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Internal medicine Resident

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https://www.readbyqxmd.com/read/28919221/ten-year-projections-for-us-residency-positions-will-there-be-enough-positions-to-accommodate-the-growing-number-of-u-s-medical-school-graduates
#1
Sarah Hayek, Samantha Lane, Marcus Fluck, Marie Hunsinger, Joseph Blansfield, Mohsen Shabahang
OBJECTIVE: Recently, a multitude of new U.S. medical schools have been established and existing medical schools have expanded their enrollments. The National Residency Match Program (NRMP) reports that in 2016 there were 23,339 categorical residency positions offered in the match and 26,836 overall applicants with 17,789 (66.29%) of the total candidates being U.S. allopathic graduates. In view of the rapid growth of medical school graduates, the aim of this study is to determine if current trends suggest a shortage of residency positions within the next ten years...
September 14, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28919147/pediatric-resident-training-in-prepubertal-vulvar-conditions
#2
Monica Rosen, Veronica I Alaniz, Emily K Kobernik, Stephanie Booms, Yolanda R Smith, Elisabeth H Quint
STUDY OBJECTIVE: To assess pediatric resident training in diagnosing and managing prepubertal gynecologic conditions. DESIGN: Voluntary 32-question survey emailed to participants. SETTING: Email contact through the American Academy of Pediatrics listserve. PARTICIPANTS: 7075 U.S. pediatrics and combined internal medicine-pediatric residents. INTERVENTIONS: Descriptive analysis including Chi-square tests was performed on survey results...
September 14, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28919025/resident-research-experiences-in-internal-medicine-residency-programs-a-nationwide-survey
#3
Nacide G Ercan-Fang, Don C Rockey, C Jessica Dine, Saima Chaudhry, Thurayya Arayssi
No abstract text is available yet for this article.
September 14, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28916030/fellowship-candidate-selection-at-the-best-medical-center-a-novel-process
#4
Philip R Cohen
Dr. Ida Lystic completed her MD degree at the prestigious Harvey Medical School (which has since been renamed the Harvey Provider School) and her residency in internal medicine and gastroenterology fellowship at the OTHER (Owen T. Henry and Eugene Rutherford) Medical Center. She was subsequently hired as an assistant professor at the BEST (Byron Edwards and Samuel Thompson) Medical Center in 2015. After eventually completing an extensive list of employment requirements, she was able to begin seeing patients...
September 2017: Clinics in Dermatology
https://www.readbyqxmd.com/read/28914280/internal-medicine-resident-engagement-with-a-laboratory-utilization-dashboard-mixed-methods-study
#5
Gregory Kurtzman, Jessica Dine, Andrew Epstein, Yevgenly Gitelman, Damien Leri, Miltesh S Patel, Kyra Ryskina
The objective of this study was to measure internal medicine resident engagement with an electronic medical record-based dashboard providing feedback on their use of routine laboratory tests relative to service averages. From January 2016 to June 2016, residents were e-mailed a snapshot of their personalized dashboard, a link to the online dashboard, and text summarizing the resident and service utilization averages. We measured resident engagement using e-mail read-receipts and web-based tracking. We also conducted 3 hour-long focus groups with residents...
September 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28905046/residents-attitude-knowledge-and-perceived-preparedness-toward-caring-for-patients-from-diverse-sociocultural-backgrounds
#6
Jessie Kimbrough Marshall, Lisa A Cooper, Alexander R Green, Amanda Bertram, Letitia Wright, Niki Matusko, Wayne McCullough, Stephen D Sisson
Purpose: Training residents to deliver care to increasingly diverse patients in the United States is an important strategy to help alleviate racial and ethnic disparities in health outcomes. Cross-cultural care training of residents continues to present challenges. This study sought to explore the associations among residents' cross-cultural attitudes, preparedness, and knowledge about disparities to better elucidate possible training needs. Methods: This cross-sectional study used web-based questionnaires from 2013 to 2014...
2017: Health Equity
https://www.readbyqxmd.com/read/28899714/qualitative-evaluation-of-a-narrative-reflection-program-to-help-medical-trainees-recognize-and-avoid-overuse-am-i-doing-what-s-right-for-the-patient
#7
Tanner Caverly, Daniel Matlock, Jocelyn Thompson, Brandon Combs
OBJECTIVE: The Do No Harm Project is a novel reflective writing program that encourages medical trainees to reflect on and write up clinical narratives about instances of avoidable medical overuse. Our goal is to describe this program and to explore the effect of the program on those participating. METHODS: Semi-structured interviews were conducted to explore how participating in the project influenced the thinking, attitudes, and behaviors of participating internal medicine residents...
