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Amy N Smith, Linda D Boyd, Christine Macarelli Rogers, Ronald C Le Jeune
Increasing the knowledge base of its practitioners through formal education is vital to advancing the dental hygiene profession, ensuring practitioners' readiness for participation in future health care workforce models, and preparing future dental hygiene educators. The aim of this study was to discover the value of, barriers to, and motivations for graduate education among dental hygienists as a first step toward establishing ways to stimulate enrollment and facilitate program change. A qualitative pilot study design was used, with focus groups used for data collection...
September 2016: Journal of Dental Education
David A Faber, Shivam Joshi, Mark H Ebell
No abstract text is available yet for this article.
October 1, 2016: JAMA Internal Medicine
Ian G Stiell, Jennifer D Artz, Eddy S Lang, Jonathan Sherbino, Laurie J Morrison, James Christenson, Jeffrey J Perry, Claude Topping, Robert Woods, Robert S Green, Rodrick Lim, Kirk Magee, John Foote, Garth Meckler, Mark Mensour, Simon Field, Brian Chung, Martin Kuuskne, James Ducharme, Vera Klein, Jill McEwen
OBJECTIVE: We sought to conduct a major objective of the CAEP Academic Section, an environmental scan of the academic emergency medicine programs across the 17 Canadian medical schools. METHODS: We developed an 84-question questionnaire, which was distributed to academic heads. The responses were validated by phone by the lead author to ensure that the questions were answered completely and consistently. Details of pediatric emergency medicine units were excluded from the scan...
July 21, 2016: CJEM
R Carter Clement, Erik Olsson, Prateek Katti, Robert J Esther
BACKGROUND: Residency programs compete to attract applicants based on numerous factors. Previous research has suggested that medical students consider quality of life among the most important factors in selecting a program. One aspect of workplace quality of life is the cadre of non-monetary benefits offered to employees. However, with federal funding for graduate medical education (GME) under consideration for spending cuts, the source and continuation of such benefits may be in question...
July 2016: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
Joseph A Gil, Gregory R Waryasz, Dorothy Liu, Alan H Daniels
PURPOSE: To determine if medical student debt has an effect on medical student specialty choice. METHODS: A cross-sectional survey was distributed to students at 12 medical schools across the United States to assess the effect of debt on specialty choice. RESULTS: In total, 415 students responded to the survey; 98 medical students reported that they were pursuing a primary care residency (PCR) and 250 reported that they were pursing a non-primary care residency (NPCR)...
2016: Rhode Island Medical Journal
C Rabe, M Ghadimi, S König
Background/Purpose: Surgical patient care has grown in complexity, as hospital workload has continuously increased. We therefore established a pool of "undergraduate medical students on call" to assist in the theatre outside working hours. We aimed to recruit talented students to reduce the burden on physicians and to motivate students into entering surgery. Methods: An exploratory mixed-method study was performed. In a qualitative study, guided interviews were conducted with five students about their reasons for working in the theatre and the results were used to construct an online questionnaire using EvaSys®...
June 21, 2016: Zentralblatt Für Chirurgie
Jennifer Lochner, Elizabeth Trowbridge, Sandra Kamnetz, Nancy Pandhi
BACKGROUND AND OBJECTIVES: Primary care physician compensation structures have remained largely volume-based, lagging behind changes in reimbursement that increasingly include population approaches such as capitation, bundled payments, and care management fees. We describe a population health-based physician compensation plan developed for two departmental family medicine faculty groups (residency teaching clinic faculty and community clinic faculty) along with outcomes before and after the plan's implementation...
June 2016: Family Medicine
Nathan J Pauly, Jeffery C Talbert, Joshua Brown
BACKGROUND: Administrative claims data are used for a wide variety of research and quality assurance purposes; however, they are prone to medication exposure misclassification if medications are purchased without using an insurance benefit. Low-cost generic drug programs (LCGPs) offered at major chain pharmacies are a relatively new and sparsely investigated source of exposure misclassification. LCGP medications are often purchased out of pocket; thus, a pharmacy claim may never be submitted, and the exposure may go unobserved in claims data...
