keyword
https://read.qxmd.com/read/38513092/are-quality-scores-in-the-centers-for-medicaid-and-medicare-services-merit-based-incentive-payment-system-associated-with-outcomes-after-outpatient-orthopaedic-surgery
#21
JOURNAL ARTICLE
Derek T Schloemann, Danielle M Wilbur, Paul T Rubery, Caroline P Thirukumaran
BACKGROUND: The Medicare Merit-based Incentive Payment System (MIPS) ties reimbursement incentives to clinician performance to improve healthcare quality. It is unclear whether the MIPS quality score can accurately distinguish between high-performing and low-performing clinicians. QUESTIONS/PURPOSES: (1) What were the rates of unplanned hospital visits (emergency department visits, observation stays, or unplanned admissions) within 7, 30, and 90 days of outpatient orthopaedic surgery among Medicare beneficiaries? (2) Was there any association of MIPS quality scores with the risk of an unplanned hospital visit (emergency department visits, observation stays, or unplanned admissions)? METHODS: Between January 2018 and December 2019, a total of 605,946 outpatient orthopaedic surgeries were performed in New York State according to the New York Statewide Planning and Research Cooperative System database...
March 21, 2024: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/38511719/examining-differences-in-trends-in-the-orthopedic-surgery-match-for-osteopathic-and-allopathic-medical-graduates-after-the-transition-to-single-accreditation
#22
JOURNAL ARTICLE
Robert S Wood, Jacqueline Krumrey
CONTEXT: The landscape of medical education in the United States has undergone significant changes, particularly with the rise of osteopathic medical students, constituting a substantial portion of medical school entrants. The merger of the Accreditation Council for Graduate Medical Education (ACGME) and the American Osteopathic Association (AOA) in 2020 opened residency slots to allopathic graduates that were previously historically allocated to osteopathic (Doctor of Osteopathic Medicine [DO]) physicians...
March 22, 2024: Journal of osteopathic medicine
https://read.qxmd.com/read/38510910/knowledge-and-attitude-of-healthcare-providers-regarding-palliative-care-and-related-factors-an-online-cross-sectional-study
#23
JOURNAL ARTICLE
Sarya Swed, Haidara Bohsas, Hidar Alibrahim, Khaled Albakri, Mohammed Amir Rais, Mohammad Badr Almoshantaf, Wael Hafez, Yasmeen Abouainain, Bisher Sawaf, Lamees Alshareef, Zain Alabdeen Ayman Othman, Ibrahim Elbialy, Hekmieh Manad, Youmna Faheem, Steffi John, Jalal Alshareef, Lana Sheet, Amine Rakab
BACKGROUND: Palliative care alleviates pain and enhances the quality of life of patients with life-threatening illnesses. Training programs are required to provide patients with proper care and advance their health because the expertise of healthcare personnel in palliative care is inadequate. AIM: We aimed to assess healthcare professionals' knowledge of palliative care because palliative care programs are infrequently used in Syria. METHODS: An online cross-sectional study was conducted between July 24, 2022, and August 28, 2022, to assess palliative care knowledge and applications among Syrian healthcare workers...
February 2024: Curēus
https://read.qxmd.com/read/38510731/bringing-abstract-concepts-to-life-a-health-humanities-based-approach-to-teaching-social-determinants-of-health
#24
JOURNAL ARTICLE
Kamna S Balhara, Linda Regan, Eisha Chopra, Nathan Irvin
BACKGROUND: To address health inequities, emergency physicians must understand the structural underpinnings of health disparities, including social determinants of health (SDoH), and must critically reflect on the integration of SDoH into clinical practice. SDoH education should include reflective knowledge acquisition, while incorporating systemic sociohistorical forces and individual factors, such as bias, which propagate inequities but are rarely emphasized in graduate medical education (GME)...
February 2024: AEM Education and Training
https://read.qxmd.com/read/38510727/application-of-motor-learning-theory-to-teach-the-head-impulse-test-to-emergency-medicine-resident-physicians
#25
JOURNAL ARTICLE
Jacob C Lenning, Anne M Messman, Jeffrey A Kline
OBJECTIVES: The objective was to develop an innovative method of training emergency medicine (EM) resident physicians to perform the head impulse test (HIT) component of the HINTS (head impulse test, nystagmus, test of skew) examination using video-oculography (VOG) device feedback. METHODS: Using principles from motor learning theory and Ericsson's framework for expertise, we developed a training innovation utilizing VOG device feedback to teach the degree (10°-20°) and velocity (>100°/s) of head turn required for the HIT...
