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https://www.readbyqxmd.com/read/29643089/physicians-political-preferences-and-the-delivery-of-end-of-life-care-in-the-united-states-retrospective-observational-study
#1
Anupam B Jena, Andrew R Olenski, Dhruv Khullar, Adam Bonica, Howard Rosenthal
OBJECTIVES: To compare the delivery of end of life care given to US Medicare beneficiaries in hospital by internal medicine physicians with Republican versus Democrat political affiliations. DESIGN: Retrospective observational study. SETTING: US Medicare. PARTICIPANTS: Random sample of Medicare beneficiaries, who were admitted to hospital in 2008-12 with a general medical condition, and died in hospital or shortly thereafter...
April 11, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29625566/passing-mrcp-uk-paces-a-cross-sectional-study-examining-the-performance-of-doctors-by-sex-and-country
#2
Emily Unwin, Henry W W Potts, Jane Dacre, Andrew Elder, Katherine Woolf
BACKGROUND: There is much discussion about the sex differences that exist in medical education. Research from the United Kingdom (UK) and United States has found female doctors earn less, and are less likely to be senior authors on academic papers, but female doctors are also less likely to be sanctioned, and have been found to perform better academically and clinically. It is also known that international medical graduates tend to perform more poorly academically compared to home-trained graduates in the UK, US, and Canada...
April 6, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29606653/a-national-survey-of-u-s-dental-students-experiences-with-international-service-trips
#3
R Frederick Lambert, Chloe A Wong, Karl F Woodmansey, Brianna Rowland, Steven O Horne, Brittany Seymour
Globalization, along with the increasing prevalence of non-communicable diseases, their risk factors, and poor oral health, demands global approaches to oral health care. Trained health care workers' providing volunteer services abroad is one model used for improving access to dental services for some communities. Currently, little is known about U.S. dental student involvement in international clinical service volunteerism. The aim of this exploratory study was to capture national survey data from predoctoral dental students about their interest in and experience with global health service trips...
April 2018: Journal of Dental Education
https://www.readbyqxmd.com/read/29603320/stakeholder-views-of-rural-community-based-medical-education-a-narrative-review-of-the-international-literature
#4
Praphun Somporn, Julie Ash, Lucie Walters
CONTEXT: Rural community-based medical education (RCBME), in which medical student learning activities take place within a rural community, requires students, clinical teachers, patients, community members and representatives of health and government sectors to actively contribute to the educational process. Therefore, academics seeking to develop RCBME need to understand the rural context, and the views and needs of local stakeholders. OBJECTIVES: The aim of this review is to examine stakeholder experiences of RCBME programmes internationally...
March 30, 2018: Medical Education
https://www.readbyqxmd.com/read/29601296/identification-of-facilitators-and-barriers-to-residents-use-of-a-clinical-reasoning-tool
#5
Deborah DiNardo, Sarah Tilstra, Melissa McNeil, William Follansbee, Shanta Zimmer, Coreen Farris, Amber E Barnato
BACKGROUND: While there is some experimental evidence to support the use of cognitive forcing strategies to reduce diagnostic error in residents, the potential usability of such strategies in the clinical setting has not been explored. We sought to test the effect of a clinical reasoning tool on diagnostic accuracy and to obtain feedback on its usability and acceptability. METHODS: We conducted a randomized behavioral experiment testing the effect of this tool on diagnostic accuracy on written cases among post-graduate 3 (PGY-3) residents at a single internal medical residency program in 2014...
March 28, 2018: Diagnosis
https://www.readbyqxmd.com/read/29600255/emergency-manuals-improved-novice-physician-performance-during-simulated-icu-emergencies
#6
Michael R Kazior, Jacob Wang, Marjorie P Stiegler, Dung Nguyen, Annette Rebel, Robert S Isaak
Background: Emergency manuals, which are safety essentials in non-medical high-reliability organizations (e.g., aviation), have recently gained acceptance in critical medical environments. Of the existing emergency manuals in anesthesiology, most are geared towards intraoperative settings. Additionally, most evidence supporting their efficacy focuses on the study of physicians with at least some meaningful experience as a physician. Our aim was to evaluate whether an emergency manual would improve the performance of novice physicians (post-graduate year [PGY] 1 or first year resident) in managing a critical event in the intensive care unit (ICU)...
July 2017: Journal of Education in Perioperative Medicine: JEPM
https://www.readbyqxmd.com/read/29596081/relationships-between-the-acgme-resident-and-faculty-surveys-and-program-pass-rates-on-the-abim-internal-medicine-certification-examination
#7
Kathleen D Holt, Rebecca S Miller, Jerry Vasilias, Lauren M Byrne, Christian Cable, Louis Grosso, Lisa M Bellini, Furman S McDonald
PURPOSE: The Accreditation Council for Graduate Medical Education (ACGME) has surveyed residents since 2003, and faculty since 2012. Surveys are designed to assess program functioning and specify areas for improvement. The purpose of this study was to assess the association of the ACGME's resident and faculty surveys with residency program specific performance on the American Board of Internal Medicine (ABIM) certification exam. METHOD: Data were available from residents and faculty in 375 U...
