keyword
https://read.qxmd.com/read/38512119/integration-of-a-nurse-practitioner-and-physician-associate-leadership-structure-within-an-academic-cancer-center
#1
JOURNAL ARTICLE
Heather J Jackson, Olivia West, Shelton Harrell, Emily Skotte, Karen Hande
BACKGROUND: Nurse practitioners and physician associates are an essential part of the multidisciplinary cancer care team with expanding and evolving roles within cancer specialties. LOCAL PROBLEM: As these clinicians flourish, a parallel need for leadership rises to optimize scope of practice, mentor, and retain this crucial workforce. The purpose of this quality improvement project was to development a nurse practitioner and physician associate leadership structure within an academic cancer center...
March 21, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38494575/expert-panel-review-of-skin-and-hair-dermatophytoses-in-an-era-of-antifungal-resistance
#2
REVIEW
Rachel C Hill, Avrom S Caplan, Boni Elewski, Jeremy A W Gold, Shawn R Lockhart, Dallas J Smith, Shari R Lipner
Dermatophytoses are fungal infections of the skin, hair, and nails that affect approximately 25% of the global population. Occlusive clothing, living in a hot humid environment, poor hygiene, proximity to animals, and crowded living conditions are important risk factors. Dermatophyte infections are named for the anatomic area they infect, and include tinea corporis, cruris, capitis, barbae, faciei, pedis, and manuum. Tinea incognito describes steroid-modified tinea. In some patients, especially those who are immunosuppressed or who have a history of corticosteroid use, dermatophyte infections may spread to involve extensive skin areas, and, in rare cases, may extend to the dermis and hair follicle...
March 18, 2024: American Journal of Clinical Dermatology
https://read.qxmd.com/read/38477774/aspects-that-facilitate-access-to-care-for-viral-hepatitis-an-evaluative-research
#3
JOURNAL ARTICLE
Josué Souza Gleriano, Carlise Krein, Lucieli Dias Pedreschi Chaves
BACKGROUND: Viral hepatitis is a major public health concern worldwide. OBJECTIVES: This study aimed to analyze the factors that facilitate access to care for viral hepatitis. DESIGN AND SETTING: Using a sequential mixed method, this evaluation research was conducted in the state of Mato Grosso, Brazil. METHODS: Mapping of references and selection of regions were made based on the quantity and heterogeneity of services...
2024: São Paulo Medical Journal
https://read.qxmd.com/read/38467006/ten-year-outcomes-community-health-center-academic-medicine-partnership-for-rural-family-medicine-training
#4
JOURNAL ARTICLE
Maria Gabriela Castro, Caroline Roberts, Emily M Hawes, Evan Ashkin, Cristen P Page
BACKGROUND AND OBJECTIVES: The widening gap between urban and rural health outcomes is exacerbated by physician shortages that disproportionately affect rural communities. Rural residencies are an effective mechanism to increase physician placement in rural and medically underserved areas yet are limited in number due to funding. Community health center/academic medicine partnerships (CHAMPs) can serve as a collaborative framework for expansion of academic primary care residencies outside of traditional funding models...
March 2024: Family Medicine
https://read.qxmd.com/read/38459367/public-perception-of-participation-in-low-risk-clinical-trials-in-critical-care-using-waived-consent-a-canadian-national-survey
#5
JOURNAL ARTICLE
Dawn Opgenorth, D'Arcy J Duquette, Linda Tyre, Robyn Auld, Kim Crowder, Peggy Gilchrist, Paul J Young, Sean M Bagshaw
PURPOSE: The acceptability of waiver of consent for participation in clinical research in intensive care unit (ICU) settings is uncertain. We sought to survey the Canadian public to assess levels of support, comfort, and acceptability for waived consent for low-risk clinical trials. METHODS: We performed a prospective cross-sectional survey of the Canadian public aged 18 yr or older. The survey was conducted by Ipsos between 19 and 23 November 2020. The survey content was derived from a literature review and in consultation with a patient and family partnership committee...
March 8, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38457797/the-role-of-medical-illustration-in-the-evolution-of-transsphenoidal-pituitary-surgery
#6
JOURNAL ARTICLE
Sophie E Yu, William B Westwood, James G Naples
Medical illustration played a crucial, yet often overlooked, role in the evolution of pituitary surgery. From the late 1800s to the present, many preeminent surgeons, in partnership with their surgical illustrator collaborators, developed and then shifted the paradigm of pituitary surgery, from an open procedure with high mortality and morbidity, to an endonasal approach with high success rates that is widely utilized today. This work aims to highlight the role of surgical illustrators as partners to their physician colleagues, creating artistically accessible road maps that shaped the development of the transsphenoidal approach...
March 8, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38448949/systemized-approach-to-equipping-medical-students-with-naloxone-a-student-driven-initiative-to-combat-the-opioid-crisis
#7
JOURNAL ARTICLE
Shahin A Saberi, Sydney Moore, Sienna Li, Rory Vu Mather, Mary B Daniels, Amrita Shahani, Antje Barreveld, Todd Griswold, Patrick McGuire, Hilary S Connery
BACKGROUND: Naloxone is an effective and safe opioid reversal medication now approved by the U.S. Food and Drug Administration (FDA) for use with or without a prescription. Despite this, naloxone dissemination lags at a time when U.S. opioid-related mortality expands. The authors proposed distributing naloxone to all U.S. medical students using established statewide standing prescription orders for naloxone, eliminating the financial burden of over-the-counter costs on students and streamlining workflow for the pharmacy...
