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https://www.readbyqxmd.com/read/29767215/and-now-please-sign-on-the-dotted-line-teaching-residents-about-professional-life-after-residency
#1
Sherine Salib, Victoria Valencia, Alejandro Moreno
OBJECTIVES: Despite possible long-term repercussions, few training programs teach their residents about the business of medicine. In particular, certain contractual issues can adversely affect a young physician's career mobility. METHODS: We designed a business-of-medicine curriculum and used a survey to determine whether the curriculum satisfied attendees' perceived knowledge gaps about the topics covered in the course, which included four key contractual matters: physician employment contracts (including restrictive covenants), malpractice insurance, job search, and interviewing skills...
May 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29710278/association-of-expectations-of-training-with-attrition-in-general-surgery-residents
#2
Jonathan S Abelson, Julie A Sosa, Matthew M Symer, Jialin Mao, Fabrizio Michelassi, Richard Bell, Art Sedrakyan, Heather L Yeo
Importance: Attrition from general surgery training is highest during internship. Whether the expectations and attitudes of new trainees affect their subsequent risk of attrition is unknown. Objective: To identify the expectations of general surgery residency associated with attrition from training. Design, Setting, and Participants: This prospective observational cohort study included categorical general surgery interns entering training in the 2007-2008 academic year...
April 18, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29685372/emergency-physician-risk-estimates-and-admission-decisions-for-chest-pain-a-web-based-scenario-study
#3
David L Schriger, Michael Menchine, Warren Wiechmann, Guy Carmelli
STUDY OBJECTIVE: We conducted this study to better understand how emergency physicians estimate risk and make admission decisions for patients with low-risk chest pain. METHODS: We created a Web-based survey consisting of 5 chest pain scenarios that included history, physical examination, ECG findings, and basic laboratory studies, including a negative initial troponin-level result. We administered the scenarios in random order to emergency medicine residents and faculty at 11 US emergency medicine residency programs...
April 20, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/29685129/factors-associated-with-caesarean-deliveries-among-child-bearing-women-in-pakistan-secondary-analysis-of-data-from-the-demographic-and-health-survey-2012-13
#4
Aaisha Amjad, Uzair Amjad, Rubeena Zakar, Ahmed Usman, Muhammad Zakria Zakar, Florian Fischer
BACKGROUND: The increasing rate of caesarean deliveries has become a serious concern for public health experts globally. Various medical and non-medical factors, such as maternal socio-demographics, are found to be responsible for this upsurge. Like in other countries, the rate of caesarean sections has increased in Pakistan as well. Therefore, there is a need to investigate the factors behind this increase. This study aims to assess the determinants associated with caesarean deliveries among child-bearing women aged 15-49 years in Pakistan...
April 23, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29665190/comparison-of-emergency-medicine-malpractice-cases-involving-residents-to-non-resident-cases
#5
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
https://www.readbyqxmd.com/read/29559055/failure-on-the-american-board-of-surgery-examinations-of-general-surgery-residency-graduates-correlates-positively-with-states-malpractice-risk
#6
Daniel L Dent, Mohammed J Al Fayyadh, Jeremy A Rawlings, Ramy A Hassan, Jason W Kempenich, Ross E Willis, Ronald M Stewart
It has been suggested that in environments where there is greater fear of litigation, resident autonomy and education is compromised. Our aim was to examine failure rates on American Board of Surgery (ABS) examinations in comparison with medical malpractice payments in 47 US states/territories that have general surgery residency programs. We hypothesized higher ABS examination failure rates for general surgery residents who graduate from residencies in states with higher malpractice risk. We conducted a retrospective review of five-year (2010-2014) pass rates of first-time examinees of the ABS examinations...
March 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29454789/less-is-more-a-minimalist-approach-to-endoscopy
#7
Nicholas J Shaheen, M Brian Fennerty, Jacques J Bergman
A substantial literature documents inappropriate usage of gastrointestinal endoscopy in a variety of clinical settings. Overusage of endoscopy appears to be common, and 30% or more of procedures performed in some clinical settings have questionable indications. The potential reasons for overuse of endoscopy are multiple, and include cancer phobia, fear of medical malpractice litigation, profit motive, the investigation of "incidentalomas" found on other imaging, and underappreciation of the delayed harms of endoscopy, among other reasons...
