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https://www.readbyqxmd.com/read/28166769/medical-graduates-preparedness-to-practice-a-comparison-of-undergraduate-medical-school-training
#1
Susan Miles, Joanne Kellett, Sam J Leinster
BACKGROUND: There is evidence that newly qualified doctors do not feel prepared to start work. This study examined views of first year Foundation doctors (F1s) regarding how prepared they felt by their undergraduate medical education for skills required during the first Foundation training year in relation to their type of training. METHOD: One-hundred and eighty two F1s completed a questionnaire during their first rotation of Foundation training. Analysis was conducted by type of medical school training: Problem-Based Learning (PBL), Traditional or Reformed...
February 6, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28152793/transitions-in-care-and-reduction-in-discharge-errors
#2
Tara Szyamnski, Megan Begnoche, Carol Chase, Michelle Moreau, Jessica Barnett
: 77 Background: Patients are often overwhelmed at the time of hospital discharge and focus on home rather than the discharge process. Fragmented communication and lack of planning between the hospital team, patient, family and primary oncologist can lead to frustration and delays in implementation of palliative or curative therapies and potential hospital readmission when the plan of care is not followed in a timely manner. Our goal is to avoid medication errors, delays in implementation of a care plan and reemergence of symptoms or new symptoms as a result of a suboptimal discharge transition...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28145734/-fellow-of-the-day-a-novel-trainee-role-to-improve-fellows-outpatient-continuity-clinics
#3
Diana J Kelm, Joseph Skalski, Kannan Ramar
RATIONALE: The implementation of team-based care models in residency programs is one method to improve patient and provider outpatient satisfaction. However, to our knowledge, this has not yet been studied in fellowship programs. OBJECTIVES: We instituted a pilot project to test a team-based model of care in our Pulmonary and Critical Care Medicine (PCCM) fellows' clinic by creating a new outpatient role called the "Fellow of the Day" with the goal of reducing clinical disruption for the fellows, provide more educational value for medical students, and improve patient care...
February 1, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28104042/electronic-health-records-and-online-medical-records-an-asset-or-a-liability-under-current-conditions
#4
Judith Allen-Graham, Lauren Mitchell, Natalie Heriot, Roksana Armani, David Langton, Michele Levinson, Alan Young, Julian A Smith, Tom Kotsimbos, John W Wilson
Objective The aim of the present study was to audit the current use of medical records to determine completeness and concordance with other sources of medical information.Methods Medical records for 40 patients from each of five Melbourne major metropolitan hospitals were randomly selected (n=200). A quantitative audit was performed for detailed patient information and medical record keeping, as well as data collection, storage and utilisation. Using each hospital's current online clinical database, scanned files and paperwork available for each patient audited, the reviewers sourced as much relevant information as possible within a 30-min time allocation from both the record and the discharge summary...
January 20, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28039603/place-matters-in-non-traditional-migration-areas-exploring-barriers-to-healthcare-for-latino-immigrants-by-region-neighborhood-and-community-health-center
#5
Michael Topmiller, Jenny Zhen-Duan, Farrah J Jacquez, Lisa M Vaughn
This paper identifies differences in adult Latino immigrant barriers to healthcare in the Cincinnati area in Hamilton County, OH, on three levels: by region, by neighborhood, and by community health center. Secondary data analysis was performed on 439 surveys. Respondents were aggregated by the geographic regions and neighborhoods where they live and by two community health centers where they receive care. Outcome measures included pragmatic and skill barrier indices adapted from the Barriers to Care Questionnaire (BCQ); the pragmatics index consists logistical barriers, including transportation and cost; the skills index is made up of items related to navigating the healthcare system, including communicating with physicians and completing paperwork...
December 30, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27976913/social-support-and-mental-health-status-of-older-people-a-population-based-study-in-iran-tehran
#6
Maryam Tajvar, Emily Grundy, Astrid Fletcher
OBJECTIVES: To investigate direct and stress-buffering associations between social support from family and the mental health of older people in Iran, a country which has recently undergone an exceptionally fast fertility transition and is consequently experiencing rapid population ageing. METHOD: A cross-sectional stratified random survey of 800 people aged 60+ years resident in Tehran was conducted. In total, 644 people responded. The Social Provisions Scale and the General Health Questionnaire were used to measure perceived social support and mental health, respectively...
December 15, 2016: Aging & Mental Health
https://www.readbyqxmd.com/read/27922518/hepatitis-c-point-of-care-testing-in-vulnerable-populations-a-human-factors-study
#7
Donna M Zucker, Akshaya Shanmugam
One third of all hepatitis C virus (HCV) cases in the United States are incarcerated in jails and prisons. Hepatitis C virus testing is primarily accomplished through a clinical laboratory, yet point-of-care (POC) testing is less invasive and results are available in 20 minutes compared with up to 3 weeks. The purpose of this article was to describe the findings of a collaborative project between the Colleges of Engineering and Nursing at the University of Massachusetts Amherst in executing a human factors study for HCV antibody testing and screening...
