post-intervention about confidence level about codes and code skills. Twenty mock codes were conducted during the 1 year intervention period...
June 2009: Medical Teacher
Carlos Lahoz, José M Mostaza, Miguel A San Martín, María F García Iglesias, Manuel Frías, Angel García, Roberto Peraira, Fernando Laguna et al.
BACKGROUND AND OBJECTIVE: To evaluate the factors associated with intima-media thickness (IMT) and carotid plaques in patients with familial hypercholesterolemia (FH) and to assess the evolution following 1 year of treatment. PATIENTS AND METHOD: Subjects (n=201) diagnosed as having probable or definite FH according to the MED-PED criteria had a clinical history, physical examination, blood chemistry and lipid profile determined. Ultrasound was used to measure the IMT in both common carotid arteries and to assess the presence of plaques...
June 27, 2009: Medicina Clínica
Robert J Fortuna, David Y Ting, David C Kaelber, Steven R Simon
BACKGROUND: Combined medicine-pediatrics (med-peds) training has existed for 40 years, yet little is known about national med-peds practices. A more comprehensive understanding of med-peds practices is important to inform medical students and guide evolving curricula and accreditation standards. METHOD: The authors used data from the National Ambulatory Medical Care Survey from 2000 to 2006 to characterize the age distribution and types of visits seen by med-peds, internal medicine, pediatric, and family physicians...
March 2009: Academic Medicine: Journal of the Association of American Medical Colleges
Robert H Lerman, Deanna M Minich, Gary Darland, Joseph J Lamb, Barbara Schiltz, John G Babish, Jeffrey S Bland, Matthew L Tripp
BACKGROUND: As the worldwide dietary pattern becomes more westernized, the metabolic syndrome is reaching epidemic proportions. Lifestyle modifications including diet and exercise are recommended as first-line intervention for treating metabolic syndrome. Previously, we reported that a modified Mediterranean-style, low glycemic load diet with soy protein and phytosterols had a more favorable impact than the American Heart Association Step 1 diet on cardiovascular disease (CVD) risk factors...
2008: Nutrition & Metabolism
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