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Physician interaction strategies

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https://www.readbyqxmd.com/read/27914088/murine-mycobacterium-marinum-infection-as-a-model-for-tuberculosis
#1
Julia Lienard, Fredric Carlsson
Mycobacteria are a major human health problem globally. Regarding tuberculosis the situation is worsened by the poor efficacy of current vaccine regimens and by emergence of drug-resistant strains (Manjelievskaia J et al, Trans R Soc Trop Med Hyg 110: 110, 2016; Pereira et al., Lancet Infect Dis 12:300-306, 2012; http://www.who.int/tb/publications/global_report/en/) undermining both disease-prevention and available treatments. Thus, increased basic understanding of mycobacterial-and particularly Mycobacterium tuberculosis-virulence strategies and pathogenesis is of great importance...
2017: Methods in Molecular Biology
https://www.readbyqxmd.com/read/27893823/shared-decision-making-at-the-limit-of-viability-a-blueprint-for-physician-action
#2
Thierry Daboval, Sarah Shidler, Daniel Thomas
OBJECTIVE: To document interactions during the antenatal consultation between parents and neonatologist that parents linked to their satisfaction with their participation in shared decision making for their infant at risk of being born at the limit of viability. METHODS: This multiple-case ethnomethodological qualitative research study, included mothers admitted for a threatened premature delivery between 200/7 and 266/7 weeks gestation, the father, and the staff neonatologist conducting the clinical antenatal consultation...
2016: PloS One
https://www.readbyqxmd.com/read/27886827/treating-the-football-athlete-coaches-perspective-from-the-university-of-michigan
#3
REVIEW
Kevin C Chung, Meghan E Lark, Paul S Cederna
Although football is one of the most popular sports in America, its high injury incidence places concern on the injury prevention and safety of its players. This article investigates the perspectives of two National Collegiate Athletic Association Division 1 football coaches on promoting injury management and player safety while maintaining a highly competitive team. Through obtaining their coaching philosophy team management topics, effective strategies that contribute to a team culture prioritizing player well-being were identified...
February 2017: Hand Clinics
https://www.readbyqxmd.com/read/27879502/labor-nurses-views-of-their-influence-on-cesarean-birth
#4
Kathleen Rice Simpson, Audrey Lyndon
BACKGROUND: As part of an ongoing study about nurse staffing during labor and birth sponsored by the Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN), the researchers considered outcomes that may be linked to aspects of labor nursing. The purpose of this study was to see if labor nurses felt they influenced whether a woman has a cesarean birth. These data were used to determine if cesarean birth should be included as an outcome measure in the multistate labor nurse staffing study...
November 22, 2016: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/27869881/-the-art-and-science-of-engaging-patients-into-medical-research-using-professional-recruiters-experiences-to-inform-physicians-and-scientific-directors-strategic-choices
#5
Aurora Occa, Susan E Morgan
In order to advance medical care, it is necessary to invest resources, both human and financial, in medical research. However, these investments sometimes are not sufficient to ensure the success of research studies. No progress can be made without the participation of patients in research studies and clinical trials. These potential participants are normally identified by their physicians, or by professional recruiters, depending on the patient clinical profile. However, often patients are intimidated by the idea of engaging in clinical trials for several reasons, including the fear of side effects, to the difficulty of understanding specific research-related terms...
November 2016: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/27855719/an-illness-focused-interactive-booklet-to-optimise-management-and-medication-for-childhood-fever-and-infections-in-out-of-hours-primary-care-study-protocol-for-a-cluster-randomised-trial
#6
Eefje G P M de Bont, Geert-Jan Dinant, Gijs Elshout, Gijs van Well, Nick A Francis, Bjorn Winkens, Jochen W L Cals
BACKGROUND: Fever is the most common reason for a child to be taken to a general practitioner (GP), especially during out-of-hours care. It is mostly caused by self-limiting infections. However, antibiotic prescription rates remain high, especially during out-of-hours care. Anxiety and lack of knowledge among parents, and perceived pressure to prescribe antibiotics amongst GPs, are important determinants of excessive antibiotic prescriptions. An illness-focused interactive booklet has the potential to improve this by providing parents with information about fever self-management strategies...
November 17, 2016: Trials
https://www.readbyqxmd.com/read/27825662/talk-the-talk-implementing-a-communication-curriculum-for-surgical-residents
#7
Anna B Newcomb, Amber W Trickey, Melissa Porrey, Jeffrey Wright, Franco Piscitani, Paula Graling, Jonathan Dort
OBJECTIVES: The Accreditation Council for Graduate Medical Education milestones provide a framework of specific interpersonal and communication skills that surgical trainees should aim to master. However, training and assessment of resident nontechnical skills remains challenging. We aimed to develop and implement a curriculum incorporating interactive learning principles such as group discussion and simulation-based scenarios to formalize instruction in patient-centered communication skills, and to identify best practices when building such a program...
