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https://www.readbyqxmd.com/read/27797347/medical-student-journals-teaching-the-peer-review-process-and-promoting-academic-mentorship
#1
Nadine M Kaskas, David H Ballard, Jeffery A Weisman, John A Vanchiere
Early exposure to research and longitudinal academic mentorship encourages medical student interest in academic careers and postgraduate research productivity. There are various ways for students to gain exposure to research in medical school; however, there are very few opportunities for medical students to participate in the peer-review process as a reviewer or editor for an academic journal. One potential method to supply such educational experiences is the creation of scientific journals specifically for medical students...
September 2016: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/27697807/how-to-succeed-as-a-junior-doctor
#2
Michael Azad
The Royal College of Physicians (RCP) organised an inaugural 1-day conference, the aim of which was to look into some of the key issues that junior doctors need to address when beginning their careers. The target audience was medical students but a few foundation doctors were also in attendance. The conference also helped to increase RCP engagement with medical students and foundation doctors. The day was co-chaired by Professor Kate Thomas (vice dean, University of Birmingham) and Dr Andrew Macleod and Dr Kanwaljit Sandhu (RCP regional advisors for the West Midlands)...
October 2016: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/27650687/royal-australian-and-new-zealand-college-of-psychiatrists-clinical-practice-guideline-for-the-management-of-deliberate-self-harm
#3
Gregory Carter, Andrew Page, Matthew Large, Sarah Hetrick, Allison Joy Milner, Nick Bendit, Carla Walton, Brian Draper, Philip Hazell, Sarah Fortune, Jane Burns, George Patton, Mark Lawrence, Lawrence Dadd, Jo Robinson, Helen Christensen
OBJECTIVE: To provide guidance for the organisation and delivery of clinical services and the clinical management of patients who deliberately self-harm, based on scientific evidence supplemented by expert clinical consensus and expressed as recommendations. METHOD: Articles and information were sourced from search engines including PubMed, EMBASE, MEDLINE and PsycINFO for several systematic reviews, which were supplemented by literature known to the deliberate self-harm working group, and from published systematic reviews and guidelines for deliberate self-harm...
October 2016: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/27626185/nurses-work-with-sick-leave-questions-by-telephone-in-primary-healthcare
#4
Linda Lännerström, Anna-Sophia von Celsing, Inger K Holmström, Thorne Wallman
AIMS AND OBJECTIVES: To describe nurses' work with sick leave questions by telephone. BACKGROUND: In Sweden, when a sick person needs to request a sickness certification it is common to contact the primary healthcare centre. The main access to primary healthcare is by telephone, with a nurse answering the care seeker's questions, triaging and helping care seekers to the right level of care. Nurses' work with sick leave questions has not been studied, except for two qualitative interview studies...
September 14, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27352378/promoting-patient-and-family-partnerships-in-ambulatory-care-improvement-a-narrative-review-and-focus-group-findings
#5
Karin E Johnson, Tracy M Mroz, Marie Abraham, Marlaine Figueroa Gray, Mary Minniti, Wendy Nickel, Robert Reid, Jennifer Sweeney, Dominick L Frosch, Debra L Ness, Clarissa Hsu
INTRODUCTION: Ambulatory practices that actively partner with patients and families in quality improvement (QI) report benefits such as better patient/family interactions with physicians and staff, and patient empowerment. However, creating effective patient/family partnerships for ambulatory care improvement is not yet routine. The objective of this paper is to provide practices with concrete evidence about meaningfully involving patients and families in QI activities. METHODS: Review of literature published from 2000-2015 and a focus group conducted in 2014 with practice advisors...
August 2016: Advances in Therapy
https://www.readbyqxmd.com/read/27325783/effect-of-physician-disclosure-of-specialty-bias-on-patient-trust-and-treatment-choice
#6
Sunita Sah, Angela Fagerlin, Peter Ubel
This paper explores the impact of disclosures of bias on advisees. Disclosure-informing advisees of a potential bias-is a popular solution for managing conflicts of interest. Prior research has focused almost exclusively on disclosures of financial conflicts of interest but little is known about how disclosures of other types of biases could impact advisees. In medicine, for example, physicians often recommend the treatment they specialize in; e.g., surgeons are more likely to recommend surgery than nonsurgeons...
