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"Physician shortage"

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https://www.readbyqxmd.com/read/29716609/can-task-shifting-work-at-scale-comparing-clinical-knowledge-of-non-physician-clinicians-to-physicians-in-nigeria
#1
Manuela Villar Uribe, Olakunle O Alonge, David M Bishai, Sara Bennett
BACKGROUND: In contexts with severe physician shortages, the World Health Organization advocates task shifting to cadres with shorter training. To investigate the effects of task shifting at scale in primary health care, we assessed the clinical knowledge of non-physician clinicians versus physicians working in public primary care facilities in Nigeria. METHODS: We assessed 4138 health workers using clinical vignettes of hypothetical patients suffering from illnesses commonly seen in primary care...
May 2, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29715303/health-insurance-coverage-with-or-without-a-nurse-led-task-shifting-strategy-for-hypertension-control-a-pragmatic-cluster-randomized-trial-in-ghana
#2
Gbenga Ogedegbe, Jacob Plange-Rhule, Joyce Gyamfi, William Chaplin, Michael Ntim, Kingsley Apusiga, Juliet Iwelunmor, Kwasi Yeboah Awudzi, Kofi Nana Quakyi, Jazmin Mogaverro, Kiran Khurshid, Bamidele Tayo, Richard Cooper
BACKGROUND: Poor access to care and physician shortage are major barriers to hypertension control in sub-Saharan Africa. Implementation of evidence-based systems-level strategies targeted at these barriers are lacking. We conducted a study to evaluate the comparative effectiveness of provision of health insurance coverage (HIC) alone versus a nurse-led task shifting strategy for hypertension control (TASSH) plus HIC on systolic blood pressure (SBP) reduction among patients with uncontrolled hypertension in Ghana...
May 2018: PLoS Medicine
https://www.readbyqxmd.com/read/29667200/treatment-in-a-preventive-cardiology-clinic-utilizing-advanced-practice-providers-apps-effectively-closes-atherosclerotic-cardiovascular-disease-ascvd-risk-management-gaps-amongst-a-primary-prevention-population-compared-with-a-propensity-matched-primary-care
#3
Emilio Fentanes, Anthony G Vande Hei, R Scott Holuby, Norma Suarez, Yousif Slim, Jennifer N Slim, Ahmad M Slim, Dustin Thomas
BACKGROUND: Advanced Practice Providers (APPs) can fill access to care gaps created by physician shortages and improve adherence/compliance with preventive atherosclerotic cardiovascular disease (ASCVD) interventions. METHODS: We retrospectively reviewed data on 595 patients enrolled in a preventive cardiology clinic (PCC) utilizing APPs compared with a propensity-matched cohort (PMC) of 595 patients enrolled in primary care clinics alone. PCC patients were risk stratified using Framingham risk scoring (FRS) and coronary artery calcium scoring (CACS) and treated based on published guideline-based algorithms...
April 17, 2018: Clinical Cardiology
https://www.readbyqxmd.com/read/29623293/trends-in-pathology-graduate-medical-education-programs-and-positions-2001-to-2017
#4
Aldis H Petriceks, Darren Salmi
The US medical workforce is facing an impending physician shortage. This shortage holds special concern for pathologists, as many senior practitioners are set to retire in the coming years. Indeed, studies indicate a "pathologist gap" may grow through 2030. As such, it is important to understand current and future trends in US pathology. One key factor is graduate medical education. In this study, we analyzed data from the Accreditation Council of Graduate Medical Education, to determine the change in pathology graduate medical education programs and positions, from 2001 to 2017...
January 2018: Academic Pathology
https://www.readbyqxmd.com/read/29508422/why-women-go-to-medical-college-but-fail-to-practise-medicine-perspectives-from-the-islamic-republic-of-pakistan
#5
Farhat Moazam, Sualeha Shekhani
CONTEXT: Female medical students outnumber men in countries such as Saudi Arabia, India and Pakistan, yet many fail to practise medicine following graduation. In Pakistan, 70% of medical students are women, yet it is estimated that half of them will not pursue medicine following graduation. This is considered a major reason for physician shortages in the country. METHODS: We conducted a qualitative study drawing upon the 'role strain' theory to explore the views of final-year medical students from four medical colleges in Karachi, Pakistan, on female graduates not entering the medical field...
March 6, 2018: Medical Education
https://www.readbyqxmd.com/read/29425902/is-there-a-pig-cycle-in-the-labour-supply-of-doctors-how-training-and-immigration-policies-respond-to-physician-shortages
#6
Xavier Chojnicki, Yasser Moullan
Many OECD countries are faced with the considerable challenge of a physician shortage. This paper investigates the strategies that OECD governments adopt and determines whether these policies effectively address these medical shortages. Due to the amount of time medical training requires, it takes longer for an expansion in medical school capacity to have an effect than the recruitment of foreign-trained physicians. Using data obtained from the OECD (2014) and Bhargava et al. (2011), we constructed a unique country-level panel dataset that includes annual data for 17 OECD countries on physician shortages, the number of medical school graduates and immigration and emigration rates from 1991 to 2004...