June 2016: Journal of Managed Care & Specialty Pharmacy
Kurt A Ashack, Kyle A Burton, Jonathan M Soh, Julien Lanoue, Anne H Boyd, Emily E Milford, Cory Dunnick, Robert P Dellavalle
BACKGROUND: Internet resources play an important role in how medical students access information related to residency programs.Evaluating program websites is necessary in order to provide accurate information for applicants and provide information regarding areas of website improvement for programs. To date, dermatology residency websites (D  WS) have not been evaluated.This paper evaluates dermatology residency websites based on availability of predefined measures. METHODS: Using the FREIDA (Fellowship and Residency Electronic Interactive Database) Online database, authors searched forall accredited dermatology program websites...
2016: Dermatology Online Journal
Erin M Bonura, Eun Sul Lee, Katrina Ramsey, Wendy S Armstrong
BACKGROUND: Only 49% of infectious diseases (ID) fellowship programs were filled in 2015 through the national match, but little is known about internal medicine (IM) resident perceptions of ID and factors related to IM resident career choice. METHODS: We conducted 25 interviews and disseminated a Web-based survey to graduating IM residents in the United States utilizing a 2-stage sampling strategy. Participants were categorized into 3 groups based on interest in ID: (1) applied/intended to apply to ID; (2) interested in ID but did not apply; (3) never interested in ID...
July 15, 2016: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
Alexander Singer, Sari Yakubovich, Andrea L Kroeker, Brenden Dufault, Roberto Duarte, Alan Katz
OBJECTIVE: To determine problem list completeness related to chronic diseases in electronic medical records (EMRs) and explore clinic and physician factors influencing completeness. METHODS: A retrospective analysis of primary care EMR data quality related to seven chronic diseases (hypertension, diabetes, asthma, congestive heart failure, coronary artery disease, hypothyroidism, and chronic obstructive pulmonary disorder) in Manitoba, Canada. We included 119 practices in 18 primary care clinics across urban and rural Manitoba...
November 2016: Journal of the American Medical Informatics Association: JAMIA
Casey A Dauw, Yooni Yi, Maggie J Bierlein, Phyllis Yan, Abdulrahman F Alruwaily, Khurshid R Ghani, J Stuart Wolf, Brent K Hollenbeck, John M Hollingsworth
OBJECTIVE: To determine adherence patterns for thiazide diuretics, alkali citrate therapy, and allopurinol, collectively referred to as preventive pharmacological therapy (PPT), among patients with kidney stones. METHODS: Using medical claims data, we identified adults diagnosed with kidney stones between 2002 and 2006. Through National Drug Codes, we determined those with one or more prescription fills for a PPT agent. We measured adherence to PPT (as determined by the proportion of days covered formula) within the first 6 months of starting therapy and performed multivariate analysis to evaluate patient factors associated with PPT adherence...
July 2016: Urology
Wen-Chen Tsai, Pei-Tseng Kung, Rhay-Hung Weng, Hsun-Pi Su
BACKGROUND: The Taiwanese government considers fluoride varnish to be a major component of preventive dental cares for preschool children. This study aimed to explore the extent of utilization of fluoride varnish and its determining factors among Taiwanese preschool children. METHODS: Using preschool children under the age of 5 years as our participants, this study was conducted based on the 2008 Taiwan database of the Ministry of the Interior, linked with information gathered between 2006 and 2008 on preventive healthcare and health insurance from the Bureau of Health Promotion and the National Health Research Institute...