July 5, 2016: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/27323508/when-questions-arise-physician-advisors-are-there-with-the-answers
#7
(no author information available yet)
DCH Health System's seven part-time physician advisors perform a variety of tasks to help ensure that the hospitals are appropriately reimbursed and that patients move smoothly through the continuum of care. They work with care managers on patient status and also assist with documentation, writing medical necessity appeals, resource utilization, and patient throughput. They attend daily transition rounds with the nurses, care managers, and social workers, and participate in weekly long-stay rounds and capacity rounds in the ICU and acute cardiac care...
June 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27323507/who-makes-a-good-physician-advisor-and-what-can-they-do-for-you
#8
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27323506/make-your-physician-advisor-your-closest-ally
#9
(no author information available yet)
As the pressure increases for case managers to help ensure that hospitals comply with payer requirements and get paid appropriately, physician advisors can be a valuable ally. Physician advisors have clinical expertise as well as credibility with the physician staff, which gives them an advantage when it comes to educating physicians about patient status, documentation needs, patient throughput, and transitions in care. Case managers and their physician advisors should work together to ensure that everything in the patient record is correct up front so the hospital will avoid costly appeals when the claim is denied...
June 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27231793/cost-effectiveness-of-ivermectin-1-cream-in-adults-with-papulopustular-rosacea-in-the-united-states
#10
Alain Taieb, Linda Stein Gold, Steven R Feldman, Viktor Dansk, Evelina Bertranou
BACKGROUND: Papulopustular rosacea is a chronic skin disease involving central facial erythema in combination with papules and pustules. Papulopustular rosacea is treated with topical, systemic, or a combination of topical and systemic therapies. Currently approved topical therapies include azelaic acid gel/cream/foam twice daily (BID) and metronidazole cream/gel/lotion BID. Ivermectin 1% cream once daily (QD) is a new topical agent for the treatment of papulopustular rosacea that has been approved for the management of inflammatory lesions of rosacea and offers an alternative to current treatments...
June 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/27159094/balancing-the-roles-of-a-family-medicine-residency-faculty-a-grounded-theory-study
#11
Randall Reitz, Laura Sudano, Anne Siler, Kristopher Trimble
BACKGROUND AND OBJECTIVES: Great variety exists in the roles that family medicine residency faculty fill in the lives of their residents. A family medicine-specific model has never been created to describe and promote effective training relationships. This research aims to create a consensus model for faculty development, ethics education, and policy creation. METHODS: Using a modified grounded theory methods, researchers conducted phone interviews with 22 key informants from US family medicine residencies...
May 2016: Family Medicine
https://www.readbyqxmd.com/read/27032173/utilization-review-process-calls-for-assessing-patients-at-every-point-of-entry
#12
(no author information available yet)
Dartmouth-Hitchcock Medical Center in Lebanon, NH, reviews patients at every point of access to get their status right up front. Case managers cover the emergency department, utilization review nurse review surgical patients, and physician advisors are on call to the transfer center. Observation patients are placed in a clinical decision unit next to the emergency department; surgical patients who need a longer-than-normal recovery period are monitored in a short-stay unit. The electronic medical record allows clinicians to see what the other disciplines are doing in real time...
April 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/27028031/a-multidisciplinary-housestaff-led-initiative-to-safely-reduce-daily-laboratory-testing
#13
Wade Iams, Josh Heck, Meghan Kapp, David Leverenz, Michael Vella, Eszter Szentirmai, Irene Valerio-Navarrete, Cecelia Theobald, Kathryn Goggins, Kevin Flemmons, Kelly Sponsler, Cody Penrod, Patricia Kleinholz, Donald Brady, Sunil Kripalani
PURPOSE: Provision of high-value care is a milestone in physician training. The authors evaluated the effect of a housestaff-led initiative on laboratory testing rates. METHOD: Vanderbilt University Medical Center's Choosing Wisely steering committee, led by housestaff with faculty advisors, sought to reduce unnecessary daily basic metabolic panel (BMP) and complete blood count (CBC) testing on inpatient general medicine and surgical services. Intervention services received a didactic session followed by regular data feedback with goal rates and peer comparison...
June 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/26964413/financial-stakes-rising-as-auditors-set-their-sights-on-providers
#14
(no author information available yet)
The Centers for Medicare & Medicaid Services (CMS) is continuing to tweak its various audit programs, and the changes make it imperative that case managers stay current so they can educate the rest of the staff. Hospitals have got to get patient status right up front, and that means case managers should review every patient who comes in from every point of access. Hospitals should eliminate the silos within their various departments and outside the hospital walls with post-acute providers so everyone can work together for better patient care...