November 2016: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
https://www.readbyqxmd.com/read/27921321/from-paperwork-to-parenting-experiences-of-professional-staff-in-student-support
#8
Wendy C Y Hu, Eleanor Flynn, Rebecca Mann, Robyn Woodward-Kron
CONTEXT: For academic staff, responding to student concerns is an important responsibility. Professional staff, or non-academic staff who do administrative work in medical schools, are often the first to be approached by students, yet there is little research on how they manage student issues. Informed by the conceptual framework of emotional labour, we examined the experiences of professional staff, aiming to identify theoretical and practical insights for improving the provision of student support...
December 5, 2016: Medical Education
https://www.readbyqxmd.com/read/27855710/integrating-technology-into-complex-intervention-trial-processes-a-case-study
#9
Cheney J G Drew, Vincent Poile, Rob Trubey, Gareth Watson, Mark Kelson, Julia Townson, Anne Rosser, Kerenza Hood, Lori Quinn, Monica Busse
BACKGROUND: Trials of complex interventions are associated with high costs and burdens in terms of paperwork, management, data collection, validation, and intervention fidelity assessment occurring across multiple sites. Traditional data collection methods rely on paper-based forms, where processing can be time-consuming and error rates high. Electronic source data collection can potentially address many of these inefficiencies, but has not routinely been used in complex intervention trials...
November 17, 2016: Trials
https://www.readbyqxmd.com/read/27787163/paperwork-shouldn-t-come-before-patient-care
#10
Dani Ml
It seems that RNs are moving further away from hands-on care. I went into nursing to work directly with patients, not to have someone else do the part I love doing because I'm too busy doing paperwork. How can you assess a patient you have nothing to do with directly?
October 26, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27766443/improved-screening-mammogram-workflow-by-maximizing-pacs-streamlining-capabilities-in-an-academic-breast-center
#11
Ramya Pham, Daniel Forsberg, Donna Plecha
The aim of this study was to perform an operational improvement project targeted at the breast imaging reading workflow of mammography examinations at an academic medical center with its associated breast centers and satellite sites. Through careful analysis of the current workflow, two major issues were identified: stockpiling of paperwork and multiple worklists. Both issues were considered to cause significant delays to the start of interpreting screening mammograms. Four workflow changes were suggested (scanning of paperwork, worklist consolidation, use of chat functionality, and tracking of case distribution among trainees) and implemented in July 2015...
October 20, 2016: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
https://www.readbyqxmd.com/read/27763688/the-experience-of-treatment-barriers-and-their-influence-on-quality-of-life-in-american-indian-alaska-native-breast-cancer-survivors
#12
Elizabeth A Goodwin, Linda Burhansstipanov, Mark Dignan, Katherine L Jones, Judith Salmon Kaur
BACKGROUND: American Indian and Alaska Native (AI/AN) breast cancer survivors experience disparities in breast cancer incidence and age-adjusted mortality compared with non-Hispanic white (NHW) breast cancer survivors. In addition, mortality-to-incidence rates indicate that AI/ANs continue to have the poorest survival from breast cancer compared with other racial groups. "Native American Cancer Education for Survivors" (NACES) is a cultural education and support intervention for AI/AN patients with cancer that collects data from voluntary participants through the NACES quality-of-life (QOL) survey regarding their cancer experience and survivor journey...
October 20, 2016: Cancer
https://www.readbyqxmd.com/read/27750264/evaluating-disability-insurance-assistance-as-a-specific-intervention-by-physiatrists-at-a-cancer-center
#13
Jack B Fu, Melissa P Osborn, Julie K Silver, Benedict S Konzen, An Ngo-Huang, Rajesh Yadav, Eduardo Bruera
Because of their expertise, physiatrists provide disability insurance assistance for cancer survivors. In this brief report, we perform a descriptive retrospective analysis of all new (354) outpatient physiatry consultations from January 1, 2009, to December 31, 2013, at a National Cancer Institute Comprehensive Cancer Center. Disability and/or work accommodations were brought up at some point with the physiatrist during the duration of their care for 131 (37%) of 354 patients. More than 90% of the discussions took place during the first visit...
October 6, 2016: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/27749387/sedentary-behavior-physical-activity-and-abdominal-adipose-tissue-deposition
#14
Kara M Whitaker, Mark A Pereira, David R Jacobs, Stephen Sidney, Andrew O Odegaard
PURPOSE: We examined whether sedentary lifestyle habits and physical activity level are associated with abdominal visceral adipose tissue (VAT), subcutaneous adipose tissue (SAT), intermuscular adipose tissue (IMAT), and liver attenuation, independently of one another and potential confounders. METHODS: This study analyzed 3010 African American and Caucasian men and women, 42-59 yr old, from the Coronary Artery Risk Development in Young Adults (CARDIA) study, who completed multiple-slice abdominal computed tomography in 2010-2011...