November 4, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27795533/update-on-stem-cell-transplantation-for-acute-leukemias
#8
Shin Mineishi
The treatment strategies for acute leukemia are undergoing very rapid change. Particularly for last 10 years, due to the rapid development of molecular targeted therapy and cell/gene therapies, the role of HSCT in the treatment scheme of acute leukemia has been changing. In the author's view, these recent changes should secure the role of HSCT in the comprehensive treatment scheme of acute leukemia. By appropriately combining the new agents with HSCT, therapy for acute leukemia is anticipated to become more effective...
2016: [Rinshō Ketsueki] the Japanese Journal of Clinical Hematology
https://www.readbyqxmd.com/read/27787571/-anesthesia-for-medical-students-a-brief-guide-to-practical-anesthesia-in-adults-with-a-web-based-video-illustration
#9
S Mathis, O Schlafer, J Abram, J Kreutziger, P Paal, V Wenzel
In Germany, Austria and Switzerland, anesthesiologists are the second largest group of physicians in hospitals, but this does not correspond to the amount of anesthesiology teaching that medical students receive in medical schools. Accordingly, the chances of medical students recognizing anesthesiology as a promising personal professional career are smaller than in other disciplines with large teaching components. Subsequent difficulties to recruit anesthesiology residents are likely, although many reasons support anesthesiology as a professional career...
October 27, 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/27785044/evaluation-of-the-antipsychotic-medication-review-process-at-four-long-term-facilities-in-alberta
#10
Arden Birney, Paola Charland, Mollie Cole, Mubashir Aslam Arain
PURPOSE: The goal of this evaluation was to understand how four long-term care (LTC) facilities in Alberta have implemented medication reviews for the Appropriate Use of Antipsychotics (AUA) initiative. We aimed to determine how interprofessional (IP) collaboration was incorporated in the antipsychotic medication reviews and how the reviews had been sustained. METHODS: Four LTC facilities in Alberta participated in this evaluation. We conducted semistructured interviews with 18 facility staff and observed one antipsychotic medication review at each facility...
2016: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/27762199/using-an-electronic-platform-interactively-to-improve-treatment-outcome-in-patients-with-rheumatoid-arthritis-new-developments-from-the-danbio-registry
#11
Merete L Hetland, Niels Steen Krogh, Kim Hørslev-Petersen, Berit Schiøttz-Christensen, Inge Juul Sørensen, Jensen Dorte Vendelbo
OBJECTIVES: Electronic platforms have been developed to help the clinician monitor disease activity in rheumatoid arthritis (RA) to support at treat-to-target strategy. We present an initiative to interactively improve disease control in patients with rheumatoid arthritis. METHODS: In patients who presented with one or more swollen joints AND moderate/high disease activity (i.e. either CDAI≥10.1 and/or DAS-28CRP>3.2, which is automatically calculated in the DANBIO registry), a red alert was shown, which activated a pop-up: "This patient has at least one swollen joint AND either CDAI≥ 10...
September 2016: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/27762022/game-theory-and-strategy-in-medical-training
#12
Amy Blake, Bryan T Carroll
OBJECTIVE: This paper analyses how game theory can provide a framework for understanding the strategic decision-making that occurs in everyday scenarios in medical training and practice, and ultimately serves as a tool for improving the work environment and patient care. Game theory has been applied to a variety of fields outside of its native economics, but has not been thoroughly studied in the context of health care provision. METHODS: The paper discusses four of the most common 'games' and applies each to a scenario in medicine to provide new insight on the incentives and drivers for certain types of behaviour and a deeper understanding of why certain results are valued more strongly than others...
November 2016: Medical Education
https://www.readbyqxmd.com/read/27744341/opportunities-to-enhance-laboratory-professionals-role-on-the-diagnostic-team
#13
Julie R Taylor, Pamela J Thompson, Jonathan R Genzen, John Hickner, Marisa B Marques
BACKGROUND: The 2015 Institue of Medicine report Improving Diagnosis in Health Care highlighted that diagnostic errors cause patient harm and that improvement in the diagnostic process requires better collaboration among physicians and laboratory professionals. The purpose of this study is to understand why physicians do not contact laboratory professionals when facing diagnostic challenges and identify opportunities for laboratory professionals to become more recognized members of the clinical care team...
