Publications by authors named "Karen W Geletko"

2 Publications

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Medical Residents' and Practicing Physicians' e-Cigarette Knowledge and Patient Screening Activities: Do They Differ?

Health Serv Res Manag Epidemiol 2016 Jan-Dec;3:2333392816678493. Epub 2016 Nov 28.

Department of Behavioral Sciences and Social Medicine, Florida State University College of Medicine in Tallahassee, Tallahassee, FL, USA.

Purpose: The purpose of this study was to compare medical residents and practicing physicians in primary care specialties regarding their knowledge and beliefs about electronic cigarettes (e-cigarettes). We wanted to ascertain whether years removed from medical school had an effect on screening practices, recommendations given to patients, and the types of informational sources utilized.

Methods: A statewide sample of Florida primary care medical residents (n = 61) and practicing physicians (n = 53) completed either an online or paper survey, measuring patient screening and physician recommendations, beliefs, and knowledge related to e-cigarettes. χ tests of association and linear and logistic regression models were used to assess the differences within- and between-participant groups.

Results: Practicing physicians were more likely than medical residents to believe e-cigarettes lower cancer risk in patients who use them as an alternative to cigarettes ( = .0003). Medical residents were more likely to receive information about e-cigarettes from colleagues ( = .0001). No statistically significant differences were observed related to e-cigarette knowledge or patient recommendations.

Conclusions: Practicing primary care physicians are accepting both the benefits and costs associated with e-cigarettes, while medical residents in primary care are more reticent. Targeted education concerning the potential health risks and benefits associated with the use of e-cigarettes needs to be included in the current medical education curriculum and medical provider training to improve provider confidence in discussing issues surrounding the use of this product.
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November 2016

Reducing the impact of the health care access crisis through volunteerism: a means, not an end.

Am J Public Health 2009 Jul 14;99(7):1166-9. Epub 2009 May 14.

Division of Health Affairs, Florida State University College of Medicine, 1115 W Call St, Tallahassee, FL 32306-4300, USA.

In the absence of meaningful health reform, Florida implemented a volunteer health care program to strengthen the existing safety net. Since program implementation in 1992, over $1 billion of services have been provided to uninsured and underserved populations. Currently, over 20,000 volunteers participate statewide. Key incentives for provider participation have been an organized framework for volunteering and liability protection through state-sponsored sovereign immunity. Volunteerism, although not a solution to the health care crisis, serves as a valuable adjunct pending full-scale health care reform.
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July 2009