March 27, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29594191/nutrition-education-in-internal-medicine-residency-programs-and-predictors-of-residents-dietary-counseling-practices
#8
Stutee Khandelwal, Sarah E Zemore, Anke Hemmerling
Background: Although physicians are expected to provide dietary counseling for patients with cardiovascular (CV) risk factors such as hypertension, hyperlipidemia, diabetes, and obesity, nutrition education in graduate medical education remains limited. Few studies have recently examined nutrition education and dietary counseling practices in Internal Medicine (IM) residency training. Objectives: To conduct a contemporary assessment of outpatient nutrition education in IM residency programs in the United States, identify predictors of residents' dietary counseling practices for CV risk factors, and identify barriers for educators in providing nutrition education and barriers for residents in counseling patients...
January 2018: Journal of Medical Education and Curricular Development
https://www.readbyqxmd.com/read/29587735/correction-to-strengthening-medical-training-programmes-by-focusing-on-professional-transitions-a-national-bridging-programme-to-prepare-medical-school-graduates-for-their-role-as-medical-interns-in-botswana
#9
Michael J Peluso, Rebecca Luckett, Savara Mantzor, Alemayehu G Bedada, Paul Saleeb, Miriam Haverkamp, Mosepele Mosepele, Cecil Haverkamp, Rosa Maoto, Detlef Prozesky, Neo Tapela, Oathokwa Nkomazana, Tomer Barak
Forllowing publication of the original article [1], the first author reported that there was a typographical error in the name of one of his co-authors. The correct spelling is Alemayehu Bedada, not Alemayhu Bedada.
March 27, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29587722/personality-traits-and-career-choices-among-physicians-in-finland-employment-sector-clinical-patient-contact-specialty-and-change-of-specialty
#10
Sari Mullola, Christian Hakulinen, Justin Presseau, David Gimeno Ruiz de Porras, Markus Jokela, Taina Hintsa, Marko Elovainio
BACKGROUND: Personality influences an individual's adaptation to a specific job or organization. Little is known about personality trait differences between medical career and specialty choices after graduating from medical school when actually practicing different medical specialties. Moreover, whether personality traits contribute to important career choices such as choosing to work in the private or public sector or with clinical patient contact, as well as change of specialty, have remained largely unexplored...
March 27, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29582953/-to-be-a-resident-in-the-department-of-medicine
#11
Matan Fischer, Zahi Abu Ghosh, Limor Rubin, Fadi Kharouf, Oshrat Ayalon, Danna Dror, Batla Falah, Dror Mevorach
Sir William Osler is considered to be one of the fathers of modern medicine who pioneered the practice of bedside teaching of clinical medicine for medical students and residents. Osler was well known as a diagnostician and outstanding therapist with a humanized approach and rare didactic capabilities. Medical training at Hadassah is built on the central tenets of Osler's approach, incorporating the tremendous advances in science and medicine. Training for residents in Internal Medicine is designed to develop a broad base of medical and, if possible, scientific knowledge, as well as skills and competencies to deliver a high standard of patient care...
March 2018: Harefuah
https://www.readbyqxmd.com/read/29582950/-hadassah-medical-organization-a-pioneer-in-population-health
#12
REVIEW
Ronit Calderon-Margalit, Hagai Levine, Avi Israeli, Ora Paltiel
Population health is a term encompassing "the health outcomes of a group of individuals, including the distribution of such outcomes within the group." Only recently have hospitals viewed themselves as focal points for promoting health in a community, involving themselves with population health. Hadassah Medical Organization (HMO), however, has been in the business of population health since its founding. Its early programs, promoting and delivering nutritional support, maternal-child health and other services to the Yishuv's inhabitants, showed that the HMO defined its community broadly...
March 2018: Harefuah
https://www.readbyqxmd.com/read/29565686/networking-matters-a-social-network-analysis-of-the-association-of-program-directors-of-internal-medicine
#13
Eric Warm, Vineet M Arora, Saima Chaudhry, Andrew Halvorsen, Daniel Schauer, Kris Thomas, Furman S McDonald
THEORY: Networking has positive effects on career development; however, personal characteristics of group members such as gender or diversity may foster or hinder member connectedness. Social network analysis explores interrelationships between people in groups by measuring the strength of connection between all possible pairs in a given network. Social network analysis has rarely been used to examine network connections among members in an academic medical society. This study seeks to ascertain the strength of connection between program directors in the Association of Program Directors in Internal Medicine (APDIM) and its Education Innovations Project subgroup and to examine possible associations between connectedness and characteristics of program directors and programs...
March 22, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29561691/dual-autonomies-divergent-approaches-how-stratification-in-medical-education-shapes-approaches-to-patient-care
#14
Tania M Jenkins
The United States relies on international and osteopathic medical graduates ("non-USMDs") to fill one third of residency positions because of a shortage of American MD graduates ("USMDs"). Non-USMDs are often informally excluded from top residency positions, while USMDs tend to fill the most prestigious residencies. Little is known, however, about whether the training in these different settings is comparable or how it impacts patients. Drawing on 23 months of ethnographic fieldwork and 123 interviews, I compare training at two internal medicine programs: a community hospital staffing 90% non-USMDs and a university hospital staffing 99% USMDs...