October 15, 2016: Laboratory Medicine
https://www.readbyqxmd.com/read/27730104/relation-between-initial-treatment-strategy-in-stable-coronary-artery-disease-and-1-year-costs-in-ontario-a-population-based-cohort-study
#14
Jaskaran S Kang, Maria C Bennell, Feng Qiu, Merril L Knudtson, Peter C Austin, Dennis T Ko, Harindra C Wijeysundera
BACKGROUND: Cardiovascular disease is costly, and annual expenditures are projected to increase. Our objective was to examine the variation in patient-level costs and identify drivers of cost in patients with stable coronary artery disease. METHODS: In this retrospective cohort study using administrative databases in Ontario, Canada, we identified all patients with stable coronary artery disease after index angiography between Oct. 1, 2008, and Sept. 30, 2011. We excluded patients with a myocardial infarction within 90 days before the index, with normal coronaries, or with mild coronary disease...
July 2016: CMAJ Open
https://www.readbyqxmd.com/read/27708005/leadership-and-the-medical-registrar-how-can-organisations-support-these-unsung-heroes
#15
Tim Blake, Andrew Whallett
Medical registrars have been described as the 'workhorses' of National Health Service hospitals, being at the interface of acute and chronic health services. They are expected to demonstrate effective leadership skills. There are concerns from the Royal College of Physicians that medical registrars are being overwhelmed and unsupported by organisations, and are struggling in their ability to provide safe, high-quality patient care. Junior colleagues are also being deterred by general medical specialties by the prospect of becoming the 'Med Reg'...
October 5, 2016: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/27701724/clinical-clerkship-education-improves-with-implementing-a-system-of-internal-program-evaluation-using-medical-students-feedbacks
#16
Anahita Sadeghi, Hamidreza Aghaei Meybodi, Behrouz Navabakhsh, Ahmadreza Soroush, Masoud Mohammad Malekzadeh, Zhamak Khorgami
Quality of clinical education for medical students has always been a concern in academic medicine. This concern has increased in today's time-squeeze while faculty members have to fulfill their complementary roles as a teacher, researcher, and practitioner. One of the strategies for program evaluation is obtaining trainees' feedbacks since they are the main customers of educational programs; however, there are debates about the efficacy of student feedback as a reliable source for reforms. We gathered Likert scores on a 16-item questionnaire from 2,771 medical students participating in all clerkship programs in a multidisciplinary teaching hospital...
August 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27697813/the-need-for-a-prescribing-competency-framework-to-address-the-burden-of-complex-polypharmacy-among-multiple-long-term-conditions
#17
Catherine Picton, Claire Loughrey, Andrew Webb
The original requirement for a competency framework for prescribers was to identify the essential skills for non-medical prescribers. However, core prescribing competencies are relevant to any prescriber. The new, revised version is especially relevant for doctors/physicians. Doctors are the most frequent prescribers - prescribing is the most common therapeutic intervention. The quantity and complexity of medicine use is increasing through multiple treatment strategies/pathways for multiple comorbidities, resulting in polypharmacy - especially with long-term conditions...
October 2016: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/27697228/capturing-the-patients-voices-planning-for-patient-centered-electronic-health-record-use
#18
Onur Asan, Jeanne Tyszka, Kathlyn E Fletcher
OBJECTIVES: To understand (1) the perceptions of patients regarding use of EHR during clinic visits, (2) the impact of the presence of EHR on patient interactions with physicians, and (3) the ways in which EHR usage might increase patient engagement. METHODS: We conducted semi-structured interviews of a convenience sample of patients of internal medicine resident doctors from three primary care clinics. Interviews were audio-recorded and transcribed verbatim. We used thematic analysis to identify themes from the transcripts...
November 2016: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/27662831/difficulties-experienced-by-migrant-physicians-working-in-german-hospitals-a-qualitative-interview-study
#19
Corinna Klingler, Georg Marckmann
BACKGROUND: With Germany facing a shortage of doctors, hospitals have been increasingly recruiting physicians from abroad. Studies in other countries have shown that migrant physicians experience various difficulties in their work, which might impact the quality of patient care, physician job satisfaction, and, accordingly, retention. The experiences of migrant doctors in Germany have not been systematically studied so far and will likely differ from experiences migrant physicians make in other contexts...
2016: Human Resources for Health
https://www.readbyqxmd.com/read/27631253/limitation-of-duty-hour-regulations-for-pediatric-resident-wellness-a-mixed-methods-study-in-japan
#20
Osamu Nomura, Hiroki Mishina, Yoshinori Kobayashi, Akira Ishiguro, Hirokazu Sakai, Hiroyuki Kato
Duty hour regulations have been placed in residency programs to address mental health concerns and to improve wellness. Here, we elucidate the prevalence of depressive symptoms after implementing an overnight call shift system and the factors associated with burnout or depression among residents.A sequential exploratory mixed methods study was conducted in a tertiary care pediatric and perinatal hospital in Tokyo, Japan. A total of 41 pediatric residents participated in the cross-sectional survey. We determined and compared the prevalence of depressive symptoms and the number of actual working hours before and after implementing the shift system...
September 2016: Medicine (Baltimore)
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