19,418 results match your criteria Academic Physician & Scientist[Journal]


Postoperative opioid utilization using Enhanced Recovery After Surgery (ERAS) guidelines for benign gynecologic procedures.

J Minim Invasive Gynecol 2019 Apr 17. Epub 2019 Apr 17.

University of California San Francisco, Department of Obstetrics & Gynecology.

Study Objective: To evaluate opioid usage following benign gynecologic surgery after implementation of Enhanced Recovery After Surgery (ERAS) opioid prescribing recommendations.

Design: Prospective cohort study.

Setting: An academic tertiary care hospital PATIENTS: : All patients undergoing elective benign gynecologic surgery at a large academic institution between August 2017 - December 2017, one year after ERAS postoperative opioid prescribing recommendations were implemented for the benign gynecologic surgery department. Read More

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http://dx.doi.org/10.1016/j.jmig.2019.04.017DOI Listing

Alignment of Preventive Medicine Physicians' Residency Training With Professional Needs.

Am J Prev Med 2019 Apr 17. Epub 2019 Apr 17.

Preventive Medicine Residency Program, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Preventive medicine (PM) physicians promote population-based approaches to health care with training that emphasizes public health, epidemiology, and policy. PM physicians use these skills in varied, often nonclinical, practice settings. PM career diversity challenges educators when designing residency curricula. Read More

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http://dx.doi.org/10.1016/j.amepre.2019.01.012DOI Listing

Enhancing Understanding of Moral Distress: The Measure of Moral Distress for Health Care Professionals.

AJOB Empir Bioeth 2019 Apr 19:1-12. Epub 2019 Apr 19.

e School of Nursing , Virginia Commonwealth University , Richmond , Virginia , USA.

Background: As ongoing research explores the impact of moral distress on health care professionals (HCPs) and organizations and seeks to develop effective interventions, valid and reliable instruments to measure moral distress are needed. This article describes the development and testing of a revision of the widely used Moral Distress Scale-Revised (MDS-R) to measure moral distress.

Methods: We revised the MDS-R by evaluating the combined data from 22 previous studies, assessing 301 write-in items and 209 root causes identified through moral distress consultation, and reviewing 14 recent publications from various professions in which root causes were described. Read More

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http://dx.doi.org/10.1080/23294515.2019.1586008DOI Listing

Meeting the Educational Needs of Young, ME/CFS Patients: Role of the Treating Physician.

Authors:
Faith R Newton

Front Pediatr 2019 2;7:104. Epub 2019 Apr 2.

Department of Education, Delaware State University, Dover, DE, United States.

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https://www.frontiersin.org/article/10.3389/fped.2019.00104/
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http://dx.doi.org/10.3389/fped.2019.00104DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6455006PMC
April 2019
1 Read

Reasons geriatrics fellows choose geriatrics as a career, and implications for workforce recruitment.

Gerontol Geriatr Educ 2019 Apr 19:1-8. Epub 2019 Apr 19.

b Division of General Internal Medicine and Clinical Innovation, Department of Medicine , NYU School of Medicine , New York , USA.

Objectives: Although the population of older adults is rising, the number of physicians seeking geriatrics training is decreasing. This study of fellows in geriatrics training programs across the United States explored motivating factors that led fellows to pursue geriatrics in order to inform recruitment efforts.

Design: Semi-structured telephone interviews with geriatrics fellows. Read More

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http://dx.doi.org/10.1080/02701960.2019.1604341DOI Listing

Psyche Meets the Gatekeepers: Creating a More Humane Culture for Women in Medicine.

Acad Med 2019 Apr 16. Epub 2019 Apr 16.

S.M. Flaherty is communications director, Center for Celiac Research and Treatment, MassGeneral Hospital for Children, Boston, Massachusetts; ORCID: http://orcid.org/0000-0002-5153-0218. M. Misra is professor of pediatrics, Harvard Medical School, and chief, Division of Pediatric Endocrinology, MassGeneral Hospital for Children, Boston, Massachusetts. S. E. Scott-Vernaglia is assistant professor of pediatrics, Harvard Medical School, and director, Pediatric Residency Program, MassGeneral Hospital for Children, Boston, Massachusetts. E.M. Taveras is professor of pediatrics, Harvard Medical School, and chief, Division of General Pediatrics, MassGeneral Hospital for Children, Boston, Massachusetts. E.J. Israel is assistant professor of pediatrics, Harvard Medical School, and associate unit chief, Division of Pediatric Gastroenterology and Nutrition, MassGeneral Hospital for Children, Boston, Massachusetts.