March 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29424650/factors-associated-with-burnout-among-us-neurosurgery-residents-a-nationwide-survey
#7
Frank J Attenello, Ian A Buchanan, Timothy Wen, Daniel A Donoho, Shirley McCartney, Steven Y Cen, Alexander A Khalessi, Aaron A Cohen-Gadol, Joseph S Cheng, William J Mack, Clemens M Schirmer, Karin R Swartz, J Adair Prall, Ann R Stroink, Steven L Giannotta, Paul Klimo
OBJECTIVE Excessive dissatisfaction and stress among physicians can precipitate burnout, which results in diminished productivity, quality of care, and patient satisfaction and treatment adherence. Given the multiplicity of its harms and detriments to workforce retention and in light of the growing physician shortage, burnout has garnered much attention in recent years. Using a national survey, the authors formally evaluated burnout among neurosurgery trainees. METHODS An 86-item questionnaire was disseminated to residents in the American Association of Neurological Surgeons database between June and November 2015...
February 9, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29403326/levers-of-change-a-review-of-contemporary-interventions-to-enhance-diversity-in-medical-schools-in-the-usa
#8
Alexis Danielle Vick, Aaron Baugh, Julie Lambert, Allison A Vanderbilt, Evan Ingram, Richard Garcia, Reginald F Baugh
A growing body of research illustrates the importance of aligning efforts across the operational continuum to achieve diversity goals. This alignment begins with the institutional mission and the message it conveys about the priorities of the institution to potential applicants, community, staff, and faculty. The traditional themes of education, research, and service dominate most medical school mission statements. The emerging themes of physician maldistribution, overall primary-care physician shortage, diversity, and cost control are cited less frequently...
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29311177/medical-students-views-of-medicine-as-a-calling-and-selection-of-a-primary-care-related-residency
#9
Audiey C Kao, Andrew J Jager
With the US health care system facing a primary care physician shortage, we evaluated whether medical students who saw medicine as a calling were more likely to enter a family medicine, internal medicine, or pediatrics residency program. Of the 591 4th-year medical students who responded to a survey item on medicine as a calling, 237 strongly agreed that the "practice of medicine is a calling." Students who strongly agreed that medicine was a calling had higher odds ( P =.003) of selecting a primary care-related residency...
January 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29279456/exploring-attractiveness-of-the-basic-sciences-for-female-physicians
#10
Yuka Yamazaki, Shinji Fukushima, Yuki Kozono, Takanori Uka, Eiji Marui
In Japan, traditional gender roles of women, especially the role of motherhood, may cause early career resignations in female physicians and a shortage of female researchers. Besides this gender issue, a general physician shortage is affecting basic science fields. Our previous study suggested that female physicians could be good candidates for the basic sciences because such work offers good work-life balance. However, the attractiveness for female physicians of working in the basic sciences, including work-life balance, is not known...
January 2018: Tohoku Journal of Experimental Medicine
https://www.readbyqxmd.com/read/29237220/-new-approaches-for-young-surgeons-students-symposium-on-minimally-invasive-surgery
#11
Paul Jonathan Roch, Mirco Friedrich, Karl-Friedrich Kowalewski, Mona Wanda Schmidt, Javier De la Garza Herrera, Philip Christoph Müller, Laura Benner, Philipp Romero, Beat Peter Müller-Stich, Felix Nickel
Background Physician shortage is particularly striking in surgical specialities. Umbrella organisations are making an effort to recruit medical students. Students' symposia during congresses seem to provide a promising approach to developing motivation and promoting interest. An exemplary students' symposium took place at the three nations meeting for minimally invasive surgery (MIS). Our aim was to evaluate the students' symposium from the students' perspective, in order to give recommendations for the future...
December 2017: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/29197307/reducing-the-time-spent-writing-notes-could-help-solve-the-physician-shortage
#12
Conor McCartney
No abstract text is available yet for this article.
December 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29173007/predictors-and-outcome-of-systemic-lupus-erythematosus-sle-admission-rates-in-a-large-teaching-hospital-in-sub-saharan-africa
#13
D Dzifa, V Boima, E Yorke, A Yawson, V Ganu, C Mate-Kole
Although it was previously believed that systemic lupus erythematosus was uncommon among Africans, it has become increasingly apparent that the incidence is higher, and socioeconomic challenges such as physician shortages, poor medical facility access, and poor health literacy may worsen prognosis. This retrospective study examines characteristics and outcomes of hospitalized systemic lupus erythematosus patients over a two-year period and serves as a baseline for comparison for future studies to examine the outcomes with the provision of more dedicated care...