May 2018: Gastroenterology
https://www.readbyqxmd.com/read/29365027/surgical-residents-and-medical-malpractice
#8
Adam C Schaffer, Susan Nevelow Mart, McKinley Glover
No abstract text is available yet for this article.
April 1, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29365019/surgical-residents-and-medical-malpractice-reply
#9
Cornelius A Thiels, Elizabeth B Habermann, Martin D Zielinski
No abstract text is available yet for this article.
April 1, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29159602/competitive-advantage-of-mba-for-physician-executives-a-systematic-literature-review
#10
REVIEW
Anthony D Turner, Stanislaw P Stawicki, Weidun Alan Guo
In response to systemic challenges facing the US healthcare system, many medical students, residents and practicing physicians are pursuing a Master in Business Administration (MBA) degree. The value of such proposition remains poorly defined. The aim of this review is to analyze current literature pertaining to the added value of MBA training for physician executives (PEs). We hypothesized that physicians who supplement their clinical expertise with business education gain a significant competitive advantage...
November 20, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28990944/the-opinion-of-turkish-cardiologists-on-current-malpractice-system-and-an-alternative-patient-compensation-system-proposal-pcs-study-group
#11
Ayhan Olcay, Sadık Volkan Emren, Gamze Babür Güler, Ekrem Güler, Vedat Ertunç, Rida Berilgen, Abdullah Aslan, Ersin Çağrı Şimşek, Şükriye Ebru Gölcük, Kıvanç Yalın
OBJECTIVE: Cardiologists participate in the diagnosis and interventional treatment of numerous high-risk patients. The goal of this study was to investigate how the current malpractice system in Turkey influences cardiologists' diagnostic and interventional behavior and to obtain their opinions about an alternative patient compensation system. METHODS: The present cross-sectional study assessed the practice of defensive medicine among cardiologists who are actively working in various types of workplace within the Turkish healthcare system...
October 2017: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://www.readbyqxmd.com/read/28984431/what-do-we-know-about-alara-is-our-knowledge-sufficient-about-radiation-safety
#12
Ibrahim B Atci, Hakan Yilmaz, Veysel Antar, Nuriye G Ozdemir, Oguz Baran, Sila Sadillioglu, Mehmet Ozel, Okan Turk, Mehmet Yaman, Hakan Topacoglu
BACKGROUND: The aim of this study was to determine the knowledge of neurosurgeons and emergency physicians about ALARA (as low as reasonably achievable) and to gain awareness to them about this topic. METHODS: A multiple-choice survey comprising 17 questions was performed to 30 neurosurgeons and 70 emergency room doctors. RESULTS: Emergency medicine doctors, neurosurgeons, emergency medicine residents, neurosurgery residents and general practitioners participated in the survey...
December 2017: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/28958117/-does-the-hand-solely-belong-in-the-hands-of-a-qualified-hand-surgeon
#13
Asim Güven, Kerstin Kols, Klaus Fischer, Michael Schönberger, Sixtus Allert
Background In Germany, Hand Surgery is an additional qualification that can only be obtained by a three-year training after a completed residency in General Surgery, Plastic Surgery or Trauma and Orthopaedic Surgery. Nevertheless, injuries and diseases of the hand are also treated by physicians without this particular qualification. It is questionable whether these treatments more often lead to medical malpractice. Material and Methods 376 charges of medical malpractice in surgical treatments of the hand and forearm that were closed in 2014 and 2015 were collected by the Arbitration Board for Medical Liability Issues of the Medical Association of North Germany...
September 2017: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://www.readbyqxmd.com/read/28877170/overtreatment-in-the-united-states
#14
Heather Lyu, Tim Xu, Daniel Brotman, Brandan Mayer-Blackwell, Michol Cooper, Michael Daniel, Elizabeth C Wick, Vikas Saini, Shannon Brownlee, Martin A Makary
BACKGROUND: Overtreatment is a cause of preventable harm and waste in health care. Little is known about clinician perspectives on the problem. In this study, physicians were surveyed on the prevalence, causes, and implications of overtreatment. METHODS: 2,106 physicians from an online community composed of doctors from the American Medical Association (AMA) masterfile participated in a survey. The survey inquired about the extent of overutilization, as well as causes, solutions, and implications for health care...