March 6, 2024: BMC Medical Education
https://read.qxmd.com/read/38429675/introduction-of-a-formative-assessment-tool-in-a-post-graduate-training-program-in-india-a-mixed-methods-evaluation
#8
JOURNAL ARTICLE
Katherine Douglass, Tania Ahluwalia, Brianna McKiernan, Heena Patel, Natasha Powell, Jacob Keller, Serkan Toy
BACKGROUND: Our institution has longstanding post-graduate education and training partnership programs in Emergency Medicine (EM) across India. A programmatic challenge has been the integration and uptake of evidence-based medicine and lifelong learning concepts. Formative assessment (FA) is intended to enable learners to monitor learning, identify strengths and weaknesses, and target areas of growth. As part of a program improvement initiative, we introduced an online FA tool to existing summative assessments...
March 1, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38422955/perioperative-management-of-penicillin-allergy-the-essential-partnership-between-physicians-and-patients-in-advancing-antibiotic-stewardship
#9
JOURNAL ARTICLE
Misha Huang, Obianuju Okocha, Angela Selzer
No abstract text is available yet for this article.
February 28, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38407716/using-quality-improvement-as-a-mechanism-for-fostering-partnerships-and-promoting-equity-in-a-health-system-change-model
#10
JOURNAL ARTICLE
Caroline E Chandler, Laura Louison, Nancy Madenyika, Nakenge Robertson, Brie Hardy, Sarah Allin, Dan Kimberg, W Oscar Fleming
PURPOSE: Quality improvement (QI) processes provide a framework for systematically examining target outcomes and what changes can be made to result in improvement and ensure equity. We present a case study of how QI processes were used as a means of partnership building to enhance equity in designing materials for a Medicaid pilot program, North Carolina Integrated Care for Kids (NC InCK). DESCRIPTION: The NC InCK model addresses social determinants of health by providing structured care integration across core child health and social service areas and using an alternative payment model to incentivize high quality child outcomes...
February 26, 2024: Maternal and Child Health Journal
https://read.qxmd.com/read/38397721/u-s-physicians-training-and-experience-in-providing-trauma-informed-care-in-clinical-settings
#11
JOURNAL ARTICLE
M Lelinneth B Novilla, Kaitlyn Tan Bird, Carl L Hanson, AliceAnn Crandall, Ella Gaskin Cook, Oluwadamilola Obalana, Lexi Athena Brady, Hunter Frierichs
Trauma-informed care (TIC) is a comprehensive approach that focuses on the whole individual. It acknowledges the experiences and symptoms of trauma and their impact on health. TIC prioritizes physical and emotional safety through a relationship of trust that supports patient choice and empowerment. It provides a safe and respectful healing environment that considers specific needs while promoting a greater sense of well-being, patient engagement, and partnership in the treatment process. Given the prevalence of trauma, this descriptive cross-sectional study examined the attitudes and perspectives of U...
February 16, 2024: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/38375663/addressing-barriers-to-entry-and-retention-of-women-in-interventional-vascular-specialties-with-proposed-solutions-a-scientific-statement-from-the-american-heart-association
#12
REVIEW
S Elissa Altin, Mimmie Kwong, Naomi M Hamburg, Mark A Creager, Subhash Banerjee, Lola Oladini, Marabel D Schneider, Jean Marie Ruddy
Representation of women in interventional vascular fields (interventional cardiology, interventional radiology, and vascular surgery) lags behind that in other specialties. With women representing half of all medical school graduates, encouraging parity of women in these fields needs to start in medical school. Barriers to pursuing careers in vascular intervention include insufficient exposure during core clerkships, early mentorship, visibility of women in the field, length of training, lifestyle considerations, work culture and environment, and concerns about radiation exposure...
February 20, 2024: Circulation
https://read.qxmd.com/read/38351031/virtual-quality-improvement-collaborative-with-primary-care-practices-during-covid-19-a-case-study-within-a-clinically-integrated-network
#13
JOURNAL ARTICLE
Catherine L Rohweder, Abigail Morrison, Kathleen Mottus, Alexa Young, Lauren Caton, Ronni Booth, Christine Reed, Christopher M Shea, Angela M Stover
INTRODUCTION: Quality improvement collaboratives (QICs) are a common approach to facilitate practice change and improve care delivery. Attention to QIC implementation processes and outcomes can inform best practices for designing and delivering collaborative content. In partnership with a clinically integrated network, we evaluated implementation outcomes for a virtual QIC with independent primary care practices delivered during COVID-19. METHODS: We conducted a longitudinal case study evaluation of a virtual QIC in which practices participated in bimonthly online meetings and monthly tailored QI coaching sessions from July 2020 to June 2021...
