22,115 results match your criteria Academic Physician & Scientist[Journal]


Twelve tips for embedding assessment and learning practices in a programmatic assessment system.

Med Teach 2020 Jul 13:1-7. Epub 2020 Jul 13.

Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Programmatic assessment supports the evolution from assessment learning to fostering assessment learning and learning practices. A well-designed programmatic assessment system aligns educational objectives, learning opportunities, and assessments with the goals of supporting student learning, making decisions about student competence and promotion decisions, and supporting curriculum evaluation. We present evidence-based guidance for implementing assessment and learning practices in the pre-clinical knowledge assessment system to help students learn, synthesize, master and retain content for the long-term so that they can apply knowledge to patient care. Read More

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http://dx.doi.org/10.1080/0142159X.2020.1789081DOI Listing

The Surgeon's Perceived Value of Patient-reported Outcome Measures (PROMs): An Exploratory Qualitative Study of 5 Different Surgical Subspecialties.

Ann Surg 2020 Jul 9. Epub 2020 Jul 9.

Massachusetts General Hospital Physician Organization, Boston, Massachusetts.

Objective: To understand the surgeon's perceived value of PROMs in 5 different surgical subspecialties.

Summary Of Background Data: PROMs are validated questionnaires that assess the symptoms, function, and quality of life from the patient's perspective. Despite the increasing support for use of PROMs in the literature, there is limited uptake amongst surgeons. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004253DOI Listing

Health Care and Medical Education to Promote Women's Health in Iran; Four Decades Efforts, Challenges and Recommendations.

Arch Iran Med 2020 Jul 1;23(7):469-479. Epub 2020 Jul 1.

Urology and Nephrology Research Center, Department of Urology, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: The aim of this paper is to present a synthesis of solutions for post-graduate medical education (PGME) and the health-care system in addressing challenges in relation to women's health.

Methods: A critical review was conducted within three themes: women's health status, women's preferences for female physicians, and women in surgery. The study was conducted in two phases that consisted of an analysis of the trends of Iranian women's health and women's participation in PGME since 1979 followed by a thematic analysis to assess the current challenges and their implications on medical education. Read More

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http://dx.doi.org/10.34172/aim.2020.44DOI Listing
July 2020
1.108 Impact Factor

Perceived Burden Due to Registrations for Quality Monitoring and Improvement in Hospitals: A Mixed Methods Study.

Int J Health Policy Manag 2020 Jul 4. Epub 2020 Jul 4.

Centre of Expertise on Quality and Safety, University Medical Centre Groningen, Groningen, The Netherlands.

Background: Quality indicators are registered to monitor and improve the quality of care. However, the number and effectiveness of quality indicators is under debate, and may influence the joy in work of physicians and nurses. Empirical data on the nature and consequences of the registration burden are lacking. Read More

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http://dx.doi.org/10.34172/ijhpm.2020.96DOI Listing

A Prospective Evaluation of Point-of-Care Ultrasonographic Diagnosis of Diverticulitis in the Emergency Department.

Ann Emerg Med 2020 Jul 8. Epub 2020 Jul 8.

Department of Emergency Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY.

Study Objective: We evaluate the sensitivity and specificity of point-of-care ultrasonography, performed by ultrasonographic fellowship-trained emergency physicians and physician assistants, compared with computed tomography (CT) scan in diagnosing acute diverticulitis in the emergency department (ED).

Methods: This was a prospective observational study of a convenience sample of patients with suspected diverticulitis who were treated at an academic ED between 2017 and 2020. Sonographers were blinded to clinical data, laboratory results, and CT scan findings. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2020.05.017DOI Listing

Radiological outpatient' visits to avoid inappropriate cardiac CT examinations: an 8-year experience report.

Radiol Med 2020 Jul 10. Epub 2020 Jul 10.

Department of Radiological, Oncological and Pathological Sciences, "Sapienza" University of Rome, V.le Regina Elena, 324 00161, Rome, Italy.

Purpose: The aim of this study was to evaluate the appropriateness of the cardiac computed tomography angiography (CCTA) prescriptions according to the "2010-Appropriate-Use-Criteria-for-Cardiac-Computed-Tomography-Angiography" (AUCCTA) and "Clinical-indication-for-CCTA" (CICCTA) among different specialities (Cardiologist [CA], General Practitioner [GP], Other Specialists [OS]) and prescribers' age.

Materials And Methods: This is a single-centre, single-arm, cohort study. We prospectively enrolled 815 patients (October 2012-May 2019) who underwent a radiological outpatient visit, before CCTA examination. Read More

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http://dx.doi.org/10.1007/s11547-020-01246-3DOI Listing

Transforming ophthalmic education into virtual learning during COVID-19 pandemic: a global perspective.

Eye (Lond) 2020 Jul 10. Epub 2020 Jul 10.