In the Greek myth of Psyche and Eros, Psyche must fulfill four seemingly impossible tasks to achieve full consciousness before she can be reunited with her bridegroom, Eros. From early childhood, girls and women can encounter gender stereotyping, sexual harassment and assault, and other gender-related challenges. While both men and women can face mistreatment in medical school, female students experience sexual harassment and sexual assault at higher rates than male students. Read More

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http://Insights.ovid.com/crossref?an=00001888-900000000-9761
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http://dx.doi.org/10.1097/ACM.0000000000002766DOI Listing
April 2019
1 Read

How Single Institutional Review Boards Manage Their Own Conflicts of Interest: Findings From a National Interview Study.

Acad Med 2019 Apr 16. Epub 2019 Apr 16.

E. Pivovarova is assistant professor, Department of Psychiatry, University of Massachusetts Medical School and Massachusetts Center of Excellence for Specialty Courts, Worcester, Massachusetts. R.L. Klitzman is professor of psychiatry and director, Masters of Bioethics Program, Columbia University, New York, New York. A. Murray is research coordinator II, Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts. D.F. Stiles is vice president, Research Operations and Policy, and chief operating officer, Office of the Executive Vice President for Research, Columbia University, New York, New York. P.S. Appelbaum is professor of Psychiatry, Medicine, and Law, director, Division of Law, Ethics, and Psychiatry, and Director, Center for Research on Ethical, Legal and Social Implications of Psychiatric, Neurological and Behavioral Genetics, Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, New York. C.W. Lidz is professor emeritus, Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts.

Purpose: Conflicts of interest (COIs) are important ethical concerns as they may affect scientific decision-making, research integrity, and the safety and fairness of studies. No research to date has examined COIs of single IRBs (sIRBs), which are now mandated by the National Institutes of Health, and will be by the revised Common Rule in 2020, for all multi-site research. This study investigated how different types of sIRBs manage their own COIs by documenting existing processes for and comparison across commercial, government, and academic sIRBs. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002762DOI Listing

What Can the Giant Do? Defining the Path to Unsupervised Primary Care Practice by Competence, Not Time.

Acad Med 2019 Apr 16. Epub 2019 Apr 16.

E. Warm is professor of medicine and program director, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio; ORCID https://orcid.org/0000-0002-6088-2434. B. Kinnear is assistant professor of medicine and pediatrics, and associate program director, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio; ORCID https://orcid.org/0000-0003-0052-4130.

In this issue of Academic Medicine, Dewan and Norcini examine the significant variability of time-in-training between patient care "giants"-the physicians, nurse practitioners, and physician assistants who practice primary care-and they call for further studies to determine optimal training duration and eventual scope of practice. They ask, what is the minimum education and training required to practice primary care, or "how tall is the shortest giant?"In this Invited Commentary, the authors reframe the question from identifying the minimum length of training required, to identifying desired patient care outcomes. Primary care is not a uniform entity. Read More

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http://dx.doi.org/10.1097/ACM.0000000000002753DOI Listing

Influence of Baseline Anemia on Dual Antiplatelet Therapy Cessation and Risk of Adverse Events After Percutaneous Coronary Intervention.

Circ Cardiovasc Interv 2019 Apr;12(4):e007133

Center for Interventional Cardiovascular Research and Clinical Trials, The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York City, NY (M.F., U.B., S. Sartori, J.C., B.E.C., G.D., B.V., S. Sorrentino, A.K., S.F., R.M.).

Background: Anemia is a well-recognized risk factor for both bleeding and ischemic events after percutaneous coronary intervention (PCI). We sought to determine the impact of baseline anemia on dual antiplatelet therapy (DAPT) cessation patterns ≤2 years after PCI and the subsequent risk of clinical adverse events.

Methods And Results: PARIS (Patterns of Non-Adherence to Dual Anti-Platelet Regimen in Stented Patients) was a prospective multicenter observational registry of PCI-treated patients (n=5018). Read More

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http://dx.doi.org/10.1161/CIRCINTERVENTIONS.118.007133DOI Listing

Beyond checkboxes: A qualitative assessment of physicians' experiences providing care in a patient-centred medical home.

J Eval Clin Pract 2019 Apr 17. Epub 2019 Apr 17.

Department of Family Medicine, Alpert Medical School of Brown University, Providence, Rhode Island.

Rationale, Aims, And Objectives: The patient-centred medical home (PCMH) is an innovative approach to health care reform. Despite a well-established process for recognizing PCMH practices, fidelity to, and/or adaptation of, the PCMH model can limit health care and population health improvements. This study explored the connection between fidelity/adaptation to the PCMH model with implementation successes and challenges through the experiences of family and internal medicine PCMH physicians. Read More

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http://dx.doi.org/10.1111/jep.13136DOI Listing

Developmental delay: identification and management at primary care level.