February 13, 2024: BMJ Open Quality
https://read.qxmd.com/read/38332636/empowerment-of-learners-through-curriculum-co-creation-practical-implications-of-a-radical-educational-theory
#14
JOURNAL ARTICLE
Hugh A Stoddard, Annika C Lee, Holly C Gooding
Framing the Issue : Medical education programs in the U.S. rely on the aphorism that faculty own the curriculum; that is, the specialized knowledge, skills, and attitudes of a physician are the province of the faculty to be delivered to tuition-paying students. From this view, the learner's role is one of passivity and deference. A contrasting approach, termed curriculum co-creation, frames education as a bi-lateral partnership. Co-creation results from learners, in collaboration with instructors, taking an active role in creating the goals and processes of an educational program...
February 8, 2024: Teaching and Learning in Medicine
https://read.qxmd.com/read/38319305/-critical-results-reporting-the-importance-of-local-partnership-agreements
#15
JOURNAL ARTICLE
Roger K Schindhelm
Critical results should be reported to the physician as soon as possible so that the physician can take the necessary follow-up actions. Failure or non-timely reporting of such results may lead to serious health damage or death to the patient. This article focusses on the reporting of results from the laboratory to the physician and discusses the bottlenecks and the separate (legal) responsibilities of the physician and the laboratory. Improving the process of the reporting and follow-up of critical results is a joint responsibility of the laboratory and the physician requesting the laboratory tests...
January 9, 2024: Nederlands Tijdschrift Voor Geneeskunde
https://read.qxmd.com/read/38317022/physician-machine-partnerships-boost-diagnostic-accuracy-but-bias-persists
#16
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
February 5, 2024: Nature Medicine
https://read.qxmd.com/read/38317019/deep-learning-aided-decision-support-for-diagnosis-of-skin-disease-across-skin-tones
#17
JOURNAL ARTICLE
Matthew Groh, Omar Badri, Roxana Daneshjou, Arash Koochek, Caleb Harris, Luis R Soenksen, P Murali Doraiswamy, Rosalind Picard
Although advances in deep learning systems for image-based medical diagnosis demonstrate their potential to augment clinical decision-making, the effectiveness of physician-machine partnerships remains an open question, in part because physicians and algorithms are both susceptible to systematic errors, especially for diagnosis of underrepresented populations. Here we present results from a large-scale digital experiment involving board-certified dermatologists (n = 389) and primary-care physicians (n = 459) from 39 countries to evaluate the accuracy of diagnoses submitted by physicians in a store-and-forward teledermatology simulation...
February 5, 2024: Nature Medicine
https://read.qxmd.com/read/38304889/catholic-teaching-a-middle-ground-and-guide-for-end-of-life-care-and-decision-making-and-an-antidote-for-dying-badly-in-america
#18
JOURNAL ARTICLE
Jennifer L Kozakowski
Dying in the United States is characterized as: medicalized, depersonalized, high technology, fragmented with frequent transitions among care settings, burdensome to patients and families, driven by efficiency and effectiveness, and lacking in key areas, for example, access to palliative care and adequate pain and symptom treatment. Patients and families are often left with a choice of two extremes: vitalism or utilitarian pessimism (utilitarianism). The Catholic Church, however, rejects both of these extremes, and Catholic social teaching (CST) at end of life focuses on ordinary-extraordinary treatments/means, a culture of life and human dignity, accompaniment and community, and caring for whole persons through the end of life...
February 2024: Linacre Quarterly
https://read.qxmd.com/read/38298468/clinical-heart-failure-management-program-changing-the-practice-by-partnering-primary-care-and-specialists-champ-hf
#19
JOURNAL ARTICLE
Marianne Parent, Jacinthe Leclerc, Eileen O'Meara, Réal Barrette, Sylvie Lévesque, Marie-Claude Parent, Denis Brouillette, Patrick Garceau, Mark Liszkowski, Jean Rouleau, Anique Ducharme
BACKGROUND: While significant gains were made in the management of heart failure (HF), most patients are still diagnosed when they are acutely ill in hospital, often with advanced disease. Earlier diagnosis in the community could lead to improved outcomes. Whether a partnership and an educational program for primary care providers (PCP) increase HF awareness and management is unknown. METHODS: We conducted an observational study between March 2019 and June 2020 during which HF specialists gave monthly HF conferences to PCP...
February 2024: IJC Heart & Vasculature
https://read.qxmd.com/read/38295763/the-time-for-patient-partnership-in-medical-education-has-arrived-critical-reflection-through-autoethnography-from-a-physician-turned-patient
#20
JOURNAL ARTICLE
Lynn Ashdown, Linda Jones
Purpose: This paper explores experiences of a physician who in one life-altering day awoke in intensive care and had to embark on a complex journey as full-time patient. It identifies the important literature, albeit limited, from a unique dual lens view of physician turned patient, and analyzes the potential for advancing medical education by recognizing the expertise that patients possess from lived experience. Methodology: An autoethnography study was undertaken to unpack data obtained from lived patient experience during a two-and-a-half-year long hospitalization...
January 31, 2024: Medical Teacher
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