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Ob/gyn review

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https://www.readbyqxmd.com/read/27585369/office-visits-for-women-aged-45-64-years-according-to-physician-specialties
#1
Melanie C Raffoul, Stephen M Petterson, William F Rayburn, Peter Wingrove, Andrew W Bazemore
BACKGROUND: The increase in access to healthcare through the Affordable Care Act highlights the need to track where women seek their office-based care. The objectives of this study were to examine the types of physicians sought by women beyond their customary reproductive years and before being elderly. METHODS: This retrospective cohort study involved an analysis of national data from the Medical Expenditure Panel Survey (MEPS) between 2002 and 2012. Women between 45 and 64 years old (n = 44,830) were interviewed, and reviews of corresponding office visits (n = 330,114) were undertaken...
September 1, 2016: Journal of Women's Health
https://www.readbyqxmd.com/read/27375164/metal-hypersensitivity-reactions-to-implanted-devices-facts-and-fictions
#2
W Teo, P Schalock
The use of metals in the medical field has become increasingly prevalent over the past few decades. Patients find themselves being exposed to metals in a variety of ways, ranging from external exposure to instruments such as the stainless steel in surgical blades to internal exposure via medical devices being implanted in their bodies. There has been a growing interest in the medical field in the possibility of developing hypersensitivity reactions to constituent metals in medical implant devices, both in cutaneous and systemic forms...
June 30, 2016: Journal of Investigational Allergology & Clinical Immunology
https://www.readbyqxmd.com/read/27289202/psychometric-characterization-of-the-obstetric-communication-assessment-tool-for-medical-education-a-pilot-study
#3
A Noel Rodriguez, Peter DeWitt, Jennifer Fisher, Kirsten Broadfoot, K Joseph Hurt
OBJECTIVE: To characterize the psychometric properties of a novel Obstetric Communication Assessment Tool (OCAT) in a pilot study of standardized difficult OB communication scenarios appropriate for undergraduate medical evaluation. METHODS: We developed and piloted four challenging OB Standardized Patient (SP) scenarios in a sample of twenty-one third year OB/GYN clerkship students: Religious Beliefs (RB), Angry Father (AF), Maternal Smoking (MS), and Intimate Partner Violence (IPV)...
2016: International Journal of Medical Education
https://www.readbyqxmd.com/read/27135780/the-role-of-staging-surgery-in-the-treatment-of-apparent-early-stage-malignant-ovarian-germ-cell-tumours
#4
Ting Zhao, Hao Zhang, Yan Liu, Hongyuan Jiang, Xiao Wang, Yuan Lu
BACKGROUND: Malignant ovarian germ cell tumours (MOGCTs) are usually detected at an early stage, with patients achieving a satisfactory prognosis. However, the role of staging surgery in the treatment of apparent early-stage MOGCTs remains controversial. AIMS: To investigate the role of staging procedures in apparent early-stage patients. MATERIALS AND METHODS: We performed a retrospective review of 102 patients who were diagnosed with MOGCTs and had malignant lesions confined to their ovaries, between January 1997 and October 2014 at the Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China...
August 2016: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/26942368/industry-payments-to-obstetrician-gynecologists-an-analysis-of-2014-open-payments-data
#5
COMPARATIVE STUDY
Nicole M Tierney, Cheryl Saenz, Michael McHale, Kristy Ward, Steven Plaxe
OBJECTIVE: To evaluate publically available, individually identified data regarding industry payments made to obstetrician-gynecologists (ob-gyns) during 2014 posted on the Centers for Medicare & Medicaid Services' Open Payments website for the purposes of encouraging ob-gyns to partake in disclosure of their fiscal relationships to patients and to take an active role in maintaining accuracy of their payment data. METHODS: In this retrospective study, we reviewed the Centers for Medicare & Medicaid Services' Open Payments website for all 2014 nonresearch payments to ob-gyns...