Division of Ophthalmology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.

Objective: The coronavirus disease 2019 (COVID-19) pandemic has imposed measures of social distancing and barriers in delivery of "in person" education. Institutions, involved in training the next generation of ophthalmologists, are using alternative teaching methods to maintain the standard of education.

Methods: We conducted a worldwide survey among physicians, who are actively involved in Ophthalmology-related education, between 3 and 14 April 2020. Read More

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http://dx.doi.org/10.1038/s41433-020-1080-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7348577PMC

Does gender impact personality traits in female versus male otolaryngology residents and faculty?

Am J Surg 2020 Jul 1. Epub 2020 Jul 1.

Department of Otolaryngology-Head & Neck Surgery, University of Kansas Medical Center, Kansas City, KS, USA. Electronic address:

Objective: Gender differences in personality have long been a subject of interest. This study assessed personality traits within female and male residents and faculty and evaluated for meaningful differences between the groups.

Methods: A series of web-based, commercially available, self-administered five factor-based personality assessments were given to otolaryngology residents and faculty at nine academic training programs. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.06.063DOI Listing

Women in Anaesthesia and Intensive Care Medicine in France: are we making any progress?

Anaesth Crit Care Pain Med 2020 Jul 7. Epub 2020 Jul 7.

Department of Anaesthesiology and Intensive Care, Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, 59 Boulevard Pinel, 69500 Bron, France; EA 7426 PI3 (Pathophysiology of Injury-induced Immunosuppression), Hospices Civils de Lyon/Université Claude Bernard Lyon 1/bioMérieux, Hôpital E. Herriot, 5, place d'Arsonval, 69437, Lyon, Cedex 03, France.

Introduction: Gender imbalance in medicine is a topic of increasing interest. Gender matters, as there is increasing evidence that a gender diverse medical workforce translates into improved patient outcomes. The gender distribution in France among the anaesthetists-Intensive care (AIC) physicians has never been considered. Read More

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http://dx.doi.org/10.1016/j.accpm.2020.04.019DOI Listing

Early Predictors of Performance Deficiencies in Academic Faculty: Pre-Employment Red Flags.

Acad Pediatr 2020 Jul 7. Epub 2020 Jul 7.

Department of Pediatrics; Vanderbilt University School of Medicine, Nashville, Tennessee 37232.

Objective: To determine whether faculty who had red flags (unprofessional behavior, delayed response to queries, or delayed submission of required documentation) during pre-employment were more likely to have performance deficiencies than faculty who did not have red flags.

Method: The study included 187 faculty consecutively hired in a Department of Pediatrics in a large academic health system from 2013-2018. Faculty with and without pre-employment red flags were compared to identify the proportion who had subsequent performance deficiencies related to documentation, unprofessional behavior, performance, or premature departure from the faculty. Read More

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http://dx.doi.org/10.1016/j.acap.2020.06.144DOI Listing

Benchmarking Accomplishments of Leaders in American Surgery and Justification for Enhancing Diversity and Inclusion.

Ann Surg 2020 Jul 7. Epub 2020 Jul 7.

Department of Surgery, University of Alabama-Birmingham (UAB), Birmingham, Alabama.

Objective: To comprehensively assess the level of achievement and demographics of national surgical society presidents.

Background: Data on the accomplishments needed to rise to positions of national surgical leadership is scarce and merit alone does not always yield such opportunities. Recognizing the shortcomings of sex and ethnic diversity within academic surgical leadership, the American College of Surgeon (ACS), American Surgical Association (ASA), Association of Women Surgeons (AWS), and the Society of Black Academic Surgeons (SBAS) partnered to address these challenges by performing a comprehensive assessment of their presidents over the last 16 years. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004151DOI Listing

Patient Attitudes and Preferences for Orthopaedic Surgeon Greetings.

J Am Acad Orthop Surg 2020 Jul 7. Epub 2020 Jul 7.

From the Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center (Dr. Golz, Dr. Murphy, and Dr. Salazar), and Department of Orthopaedic Surgery and Rehabilitation, Loyola University Chicago, Stritch School of Medicine (Mr. Kim), Maywood, IL.

Introduction: Numerous studies have demonstrated that patient-centered interaction promotes higher satisfaction and improved health outcomes, whereas poor communication behaviors have been associated with decreased satisfaction and an increased risk of malpractice claims. To our knowledge, no such study has investigated patient preferences for greetings and handshakes in the outpatient orthopaedic setting.

Methods: A survey was generated with ranking and Likert scale questions regarding the initial patient-orthopaedic surgeon outpatient interaction. Read More

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http://dx.doi.org/10.5435/JAAOS-D-20-00230DOI Listing

Quantifying the educational benefit of additional cataract surgery cases in ophthalmology residency.