February 2024: AEM Education and Training
https://read.qxmd.com/read/38510726/comparison-of-nurse-and-resident-physician-paging-frequency-by-sex-in-the-emergency-department
#26
JOURNAL ARTICLE
Deesha Sarma, Bryan Stenson, Gordon MacDougall, Alyssa Mangino, Leon D Sanchez, David T Chiu
OBJECTIVES: The role of biological sex in interprofessional relationships is an important factor in collaborative health care settings such as the emergency department (ED) but one that has been sparsely studied. While there is anecdotal evidence on gender-based differences in communication, little research has focused on this topic. The goal of this study was to determine whether there are differences in paging frequency between nurses and male and female residents. METHODS: We conducted a retrospective review of patient visits to our urban, tertiary care academic ED between January 1 and April 1, 2021...
February 2024: AEM Education and Training
https://read.qxmd.com/read/38510568/knowledge-attitude-and-practice-kap-status-toward-clinical-reasoning-and-evidence-based-medicine-among-the-medical-interns-and-gynecology-residents-of-iran-university-of-medical-sciences
#27
JOURNAL ARTICLE
Mojgan Javedani Masroor, Saeid Rezaei, Seyed Ali Hashemi Kiapey, Mahdi Hakiminezhad, Seyyed Amir Yasin Ahmadi
BACKGROUND: Clinical reasoning and evidence-based medicine (EBM) are important concepts in modern medicine. OBJECTIVE: We performed this study to investigate the knowledge, attitude, and practice (KAP) status toward clinical reasoning and EBM among the medical interns and gynecology resident physicians of Iran University of Medical Sciences and related factors. METHODS: A cross-sectional study (Tehran, Iran, first half of 2022) was conducted based on two researcher-made questionnaires consisting of three components for each including clinical reasoning attitude (CR-A), clinical reasoning knowledge (CR-K), clinical reasoning practice (CR-P), EBM attitude (EBM-A), EBM knowledge (EBM-K), and EBM practice (EBM-P)...
2024: TheScientificWorldJournal
https://read.qxmd.com/read/38510411/observed-structured-teaching-experiences-ostes-in-a-students-as-teachers-course
#28
JOURNAL ARTICLE
Margaret R Mahoney, Matthew E Gayoso, Natasha A Belsky, Travis W Crook, Kendra P Parekh
INTRODUCTION: Teaching is an important competency in graduate medical education (GME). Many residency programs have implemented curricula to develop residents' teaching skills and observed structured teaching experiences (OSTEs) have been used to assess these skills. There is an increasing focus on building teaching skills earlier in the medical education continuum, however, there is limited literature on assessing medical students' teaching skills. The authors developed an OSTE for medical students enrolled in a students-as-teachers course to address this gap and provide formative feedback on teaching skills...
February 2024: Medical Science Educator
https://read.qxmd.com/read/38509581/knowledge-attitudes-and-practices-of-the-ethics-in-medical-research-among-moroccan-interns-and-resident-physicians
#29
JOURNAL ARTICLE
Ibtissam El Harch, Soumaya Benmaamar, Nabil Tachfouti, Moustapha Hida, Mohammed Faouzi Belahsen, Tarik Sqalli Houssaini, Karima El Rhazi
BACKGROUND: In Morocco, medical research ethics training was integrated into the medical curriculum during the 2015 reform. In the same year, a law on medical research ethics was enacted to protect individuals participating in medical research. These improvements, whether in the reform or in the enactment of the law, could positively impact the knowledge of these researchers and, consequently, their attitudes and practices regarding medical research ethics. The main objective of this work is to assess Moroccan physicians' knowledge, attitudes, and practices at the beginning of their careers (interns and residents) in medical research ethics...
March 20, 2024: BMC Medical Ethics
https://read.qxmd.com/read/38509553/distribution-of-internal-medicine-rotations-among-resident-physicians-in-japan-a-nationwide-multicenter-cross-sectional-study
#30
JOURNAL ARTICLE
Kiyoshi Shikino, Miwa Sekine, Yuji Nishizaki, Yu Yamamoto, Taro Shimizu, Sho Fukui, Kazuya Nagasaki, Daiki Yokokawa, Takashi Watari, Hiroyuki Kobayashi, Yasuharu Tokuda
BACKGROUND: In Japan, postgraduate clinical training encompasses a 2-year residency program, including at least 24 weeks of internal medicine (IM) rotations. However, the fragmented structure of these rotations can compromise the training's quality and depth. For example, a resident might spend only a few weeks in cardiology before moving to endocrinology, without sufficient time to deepen their understanding or have clinical experience. This study examined current patterns and lengths of IM rotations within the Japanese postgraduate medical system...