February 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26906042/knowledge-of-binge-eating-disorder-a-cross-sectional-survey-of-physicians-in-the-united-states
#6
Dylan Supina, Barry K Herman, Carla B Frye, Alicia C Shillington
OBJECTIVES: Binge eating disorder (BED)--now a designated disorder in the DSM-5--is the most prevalent eating disorder (ED), affecting 2-3% of the US population. This survey of US physicians assesses how BED is diagnosed, treated and referred. METHODS: Internists, family practitioners, obstetrics/gynecologist (OB/GYNs) and psychiatrists were randomly selected from a nationally-representative panel. Participants completed an online survey and reviewed case vignettes consistent with DSM-5-defined BED, then answered questions to elicit whether they would assess for psychiatric conditions including EDs...
2016: Postgraduate Medicine
https://www.readbyqxmd.com/read/26819135/changes-in-the-practice-of-obstetrics-and-gynecology
#7
REVIEW
William F Rayburn, Erin E Tracy
A projected shortage of obstetrician-gynecologists (OB-GYNs) is a result of both the increasing US population and the relatively static number of residency graduates. In addition, generational changes have contributed to increasing subspecialization, more desiring part-time employment, and earlier retirement. This article reviews data regarding changes in the practice of obstetrics and gynecology. Residency education is focusing more on a core curriculum in general obstetrics and gynecology, while subspecialty fellowship training has grown in popularity...
January 2016: Obstetrical & Gynecological Survey
https://www.readbyqxmd.com/read/26720306/physician-specialty-influences-care-of-pelvic-inflammatory-disease
#8
Clay P Wiske, Marguerite Palisoul, Chantal Tapé, Janette Baird, Alyson J McGregor
BACKGROUND: CDC guidelines recommend Neisseria gonorrhoeae, Chlamydia trachomatis, and HIV testing, as well as specific antibiotic regimens in the diagnosis and treatment of pelvic inflammatory disease (PID), although latitude in adhering to these guidelines is common. We hypothesized that adherence to CDC guidelines for antibiotic regimens and laboratory testing, coverage for anaerobic organisms, and the use of diagnostic imaging techniques do not differ significantly between practitioners with emergency medicine (EM) versus obstetrics and gynecology (OB-GYN) training...
July 2016: Journal of Women's Health
https://www.readbyqxmd.com/read/26687763/do-primary-care-physician-perform-clinical-breast-exams-prior-to-ordering-a-mammogram
#9
Kelsey E Larson, Michael S Cowher, Colin O'Rourke, Mita Patel, Debra Pratt
Both the American Cancer Society and National Comprehensive Cancer Network recommend annual clinical breast examination (CBE) along with screening mammogram (SM) for patients starting at 40 years of age. However, patients with a palpable breast mass should have a diagnostic mammogram (DM) during workup. Review at our institution demonstrated that 11% of patients with newly diagnosed breast cancer and self-identified breast mass had SM instead of DM. This led us to question whether primary care physicians (PCP) perform CBE prior to ordering mammography...
March 2016: Breast Journal
https://www.readbyqxmd.com/read/26588426/curricular-response-to-increase-recall-and-transfer-of-anatomical-knowledge-into-the-obstetrics-gynecology-clerkship
#10
Rosalyn A Jurjus, Kirsten Brown, Ellen Goldman, Artin Galoosian, Gisela Butera, Jill M Krapf
Deficits in retention of anatomy knowledge from the preclinical years to clinical application on the wards have been well documented in the medical education literature. We developed and evaluated a web and laboratory-based curriculum to address deficits in anatomy knowledge retention and to increase anatomy knowledge recall through repetition and application of clinical concepts during the obstetrics and gynecology (Ob/Gyn) core clinical clerkship. Using principles of adult learning and instructional design, a curriculum was designed consisting of (1) interactive, case-based e-modules reviewing clinically relevant anatomical topics and (2) a hands-on laboratory session reinforcing the content of the e-modules, with the practice of clinical techniques using anatomical cadaveric dissections...