Singapore Med J 2019 Mar;60(3):119-123

Department of Paediatrics, Child Developmental Service, KK Women's and Children's Hospital, Singapore.

Developmental delays are common in childhood, occurring in 10%-15% of preschool children. Global developmental delays are less common, occurring in 1%-3% of preschool children. Developmental delays are identified during routine checks by the primary care physician or when the parent or preschool raises concerns. Read More

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http://www.smj.org.sg/article/developmental-delay-identifica
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http://dx.doi.org/10.11622/smedj.2019025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441684PMC
March 2019
1 Read

Association of Rare Copy Number Variants With Risk of Depression.

JAMA Psychiatry 2019 Apr 17. Epub 2019 Apr 17.

MRC Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, Wales, United Kingdom.

Importance: The role of large, rare copy number variants (CNVs) in neuropsychiatric disorders is well established, but their association with common psychiatric disorders, such as depression, remains unclear.

Objective: To examine the association of a group of 53 CNVs associated with neurodevelopmental disorders and burden of rare CNVs with risk of depression.

Design, Setting, And Participants: This case-control study used data from the UK Biobank study sample, which comprised 502 534 individuals living in the United Kingdom. Read More

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http://archpsyc.jamanetwork.com/article.aspx?doi=10.1001/jam
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http://dx.doi.org/10.1001/jamapsychiatry.2019.0566DOI Listing
April 2019
2 Reads

Resident Burnout in United States and European Urology Residents: An International Concern.

BJU Int 2019 Apr 16. Epub 2019 Apr 16.

MedStar Washington Hospital Center, Department of Urology.

Background: Although the rate of burnout in urologists is high and associated with severe negative sequelae, the extent and predictors of burnout in urology trainees remains poorly understood OBJECTIVE: To describe the prevalence and predictors of burnout in US and European urology residents.

Material And Methods: Anonymous 32-question survey of urology trainees across the US and 4 European countries analyzing personal, program and institutional factors. Burnout was assessed using the validated abridged Maslach Burnout Inventory. Read More

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http://dx.doi.org/10.1111/bju.14774DOI Listing

Measuring Coaching in Undergraduate Medical Education: the Development and Psychometric Validation of New Instruments.

J Gen Intern Med 2019 Apr 16. Epub 2019 Apr 16.

Oregon Health & Science University, 3181 SW Sam Jackson Park Rd., Mail Code: FM, Portland, OR, 97239, USA.

Background: Coaching is emerging as a novel approach to guide medical students toward becoming competent, reflective physicians and master adaptive learners. However, no instruments currently exist to measure academic coaching at the undergraduate medical education level.

Objective: To describe the development and psychometric assessments of two instruments designed to assess academic coaching of medical students toward creating a robust measurement model of this educational paradigm. Read More

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http://dx.doi.org/10.1007/s11606-019-04888-wDOI Listing

Family physicians' knowledge and awareness regarding oral health: A survey.

J Educ Health Promot 2019 15;8:45. Epub 2019 Feb 15.

Department of Oral Medicine and Radiology, Dr. Harvansh Singh Judge Institute of Dental Sciences and Hospital, Panjab University, Chandigarh, India.

Introduction: Oral health is an important component of general health. The World Health Organization has highly recommended the integration of oral health promotion into general health care. In majority of the cases, patients visit their physicians with simultaneous oral and systemic complaints, and primary oral complaints are more frequently encountered. Read More

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http://dx.doi.org/10.4103/jehp.jehp_252_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6432805PMC
February 2019

A cross-sectional study examining convergent validity of a frailty index based on electronic medical records in a Canadian primary care program.

BMC Geriatr 2019 Apr 16;19(1):109. Epub 2019 Apr 16.

NIHR CLAHRC Older People's Theme Academic Unit of Elderly Care and Rehabilitation, University of Leeds, Bradford Institute for Health Research, Temple Bank House, Bradford Royal Infirmary, Duckworth Lane, Bradford, BD9 6RJ, UK.

Background: An electronic frailty index (eFI) has been developed and validated in the UK; it uses data from primary care electronic medical records (EMR) for effective frailty case-finding in primary care. This project examined the convergent validity of the eFI from Canadian primary care EMR data with a validated frailty index based on comprehensive geriatric assessment (FI-CGA), in order to understand its potential use in the Canadian context.

