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https://www.readbyqxmd.com/read/29777782/financial-analysis-of-pediatric-resident-physician-primary-care-longitudinal-outpatient-experience
#1
Carole H Stipelman, Brad Poss, Laura Anne Stetson, Luca Boi, Michael Rogers, Caleb Puzey, Sri Koduri, Robert Kaplan, Vivian S Lee, Edward B Clark
PURPOSE: To determine whether residency training represents a net positive or negative cost to academic medical centers, we analyzed the cost of a residency program and clinical productivity of residents and faculty in outpatient primary care practice with or without residents. METHOD: Patient volume and revenue data (Current Procedural Terminology codes) from an academic primary care general pediatric clinic were evaluated for faculty clinics (faculty only) and resident teaching clinics (Longitudinal Outpatient Experience [LOE]) with 1-4 residents/faculty...
May 16, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29771627/efficiency-and-perceived-exertion-of-novel-wheelchair-wheels-a-comparative-study
#2
Laura Sanches Rocha, Bonita Sawatzky, W Ben Mortenson
New geared wheelchair wheels have been developed allowing the user to pull backwards on the rims to move forward. Theoretically, this utilizes larger muscle groups compared to conventional propulsion preventing repetitive stress injuries. This study compared the gross mechanical efficiency (GME), perceived effort and energy expenditure of propelling the wheelchair using two types of these geared wheels and standard forward propulsion wheels. A within participants repeated measures design was used. Participants' energy expenditure and perceived exertion were measured...
May 17, 2018: Assistive Technology: the Official Journal of RESNA
https://www.readbyqxmd.com/read/29720829/biochemical-evidence-for-the-antitumor-potential-of-garcinia-mangostana-linn-on-diethylnitrosamine-induced-hepatic-carcinoma
#3
V Vishnu Priya, Mallika Jainu, Surapaneni Krishna Mohan
Background: Garcinia mangostana is extensively used in most of the Indian herbal pharmaceuticals and nutraceuticals. Objective: The objective of this study was to elucidate the underlying biochemical protective mechanism of G. Mangostana Linn. fruit extract (GME) in deterioration of diethylnitrosamine (DEN)-induced hepatic carcinoma (HCC) in rats. Materials and Methods: The cancer was induced using DEN to the experimental rats and treated with GME (200, 400, and 600 mg/kg) to find its anticancer property...
April 2018: Pharmacognosy Magazine
https://www.readbyqxmd.com/read/29718290/a-longitudinal-study-of-commonly-used-admissions-measures-and-disenrollment-from-medical-school-and-graduate-medical-education-probation-or-termination-from-training
#4
Ting Dong, William R Gilliland, David Cruess, Jeffrey Hutchinson, Lisa Morres, Jerri Curtis, Gail-Selina Hewitt-Clarke, Steven J Durning
Introduction: This is an empirical study to better understand commonly used medical school admission measures and disenrollment decisions during undergraduate medical education as well as graduate medical education (GME) probation or termination decisions. Materials and Methods: Based on the data of USUHS medical students matriculating between 1998 and 2011 (N = 2,460), we compared medical school graduates and those disenrolled from medical school on MCAT scores, undergraduate BCPM (Biology, Chemistry, Physics, Math) GPA, and undergraduate overall GPA...
April 27, 2018: Military Medicine
https://www.readbyqxmd.com/read/29686763/international-medical-graduates-in-the-us-physician-workforce-and-graduate-medical-education-current-and-historical-trends
#5
Awad A Ahmed, Wei-Ting Hwang, Charles R Thomas, Curtiland Deville
Background : Data show that international medical graduates (IMGs), both US and foreign born, are more likely to enter primary care specialties and practice in underserved areas. Comprehensive assessments of representation trends for IMGs in the US physician workforce are limited. Objective : We reported current and historical representation trends for IMGs in the graduate medical education (GME) training pool and US practicing physician workforce. Methods : We compared representation for the total GME and active practicing physician pools with the 20 largest residency specialties...
April 2018: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29686755/is-the-teaching-health-center-graduate-medical-education-program-a-model-for-gme-reform
#6
Barbara O Wynn
No abstract text is available yet for this article.
April 2018: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29686751/leadership-training-in-graduate-medical-education-a-systematic-review
#7
REVIEW
Brett Sadowski, Sarah Cantrell, Adam Barelski, Patrick G O'Malley, Joshua D Hartzell
Background : Leadership is a critical component of physician competence, yet the best approaches for developing leadership skills for physicians in training remain undefined. Objective : We systematically reviewed the literature on existing leadership curricula in graduate medical education (GME) to inform leadership program development. Methods : Using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, we searched MEDLINE, ERIC, EMBASE, and MedEdPORTAL through October 2015 using search terms to capture GME leadership curricula...