September 8, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28891169/computed-tomographic-findings-in-three-dogs-naturally-infected-with-crenosoma-vulpis
#8
Jeremy R Mortier, Caroline J Fina, Elsa Edery, Crystal L White, Marc P Dhumeaux
Crenosoma vulpis is a nematode lungworm found in wild and domestic canids in some parts of North America and Europe. Reported radiographic findings are nonspecific and consist of a combination of bronchial and interstitial changes of variable severity. This retrospective, case series study aimed to describe thoracic computed tomographic (CT) findings for a group of dogs with confirmed crenosomosis. Selection criteria were presentation with a chronic cough during the period of January 2016 to February 2017, evaluation by thoracic CT, and final diagnosis of C...
September 10, 2017: Veterinary Radiology & Ultrasound
https://www.readbyqxmd.com/read/28890928/conflicts-of-interest-in-medicine-a-systematic-review-of-published-and-scientifically-evaluated-curricula
#9
Janosch Weißkircher, Cora Koch, Nadine Dreimüller, Klaus Lieb
Objective: Conflicts of interests resulting from interactions with pharmaceutical companies are pervasive in medicine and can result in an undue influence on physicians' decision-making. The objective of this systematic review is to analyze published and scientifically evaluated curricula for medical students and residents regarding such conflicts of interest. We begin by describing the covered topics and teaching methods; afterwards we analyze the quality of the curricula using the published data on their evaluations and comparing the content with content recommended for such curricula...
2017: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/28887290/individual-feedback-to-reduce-inappropriate-antimicrobial-prescriptions-for-treating-acute-upper-respiratory-tract-infections-in-an-outpatient-setting-of-a-thai-university-hospital
#10
Pinyo Rattanaumpawan, Nuttagarn Chuenchom, Visanu Thamlikitkul
BACKGROUND: Excessive antimicrobial use for acute Upper Respiratory InfectionBackground Excessive antimicrobial use for acute Upper Respiratory Infections (URIs) is one of the most common problems in clinical practice. Interventions are needed to reduce antimicrobial overuse in these common infections.s (URIs) is one of the most common problems in clinical practice. Interventions are needed to reduce antimicrobial overuse in these common infections. METHODS: During a 9-month study period (June 2014-February 2015), we conducted a quasi-experimental (pre/post) study among internal medicine residents and fellows in an outpatient setting of Siriraj Hospital, Thailand...
September 5, 2017: Journal of Global Antimicrobial Resistance
https://www.readbyqxmd.com/read/28876711/-post-graduate-education-in-internal-medicine-what-do-residents-want
#11
Lionel Carrel, Quentin Chatelain, Stéphane Mouraux, Gatete Karege
The post-graduate education course in general internal medicine - which leads to the accreditation as a specialist - is established by l'Institut Suisse de Formation médicale (ISFM), one of the organs of the FMH (Federatio Medicorum Helveticorum) in collaboration with the Swiss Society of General Internal Medicine (SSGIM). This program sets inter alia the necessary learning steps and defines which tools are efficient in monitoring the teaching program. The specific goals defined in the course are not, however, easily reached, specifically in the internal medicine services of hospitals that are subject to organisational constraints...
September 6, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28876427/geographical-distribution-of-medical-graduates-from-a-public-university
#12
Oscarina da Silva Ezequiel, Giancarlo Lucchetti, Alessandra Lamas Granero Lucchetti, Maria Helena Senger, Lucas Braga, Rafael Lacerda, Marlon Filippo, Fernando Colugnati, Danette McKinley, Eliana Amaral
Objective: To evaluate the geographic distribution and career trajectory of medical graduates and the factors associated with their choice of practice location. Method: A cross-sectional study involving graduates from December 2001 to December 2010 was conducted. A self-administered questionnaire collected demographics and geographic information (place of birth, place of residence at the time of medical school admission, place of residency training and practice location), and reason for choosing the current location...
June 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/28868730/macromolecule-mapping-of-the-brain-using-ultrashort-te-acquisition-and-reference-based-metabolite-removal
#13
Fan Lam, Yudu Li, Bryan Clifford, Zhi-Pei Liang
PURPOSE: To develop a practical method for mapping macromolecule distribution in the brain using ultrashort-TE MRSI data. METHODS: An FID-based chemical shift imaging acquisition without metabolite-nulling pulses was used to acquire ultrashort-TE MRSI data that capture the macromolecule signals with high signal-to-noise-ratio (SNR) efficiency. To remove the metabolite signals from the ultrashort-TE data, single voxel spectroscopy data were obtained to determine a set of high-quality metabolite reference spectra...
September 3, 2017: Magnetic Resonance in Medicine: Official Journal of the Society of Magnetic Resonance in Medicine
https://www.readbyqxmd.com/read/28864694/labtracker-a-medical-smartphone-app-for-the-interpretation-of-consecutive-laboratory-results-an-external-validation-study
#14
Judith M Hilderink, Roger J M W Rennenberg, Floris H M Vanmolkot, Otto Bekers, Richard P Koopmans, Steven J R Meex
OBJECTIVES: When monitoring patients over time, clinicians may struggle to distinguish 'real changes' in consecutive blood parameters from so-called natural fluctuations. In practice, they have to do so by relying on their clinical experience and intuition. We developed Labtracker+, a medical app that calculates the probability that an increase or decrease over time in a specific blood parameter is real, given the time between measurements. DESIGN: We presented patient cases to 135 participants to examine whether there is a difference between medical students, residents and experienced clinicians when it comes to interpreting changes between consecutive laboratory results...