February 2018: Lupus
https://www.readbyqxmd.com/read/29169351/-we-have-been-forced-to-move-away-from-home-print-news-coverage-of-canadians-studying-abroad-at-caribbean-offshore-medical-schools
#14
Jeffrey Morgan, Valorie A Crooks, Jeremy Snyder
BACKGROUND: Canadian international medical graduates are Canadian-citizens who have graduated from a medical school outside of Canada or the United States. A growing number of Canadians enroll in medical school abroad, including at Caribbean offshore medical schools. Often, Canadians studying medicine abroad attempt to return to Canada for postgraduate residency training and ultimately to practice. METHODS: The authors conducted a qualitative media analysis to discern the dominant themes and ideologies that frame discussion of offshore medical schools, and the Canadian medical students they graduate, in the Canadian print news...
November 23, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29117817/roadmap-for-creating-an-accelerated-three-year-medical-education-program
#15
Shou Ling Leong, Joan Cangiarella, Tonya Fancher, Lisa Dodson, Colleen Grochowski, Vicky Harnik, Carol Hustedde, Betsy Jones, Christina Kelly, Allison Macerollo, Annette C Reboli, Melvin Rosenfeld, Kristen Rundell, Tina Thompson, Robert Whyte, Martin Pusic
Medical education is undergoing significant transformation. Many medical schools are moving away from the concept of seat time to competency-based education and introducing flexibility in the curriculum that allows individualization. In response to rising student debt and the anticipated physician shortage, 35% of US medical schools are considering the development of accelerated pathways. The roadmap described in this paper is grounded in the experiences of the Consortium of Accelerated Medical Pathway Programs (CAMPP) members in the development, implementation, and evaluation of one type of accelerated pathway: the three-year MD program...
2017: Medical Education Online
https://www.readbyqxmd.com/read/29095134/training-in-urban-medicine-and-public-health-preparing-physicians-to-address-urban-health-care-needs
#16
Cynthia Haq, Melissa Lemke, Michelle Buelow, Marjorie Stearns, Christine Ripp, Patrick McBride
BACKGROUND: Wisconsin is facing significant physician shortages. The University of Wisconsin School of Medicine and Public Health (UWSMPH) launched Training in Urban Medicine and Public Health (TRIUMPH) to recruit and prepare medical students to serve people living within urban Health Professional Shortage Areas. METHODS: Students are selected based on their commitment to improve health equity for urban populations. They complete clinical rotations, core curriculum, and community projects in Milwaukee, Wisconsin...
December 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29067517/the-physician-attrition-crisis-a-cross-sectional-survey-of-the-risk-factors-for-reduced-job-satisfaction-among-us-surgeons
#17
Theresa N Jackson, Chris P Pearcy, Zhamak Khorgami, Vaidehi Agrawal, Kevin E Taubman, Michael S Truitt
INTRODUCTION: A physician shortage is on the horizon, and surgeons are particularly vulnerable due to attrition. Reduced job satisfaction leads to increased job turnover and earlier retirement. The purpose of this study is to delineate the risk factors that contribute to reduced job satisfaction. METHODS: A cross-sectional survey of US surgeons was conducted from September 2016 to May 2017. Screening for job satisfaction was performed using the abridged Job in General scale...
October 24, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/29024021/too-many-and-too-few-the-paradoxical-case-of-physicians-in-the-russian-federation
#18
Christopher J Gerry, Igor Sheiman
There is a paradox characterising the Russian health workforce. By international standards, Russia has a very high number of physicians per capita but at the same time is confronted by chronic real shortages of qualified physicians. This paper explores the reasons for this paradox by examining the structural characteristics of health workforce development in the context of the Soviet legacy and the comparative performance of other European countries. The paper uses data on comparative health workforce dynamics to argue that Russia is a European laggard, before then evaluating recent and current policies within that context...
October 11, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28979916/addressing-the-physicians-shortage-in-developing-countries-by-accelerating-and-reforming-the-medical-education-is-it-possible
#19
Mustafa Al-Shamsi
INTRODUCTION: Doctors' shortage has remained a concern worldwide. The developed countries started aids to recruit international medical graduates (IMG) to cope with the defects that the health care system suffers from; however, this solution may not work in developing countries that have a limited resource and poor budget to spend on the health care system. This study aims to present an alternative way to approach the physicians' shortage by accelerating undergraduate medical education and reform some post-graduate courses in order to cope with this problem...
October 2017: Journal of Advances in Medical Education & Professionalism
https://www.readbyqxmd.com/read/28930761/factors-associated-with-medical-school-graduates-intention-to-work-with-underserved-populations-policy-implications-for-advancing-workforce-diversity
#20
Andrea N Garcia, Tony Kuo, Lisa Arangua, Eliseo J Pérez-Stable
PURPOSE: Given projected U.S. physician shortages across all specialties that will likely impact underserved areas disproportionately, the authors sought to explore factors most correlated with medical school graduates' intention to work with underserved populations (IWUP). METHOD: Data from the 2010-2012 Association of American Medical Colleges Medical School Graduation Questionnaire (n = 40,846) were analyzed. Variables (demographics, career preference, debt burden, intention to enter loan forgiveness programs) were examined using chi-square tests and logistic regression models...
January 2018: Academic Medicine: Journal of the Association of American Medical Colleges
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