J Cataract Refract Surg 2020 Jul 6. Epub 2020 Jul 6.

From the Department of Ophthalmology, Massachusetts Eye and Ear (Liebman, McKay, Moustafa, Kloek) Boston, Department of Medicine, Cambridge Health Alliance (Liebman) Cambridge, Massachusetts, Department of Ophthalmology, University of Washington (McKay) Seattle, Washington, Department of Epidemiology, Boston University (Haviland) Boston, Massachusetts, Department of Ophthalmology, Duke University Eye Center (Borkar) Durham, North Carolina, Dean McGee Eye Institute, University of Oklahoma (Kloek), Oklahoma City, Oklahoma, USA. Preliminary analyses derived from these data were discussed in a podium presentation at the Association of University Professors of Ophthalmology Annual Meeting in Fort Lauderdale, Florida, USA, January 2019.

Purpose: To quantify the resident learning curve for cataract surgery using operative time as an indicator of surgical competency, to identify the case threshold at which marginal additional educational benefit became equivocal, and to characterize heterogeneity in residents' pathways to surgical competency.

Setting: Academic medical center.

Design: Large-scale retrospective consecutive case series. Read More

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http://dx.doi.org/10.1097/j.jcrs.0000000000000298DOI Listing

Development and testing of an advanced practice clinical advancement program within an academic medical center.

J Am Assoc Nurse Pract 2020 Jul 7. Epub 2020 Jul 7.

Vanderbilt University Medical Center, Nashville, Tennessee.

Background: Faculty advanced practice registered nurses (APRNs) and physician assistants (PAs) employed by Vanderbilt University Medical Center (VUMC) have historically participated in rank promotion tracks for recognition of professional accomplishments in education, practice, and research. However, there has not been a clinical advancement program for nonfaculty practitioners. Satisfaction, engagement, and health surveys indicated VUMC APRNs and PAs were seeking opportunities for professional growth and development. Read More

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http://dx.doi.org/10.1097/JXX.0000000000000456DOI Listing

Surrogates and Physician Preferences Regarding the Continuation of Mechanical Ventilation Among Critically Ill Adults.

Ann Am Thorac Soc 2020 Jul 10. Epub 2020 Jul 10.

Rush University Medical Center, Center for Community Health Equity, the Department of Family Medicine, and the Rush Alzheimer's Disease Center, Chicago, Illinois, United States.

Rationale: For an incapacitated patient who is difficult to liberate from mechanical ventilation, surrogates and physicians will decide to continue life support if they believe doing so is consistent with the patient's prognosis and values. Little is known about the factors that surrogates and physicians prioritize during this decision-making process, in part because there is not a validated method to assess their preferences.

Objective: To evaluate trends in surrogate and physician preferences for continuing mechanical ventilation. Read More

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http://dx.doi.org/10.1513/AnnalsATS.202003-239OCDOI Listing

Health Economic and Health Service Issues of Palliative Radiotherapy.

Clin Oncol (R Coll Radiol) 2020 Jul 6. Epub 2020 Jul 6.

Academic Unit of Health Economics, Leeds Institute of Health Sciences, University of Leeds and Leeds Cancer Centre, Leeds Teaching Hospitals NHS Trust, Leeds, UK.

Palliative radiotherapy (PRT) makes up about half of all courses delivered in radiotherapy departments. It is effective in the management of common complications of cancer and is relatively inexpensive. About one third of cancer patients receive PRT within the last 2 years of life. Read More

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http://dx.doi.org/10.1016/j.clon.2020.06.013DOI Listing

'It's far too complicated': why fragmentation persists in global health.

Global Health 2020 07 9;16(1):60. Epub 2020 Jul 9.

London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London, UK.

Background: Despite many efforts to achieve better coordination, fragmentation is an enduring feature of the global health landscape that undermines the effectiveness of health programmes and threatens the attainment of the health-related Sustainable Development Goals. In this paper we identify and describe the multiple causes of fragmentation in development assistant for health at the global level. The study is of particular relevance since the emergence of new global health problems such as COVID-19 heightens the need for global health actors to work in coordinated ways. Read More

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http://dx.doi.org/10.1186/s12992-020-00592-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7344046PMC

ECCParaCorp: a cross-lingual parallel corpus towards cancer education, dissemination and application.

BMC Med Inform Decis Mak 2020 Jul 9;20(Suppl 3):122. Epub 2020 Jul 9.

Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Background: The increasing global cancer incidence corresponds to serious health impact in countries worldwide. Knowledge-powered health system in different languages would enhance clinicians' healthcare practice, patients' health management and public health literacy. High-quality corpus containing cancer information is the necessary foundation of cancer education. Read More

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http://dx.doi.org/10.1186/s12911-020-1116-1DOI Listing

Remediation of learners struggling with communication skills: a systematic review.

