9,560 results match your criteria clinician education

Effect of Training on Patient Self-Assessment of Joint Counts in Rheumatoid Arthritis: A Systematic Review.

ACR Open Rheumatol 2021 Sep 17. Epub 2021 Sep 17.

Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada, and Arthritis Research Canada, Vancouver, British Columbia, Canada.

Objective: Patient self-assessed joint counts, if accurate and reliable, could potentially serve as a useful clinical assessment tool in rheumatoid arthritis (RA). This systematic review examines the effect of patient training on the inter-rater reliability of joint counts between patients and clinicians.

Methods: The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Read More

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September 2021

Barriers and Facilitators to Informed Decision-Making About Prostate Cancer Screening Among Black Men.

J Am Board Fam Med 2021 Sep-Oct;34(5):925-936

From the Department of Family Medicine, Medical University of South Carolina, Charleston, SC (NS); Department of Public Health Sciences and Hollings Cancer Center, Medical University of South Carolina, Charleston, SC (KRS).

Background: Black men are disproportionately impacted by prostate cancer (PrCa). Current guidelines recommend that all men make informed decisions about whether to be screened for PrCa. Little is known about the barriers and facilitators of informed decision-making (IDM) about PrCa screening in Black men. Read More

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The effectiveness of person-centred quality improvement strategies on the management and control of hypertension in primary care: A systematic review and meta-analysis.

J Eval Clin Pract 2021 Sep 16. Epub 2021 Sep 16.

Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.

Objective: To evaluate the effectiveness of person-centred quality improvement strategies on the management and control of adults with hypertension in primary care.

Methods: A systematic review and meta-analysis was conducted using the Medline, Cochrane Central Register for Controlled Trials, Embase, Cumulative Index to Nursing and Allied Health Literature, and APA PsycINFO databases (January 1980 to March 2020). Randomized controlled trials that evaluated person-centred quality improvement strategies for the management and control of essential hypertension among adults ( 18 years) in primary care were included. Read More

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September 2021

Development of an intervention to support the implementation of evidence-based strategies for optimising antibiotic prescribing in general practice.

Implement Sci Commun 2021 Sep 15;2(1):104. Epub 2021 Sep 15.

Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford, OX2 6GG, UK.

Background: Trials show that antimicrobial stewardship (AMS) strategies, including communication skills training, point-of-care C-reactive protein testing (POC-CRPT) and delayed prescriptions, help optimise antibiotic prescribing and use in primary care. However, the use of these strategies in general practice is limited and inconsistent. We aimed to develop an intervention to enhance uptake and implementation of these strategies in primary care. Read More

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September 2021

Trends of paediatric head injury and acute care costs in Australia.

J Paediatr Child Health 2021 Sep 15. Epub 2021 Sep 15.

Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia.

Aim: Paediatric head injuries (PHI) are the most common cause of trauma-related emergency department (ED) presentations. This study sought to report the incidence of PHI in Australia, examine the temporal trends from 2014 to 2018 and estimate the patient and population-level acute care costs.

Methods: Taking a public-sector health-care perspective, we applied direct and indirect hospital costs for PHI-related ED visits and acute admissions. Read More

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September 2021

Two-year follow-up of trauma-focused cognitive behavior therapy for posttraumatic stress disorder in emergency service personnel: A randomized clinical trial.

Depress Anxiety 2021 Sep 14. Epub 2021 Sep 14.

School of Psychology, University of New South Wales, Sydney, New South Wales, Australia.

Background: Emergency service personnel experience elevated rates of posttraumatic stress disorder (PTSD). There are few controlled trials for PTSD in this population, and none report longer term effects of treatment. This study evaluated the benefits of cognitive behavior therapy (CBT) for PTSD in emergency service personnel who received either brief exposure (CBT-B) to trauma memories or prolonged exposure (CBT-L) 2 years following treatment. Read More

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September 2021

Exercise as a supportive care strategy in men with prostate cancer receiving androgen deprivation therapy at a regional cancer centre: a survey of patients and clinicians.

Support Care Cancer 2021 Sep 14. Epub 2021 Sep 14.

Rural Clinical School, University of New South Wales, Albury Campus, Albury, NSW, 2640, Australia.

Purpose: To understand how frequently exercise is discussed and/or prescribed as a supportive care measure and the barriers and facilitators to exercise uptake for men with prostate cancer receiving androgen deprivation therapy (ADT) at a regional cancer centre.

Methods: An observational, cross-sectional study was conducted at a regional cancer centre in three stages: (1) Retrospective chart review of men with prostate cancer undergoing ADT to identify the frequency of discussion and/or prescription of supportive care measures; (2) prospective patient survey exploring barriers and facilitators to exercise; and (3) prospective clinician survey exploring barriers, facilitators and awareness of exercise guidelines in men with prostate cancer.

Results: Files of 100 men receiving ADT (mean age 73 years; mean ADT duration =12 months) in the medical oncology (n = 50) and radiation oncology (n = 50) clinics were reviewed. Read More

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September 2021

Optimization of psoriasis assessment system based on patch images.