March 2017: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27714959/doctors-with-dyslexia-strategies-and-support
#15
Rachel Locke, Gail Alexander, Richard Mann, Sharon Kibble, Samantha Scallan
BACKGROUND: Looking beyond dyslexia as an individual doctor's issue requires adjusting a working environment to better serve the needs of doctors with dyslexia. With an increasing number of doctors disclosing dyslexia at medical school, how can educators best provide this support? Our research looks at the impact of dyslexia on clinical practice and the coping strategies used by doctors to minimise the effect. METHODS: Qualitative data were collected from 14 doctors with dyslexia using semi-structured interviews and by survey...
October 6, 2016: Clinical Teacher
https://www.readbyqxmd.com/read/27713830/fighting-falsified-medicines-with-paperwork-a-historic-review-of-danish-legislation-governing-distribution-of-medicines
#16
Rasmus Borup, Susanne Kaae, Timo Minssen, Janine Traulsen
BACKGROUND: Many areas of pharmaceutical legislation in the European Union (EU) are harmonised in order to promote the internal market and protect public health. Ideally, harmonisation leads to less fragmented regulation and cross-border complexities. This study, however, focuses on an increasingly harmonised legislative area that is subject to increases in requirements and complexities: the distribution of medicines. This study compared Danish legislation governing the distribution of medicines before and after Denmark joined the EU in order to assess the impact of EU harmonisation, as well as to evaluate whether the drastic increases in requirements mandated by the Falsified Medicines Directive of 2011 correspond to a new approach to governing the pharmaceutical supply chain...
2016: Journal of Pharmaceutical Policy and Practice
https://www.readbyqxmd.com/read/27638688/post-discharge-needs-of-victims-of-gun-violence-in-chicago-a-qualitative-study
#17
Desmond Patton, Aparna Sodhi, Steven Affinati, Jooyoung Lee, Marie Crandall
The purpose of this study was to understand the post-discharge needs of violently injured patients and their families to improve health outcomes and reduce the impact of gun violence. We recruited 10 patients from the trauma registry of a Midwestern university hospital with a Level 1 Trauma Center (L1TC). After obtaining the informed consent, semi-structured, face-to-face, in-depth interviews were conducted. Discussions focused on post-discharge needs and resources to facilitate the recovery and rehabilitation process, and aid in community reintegration...
September 15, 2016: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/27624618/development-of-a-multi-target-contingency-management-intervention-for-hiv-positive-substance-users
#18
Maxine Stitzer, Donald Calsyn, Timothy Matheson, James Sorensen, Lauren Gooden, Lisa Metsch
Contingency management (CM) interventions generally target a single behavior such as attendance or drug use. However, disease outcomes are mediated by complex chains of both healthy and interfering behaviors enacted over extended periods of time. This paper describes a novel multi-target contingency management (CM) program developed for use with HIV positive substance users enrolled in a CTN multi-site study (0049 Project HOPE). Participants were randomly assigned to usual care (referral to health care and SUD treatment) or 6-months strength-based patient navigation interventions with (PN+CM) or without (PN only) the CM program...
January 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/27592579/-effect-of-elastic-strain-rate-ratio-method-and-virtual-touch-tissue-quantification-on-the-diagnosis-of-breast-masses
#19
LiJie Gong, Yan He, Peng Tian, Yan Yan
OBJECTIVE: To determine the effect of elastic strain rate ratio method and virtual touch tissue quantification (VTQ) on the diagnosis of breast masses.
 METHODS: Sixty female patients with breast cancer, who received surgical treatment in Daqing Oilfield General Hospital, were enrolled. All patients signed the informed consent paperwork and they were treated by routine ultrasound examination, compression elastography (CE) examination, and VTQ examination in turn...
July 2016: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
https://www.readbyqxmd.com/read/27484075/-use-of-patient-specific-instruments-at-total-knee-arthroplasty-one-year-results-of-a-prospective-randomised-study
#20
D Musil, J Stehlík, K Abrman, M Held, P Sadovský
UNLABELLED: PURPOSE OF THE STUDY The aim of this prospective study was to evaluate, at one year of follow-up, radiographic and clinical results of total knee arthroplasty (TKA) performed with use of Zimmer® Patient Specific Instruments (PSIs) which allow for planning and customising each patient's TKA. MATERIAL AND METHODS Of the patients with knee arthritis who were eligible for joint replacement, 23 were randomly selected and included in this study. There were 11 men and 12 women, with 11 right and 12 left knee joints...
2016: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
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