BMC Med Educ 2020 Jul 9;20(1):215. Epub 2020 Jul 9.

Medical Education and Continuing Professional Development, Weill Cornell Medicine - Qatar, Doha, Qatar.

Background: Communication skills is a core area of competency for healthcare practitioners. However, trainees deficient in those skills are not identified early enough to address the deficiency. Furthermore, faculty often struggle to identify effective remediation strategies for those who fail to meet expectations. Read More

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http://dx.doi.org/10.1186/s12909-020-02074-9DOI Listing

Assessment of Academic Achievement of Female Physicians in Japan.

JAMA Netw Open 2020 Jul 1;3(7):e209957. Epub 2020 Jul 1.

Okinawa Muribushi Project for Teaching Hospitals, Okinawa, Japan.

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http://dx.doi.org/10.1001/jamanetworkopen.2020.9957DOI Listing

Higher Monocyte Count is Associated with 30-Day Case Fatality in Intracerebral Hemorrhage.

Neurocrit Care 2020 Jul 8. Epub 2020 Jul 8.

Department of Neurology, Indiana University School of Medicine, 355 West 16th St, Suite 3200, Indianapolis, IN, 46202, USA.

Background: Previous studies have suggested that elevated neutrophils, monocytes, and neutrophil-to-lymphocyte ratio (NLR) may be associated with poor outcomes in intracerebral hemorrhage (ICH). We sought to determine whether white blood cell (WBC) types were independently associated with poor outcome in ICH in a large cohort.

Methods: We performed a retrospective study of primary ICH at two academic centers. Read More

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http://dx.doi.org/10.1007/s12028-020-01040-zDOI Listing

Peer mentoring for professional and personal growth in academic medicine.

J Investig Med 2020 Jul 7. Epub 2020 Jul 7.

Pediatric Endocrinology, University of Colorado Denver-Anschutz Medical Campus, Aurora, Colorado, USA.

Mentorship is a critical component of career development, particularly in academic medicine. Peer mentorship, which does not adhere to traditional hierarchies, is perhaps more accessible for underrepresented groups, including women and minorities. In this article, we review various models of peer mentorship, highlighting their respective advantages and disadvantages. Read More

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http://dx.doi.org/10.1136/jim-2020-001391DOI Listing

The Effect of the COVID-19 Pandemic on Physicians' Use and Perception of Telehealth: The Case of Lebanon.

Int J Environ Res Public Health 2020 07 6;17(13). Epub 2020 Jul 6.

Faculty of Medicine, Saint Joseph University, Beirut 1107 2180, Lebanon.

The COVID-19 pandemic forced physicians to quickly adapt and find ways to provide their usual offline services by using online tools. We aimed to understand how physicians adapted to the sudden need for telehealth and if their perception of telehealth changed due to their experience during the COVID-19 pandemic. We conducted an exploratory sequential mixed-methods study. Read More

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http://dx.doi.org/10.3390/ijerph17134866DOI Listing

Focus on Systems to Improve Morbidity and Mortality Conference Relevance.

Fam Med 2020 Jun;52(7):528-532

University of Michigan Medical School, Ann Arbor, MI.

Background And Objectives: Morbidity and mortality conference (MMC) is educationally important. However, resident physicians rate it less positively than faculty, citing focus on assigning blame rather than targeting change. Additionally, many MMC presentations are selected for clinical novelty instead of avoidable outcome. Read More

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http://dx.doi.org/10.22454/FamMed.2020.940516DOI Listing

Point-of-Care Ultrasound in Family Medicine Residencies 5-Year Update: A CERA Study.

Fam Med 2020 Jun;52(7):505-511

Departments of Family Medicine and Physician Assistant Studies, University of Iowa Carver College of Medicine.

Background And Objectives: In 2014, family medicine residency programs began to integrate point-of-care ultrasound (POCUS) into training, although very few had an established POCUS curriculum. This study aimed to evaluate the resources, barriers, and scope of POCUS training in family medicine residencies 5 years after its inception.

Methods: Questions regarding current training and use of POCUS were included in the 2019 Council of Academic Family Medicine Educational Research Alliance (CERA) survey of family medicine residency program directors, and results compared to similar questions on the 2014 CERA survey. Read More

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http://dx.doi.org/10.22454/FamMed.2020.223648DOI Listing

Breastfeeding Education in Family Medicine Residencies: A 2019 CERA Program Directors Survey.

Fam Med 2020 Jun;52(7):497-504

Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.

Background And Objectives: Breastfeeding counseling is an integral skill for all family physicians, regardless of whether they ultimately practice maternal child health (MCH). Evidence on time spent in breastfeeding education and resident competence is lacking. This study aimed to identify program characteristics associated with an increase the amount of breastfeeding education and program directors' (PDs) perceived competence of residents' breastfeeding counseling skills. Read More

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http://dx.doi.org/10.22454/FamMed.2020.579473DOI Listing

National Trends in Oncologic Diagnostic Imaging.