September 1, 2017: BMJ Open
https://www.readbyqxmd.com/read/28861552/internal-medicine-resident-attitudes-prior-education-comfort-and-knowledge-regarding-delivering-comprehensive-primary-care-to-transgender-patients
#15
Carrie D Johnston, Lee S Shearer
Transgender patients face a multitude of health disparities and often a lack of understanding by healthcare professionals. A survey was undertaken of internal medicine residents in a large urban academic training program to determine prior education, attitudes, comfort, and knowledge in providing care for transgender individuals in a primary care setting. Total N=67 respondents (52% of those eligible). A full 97% of residents believe transgender medical issues are relevant to their practice, but only 45% had prior education about the care of transgender patients...
2017: Transgender Health
https://www.readbyqxmd.com/read/28860889/mindfulness-burnout-and-effects-on-performance-evaluations-in-internal-medicine-residents
#16
Sarah E Braun, Stephen M Auerbach, Bruce Rybarczyk, Bennett Lee, Stephanie Call
PURPOSE: Burnout has been documented at high levels in medical residents with negative effects on performance. Some dispositional qualities, like mindfulness, may protect against burnout. The purpose of the present study was to assess burnout prevalence among internal medicine residents at a single institution, examine the relationship between mindfulness and burnout, and provide preliminary findings on the relation between burnout and performance evaluations in internal medicine residents...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28857342/relationship-between-physicians-perceived-stigma-toward-depression-and-physician-referral-to-psycho-oncology-services-on-an-oncology-hematology-ward
#17
Won-Hyoung Kim, Jae-Nam Bae, Joo-Han Lim, Moon-Hee Lee, Bong-Jin Hahm, Hyeon Gyu Yi
OBJECTIVE: This study was performed to identify relationships between physician's perceived stigma toward depression and psycho-oncology service utilization on an oncology/hematology ward. METHODS: The study participants were 235 patients in an oncology/hematology ward and 14 physicians undergoing an internal medicine residency training program in Inha University Hospital (Incheon, South Korea). Patients completed the Patient Health Questionnaire-9 (PHQ-9) and residents completed the Perceived Devaluation-Discrimination (PDD) scale that evaluates perceived stigma toward depression...
August 30, 2017: Psycho-oncology
https://www.readbyqxmd.com/read/28857266/avoiding-premature-closure-and-reaching-diagnostic-accuracy-some-key-predictive-factors
#18
Edward Krupat, Jolie Wormwood, Richard M Schwartzstein, Jeremy B Richards
CONTEXT: Early studies suggested that experienced clinicians simply generate more accurate diagnoses than those less experienced. However, more recent studies indicate that experienced clinicians may be subject to biases in formulating and confirming hypotheses that lead to inaccuracy. OBJECTIVES: The goal of this study was to identify factors associated with the ability to process information in ways that overcome premature closure and result in accurate diagnosis using a set of vignettes in which inconsistent information was introduced midway...
August 30, 2017: Medical Education
https://www.readbyqxmd.com/read/28846131/development-and-validation-of-a-geriatrics-knowledge-test-to-evaluate-geriatrics-fellowship-programs
#19
Alia T Tuqan, Ming Lee, Nancy T Weintraub, David B Reuben
BACKGROUND/OBJECTIVES: Although the Accreditation Council for Graduate Medical Education requires that geriatrics fellowship programs be evaluated, evaluation is challenging because of lack of appropriate instruments. The purpose of this study was to develop and validate a geriatrics knowledge test appropriate for evaluation of geriatrics fellowship programs. DESIGN: Initial and replication cross-sectional validation studies. SETTING: Academic medical center...
August 28, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28834845/primary-care-residents-in-teaching-health-centers-their-intentions-to-practice-in-underserved-settings-after-residency-training
#20
Zohray Talib, Mariellen Malloy Jewers, Julia H Strasser, David K Popiel, Debora Goetz Goldberg, Candice Chen, Hayden Kepley, Fitzhugh Mullan, Marsha Regenstein
PURPOSE: To describe the residents who chose to train in teaching health centers (THCs), which are community-based ambulatory patient care sites that sponsor primary care residencies, and their intentions to practice in underserved settings. METHOD: The authors surveyed all THC residents training in academic years 2013-2014, 2014-2015, and 2015-2016, comparing their demographic characteristics with data available for residents nationally, and examined THC residents' intentions to practice in underserved settings using logistic regression analysis...
August 22, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
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