April 2018: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29548024/utilizing-lean-six-sigma-methodology-to-improve-the-authored-works-command-approval-process-at-naval-medical-center-san-diego
#8
Michelle M Valdez, Maureen Liwanag, Charles Mount, Rechell Rodriguez, Elisea Avalos-Reyes, Andrew Smith, David Collette, Michael Starsiak, Richard Green
Introduction: Inefficiencies in the command approval process for publications and/or presentations negatively impact DoD Graduate Medical Education (GME) residency programs' ability to meet ACGME scholarly activity requirements. A preliminary review of the authored works approval process at Naval Medical Center San Diego (NMCSD) disclosed significant inefficiency, variation in process, and a low level of customer satisfaction. In order to facilitate and encourage scholarly activity at NMCSD, and meet ACGME requirements, the Executive Steering Council (ESC) chartered an interprofessional team to lead a Lean Six Sigma (LSS) Rapid Improvement Event (RIE) project...
March 14, 2018: Military Medicine
https://www.readbyqxmd.com/read/29538103/harnessing-the-power-of-big-data-to-improve-graduate-medical-education-big-idea-or-bust
#9
Vineet M Arora
With the advent of electronic medical records (EMRs) fueling the rise of big data, the use of predictive analytics, machine learning, and artificial intelligence are touted as transformational tools to improve clinical care. While major investments are being made in using big data to transform health care delivery, little effort has been directed toward exploiting big data to improve graduate medical education (GME). Because our current system relies on faculty observations of competence, it is not unreasonable to ask whether big data in the form of clinical EMRs and other novel data sources can answer questions of importance in GME such as when is a resident ready for independent practice...
March 13, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29519189/trusting-early-learners-with-critical-professional-activities-through-emergency-medical-technician-certification
#10
Judith Brenner, Jeffrey Bird, Samara B Ginzburg, Thomas Kwiatkowski, Vincent Papasodero, William Rennie, Elisabeth Schlegel, Olle Ten Cate, Joanne M Willey
BACKGROUND: Two dominant themes face medical education: developing integrated curricula and improving the undergraduate medical education (UME) to graduate medical education (GME) transition. An innovative solution to both of these challenges at the Zucker School of Medicine has been the application of the cognitive apprenticeship framework in requiring emergency medical technician (EMT) certification during the first course in medical school as the core on which to build an integrated curriculum and provide entrustable clinical skills...
March 8, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29436292/is-it-a-match-a-novel-method-of-evaluating-medical-school-success
#11
Leslie L Chang, Alisa Nagler, Mariah Rudd, Colleen O'Connor Grochowski, Edward G Buckley, Saumil M Chudgar, Deborah L Engle
BACKGROUND: Medical education program evaluation allows for curricular improvements to both Undergraduate (UME) and Graduate Medical Education (GME). UME programs are left with little more than match rates and self-report to evaluate success of graduates in The Match. OBJECTIVE: This manuscript shares a novel method of program evaluation through a systematic assessment of Match outcomes. DESIGN: Surveys were developed and distributed to Program Training Directors (PTDs) at our institution to classify residency programs into which our UME graduates matched using an ordinal response scale and open-ended responses...
December 2018: Medical Education Online
https://www.readbyqxmd.com/read/29432627/the-cost-of-family-medicine-residency-training-impacts-of-federal-and-state-funding
#12
Judith Pauwels, Amanda Weidner
BACKGROUND AND OBJECTIVES: Numerous organizations are calling for the expansion of graduate medical education (GME) positions nationally. Developing new residency programs and expanding existing programs can only happen if financial resources are available to pay for the expenses of training beyond what can be generated in direct clinical income by the residents and faculty in the program. The goal of this study was to evaluate trended data regarding the finances of family medicine residency programs to identify what financial resources are needed to sustain graduate medical education programs...
February 2018: Family Medicine
https://www.readbyqxmd.com/read/29399986/2015-rheumatology-workforce-study-the-role-of-graduate-medical-education-in-adult-rheumatology
#13
Marcy B Bolster, Anne R Bass, Jonathan S Hausmann, Chad Deal, Marcia Ditmyer, Kamilah L Greene, Seetha U Monrad, Daniel F Battafarano
OBJECTIVE: Graduate medical education (GME), through fellowship training, plays a critical role in providing new rheumatologists into our workforce and is an essential component when addressing the gap of excess demand for adult rheumatology care. METHODS: Primary and secondary data sources were used to develop an integrated workforce model. Factors specific to new graduates entering the workforce included available and filled fellowship positions, gender shifts, planned work schedules (part-time, full- time), practice settings (academic, non-academic private practice), and number of international medical graduates (IMGs) projecting U...
February 5, 2018: Arthritis & Rheumatology
https://www.readbyqxmd.com/read/29383301/association-between-minimal-change-esophagitis-and-gastric-dysmotility-a-single-center-electrogastrography-and-endoscopy-study-in-children
#14
Kyung In Lim, Sung Bo Shim, Hann Tchah, Eell Ryoo
Purpose: Minimal change esophagitis (MCE) is a reflux disease without mucosal breaks, known to be partially associated with abnormal gastric motor function. Electrogastrography (EGG) is commonly applied to assess gastric motor function in a noninvasive fashion. We aimed to determine the relationship between MCE and gastric myoelectrical activity (GME) recorded on EGG in children. Methods: We retrospectively assessed the records of 157 children without underlying disease who underwent both EGG and upper gastrointestinal endoscopy at Gachon University Gil Medical Center between January 2010 and June 2015...