Sci Rep 2021 Sep 13;11(1):18130. Epub 2021 Sep 13.

Department of Software Convergence, Graduate School, Soonchunhyang University, 22, Soonchunhyang-ro, Asan City, Chungnam-do, 31538, Republic of Korea.

Psoriasis is a chronic inflammatory skin disease that occurs in various forms throughout the body and is associated with certain conditions such as heart disease, diabetes, and depression. The psoriasis area severity index (PASI) score, a tool used to evaluate the severity of psoriasis, is currently used in clinical trials and clinical research. The determination of severity is based on the subjective judgment of the clinician. Read More

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September 2021

A Global Perspective of Racial Differences and Outcomes in Patients Presenting with Acute Heart Failure.

Am Heart J 2021 Sep 10. Epub 2021 Sep 10.

National Heart Centre Singapore & Duke-National University of Singapore, Singapore; University Medical Centre Groningen, the Netherlands. Electronic address:

Important racial differences in characteristics, treatment, and outcomes of patient with acute heart failure (AHF) have been described. The objective of this analysis of the International REgistry to assess medical Practice with lOngitudinal obseRvation for Treatment of Heart Failure (REPORT-HF) registry was to estimate racial differences in patients with AHF according to country income level. Read More

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September 2021

Clozapine resistant schizophrenia: Newer avenues of management.

World J Psychiatry 2021 Aug 19;11(8):429-448. Epub 2021 Aug 19.

Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.

About 40%-70% of the patients with treatment-resistant schizophrenia have a poor response to adequate treatment with clozapine. The impact of clozapine-resistant schizophrenia (CRS) is even greater than that of treatment resistance in terms of severe and persistent symptoms, relapses and hospitalizations, poorer quality of life, and healthcare costs. Such serious consequences often compel clinicians to try different augmentation strategies to enhance the inadequate clozapine response in CRS. Read More

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Early Referral to Palliative Care for Advanced Oral Cancer Patients: A Quality Improvement Initiative in Oncology Center at All India Institute of Medical Sciences.

Indian J Palliat Care 2021 Apr-Jun;27(2):230-234. Epub 2021 Aug 12.

Departments of Onco-Anaesthesia and Palliative Medicine, Dr. B. R. Ambedkar Institute Rotary Cancer Hospital, AIIMS, New Delhi, India.

Objectives: Oral cancers have high epidemiologic burden in India, and most oral cancer patients at the All India Institute of Medical Sciences present in advanced stages. Their symptomatic needs are often not adequately addressed and the referrals to palliative medicine clinic are for severe pain or terminal stages. Using quality improvement methods, we aimed to provide early referral to palliative care for advanced oral cancer patients. Read More

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Trending Nutrition Controversies #3: Top Controversies in 2021.

Am J Med 2021 Sep 9. Epub 2021 Sep 9.

Division of Cardiology, Montefiore Health System, Bronx, NY.

Each year, patients are bombarded with diverging and even contradictory reports concerning the impact of certain additives, foods, and nutrients on cardiovascular health and its risk factors. Accordingly, this third nutrition controversies review examines the impact of artificial sweeteners, cacao, soy, plant-based meats, nitrates, and meats from grass versus grain-fed animals on cardiovascular and other health outcomes with the goal of optimizing clinician-led diet counseling. Read More

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September 2021

Effects of fasting on solid organ transplant recipients during Ramadan - a practical guide for healthcare professionals.

Clin Med (Lond) 2021 09;21(5):e492-e498

University of Glasgow, Glasgow, UK, and consultant physician in diabetes, endocrinology and general medicine, Queen Elizabeth University Hospital, Glasgow, UK.

Fasting in the month of Ramadan is an obligatory act for healthy adult Muslims. It requires abstinence from food and drink from dawn to sunset. Although there are exemptions from fasting, many patients are keen to fulfil what they see as a religious obligation, even if this may be against medical advice in some cases. Read More

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September 2021

Cannabis use assessment and documentation in healthcare: Priorities for closing the gap.

Prev Med 2021 Sep 8:106798. Epub 2021 Sep 8.

Department of Anesthesiology, College of Medicine, University of Florida, Gainesville, FL, United States.

Several factors, including the lack of a systematic cannabis use assessment within healthcare systems, have led to significant under-documentation of cannabis use and its correlates in medical records, the unpreparedness of clinicians, and poor quality of cannabis-related electronic health record data, limiting its utilization in research. Multiple steps are required to overcome the existing knowledge gaps and accommodate the health needs implied by the increasing cannabis use prevalence. These steps include (1) enhancing clinician and patient education on the importance of cannabis use assessment and documentation, (2) implementing a standardized approach for comprehensive cannabis use assessment within and across healthcare systems, (3) improving documentation of cannabis use and its correlates in medical records and electronic health records by building in prompts, (4) developing and validating reliable computable phenotypes of cannabis use, (5) conducting research utilizing electronic health data to study a wide array of related health outcomes, (6) and establishing evidence-based guidelines to inform clinical practices and policies. Read More

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September 2021

The 4P: Preventing Preneoplasia through Patients Partnership.