J Am Coll Radiol 2020 Jul 5. Epub 2020 Jul 5.

Memorial Sloan Kettering Cancer Center, New York, New York. Electronic address:

Objective: To characterize national trends in oncologic imaging (OI) utilization.

Methods: This retrospective cross-sectional study used 2004 and 2016 CMS 5% Carrier Claims Research Identifiable Files. Radiologist-performed, primary noninvasive diagnostic imaging examinations were identified from billed Current Procedural Terminology codes; CT, MRI, and PET/CT examinations were categorized as "advanced" imaging. Read More

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http://dx.doi.org/10.1016/j.jacr.2020.06.001DOI Listing

Strategic Operational Redesign for Successfully Navigating Prior Authorization Barriers at a Large-Volume Proton Therapy Center.

JCO Oncol Pract 2020 Jul 8:JOP1900533. Epub 2020 Jul 8.

HCA Healthcare Sarah Connor, Nashville, TN.

Purpose: Prior authorization (PA) can be a resource-intensive barrier to oncologic care. To improve patient access and reduce delays at our large, academic proton therapy center, we implemented a novel payor-focused strategy to efficiently navigate the PA process while eliminating physician burden and reducing inappropriate denials.

Methods: In 2017, business operations were redesigned to better reflect the insurance process: (1) certified medical dosimetrists (CMDs), with their unique treatment expertise, replaced our historical PA team to function as an effective interface among physicians, patients, and payors; (2) a structured, tiered timeline was implemented to hold payors accountable to PA deadlines; and (3) our PA team provided administrative leadership with requisite insurance knowledge. Read More

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http://dx.doi.org/10.1200/JOP.19.00533DOI Listing

An environmental scan of wellness initiatives and programs at Canadian academic emergency medicine programs: How far have we come?

CJEM 2020 Jun 23:1-7. Epub 2020 Jun 23.

Division of Emergency Medicine, Department of Medicine, Schulich School of Medicine and Dentistry, London, ON.

Objectives: We sought to conduct a major objective of the Canadian Association of Emergency Physicians (CAEP) Wellness Committee, an environmental scan of the academic emergency medicine programs across the 17 Canadian medical schools.

Methods: An 89-question questionnaire was distributed to academic heads or wellness leads. The responses were verified by the lead author to ensure that the questions were answered completely and consistently. Read More

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http://dx.doi.org/10.1017/cem.2020.408DOI Listing

Relationship between Lambl's excrescences and embolic strokes of undetermined source.

Eur Stroke J 2020 Jun 21;5(2):169-173. Epub 2020 Jan 21.

Clinical and Translational Neuroscience Unit, Feil Family Brain and Mind Research Institute and Department of Neurology, Weill Cornell Medicine, New York, USA.

Introduction: About one-fourth of ischaemic strokes are classified as embolic strokes of undetermined source. Lambl's excrescences are commonly seen on cardiac valves, and data are limited on whether they may be a source of embolization. We examined the relationship between Lambl's excrescences and embolic stroke of undetermined source. Read More

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http://dx.doi.org/10.1177/2396987319901201DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313363PMC

Comparative metrics of neurosurgical scientific journals: What do they mean to readers?

Surg Neurol Int 2020 27;11:169. Epub 2020 Jun 27.

Department of Neurosurgery, Loma Linda University Medical Center, Loma Linda, CA, United States.

Background: In regard to scientific information, are we effectively reaching the universe of physicians in the 21st century, all of whom have different backgrounds, practice environments, educational experiences, and varying degrees of research knowledge?

Methods: A comparison of the top nine neurosurgery journals based on various popular citation indices and also on the digital metric, Readers (Users)/month, was compiled from available metrics and from internet sources.

Results: Major differences in the ranking of the Readers (Users)/month metrics compared to ranking of the various citation indices were found. It is obvious that the citation indices do not measure the number of readers of a publication. Read More

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http://dx.doi.org/10.25259/SNI_199_2020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332697PMC

External validation of stroke mimic prediction scales in the emergency department.

BMC Neurol 2020 Jul 7;20(1):269. Epub 2020 Jul 7.

Accident and Emergency Department, Changi General Hospital, Singapore, Singapore.

Background: Acute ischemic stroke is a time-sensitive emergency where accurate diagnosis is required promptly. Due to time pressures, stroke mimics who present with similar signs and symptoms as acute ischemic stroke, pose a diagnostic challenge to the emergency physician. With limited access to investigative tools, clinical prediction, tools based only on clinical features, may be useful to identify stroke mimics. Read More

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http://dx.doi.org/10.1186/s12883-020-01846-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7339435PMC

Predictors of Self-Reported Burnout Among Radiology Faculty at a Large Academic Medical Center.