July 8, 2016: Anatomical Sciences Education
https://www.readbyqxmd.com/read/26562703/evaluating-quality-of-care-for-sexually-transmitted-infections-in-different-clinical-settings
#11
Shwetha Sequeira, Jake R Morgan, Maura Fagan, Katherine K Hsu, Mari-Lynn Drainoni
BACKGROUND: We examined quality of care across different clinical settings within a large safety-net hospital in Massachusetts for patients presenting with penile discharge/dysuria or vaginal discharge. METHODS: Using a modified Delphi approach, a list of sex-specific sexually transmitted infection (STI) quality measures, covering 7 domains of clinical care (history, examination, laboratory testing, assessment, treatment, additional screening, counseling), was selected as standard of care by a panel of 5 STI experts representing emergency department (ED), obstetrics/gynecology (Ob/Gyn), family medicine (FM), primary care (PC), and infectious disease...
December 2015: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/26539939/implementing-high-value-care
#12
COMPARATIVE STUDY
Lauren D Demosthenes, Andrew S Lane, Dawn W Blackhurst
OBJECTIVES: Our objectives were to assess physician knowledge of costs of products, tests, and services commonly used by obstetrician/gynecologists (OB/GYNs) and identify those items that could be eliminated without decreasing quality of care by performing a prospective observational pilot study. METHODS: An anonymous electronic survey was distributed to 70 OB/GYN providers at Greenville Memorial Hospital. Survey items included common laboratory tests, medications, and clinical services...
November 2015: Southern Medical Journal
https://www.readbyqxmd.com/read/26510932/the-problem-of-the-pannus-physician-preference-survey-and-a-review-of-the-literature-on-cesarean-skin-incision-in-morbidly-obese-women
#13
Marcela C Smid, Sarah G Smiley, Jay Schulkin, David M Stamilio, Rodney K Edwards, Alison M Stuebe
OBJECTIVE: This study aims to determine preferences of a nationally representative sample of obstetrician/gynecologists (OB/GYNs) regarding cesarean delivery (CD) incision practices for women with morbid obesity (body mass index ≥ 40 kg/m(2)). STUDY DESIGN: We conducted an online survey using the American College of Obstetricians and Gynecologists database. We compared physician demographics, practice characteristics, and CD incision type preference. RESULTS: After exclusion of ineligible participants, 247 OB/GYNs completed the survey (42% response rate)...
April 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/26356738/are-the-university-hospitals-in-puerto-rico-following-current-guidelines-for-cervical-cancer-screening
#14
MULTICENTER STUDY
Keimari Méndez, Nilmar Rodríguez, Isalis Sánchez, Yolianne Lozada, Idelvais Piñero, Dora Donate, Josefina Romaguera
OBJECTIVE: Cervical cancer is the fifth most common cancer among women in Puerto Rico (PR). Information about which obstetricians and gynecologists in PR are following current cervical cytology guidelines is not available. Our two objectives were to determine whether current guidelines for abnormal cervical cytology management were being followed adequately by OB-GYN residents and faculty at 3 university hospitals and, in addition, to evaluate the knowledge of the current guidelines that is possessed by these individuals...
September 2015: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/26333634/roles-of-obstetrician-gynecologist-hospitalists-with-changes-in-the-obstetrician-gynecologist-workforce-and-practice
#15
REVIEW
Jennifer A Tessmer-Tuck, William F Rayburn
Obstetrician-gynecologists (OB-GYNs) are the fourth largest group of physicians and the only specialty dedicated solely to women's health care. The specialty is unique in providing 24-hour inpatient coverage, surgical care and ambulatory preventive health care. This article identifies and reviews changes in the OB-GYN workforce, including more female OB-GYNs, an increasing emphasis on work-life balance, more sub-specialization, larger group practices with more employed physicians and, finally, an emphasis on quality and performance improvement...