Methods: A cross-sectional validation study, using data from an integrated primary care research program for seniors living with frailty in Edmonton, AB. Read More

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https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877
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http://dx.doi.org/10.1186/s12877-019-1119-xDOI Listing
April 2019
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Exploring group boundaries and conflicts: a social identity theory perspective.

Med Educ 2019 Apr 15. Epub 2019 Apr 15.

Unit of Development and Research in Medical Education, Faculty of Medicine, University of Geneva, Geneva, Switzerland.

Context: In the clinical environment, health care professionals self-categorise into different groups towards which they develop positive attitudes, whereas they view other groups less favourably. Social identity theory purports that these attitudes influence group processes and may foster conflicts that impede collaborative practice, although this relationship is poorly understood. This study used concepts from social identity theory to examine the interplay between group processes and conflicts, as well as the consequences of these conflicts, with the goal of identifying educational strategies to favour teamwork. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/medu.13881
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http://dx.doi.org/10.1111/medu.13881DOI Listing
April 2019
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United States federal government regulation of international research collaborations: What every physician-scientist should know.

Int J Crit Illn Inj Sci 2019 Jan-Mar;9(1):5-10

The MORZAK Collaborative, Columbia, MD, USA.

In the United States (US), the degree to which federal law has encroached on international research and academic communications is not widely known or understood. Despite this, a web of legal code, statutes, executive orders, and intersecting agency jurisdictions apply to all US researchers, with stiff civil and criminal penalties for those who transgress. As the transfer of knowledge is considered an export by the US government, and Title 31 code of federal regulations 500-599 applies to research collaboration, teaching, presenting, publishing, and other activities. Read More

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http://dx.doi.org/10.4103/IJCIIS.IJCIIS_63_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6423921PMC

Patient-reported health outcomes for severe knee osteoarthritis after conservative treatment with an intra-articular cell-free formulation for articular cartilage regeneration combined with usual medical care vs. usual medical care alone: A randomized controlled trial.

Exp Ther Med 2019 May 13;17(5):3351-3360. Epub 2019 Mar 13.

Department of Research, Esteripharma Mexico, Mexico City 03100, Mexico.

Osteoarthritis (OA) is a major public health problem characterized by joint pain, fatigue, functional limitation and decreased quality of life of the patient, which results in increased use of healthcare services and high economical costs. A promising novel bioactive cell-free formulation (BIOF2) for cartilage regeneration has recently been tested in pre-clinical and clinical trials, and has demonstrated a success rate similar to that of total joint arthroplasty for the treatment of severe knee OA. The present study evaluated the efficacy of treatment with BIOF2, by including it within a conservative regimen of 'usual medical care' of knee OA, and whether its efficacy was affected in subgroups of patients presenting with comorbidities that exacerbate OA. Read More

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http://dx.doi.org/10.3892/etm.2019.7384DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6447772PMC

Global Brain Drain: How Can the Maslow Theory of Motivation Improve Our Understanding of Physician Migration?

Int J Environ Res Public Health 2019 Apr 2;16(7). Epub 2019 Apr 2.

Department of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.

The migration of physicians from low-resource to high-resource settings is a prevalent global phenomenon that is insufficiently understood. Most low-income countries are severely understaffed with physicians, and the emigration of the already limited number of physicians to other countries can significantly reduce access to healthcare in the source country. Despite a growing interest in global capacity building in these countries by academic and non-governmental organizations in high-income countries, efforts to stem physician migration have been mostly unsuccessful. Read More

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https://www.mdpi.com/1660-4601/16/7/1182
Publisher Site
http://dx.doi.org/10.3390/ijerph16071182DOI Listing
April 2019
1 Read

An Academic Research Coach: An Innovative Approach to Increasing Scholarly Productivity in Medicine.

J Hosp Med 2019 Apr 8;14:E1-E5. Epub 2019 Apr 8.

Department of Medicine, Division of General Internal Medicine, University of Washington, Seattle, Washington.

Background: Academic faculty who devote most of their time to clinical work often struggle to engage in meaningful scholarly work. They may be disadvantaged by limited research training and limited time. Simply providing senior mentors and biostatistical support has limited effectiveness. Read More

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http://dx.doi.org/10.12788/jhm.3194DOI Listing

Impact of clinical training on recruiting graduating health professionals.

Am J Manag Care 2019 Apr 1;25(4):e111-e118. Epub 2019 Apr 1.

VA Loma Linda Healthcare System, Research Service (151), 11201 Benton St, Loma Linda, CA 92357. Email:

Objectives: Recruiting professional staff is an important business reason for hospitals allowing health trainees to engage in supervised patient care. Whereas prior studies have focused on educational institutions, this study focuses on teaching hospitals and whether trainees' clinical experiences affect their willingness to work (ie, recruitability) for the type of healthcare center where they trained.