J Am Coll Radiol 2020 Jul 4. Epub 2020 Jul 4.

Department of Radiology, Brigham and Women's Hospital, Center for Evidence-Based Imaging, Harvard Medical School, Boston, Massachusetts.

Objective: Determine predictors of self-reported burnout among academic radiologists.

Methods: In 2017, radiologists at an urban medical center completed the Stanford Wellness Survey, rating burnout via Likert scale (0: no burnout; 1: occasional stress, no burnout; 2: one or more burnout symptoms; 3: persistent burnout symptoms; 4: completely burned out). Univariate analyses assessed age, gender, family situation, clinical versus research focus, and academic rank for association with burnout (Likert scale ≥ 2). Read More

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http://dx.doi.org/10.1016/j.jacr.2020.01.047DOI Listing

Clinical Practice of Adalimumab and Infliximab Biosimilar Treatment in Adult Patients With Crohn's Disease.

Inflamm Bowel Dis 2020 Jul 7. Epub 2020 Jul 7.

IBD Center, Department of Gastroenterology, Humanitas Clinical and Research Center, Milan, Italy.

The introduction of tumor necrosis factor (TNF) inhibitors has significantly changed the treatment landscape in Crohn's disease (CD). The overall therapeutic achievements with TNF inhibitors such as infliximab, adalimumab, and certolizumab pegol paved the way to push the boundaries of treatment goals beyond symptomatic relief and toward cessation of objective signs of inflammation, including endoscopic remission. Even though these agents are widely used for the treatment of moderate to severe CD, heterogeneity still exists in translating evidence-based guidelines on the use of anti-TNF agents into actual treatment algorithms in CD. Read More

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http://dx.doi.org/10.1093/ibd/izaa078DOI Listing

COVID-19 Pandemic and Ophthalmologists

Turk J Ophthalmol 2020 06;50(3):197

Dr DY Patil University, Pune, India.

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http://dx.doi.org/10.4274/tjo.galenos.2020.50215DOI Listing

Marijuana Use for Women: To Prescribe or Not to Prescribe.

Subst Use Misuse 2020 Jul 5:1-2. Epub 2020 Jul 5.

Department of General Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.

The marijuana policy varies greatly worldwide. Marijuana use is illegal in most countries. Nevertheless, the medical potentials of marijuana have been increasingly uncovered, and its use by women is increasing. Read More

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http://dx.doi.org/10.1080/10826084.2020.1782938DOI Listing

Effect of Prior Formal Education on Successful Thoracic Epidural Placement By Anesthesia Residents.

J Cardiothorac Vasc Anesth 2020 Jun 12. Epub 2020 Jun 12.

Department of Anesthesia, Indiana University School of Medicine, Indianapolis, IN.

Objective: Catheter placement for thoracic epidural analgesia (TEA) is technically challenging; however, methods for teaching this technique to anesthesia residents have not been well-studied. The present study aimed to determine optimal teaching methods for proficient TEA catheter placement by comparing video-based formal resident education with traditional bedside training by attending physicians.

Design: Prospective, randomized study. Read More

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http://dx.doi.org/10.1053/j.jvca.2020.06.023DOI Listing

Prospective comparative evaluation of the European Society of Cardiology (ESC) 1-hour and a 2-hour rapid diagnostic algorithm for myocardial infarction using high-sensitivity troponin-T.

CJEM 2020 Jul 6:1-9. Epub 2020 Jul 6.

Department of Emergency Medicine.

Objective: Both 1- and 2-hour rapid diagnostic algorithms using high-sensitivity troponin (hs-cTn) have been validated to diagnose acute myocardial infarction (MI), leaving physicians uncertain which algorithm is preferable. The objective of this study was to prospectively evaluate the diagnostic performance of 1- and 2-hour algorithms in clinical practice in a Canadian emergency department (ED).

Methods: ED patients with chest pain had high-sensitivity cardiac troponin-T (hs-cTnT) collected on presentation and 1- and 2-hours later at a single academic centre over a 2-year period. Read More

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http://dx.doi.org/10.1017/cem.2020.349DOI Listing

Therapeutic approach and management algorithms in medication-related osteonecrosis of the jaw (MONJ): recommendations of a multidisciplinary group of experts.

Arch Osteoporos 2020 Jul 4;15(1):101. Epub 2020 Jul 4.

, Bogota, Colombia.