March 1, 2018: Journal of Health and Social Behavior
https://www.readbyqxmd.com/read/29557719/education-outcomes-in-a-duty-hour-flexibility-trial-in-internal-medicine
#15
Sanjay V Desai, David A Asch, Lisa M Bellini, Krisda H Chaiyachati, Manqing Liu, Alice L Sternberg, James Tonascia, Alyssa M Yeager, Jeremy M Asch, Joel T Katz, Mathias Basner, David W Bates, Karl Y Bilimoria, David F Dinges, Orit Even-Shoshan, David M Shade, Jeffrey H Silber, Dylan S Small, Kevin G Volpp, Judy A Shea
Background Concern persists that inflexible duty-hour rules in medical residency programs may adversely affect the training of physicians. Methods We randomly assigned 63 internal medicine residency programs in the United States to be governed by standard duty-hour policies of the 2011 Accreditation Council for Graduate Medical Education (ACGME) or by more flexible policies that did not specify limits on shift length or mandatory time off between shifts. Measures of educational experience included observations of the activities of interns (first-year residents), surveys of trainees (both interns and residents) and faculty, and intern examination scores...
March 20, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29552804/-evidence-based-chinese-medicine%C3%AF-theory-and-practice
#16
Jun-Hua Zhang, You-Ping Li, Bo-Li Zhang
The introduction and popularization of evidence-based medicine has opened up a new research field of clinical efficacy evaluation of traditional Chinese medicine(TCM), produced new research ideas and methods, and promoted the progress of clinical research of TCM. After about 20 years assiduous study and earnest practice, the evidence based evaluation method and technique, which conforms to the characteristics of TCM theory and practice, has been developing continuously. Evidence-based Chinese medicine (EBCM) has gradually formed and become an important branch of evidence-based medicine...
January 2018: Zhongguo Zhong Yao za Zhi, Zhongguo Zhongyao Zazhi, China Journal of Chinese Materia Medica
https://www.readbyqxmd.com/read/29551454/diverse-perspectives-and-training-paths-in-cardiology-an-analysis-of-authorship-in-the-journal-of-the-american-college-of-cardiology
#17
Barbara A Danek, Aris Karatasakis, Judit Karacsonyi, Bavana V Rangan, Shuaib Abdullah, Paul Sorajja, Subhash Banerjee, Emmanouil S Brilakis
The role of women and foreign medical graduates in cardiology research published in the United States has received limited study. We examined the characteristics of the first and last authors of all original contributions and review articles published in the Journal of the American College of Cardiology from October 1, 2015 to October 1, 2016. A total of 345 articles were identified, with 687 first and last authors originating from ≥50 different countries. Overall 17% of authors were women (20% of first and 14% of last authors)...
March 15, 2018: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/29548290/specialty-preference-and-intentions-to-study-abroad-of-syrian-medical-students-during-the-crisis
#18
Bisher Sawaf, Fatima Abbas, Amr Idris, Tareq Al Saadi, Nazir Ibrahim
BACKGROUND: Little research addresses how medical students develop their choice of specialty training in crisis and resource-poor settings. The newly graduated medical students determine the future of the healthcare system. This study aims to elucidate the factors influencing Syrian medical students' specialty selection and students' intentions to study abroad. METHODS: A cross-sectional study carried out at the universities of Damascus, Al-Kalamoon and the Syrian Private University in Syria using self-administered questionnaire to investigate medical students' specialty preferences and plans for career future...
March 16, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29545128/factors-associated-with-surgery-clerkship-performance-and-subsequent-usmle-step-scores
#19
Ting Dong, Annesley Copeland, Matthew Gangidine, Deanna Schreiber-Gregory, E Matthew Ritter, Steven J Durning
PURPOSE: We conducted an in-depth empirical investigation to achieve a better understanding of the surgery clerkship from multiple perspectives, including the influence of clerkship sequence on performance, the relationship between self-logged work hours and performance, as well as the association between surgery clerkship performance with subsequent USMLE Step exams' scores. METHOD: The study cohort consisted of medical students graduating between 2015 and 2018 (n = 687)...
March 12, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29535206/a-comparison-of-resident-self-perception-and-pediatric-hospitalist-perceptions-of-the-supervisory-needs-of-new-interns
#20
Ariel S Winn, Carolyn H Marcus, Theodore C Sectish, Kathryn Williams, Christopher P Landrigan
OBJECTIVES: The Association of American Medical Colleges published a list of entrustable professional activities (EPAs) that graduating medical students should be able to perform on day 1 of residency without direct supervision. We sought to explore the perceptions of residents and pediatric hospitalists about the level of supervision new interns need in conducting these EPAs. METHODS: An electronic survey was sent to pediatric hospitalists who supervise interns in a large pediatric residency program in which they were asked to rate the amount of supervision they perceive new interns need when performing 11 EPAs...
April 2018: Hospital Pediatrics
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