Study Design: A pre-post, observational study based on Learners' Perceptions Survey data in which respondents served as their own controls. Read More

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April 2019
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Hot off the Press: She Works Hard for the Money - Time's Up in Health Care.

Acad Emerg Med 2019 Apr 15. Epub 2019 Apr 15.

University of Western Ontario, Goderich, Ontario, Canada.

Salary disparity between men and women continues to exist in medicine despite our documentation of this earnings gap since the mid-1970s. The number of women in medicine continues to rise, and despite our knowledge of the problem the gender pay gap in medicine is one of the highest for any professional industry. After controlling for multiple variables, male physicians across multiple fields continue to earn significantly more than their female counterparts. Read More

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http://dx.doi.org/10.1111/acem.13764DOI Listing
April 2019
1 Read

Sleep and Work in ICU Physicians During a Randomized Trial of Nighttime Intensivist Staffing.

Crit Care Med 2019 Apr 12. Epub 2019 Apr 12.

Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.

Objectives: To compare sleep, work hours, and behavioral alertness in faculty and fellows during a randomized trial of nighttime in-hospital intensivist staffing compared with a standard daytime intensivist model.

Design: Prospective observational study.

Setting: Medical ICU of a tertiary care academic medical center during a randomized controlled trial of in-hospital nighttime intensivist staffing. Read More

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http://dx.doi.org/10.1097/CCM.0000000000003773DOI Listing
April 2019
2 Reads

A health care delivery model focusing on development of a cadre of primary care physicians-Recommendations of Organized Medicine Academic Guild.

J Family Med Prim Care 2019 Feb;8(2):330-335

Sarvoday Hospital, Bokaro, Jharkhand, India.

Organized medicine is the academic guild of professional medical organizations in India. It was founded at the annual conference of Indian Academy of Pediatrics (PEDICON) on January 7, 2018. Organized medicine is constituted by leading professional medical organizations and mandated to support the sustainability of health agenda of the Government of India. Read More

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http://dx.doi.org/10.4103/jfmpc.jfmpc_31_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436257PMC
February 2019

The tyranny of the Medical Council of India's new (2019) MBBS curriculum: Abolition of the academic discipline of family physicians and general practitioners from the medical education system of India.

Authors:
Raman Kumar

J Family Med Prim Care 2019 Feb;8(2):323-325

President, Academy of Family Physicians of India, Uttar Pradesh, India.

After 21 years, a new MBBS curriculum has been released by the Medical Council of India (MCI), titled "Competency-based UG Curriculum for the Indian Medical Graduates." This curriculum is to be rolled out from August 2019 across India. The curriculum document runs through 890 pages in three volumes. Read More

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http://dx.doi.org/10.4103/jfmpc.jfmpc_147_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436294PMC
February 2019

Student Perceptions of M.D.-Ph.D. Programs: A Qualitative Identification of Barriers Facing Prospective M.D.-Ph.D. Applicants.

Teach Learn Med 2019 Apr 14:1-10. Epub 2019 Apr 14.

b General Internal Medicine and Berman Bioethics Institute , Johns Hopkins University , Baltimore , MD , USA.

Phenomenon: Despite a high degree of interest in research among matriculating M.D. students, very few apply to combined M. Read More

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http://dx.doi.org/10.1080/10401334.2019.1598414DOI Listing

The Timing of Family Meetings in the Medical Intensive Care Unit.

Am J Hosp Palliat Care 2019 Apr 14:1049909119843133. Epub 2019 Apr 14.

1 Department of Medicine, University of Chicago, Chicago, IL, USA.

Purpose: Family meetings in the medical intensive care unit can improve outcomes. Little is known about when meetings occur in practice. We aimed to determine the time from admission to family meetings in the medical intensive care unit and assess the relationship of meetings with mortality. Read More

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http://journals.sagepub.com/doi/10.1177/1049909119843133
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http://dx.doi.org/10.1177/1049909119843133DOI Listing
April 2019
7 Reads

A Mixed-Methods Evaluation Framework for Electronic Health Records Usability Studies.

J Biomed Inform 2019 Apr 11:103175. Epub 2019 Apr 11.

Pulmonary Diseases and Critical Care Medicine, University of North Carolina at Chapel Hill, NC, USA.

Background: Poor EHR design adds further challenges, especially in the areas of order entry and information visualization, with a net effect of increased rates of incidents, accidents, and mortality in ICU settings.