March 20, 2024: BMC Medical Education
https://read.qxmd.com/read/38506968/leveraging-the-capabilities-of-ai-novice-neurology-trained-operators-performing-cardiac-pocus-in-patients-with-acute-brain-injury
#31
JOURNAL ARTICLE
Jennifer Mears, Safa Kaleem, Rohan Panchamia, Hooman Kamel, Chris Tam, Richard Thalappillil, Santosh Murthy, Alexander E Merkler, Cenai Zhang, Judy H Ch'ang
BACKGROUND: Cardiac point-of-care ultrasound (cPOCUS) can aid in the diagnosis and treatment of cardiac disorders. Such disorders can arise as complications of acute brain injury, but most neurologic intensive care unit (NICU) providers do not receive formal training in cPOCUS. Caption artificial intelligence (AI) uses a novel deep learning (DL) algorithm to guide novice cPOCUS users in obtaining diagnostic-quality cardiac images. The primary objective of this study was to determine how often NICU providers with minimal cPOCUS experience capture quality images using DL-guided cPOCUS as well as the association between DL-guided cPOCUS and change in management and time to formal echocardiograms in the NICU...
March 20, 2024: Neurocritical Care
https://read.qxmd.com/read/38506701/underfunding-for-research-training-and-career-development-the-impact-on-family-medicine-research
#32
JOURNAL ARTICLE
Mechelle Sanders, Kevin Fiscella
BACKGROUND AND OBJECTIVES: The National Institutes of Health and related federal awards for research training (RT) and research career development (RCD) are designed to prepare applicants for research careers. We compared funding rates for RT and RCD for anesthesiology, dermatology, emergency medicine, family medicine, internal medicine, neurology, obstetrics-gynecology, pathology, pediatrics, and psychiatry. METHODS: We estimated the denominator using the number of residency graduates from different specialties from 2001 to 2010 from the Association of American Medical Colleges data...
March 15, 2024: Family Medicine
https://read.qxmd.com/read/38506275/racial-ethnic-and-rural-disparities-in-distance-to-physicians-among-decedents-with-alzheimer-s-disease-and-related-dementias-in-washington-state
#33
JOURNAL ARTICLE
Solmaz Amiri, Jonae I Keffeler, Dennis R Crain, Justin T Denney, Dedra Buchwald
INTRODUCTION: Distance to physicians may explain some of the disparities in Alzheimer's disease and related dementia (AD/ADRD) outcomes. METHODS: We generated round trip distance between residences of decedents with AD/ADRD and the nearest neurologist and primary care physician in Washington State. RESULTS: The overall mean distance to the nearest neurologist and primary care physician was 17 and 4 miles, respectively. Non-Hispanic American Indian and/or Alaska Native and Hispanic decedents would have had to travel 1...
March 20, 2024: Alzheimer's & Dementia: the Journal of the Alzheimer's Association
https://read.qxmd.com/read/38504867/career-and-life-planning-in-the-context-of-the-postgraduate-medical-training-current-challenges-and-opportunities
#34
JOURNAL ARTICLE
Stella Oberberg, Elena K Enax-Krumova, Christiane Kruppa, Christine H Meyer-Frießem, Robin Denz, Alina Funhoff, Vanessa Behrens, Dinah Berres, Vera Fortmeier, Dina Sträter, Johanna Strotmann, Maxi von Glinski
INTRODUCTION: The possibility of balancing career and family is meanwhile a central concern for most physicians when choosing a job. The aim of this study was to identify current barriers and opportunities for physician education and career planning. METHODS: This cross-sectional study was conducted as an online survey between 11/2021 and 02/2022 and targeted physicians at all career levels in Germany who were members of a clinical professional association. Alternative and consent questions were used to assess experiences/attitudes toward various aspects of life and career planning, as well as alternative work and parental leave models, depending on gender, specialty, and hierarchical level...