March 2016: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/26950909/medical-student-decision-making-regarding-pursuit-of-a-public-health-degree
#15
Sarah L McFarland, Peter Meyers, Robin Sautter, Amanda Honsvall, Jacob Prunuske
BACKGROUND AND OBJECTIVES: Few US medical school graduates receive a public health degree. We sought to identify factors involved in medical students' decisions to pursue dual medical and public health degrees and describe the decision-making process. METHODS: We conducted focus group discussions and telephone interviews with medical students considering, or enrolled in, a public health degree program. Participants described early exposures to public health, perspectives on physician public health roles, advantages and disadvantages of a public health degree, and the relative importance of factors influencing their decision to pursue a public health degree...
March 2016: Family Medicine
https://www.readbyqxmd.com/read/26929430/-who-is-on-your-health-care-team-asking-individuals-with-heart-failure-about-care-team-membership-and-roles
#16
Kori A LaDonna, Joanna Bates, Glendon R Tait, Allan McDougall, Valerie Schulz, Lorelei Lingard
BACKGROUND: Complex, chronically ill patients require interprofessional teams to address their multiple health needs; heart failure (HF) is an iconic example of this growing problem. While patients are the common denominator in interprofessional care teams, patients have not explicitly informed our understanding of team composition and function. Their perspectives are crucial for improving quality, patient-centred care. OBJECTIVES: To explore how individuals with HF conceptualize their care team, and perceive team members' roles...
February 29, 2016: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/26914249/patient-engagement-in-the-process-of-planning-and-designing-outpatient-care-improvements-at-the-veterans-administration-health-care-system-findings-from-an-online-expert-panel
#17
Dmitry Khodyakov, Susan E Stockdale, Nina Smith, Marika Booth, Lisa Altman, Lisa V Rubenstein
CONTEXT: There is a strong interest in the Veterans Administration (VA) Health-care System in promoting patient engagement to improve patient care. METHODS: We solicited expert opinion using an online expert panel system with a modified Delphi structure called ExpertLens(™) . Experts reviewed, rated and discussed eight scenarios, representing four patient engagement roles in designing and improving VA outpatient care (consultant, implementation advisor, equal stakeholder and lead stakeholder) and two VA levels (local and regional)...
February 23, 2016: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/26910898/beyond-continuing-medical-education-clinical-coaching-as-a-tool-for-ongoing-professional-development
#18
Christiana A Iyasere, Meridale Baggett, Jordan Romano, Anupam Jena, Gabrielle Mills, Daniel P Hunt
PROBLEM: For most physicians, the period of official apprenticeship ends with the completion of residency or fellowship, yet the acquisition of expertise requires ongoing opportunities to practice a given skill and obtain structured feedback on one's performance. APPROACH: In July 2013, the authors developed a clinical coaching pilot program to provide early-career hospitalists with feedback from a senior clinical advisor (SCA) at Massachusetts General Hospital...
February 23, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/26883524/variations-in-patients-perceptions-and-use-of-generic-drugs-results-of-a-national-survey
#19
Aaron S Kesselheim, Joshua J Gagne, Jessica M Franklin, Wesley Eddings, Lisa A Fulchino, Jerry Avorn, Eric G Campbell
BACKGROUND: Over 84 % of all prescriptions in the US are filled as generic drugs, though in prior surveys, patients reported concerns about their quality. OBJECTIVE: We aimed to survey patients' perceptions and use of generic drugs. DESIGN: Our survey (administered August 2014) assessed patients' skepticism about generic drug safety and effectiveness and how often they requested brand-name drugs. Chi-square tests and two-sample t-tests assessed associations between patient demographics and the outcomes...
June 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/26880399/the-use-of-nonsteroidal-anti-inflammatory-drugs-and-analgesics-by-liver-transplant-recipients
#20
Maria Mulka-Gierek, Bartosz Foroncewicz, Michał Florczak, Leszek Pączek, Marek Krawczyk, Krzysztof Mucha
AIMS AND OBJECTIVES: This study aimed to assess the reasons and the frequency of the use of over-the-counter (OTC) nonsteroidal anti-inflammatory drugs (NSAIDs) or analgesics by liver transplant recipients (LTR). Patient awareness of possible drug-related side-effects was also assessed. BACKGROUND: NSAIDs and analgesics available without prescription belong to the most commonly used class of drugs. However, use of these drugs might be complicated by toxic adverse effects (AEs)...
April 2016: Journal of Clinical Nursing
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