Objective: The purpose of the study was to propose a novel, mixed-methods framework to understand EHR-related information overload by identifying and characterizing areas of suboptimal usability and clinician frustration within a vendor-based, provider-facing EHR interface.

Methods: A mixed-methods, live observational usability study was conducted at a single, large, tertiary academic medical center in the Southeastern US utilizing a commercial, vendor based EHR. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15320464193009
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http://dx.doi.org/10.1016/j.jbi.2019.103175DOI Listing
April 2019
1 Read

Heart Failure Site-Based Research in the United States: Results of the Heart Failure Society of America Research Network Survey.

JACC Heart Fail 2019 Apr 3. Epub 2019 Apr 3.

Advanced Heart Failure, Inova Heart and Vascular Institute, Falls Church, Virginia.

Objectives: This study sought to determine clinician and scientist involvement in heart failure (HF) clinical research and to describe the challenges of conducting clinical trials in the United States.

Background: Improvements in the current capability, potential, and deficiencies of the HF clinical research infrastructure in the United States are needed in order to enhance efficiency and impact.

Methods: The Heart Failure Society of America (HFSA) distributed an electronic survey regarding HF clinical trial activity for the purpose of understanding the barriers that exist to conducting high-quality HF clinical research. Read More

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http://dx.doi.org/10.1016/j.jchf.2019.02.008DOI Listing
April 2019
1 Read

Integrating legal services with primary care: The Health Justice Program.

Can Fam Physician 2019 Apr;65(4):246-248

Family physician with St Michael's Academic Family Health Team, Scientist at the Centre for Urban Health Solutions at St Michael's Hospital, and Assistant Professor in the Department of Family and Community Medicine at the University of Toronto.

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April 2019
4 Reads

Point-of-Care Ultrasonography in the Diagnosis of Retinal Detachment, Vitreous Hemorrhage, and Vitreous Detachment in the Emergency Department.

JAMA Netw Open 2019 Apr 5;2(4):e192162. Epub 2019 Apr 5.

Department of Emergency Medicine, University of California, Irvine.

Importance: Ocular symptoms represent approximately 2% to 3% of all emergency department (ED) visits. These disease processes may progress to permanent vision loss if not diagnosed and treated quickly. Use of ocular point-of-care ultrasonography (POCUS) may be effective for early and accurate detection of ocular disease. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2019.2162DOI Listing

Trends in the Proportion of Female Speakers at Medical Conferences in the United States and in Canada, 2007 to 2017.

JAMA Netw Open 2019 Apr 5;2(4):e192103. Epub 2019 Apr 5.

Division of Endocrinology and Metabolism, Department of Medicine, University of Calgary, Calgary, Alberta, Canada.

Importance: Gender equity is a prominent issue in the medical profession. Representation of female physicians at academic meetings has been identified as an important component of gender equity; however, this topic has not been systematically assessed.

Objective: To determine the trend during the last decade in the proportion of speakers who were women at major academic medical conferences held in Canada and in the United States. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2019.2103DOI Listing

The use of blended learning to improve health professionals' communication skills: a literature review.

Acta Biomed 2019 Mar 28;90(4-S):17-24. Epub 2019 Mar 28.

University of Bologna.

Background And Aim Of The Work: In recent years, health professionals' education has moved towards the increasing use of blended learning. One of the most widespread blended formulas is the mix of face-to-face and online learning, which combines the advantages of distance learning, both in training provision and in training fruition, with the maintenance of socialization goals and application to practice activities. This literature review aims to find out whether blended-learning is employed for improving health professionals' communication skills and which are its outcomes. Read More

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http://dx.doi.org/10.23750/abm.v90i4-S.8330DOI Listing

Efficacy of endovascular thrombectomy in patients with M2 segment middle cerebral artery occlusions: meta-analysis of data from the HERMES Collaboration.

J Neurointerv Surg 2019 Apr 11. Epub 2019 Apr 11.

Department of Diagnostic Imaging, University of Calgary, Calgary, Alberta, Canada.

Background: The Society of Neurointerventional Surgery revised its operational definition of emergent large vessel occlusion (ELVO) recently to include proximal M2 segment middle cerebral artery (MCA) occlusions. We sought to assess the benefit of endovascular thrombectomy (EVT) over best medical care for M2 segment MCA occlusion.

Methods: Patient level data from trials in the HERMES Collaboration were included. Read More

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http://dx.doi.org/10.1136/neurintsurg-2018-014678DOI Listing
April 2019
1 Read

Follow-up Soon After Discharge May Not Reduce COPD Readmissions.

Chronic Obstr Pulm Dis 2019 Apr 9;6(2). Epub 2019 Apr 9.