Background: The justification for this consensus is the absence of local protocols on Medication-Related Osteonecrosis of the Jaws (MONJ), for prevention, evaluation, and treatment, involving physicians and dentists, leading to suspension of antiresorptive treatments, despite their benefit in the prevention of fragility fractures (40-70%). These fractures cause disability and mortality (80% and 20-30%, respectively), as opposed to the low risk associated with MONJ in osteoporotic (0.01-0. Read More

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http://dx.doi.org/10.1007/s11657-020-00761-0DOI Listing

Development of Learning Curves for Bronchoscopy Results of a Multicentre Study of Pulmonary Trainees.

Chest 2020 Jul 2. Epub 2020 Jul 2.

Department of Innovation in Medical Education, University of Ottawa, Ottawa, Canada; Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, Canada.

Background: There are currently no reference standards for the development of competency in bronchoscopy.

Research Question: The aims of this study were to 1) develop learning curves for bronchoscopy skill development and 2) estimate the number of bronchoscopies required to achieve competence.

Study Design And Methods: Trainees from seven North American academic centers were enrolled at the beginning of their Pulmonology training. Read More

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http://dx.doi.org/10.1016/j.chest.2020.06.046DOI Listing

Comparison of two methods to clear the airways of critically ill children and adults with COVID-19 infection: a structured summary of a study protocol for a pilot randomized controlled trial.

Trials 2020 Jul 3;21(1):610. Epub 2020 Jul 3.

Department of Pediatrics, University of Montreal, CHU Sainte-Justine, 3175 Chemin de Côte Sainte Catherine, Quebec, QB, H3T 1C5, Canada.

Objectives: As there is no treatment for COVID-19 with a proven mortality benefit at this moment in the pandemic, supportive management including mechanical ventilation is the core management in an intensive care unit (ICU). It is a challenge to provide consistent care in this situation, highly demanding and leading to potential staff shortages in ICU. We need to reduce unnecessary exposure of healthcare workers to the virus. Read More

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http://dx.doi.org/10.1186/s13063-020-04533-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332538PMC

Evaluating the Clinical Impact of Rapid Response Electroencephalography: The DECIDE Multicenter Prospective Observational Clinical Study.

Crit Care Med 2020 Jun 29. Epub 2020 Jun 29.

1Departments of Neurology and Neurosurgery, University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA. 2Department of Neurology, University of Texas Southwestern Medical School, Dallas, TX. 3Department of Neurology, Rush University Medical Center, Chicago, IL. 4Department of Neurology, Wake Forest School of Medicine, Winston-Salem, NC. 5Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY. 6Clindata Insight Inc, Moraga, CA. 7Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL. 8Department of Neurology & Neurological Sciences, Stanford University School of Medicine, Stanford, CA. 9Department of Neurology, Yale University School of Medicine, New Haven, CT. 10Department of Neurology, Harvard Medical School, Boston, MA.

Objectives: To measure the diagnostic accuracy, timeliness, and ease of use of Ceribell rapid response electroencephalography. We assessed physicians' diagnostic assessments and treatment plans before and after rapid response electroencephalography assessment. Primary outcomes were changes in physicians' diagnostic and therapeutic decision making and their confidence in these decisions based on the use of the rapid response electroencephalography system. Read More

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http://dx.doi.org/10.1097/CCM.0000000000004428DOI Listing

Exploring the Contributions of Combined Model Regional Medical Education Campuses to the Physician Workforce.

Acad Med 2020 Jun 30. Epub 2020 Jun 30.

J. Bates was professor emerita, Department of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada, at the time this work was done. ORCID: http://orcid.org/0000-0001-6940-2946. P. Grand'Maison is professor, Departments of Family Medicine and Emergency Medicine, Université de Sherbrooke, Sherbrooke, Quebec, Canada. S.R. Banner was CEO, Canadian Resident Matching Service, from 1986-2016, and is Director of Admissions for Canada, St. George's Medical School, Ottawa, Ontario, Canada. C.Y. Lovato is professor, School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada. K.W. Eva is professor and director of education research and scholarship, Department of Medicine, and associate director and senior scientist, Centre for Health Education Scholarship, University of British Columbia, Vancouver, British Columbia, Canada. ORCID: http://orcid.org/0000-0002-8672-2500.

Purpose: Physician shortages and maldistribution, particularly within family medicine, have led many medical schools worldwide to create regional medical campuses (RMCs) for clerkship training. However, Canadian medical schools have developed a number of RMCs in which all years of training (i.e. Read More

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http://dx.doi.org/10.1097/ACM.0000000000003560DOI Listing

Salary Disparities in Academic Urogynecology: Despite Increased Transparency, Men Still Earn More Than Women.

South Med J 2020 Jul;113(7):341-344

From the Department of Obstetrics and Gynecology, Mount Auburn Hospital, Cambridge, Massachusetts, and the Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts.

Objective: To understand the compensation differences between male and female academic urogynecologists at public institutions.