2024: GMS Journal for Medical Education
https://read.qxmd.com/read/38499960/x-ray-interpretation-in-emergency-department-in-the-kingdom-of-saudi-arabia-do-we-need-the-radiologist
#35
JOURNAL ARTICLE
Amirah Fahad Alshammeri, Yousef A Alhamaid, Ali Mohammad Alshakhs, Zinab Hasan Bohulaigah, Ghaida Abdullah Eissa, Manahel Salem Almutairi, Wajd Alhadi, Hussain Amin Algafly
INTRODUCTION: Chest x-rays are widely used for diagnosing chest pathology worldwide. Pediatricians frequently interpret chest radiographs in the emergency department, guiding patient management. This study aims to assess the competency of non-radiologists in interpreting emergency chest x-rays and compare it with trainees of different levels to determine the necessity of radiologist input. METHODOLOGY: A cross-sectional online survey was conducted in Saudi Arabia from September to October 2023, involving 385 participants, including pediatricians and medical interns from various regions...
March 18, 2024: Emergency Radiology
https://read.qxmd.com/read/38499134/primary-care-in-the-united-states-past-present-and-future
#36
REVIEW
Edward P Hoffer
Even though a well-functioning primary care system is widely acknowledged as critical to population health, the number of primary care physicians practicing in the United States has steadily declined, and primary care physicians are in short supply. The reasons are multiple and include inadequate income relative to other specialties, excessive administrative demands on PCPs and the lack of respect given to primary care specialties during medical school and residency. Advanced practice nurses can augment the services of primary care physicians but cannot substitute for them...
March 16, 2024: American Journal of Medicine
https://read.qxmd.com/read/38498305/an-analysis-of-workplace-based-assessments-for-core-entrustable-professional-activities-for-entering-residency-does-type-of-clinical-assessor-influence-level-of-supervision-ratings
#37
JOURNAL ARTICLE
Alexandra Shuford, Patricia A Carney, Briana Ketterer, R Logan Jones, Carrie A Phillipi, Jeff Kraakevik, Reem Hasan, Bart Moulton, Andrea Smeraglio
PURPOSE: The authors describe use of the workplace-based assessment (WBA) coactivity scale according to entrustable professional activities (EPAs) and assessor type to examine how diverse assessors rate medical students using WBAs. METHOD: A WBA data collection system was launched at Oregon Health and Science University to visualize learner competency in various clinical settings to foster EPA assessment. WBA data from January 14 to June 18, 2021, for medical students (all years) were analyzed...
March 18, 2024: Academic Medicine
https://read.qxmd.com/read/38496168/orthopedic-team-surgeons-in-major-professional-sports-an-analysis-of-affiliation-with-the-top-10-sports-medicine-fellowship-programs-and-implications-for-leadership-and-diversity
#38
JOURNAL ARTICLE
Robert Wood, Jorge Perera, Jacqueline Krumrey, Christopher McCrum
This paper examines the correlation between orthopedic team surgeons in major professional sports and their affiliation with the top 10 sports medicine fellowship programs. With a growing trend in post-residency fellowship training, particularly in sports medicine, the study focuses on the implications of fellowship program choice for aspiring major professional sports team physicians. By analyzing data from Major League Baseball (MLB), the National Basketball Association (NBA), the National Football League (NFL), and the National Hockey League (NHL), the research reveals that 61 of 124 (49...
February 2024: Curēus
https://read.qxmd.com/read/38495574/interface-between-motivational-interviewing-and-burnout
#39
JOURNAL ARTICLE
Paul J Hershberger, Stacy R Flowers, Sharlo L Bayless, Katharine Conway, Timothy N Crawford
BACKGROUND: The contemporary challenges of improving patient engagement in chronic disease management and addressing the growing problem of physician burnout are commonly viewed as separate issues. However, there is extensive evidence that person-centered approaches to patient engagement, such as motivational interviewing (MI), are associated both with better outcomes for patients and improved well-being for clinicians. METHODS: We conducted an exploratory survey study to ascertain whether resident physicians who perceive that they embrace and utilize the MI approach also report less burnout...
2024: Advances in Medical Education and Practice
https://read.qxmd.com/read/38494980/a-pioneer-turkish-urologist-medical-historian-saim-erkun-1901-1949-and-his-one-century-old-review-about-prostate
#40
JOURNAL ARTICLE
Ayhan Verit, Muhammet I Karaman
Saim Erkun (1901-1949) was born in Manisa at Aegean region of Anatolia as an Ottoman citizen. While his early life was spent in late Ottoman times at military actions including military prison camp in British colony; India, his active professional productive period was in early Turkish republic period (Est. 1923, centenary). He had a good education period for medicine with the help of his good level of all main World scientific languages such as French, German, and English. Besides his main profession, he was also interested in Ottoman urological medicine around the conquer of Istanbul and allocated them a space in his books in 1930s...
March 18, 2024: Journal of Medical Biography
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