Division of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.

We evaluated whether visiting a primary care provider (PCP) or medical subspecialist within 10 days of discharge reduces 30-day readmissions following hospitalization for acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Data were retrospectively collected from electronic health records for AECOPD-related hospitalizations at an urban, academic medical center for patients 40 years of age or older between June 2011 and June 2016. Primary outcome was probability of all-cause 30-day readmission. Read More

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http://dx.doi.org/10.15326/jcopdf.6.2.2018.0145DOI Listing
April 2019
2 Reads

Measuring the quality of inpatient specialist consultation in the intensive care unit: Nursing and family experiences of communication.

PLoS One 2019 11;14(4):e0214918. Epub 2019 Apr 11.

Department of Pulmonary, Critical Care and Sleep Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States of America.

Rationale: Critically ill patients in the intensive care unit (ICU) often require the care of specialist physicians for clinical or procedural expertise. The current state of communication between specialist physicians and families and nurses has not been explored.

Objectives: To document the receipt of communication by nurses and family members regarding consultations performed on their patient or loved one, and to quantify how this impacts their overall perceptions of the quality of specialty care. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214918PLOS

Improving rates of ferrous sulfate prescription for suspected iron deficiency anaemia in infants.

BMJ Qual Saf 2019 Apr 10. Epub 2019 Apr 10.

Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.

Background: Iron deficiency anaemia (IDA) in infancy is prevalent and associated with impaired neurodevelopment; however, studies suggest that treatment and follow-up rates are poor.

Objectives: To improve the rate of ferrous sulfate prescription for suspected IDA among infants aged 8-13 months to 75% or greater within 24 months.

Methods: We implemented a multidisciplinary process improvement effort aimed at standardising treatment for suspected IDA at two academic paediatric primary care clinics. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-009098DOI Listing
April 2019
1 Read

Development of a Novel Emergency Department Mapping Tool.

HERD 2019 Apr 10:1937586719842349. Epub 2019 Apr 10.

3 Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, PA, USA.

Objectives: Develop a built environment mapping workflow. Implement the workflow in the emergency department (ED). Demonstrate the actionable representations of the data that can be collected using this workflow. Read More

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http://dx.doi.org/10.1177/1937586719842349DOI Listing

[A study on the pedigree of the academic inheritance of Li Shicai].

Zhonghua Yi Shi Za Zhi 2019 Jan;49(1):55-60

Shicai School Inherited Studio, Suzhou Hospital of Integrated Traditional Chinese and Western Medicine, Suzhou 215101, China.

Li Shicai, a famous physician of Ming Dynasty had a large number of students. Shen Langzhong, who was a student of Li Shicai, was the teacher of Ma Yuanyi, and one of Ma's student was You Zaijing. This inheritance pedigree was called "Li Shicai School" in academic communities. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0255-7053.2019.01.010DOI Listing
January 2019

Early Adopters of Patient-Generated Health Data Upload in an Electronic Patient Portal.

Appl Clin Inform 2019 Mar 10;10(2):254-260. Epub 2019 Apr 10.

Department of Healthcare Policy and Research, Weill Cornell Medicine, New York, New York, United States.

Background And Objective:  Patient-generated health data (PGHD) may help providers monitor patient status between clinical visits. Our objective was to describe our medical center's early experience with an electronic flowsheet allowing patients to upload self-monitored blood glucose to their provider's electronic health record (EHR).

Methods:  An academic multispecialty practice enabled the portal-linked PGHD tool in 2012. Read More

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http://dx.doi.org/10.1055/s-0039-1683987DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458021PMC

Patient Safety Checklists: Do They Improve Patient Safety for Supracondylar Humerus Fractures?

J Pediatr Orthop 2019 May/Jun;39(5):232-236

Department of Orthopaedics and Sports Medicine, Seattle Children's Hospital, Seattle, WA.

Background: The purpose of the study was to investigate whether a safety checklist could be used consistently in an academic center, and, whether its presence correlates with a decreased rate of complications, and therefore, improved overall patient safety.

Methods: Data from 3 years before and after the implementation of the checklist were compared. Prechecklist data from August 2008 through August of 2011, including all operative supracondylar humerus fractures treated at our institution, were retrospectively reviewed. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000928DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5568993PMC

Moral Distress and Attitudes About Timing Related to Comfort Care for Hospitalized Patients: A Survey of Inpatient Providers and Nurses.

Am J Hosp Palliat Care 2019 Apr 9:1049909119843136. Epub 2019 Apr 9.

1 Department of Family Medicine, University of Washington, Seattle, WA, USA.

Context: Providing nonbeneficial care at the end of life and delays in initiating comfort care have been associated with provider and nurse moral distress.