January 2018: Pediatric Gastroenterology, Hepatology & Nutrition
https://www.readbyqxmd.com/read/29377185/in-vitro-comparison-of-pediatric-oxygenators-with-and-without-integrated-arterial-filters-in-maintaining-optimal-hemodynamic-stability-and-managing-gaseous-microemboli
#15
Morgan Moroi, Madison Force, Shigang Wang, Allen R Kunselman, Akif Ündar
The purpose of this study was to compare the Capiox FX15 oxygenator with integrated arterial filter to the Capiox RX15 oxygenator with separate Capiox AF125 arterial filter in terms of hemodynamic properties and gaseous microemboli (GME) capturing. Trials were conducted at varying flow rates (2.0 L/min, 3.0 L/min, 4.0 L/min), temperatures (30°C, 35°C), and flow modalities (pulsatile, nonpulsatile). Pressure and flow waveforms were recorded using a custom-made data acquisition system. GME data were recorded using an Emboli Detection and Classification Quantifier after injecting a 5 mL air bolus into the venous line...
April 2018: Artificial Organs
https://www.readbyqxmd.com/read/29351715/the-impact-of-migration-background-on-the-health-outcomes-of-preschool-children-linking-a-cross-sectional-survey-to-the-school-entrance-health-examination-database-in-bavaria-germany
#16
Thu Giang Le Thi, Annette Heißenhuber, Thomas Schneider, Rebekka Schulz, Caroline Eva Wella Herr, Uta Nennstiel-Ratzel, Gabriele Hölscher
AIM OF THE STUDY: This study investigated the impact of migration background on the health outcomes of preschool children from families of various social status levels. METHODS: During the school entrance health examination (Schuleingangsuntersuchung (SEU)) from October 2012 to August 2013, the parents of 5052 preschool children (62% response rate) participated in a cross-sectional health survey within the framework of health-monitoring units (Gesundheits-Monitoring-Einheiten (GME)) in Bavaria, Germany...
January 19, 2018: Das Gesundheitswesen
https://www.readbyqxmd.com/read/29330038/asthmatic-wheezing-phenotypes-in-preschool-children-influential-factors-health-care-and-urban-rural-differences
#17
Susanne Kutzora, Alisa Weber, Stefanie Heinze, Lana Hendrowarsito, Uta Nennstiel-Ratzel, Erika von Mutius, Nina Fuchs, Caroline Herr
BACKGROUND: Different wheezing and asthmatic phenotypes turned out to indicate differences in etiology, risk factors and health care. We examined influential factors and urban-rural differences for different phenotypes. METHODS: Parents of 4732 children filled out a questionnaire concerning children's health and environmental factors administered within the Health Monitoring Units (GME) in a cross-sectional study in Bavaria, Germany (2014/2015). To classify respiratory symptoms, five phenotype groups were built: episodic, unremitting and frequent wheeze, ISAAC (International Study of Asthma and Allergies in Children) - asthma and physician-diagnosed asthma (neither of the groups are mutually exclusive)...
March 2018: International Journal of Hygiene and Environmental Health
https://www.readbyqxmd.com/read/29321024/interprofessional-education-in-graduate-medical-education-survey-study-of-residency-program-directors
#18
Morhaf Al Achkar, Mathew Hanauer, Chantel Colavecchia, Dean A Seehusen
BACKGROUND: The overarching purpose of this study is to examine the current trends in interprofessional education (IPE) within graduate medical education in the Unites States. METHODS: A survey was sent to program directors across with different specialties between March and April 2016. The survey was completed by 233 out of 1757 program directors, which represents a response rate of 13.3%. RESULTS: IPE is currently being used by over 60% of the GME program directors that completed the survey...
January 10, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29302117/an-in-vitro-study-comparing-the-gme-handling-of-two-contemporary-oxygenators
#19
Carl J Gisnarian, Angela Hedman, Kenneth G Shann
Gaseous microemboli (GME) are a potential complication of cardiopulmonary bypass (CPB). Though it is difficult to prove that GME is the only major cause of neurological deficits, it may increase the chance of post-operative cognitive dysfunction if not removed. The objectives of this research were to compare LivaNova-Sorin Inspire (Inspire) oxygenator with a Medtronic arterial filter to the Medtronic Fusion (Fusion) oxygenator with and without a Medtronic arterial filter based on each system's ability to handle GME...
December 2017: Journal of Extra-corporeal Technology
https://www.readbyqxmd.com/read/29299185/the-si2025-report-reveals-opportunities-for-collaboration-between-gme-and-health-care-systems
#20
Steven I Goldstein
No abstract text is available yet for this article.
December 2017: Journal of Graduate Medical Education
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