2017: PloS One
https://www.readbyqxmd.com/read/28854303/medical-malpractice-lawsuits-involving-surgical-residents
#15
Cornelius A Thiels, Asad J Choudhry, Mohamed D Ray-Zack, Rachel A Lindor, John R Bergquist, Elizabeth B Habermann, Martin D Zielinski
Importance: Medical malpractice litigation against surgical residents is rarely discussed owing to assumed legal doctrine of respondeat superior, or "let the master answer." Objective: To better understand lawsuits targeting surgical trainees to prevent future litigation. Design, Setting, and Participants: Westlaw, an online legal research database containing legal records from across the United States, was retrospectively reviewed for malpractice cases involving surgical interns, residents, or fellows from January 1, 2005, to January 1, 2015...
January 1, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/28807881/taking-the-initiative-risk-reduction-strategies-and-decreased-malpractice-costs
#16
MULTICENTER STUDY
Steven E Raper, Deborah Rose, Mary Ellen Nepps, Jeffrey A Drebin
BACKGROUND: To heighten awareness of attending and resident surgeons regarding strategies for defense against malpractice claims, a series of risk reduction initiatives have been carried out in our Department of Surgery. We hypothesized that emphasis on certain aspects of risk might be associated with decreased malpractice costs. The relative impact of Department of Surgery initiatives was assessed when compared with malpractice experience for the rest of the Clinical Practices of the University of Pennsylvania (CPUP)...
November 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28398089/post-mortem-in-the-victorian-asylum-practice-purpose-and-findings-at-the-littlemore-county-lunatic-asylum-1886-7
#17
Lynsey T Cullen
This article examines the purpose of the post-mortem in the late Victorian asylum and discusses what the findings reveal about contemporary understanding of mental health. By examining the practice at the Littlemore Asylum of Oxford, the definition of the asylum post-mortem will be questioned and issues of consent and ownership of the dead body explored. It will be argued that the purpose of the examination was partly to appease the demands of the Commissioners in Lunacy, to protect the asylum against accusations of malpractice, and to appease the resident assistant medical officer's own morbid curiosity...
April 1, 2017: History of Psychiatry
https://www.readbyqxmd.com/read/28383097/prevalence-of-self-medication-among-university-students-in-baghdad-a-cross-sectional-study-from-iraq
#18
Rawa J K Al-Ameri, Husham J Abd Al-Badri, Riyadh K Lafta
The objective of this study is to find out the prevalence and determinants of self-medication among college students in Baghdad, Iraq. A cross-sectional survey was conducted in Al-Mustansiriyah and Al-Nahrain universities, Baghdad, from January to April 2015. A multistage random sampling technique was adopted to collect data from 1435 college students using a questionnaire form. The mean age of the joining students was 19.8 years. Females form 53% of the sample. Self-medications use was prevalent among 92.4% of students...
March 30, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28377022/use-of-a-mock-deposition-program-to-improve-resident-understanding-of-the-importance-of-documentation
#19
Mina Guerges, Eliza Slama, Yacoub Zayadin, Alicia Kieninger
INTRODUCTION: It has been estimated that the probability of a physician being involved in a medical litigation by 65 years of age ranges from 76 to 98% depending on specialty. We hypothesized that a mock deposition held by a medico-legal expert attorney could effectively increase awareness of the importance of accurate and complete medical documentation. METHODS: Pre and post-lecture and mock deposition surveys were analyzed and the contents evaluated. Residents and attendings from the surgical, medical and OB-GYN departments participated...
May 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28320795/cross-sectional-survey-on-defensive-practices-and-defensive-behaviours-among-israeli-psychiatrists
#20
I Reuveni, I Pelov, H Reuveni, O Bonne, L Canetti
OBJECTIVE: Psychiatry is a low-risk specialisation; however, there is a steady increase in malpractice claims against psychiatrists. Defensive psychiatry (DP) refers to any action undertaken by a psychiatrist to avoid malpractice liability that is not for the sole benefit of the patient's mental health and well-being. The objectives of this study were to assess the scope of DP practised by psychiatrists and to understand whether awareness of DP correlated with defensive behaviours. METHODS: A questionnaire was administered to 213 Israeli psychiatry residents and certified psychiatrists during May and June 2015 regarding demographic data and experience with malpractice claims, medicolegal literature and litigation...
March 20, 2017: BMJ Open
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