Objective: Evaluate provider and nurse moral distress when using a comfort care order set and attitudes about timing of initiating comfort care for hospitalized patients.

Methods: Cross-sectional survey of providers (physicians, nurse practitioners, and physician assistants) and nurses at 2 large academic hospitals in 2015. Read More

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http://dx.doi.org/10.1177/1049909119843136DOI Listing
April 2019
2 Reads

Toolkit for Population Health Initiatives Around the Globe Related to Collaborative Comprehensive Medication Management for Children and Youth.

Children (Basel) 2019 Apr 8;6(4). Epub 2019 Apr 8.

Universitäts-Kinderspital beider Basel (UKBB), Spitalstrasse 33, CH-4031 Basel, Switzerland.

Almost 30 million babies worldwide are born prematurely or become ill annually and need specialized care to survive. Formalized collaborative practice agreements (CPA) between clinical pharmacists and physicians have been put forward as a means for improving the overall medicating experience in many patient populations, including children. This report briefly describes opportunities for collaboration using examples from countries on each continent where CPA is established in professional governance documents and standards. Read More

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http://dx.doi.org/10.3390/children6040057DOI Listing

Single-Patient Expanded Access Requests: IRB Professionals' Experiences and Perspectives.

AJOB Empir Bioeth 2019 Apr 9:1-12. Epub 2019 Apr 9.

a Division of Medical Ethics, Department of Population Health , NYU School of Medicine, NYU Langone Health , New York , New York , USA.

Background: U.S. physicians may treat a patient with an investigational drug outside of a clinical trial by using the expanded access (EA) pathway or the recently created federal right to try (RTT) pathway. Read More

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http://dx.doi.org/10.1080/23294515.2019.1577192DOI Listing
April 2019
3 Reads

Integrating Advance Care Planning Videos into Surgical Oncologic Care: A Randomized Clinical Trial.

J Palliat Med 2019 Apr 9. Epub 2019 Apr 9.

3 Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

Background: Preoperative advance care planning (ACP) may benefit patients undergoing major surgery.

Objective: To evaluate feasibility, safety, and early effectiveness of video-based ACP in a surgical population.

Design: Randomized controlled trial with two study arms. Read More

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http://dx.doi.org/10.1089/jpm.2018.0209DOI Listing

Disparities in Quality of Primary Care by Resident and Staff Physicians: Is There a Conflict Between Training and Equity?

J Gen Intern Med 2019 Apr 8. Epub 2019 Apr 8.

Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.

Background: Outpatient primary care experience is vital to internal medicine resident training but may impact quality and equity of care delivered in practices that include resident physicians. Understanding whether quality differences exist among resident and staff primary care physicians (PCPs) may present an opportunity to address health disparities within academic medical centers.

Objective: To determine whether there are differences in the quality of primary care provided by resident PCPs compared to staff PCPs. Read More

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http://dx.doi.org/10.1007/s11606-019-04960-5DOI Listing

Development of a Spine Surgical Skills and Written Assessment for Orthopaedic Surgery Residents.

J Surg Educ 2019 Apr 5. Epub 2019 Apr 5.

The Ohio State University Wexner Medical Center, Department of Orthopaedics, Columbus, Ohio. Electronic address:

Objective: The objective of this study was to develop an assessment module for orthopaedic spine surgery residents which is cost-effective and can reliably test knowledge and surgical skills.

Design: A ten-question multiple choice question and hands-on spine sawbones combination assessment was prospectively administered to consenting PGY-3 and PGY-4 residents before and after their 8-week spine rotation. Pre- and postrotation scores were compared using the paired t-test. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.01.011DOI Listing

[Perception of medical students in Galicia (Spain) regarding conscientious objection to the voluntary termination of pregnancy].

Gac Sanit 2019 Apr 6. Epub 2019 Apr 6.

Facultad de Ciencias Políticas y Sociales, Universidad de Santiago de Compostela, Santiago de Compostela, España. Electronic address:

Objective: To discover whether future doctors in Galicia (Spain) are willing to express conscientious objection to voluntary termination of pregnancy (VTP). The medical students' level of knowledge regarding conscientious objection in health care was also examined, and their knowledge regarding the costs patients would incur if unable to exercise their right to VTP.

Method: Cross-sectional study by conducting a survey of 350 medical students in the 2nd and the 5th years of the Degree in Medicine at the University of Santiago de Compostela, in the academic year 2017-2018. Read More

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http://dx.doi.org/10.1016/j.gaceta.2019.02.007DOI Listing