August 2016: Journal of the Chinese Medical Association: JCMA
Mehran Rostami, Abdollah Jalilian, Ramin Rezaei-Zangeneh, Arash Salari
BACKGROUND: Identification of factors in the choice of suicide methods is important in understanding the phenomenon. OBJECTIVES: We aimed to quantify the effect of gender, age, living area, education level and marital status on the choice of suicide method among residents of Kermanshah province in the west of Iran. DESIGN: A cross-sectional study of all completed suicides from March 2006 to September 2013. SETTING: Kermanshah Province, Iran...
January 2016: Annals of Saudi Medicine
N Oker, N H Alotaibi, P Herman, M Bernal-Sprekelsen, A E Albers
Europe-wide efforts are being initiated to define quality standards and harmonize Otolaryngology, Head and Neck Surgery (ORL-HNS)-specialty-training by creating an European board examination. However, differences within and between countries remain and are underinvestigated making comparisons and further improvement more difficult. The study aimed at assessing quality of training, satisfaction and quality of life of residents and recent ORL-HNS specialists in Spain and to trace similarities and differences to France and Germany administering anonymous online-questionnaire to ORL-HNS-residents and recent specialists...
June 2016: European Archives of Oto-rhino-laryngology
Michael Aronica, Ronald Williams, Princess E Dennar, Robert H Hopkins
BACKGROUND: Combined internal medicine and pediatrics (medicine-pediatrics) residencies were Accreditation Council for Graduate Medical Education (ACGME) accredited separately from their corresponding categorical residencies in June 2006. OBJECTIVE: We investigated how ACGME accreditation of medicine-pediatrics programs has affected the levels of support (both financial and personnel), the National Resident Matching Program (NRMP) match rate, performance on the board examination, and other graduate outcomes...
December 2015: Journal of Graduate Medical Education
Ahmed Elkhadem, Suzan Wanees
DATA SOURCES: PubMed, ISI, LILACS, Cochrane Library and Embase databases were searched. STUDY SELECTION: Epidemiological studies (cross-sectional, case-control, cohort clinical trials) addressing possible associations between socioeconomic indicators (eg mother's schooling, household income, number of children, type of school) and traumatic dental injury in the primary dentition were considered. DATA EXTRACTION AND SYNTHESIS: Two reviewers independently selected studies...
December 2015: Evidence-based Dentistry
Deena R Zimmerman, Yona Amitai, Zahi Grossman, Chen Stein-Zamir
BACKGROUND: Pediatric primary care is the cornerstone of health care services for children. Performance of common office procedures is an integral part of primary care. Ideally, the community-based primary care pediatrician provides comprehensive health care services and only refers a small minority of patients for consultation. However, knowledge regarding Israeli pediatricians' practices of office procedures is scant. OBJECTIVES: To describe primary care pediatricians' patterns in the provision of common office procedures and to analyze factors associated with performance or referral...
2015: Israel Journal of Health Policy Research
Brandon C Maughan, Jill M Baren, Judy A Shea, Raina M Merchant
OBJECTIVES: The Choosing Wisely campaign was launched in 2011 to promote stewardship of medical resources by encouraging patients and physicians to speak with each other regarding the appropriateness of common tests and procedures. Medical societies including the American College of Emergency Physicians (ACEP) have developed lists of potentially low-value practices for their members to address with patients. No research has described the awareness or attitudes of emergency physicians (EPs) regarding the Choosing Wisely campaign...
December 2015: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Richard P Menger, Michael E Wolf, Richard W Lang, Donald R Smith, Anil Nanda, Peter Letarte, Michael K Rosner
UNLABELLED: The pathway to military neurosurgical practice can include a number of accession options. This article is an objective comparison of fiscal, tangible, and intangible benefits provided through different military neurosurgery career paths. Neurosurgeons may train through active duty, reserve, or civilian pathways. These modalities were evaluated on the basis of economic data during residency and the initial 3 years afterwards. When available, military base pay, basic allowance for housing and subsistence, variable special pay, board certified pay, incentive pay, multiyear special pay, reserve drill pay, civilian salary, income tax, and other tax incentives were analyzed using publically available data...
June 2016: Neurosurgery
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