Methods: Urogynecologists at public universities with publicly available salary data as of June 2019 were eligible for the study. We collected characteristics, including sex, additional advanced degrees, years of training, board certification, leadership roles, number of authored scientific publications, and total National Institutes of Health funding projects and number of registered clinical trials for which the physician was a principal or co-investigator. Read More

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http://dx.doi.org/10.14423/SMJ.0000000000001119DOI Listing

Impact of Do-Not-Resuscitate Orders on Nursing Clinical Decision Making.

South Med J 2020 Jul;113(7):330-336

From the Departments of Internal Medicine and Palliative Care, Emory University School of Medicine, Atlanta, Georgia.

Objectives: Code status specifies the action that healthcare providers should take in the event of cardiac arrest. Studies have shown, however, that patients with do-not-resuscitate/do-not-intubate (DNR/DNI) orders have worse outcomes and do not consistently receive the standard of care. Several studies have demonstrated that physicians behave differently toward patients with DNR/DNI orders, but little research exists into whether DNR/DNI status affects the practice of other members of the care team. Read More

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http://dx.doi.org/10.14423/SMJ.0000000000001112DOI Listing

Clinical Investigator Training Program (CITP) - A practical and pragmatic approach to conveying clinical investigator competencies and training to busy clinicians.

Contemp Clin Trials Commun 2020 Sep 12;19:100589. Epub 2020 Jun 12.

University of Alabama at Birmingham, Department of Medicine, Division of Pulmonary, Allergy and Critical Care, United States.

Introduction: Clinical investigation is a critical component of clinical medicine. Yet, other than mentorship by an experienced senior physician, young physicians have few formal training opportunities that fit into their clinical training and convey the pre-requisite clinical investigator competencies. To address this training gap, we designed the Clinical Investigator Training Program (CITP); a practical and pragmatic curriculum weaved into the constant pressures of balancing patient care with academic pursuit required of the academic practitioner. Read More

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http://dx.doi.org/10.1016/j.conctc.2020.100589DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322677PMC
September 2020

Attitudes towards medical artificial intelligence talent cultivation: an online survey study.

Ann Transl Med 2020 Jun;8(11):708

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.

Background: To investigate the attitude and formal suggestions on talent cultivation in the field of medical artificial intelligence (AI).

Methods: An electronic questionnaire was sent to both medical-related field or non-medical field population using the WenJuanXing web-application via social media. The questionnaire was designed to collect: (I) demographic information; (II) perception of medical AI; (III) willingness to participate in the medical AI related teaching activities; (IV) teaching content of medical AI; (V) the role of medical AI teaching; (VI) future career planning. Read More

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http://dx.doi.org/10.21037/atm.2019.12.149DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7327345PMC

Influences for Gender Disparity in Academic Family Medicine in North American Medical Schools.

Cureus 2020 May 30;12(5):e8368. Epub 2020 May 30.

Radiology, Vancouver General Hospital, Vancouver, CAN.

Background Women physicians continue to comprise the minority of leadership roles in Academic Family Medicine (AFM) faculty across North American medical schools. Our study quantified the current state of gender disparity by analyzing academic position, leadership ranking, and research productivity. Methods We generated a database for 6,746 AFM faculty members. Read More

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http://dx.doi.org/10.7759/cureus.8368DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7326302PMC

Practice patterns for extended venous thromboembolism chemoprophylaxis among urologic oncologists after radical cystectomy.

Urol Oncol 2020 Jun 29. Epub 2020 Jun 29.

Department of Urology, MedStar Georgetown University Hospital, Washington, DC; Department of Urology, MedStar Washington Hospital Center, Washington, DC. Electronic address:

Introduction: Extended outpatient chemoprophylaxis (ECP) following radical cystectomy (RC) for bladder cancer is proven to reduce rates of venous thromboembolism (VTE). While ECP is commonly performed with enoxaparin, its cost-effectiveness and adherence rate has been called into question. Data from orthopedic literature suggest that ECP with direct oral anticoagulants (DOACs) may be as effective in VTE prevention as enoxaparin in patients undergoing joint surgery. Read More

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http://dx.doi.org/10.1016/j.urolonc.2020.05.030DOI Listing

Telehealth in Urology: A Systematic Review of the Literature. How Much Can Telemedicine Be Useful During and After the COVID-19 Pandemic?

Eur Urol 2020 Jun 18. Epub 2020 Jun 18.

Department of Human and Pediatric Pathology "Gaetano Barresi", Urologic Section, University of Messina, Italy.

Context: Coronavirus disease 2019 (COVID-19) pandemic has caused increased interest in the application of telehealth to provide care without exposing patients and physicians to the risk of contagion. The urological literature on the topic is sparse.

Objective: To perform a systematic review of the literature and evaluate all the available studies on urological applications of telehealth. Read More

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http://dx.doi.org/10.1016/j.eururo.2020.06.025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301090PMC