September 2015: Obstetrics and Gynecology Clinics of North America
https://www.readbyqxmd.com/read/26246394/the-menopause-transition-interview-with-ellen-w-freeman
#16
Ellen W Freeman
Ellen W Freeman is a Research Professor in the Department of Obstetrics/Gynecology and the Department of Psychiatry at the University of Pennsylvania School of Medicine in Philadelphia (PA, USA). She directs the PMS research program and is co-director of the Human Behavior and Reproduction unit in the Department of Obstetrics and Gynecology. She received her AB in history in Smith College in Northampton, Massachusetts and her MS and PhD in social research from Bryn Mawr College in Bryn Mawr, Pennsylvania. She has published more than 200 scientific articles, book chapters, reviews and abstracts on premenstrual syndromes, perimenopause, adolescent pregnancy, infertility and related topics as well as a book on teenage pregnancy...
July 2015: Women's Health
https://www.readbyqxmd.com/read/25981705/obstetrician-gynecologists-practices-statistical-literacy-and-risk-communication-with-regard-to-sexually-transmitted-infections
#17
Meaghan A Leddy, Britta L Anderson, Jay Schulkin
In order to best care for women, obstetrician-gynecologists (ob-gyns) must be able to diagnose and treat sexually transmitted infections (STIs), as well as effectively communicate risks regarding STIs. This article provides a narrative review of studies primarily conducted by the Research Department at the American College of Obstetricians and Gynecologists, about missed opportunities for STI risk communication. Missed opportunities include the omission or partial completion of STI risk assessment and counseling, failure to offer screening or testing, lack of follow-up on STI testing/vaccination refusals, and a failure to comply with existing guidelines...
2015: Current HIV Research
https://www.readbyqxmd.com/read/25900528/pharmacologic-prevention-of-human-immunodeficiency-virus-in-women-practical-approaches-for-the-obstetrician-and-gynecologist
#18
REVIEW
Jennifer N Hong, Claire E Farel, Lisa Rahangdale
IMPORTANCE: Obstetricians and gynecologists (Ob-Gyns) play a crucial role in efforts to detect and prevent human immunodeficiency virus (HIV) infection in women. Multiple strategies can be implemented into general practice as part of a comprehensive primary women's health care agenda. Educational and behavioral strategies to reduce HIV acquisition in women can now be supplemented with pharmacologic measures. OBJECTIVE: This article aimed to review the literature regarding preexposure prophylaxis (PrEP) for HIV prevention in women...
April 2015: Obstetrical & Gynecological Survey
https://www.readbyqxmd.com/read/25864096/multidisciplinary-obgyn-morbidity-and-mortality-conference
#19
Jessica R Jackson, Julie Z De Cesare
BACKGROUND AND PURPOSE: Obstetrics and gynecology (OB-GYN) morbidity and mortality conferences allow for review of cases with poor or avoidable outcomes. Little data exist on standardized formats for presentation and evaluation. We designed a multidisciplinary morbidity and mortality conference. We formally evaluated resident performance using the milestones format, and evaluated resident understanding of case concepts with a pre- and post-conference survey. METHODOLOGY: Our monthly conference was redesigned to incorporate the entire, residency program, OBGYN department members, nurses, midlevel providers, risk management, quality nurse director, and any additional staff who were involved in the case...
July 2015: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/25574868/development-of-a-novel-task-trainer-for-second-trimester-ultrasound-guided-uterine-evacuation
#20
Kristina M Shumard, Ugochi N Akoma, Linda M Street, Brian C Brost, Joshua F Nitsche
INTRODUCTION: Second trimester surgical termination of pregnancy by dilation and evacuation (D&E) is a procedure that the Obstetrics and Gynecology (OB/GYN) Residency Review Committee requires training programs to offer to their residents and that many residents desire to learn. However, because of limited numbers of credentialed providers, clinical training opportunities may be limited or not available at their training institutions. Simulated procedures may allow for residents and other learners to be more prepared and capable at the time of their first clinical procedures or advanced skill acquisition...
February 2015: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
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