Cancers (Basel) 2021 Aug 31;13(17). Epub 2021 Aug 31.

Secretariat Department of the European Cancer Patient Coalition (ECPC), 1000 Bruxelles, Belgium.

The early diagnosis and management of oral potentially malignant disorders (OPMD) represent a unique opportunity to develop strategies that will prevent malignant transformation. Despite a high prevalence, awareness remains low, patient outcomes poor, and quality of life highly affected. How can patient advocacy groups (PAGs) bring more awareness to preneoplasia preceding oral cancers and help patients after the identification of a suspicious oral leukoplakia presented as white patches in the mouth? PAGs are today involved with awareness campaigns, lobbying, and education of both health care systems as well as the survivor and the newly diagnosed. Read More

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The Use of Point-of-Care Ultrasound (POCUS) in the Diagnosis of Deep Vein Thrombosis.

J Clin Med 2021 Aug 30;10(17). Epub 2021 Aug 30.

Albert Einstein College of Medicine, Bronx, NY 10461, USA.

Acute lower extremity proximal deep venous thrombosis (DVT) requires accurate diagnosis and treatment in order to prevent embolization and other complications. Point-of-care ultrasound (POCUS), a clinician performed, and clinician interpreted bedside ultrasound examination has been increasingly used for DVT evaluation mainly in the urgent and critical care setting, but also in the ambulatory clinics and the medical wards. Studies have demonstrated that POCUS has excellent diagnostic accuracy for acute proximal DVT when performed by well-trained users. Read More

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Real evidence to assess clinical testing interference risk (REACTIR): A strategy using real world data to assess the prevalence of interfering substances in patients undergoing clinical laboratory testing.

Clin Chim Acta 2021 Sep 6. Epub 2021 Sep 6.

Roche Diagnostics Corp. Indianapolis, IN.

Introduction: Laboratory test interferences can cause spurious test results and patient harm. Knowing the frequency of various interfering substances in patient populations likely to be tested with a particular laboratory assay may inform test development, test utilization and strategies to mitigate interference risk.

Methods: We developed REACTIR (Real Evidence to Assess Clinical Testing Interference Risk), an approach using real world data to assess the prevalence of various interfering substances in patients tested with a particular type of assay. Read More

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September 2021

Training Programs for Fundamental and Clinician-Scientists: Balanced Outcomes for Graduates by Gender.

Can J Kidney Health Dis 2021 2;8:20543581211033405. Epub 2021 Sep 2.

Department of Internal Medicine, Nephrology, University of Manitoba, Winnipeg, Canada.

Background: Women scientists are less likely to obtain Assistant Professorship and achieve promotion, and obtain less grant funding than men. Scientist/clinician-scientist training programs which provide salary awards as well as training and mentorship are a potential intervention to improve outcomes among women scientists. We hypothesized whether a programmatic approach to scientist/clinician-scientist training is associated with improved outcomes for women scientists in Canada when compared with salary awards alone. Read More

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September 2021

Exploration of motivation to participate in a study of cancer-related cognitive impairment among patients with newly diagnosed aggressive lymphoma: a qualitative sub-study.

Support Care Cancer 2021 Sep 8. Epub 2021 Sep 8.

Cancer Nursing Research Group, Department of Nursing/Centre for Cancer Research, School of Health Sciences, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, The University of Melbourne, Melbourne, VIC, Australia.

Purpose: Cancer-related cognitive impairment (CRCI) is a recognised adverse consequence of cancer and its treatment. This qualitative sub-study was undertaken as part of a larger prospective longitudinal study in which recruitment and retention were very high. The aim was to gain an understanding of participants reasons for ongoing participation, at a time of heightened stress related to a new diagnosis of aggressive lymphoma and the rapid commencement of treatment. Read More

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September 2021

Optimizing Discharge After Shorter Hospitalizations: Lessons Learned Through After-Hours Calls with Thoracic Surgical Patients.

Innovations (Phila) 2021 Sep 8:15569845211041343. Epub 2021 Sep 8.

4002 Department of Thoracic and Cardiovascular Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Objective: Minimally invasive procedures coupled with enhanced recovery pathways enable faster postoperative recovery and shorter hospitalizations. However, patients may experience unexpected concerns after return home, prompting after-hours calls. We aimed to characterize concerns prompting after-hours calls to improve discharge strategies. Read More

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September 2021

Assessing implementation, limited efficacy, and acceptability of the BEAST tool: A rehabilitation and return-to-sport decision tool for nonprofessional athletes with anterior cruciate ligament reconstruction.

Phys Ther Sport 2021 Aug 28;52:147-154. Epub 2021 Aug 28.

Oslo Sport Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Postboks 4014 Ullevål Stadion, 0806, Oslo, Norway; Stockholm Sports Trauma Research Center, Dept of Molecular Medicine & Surgery, Karolinska Institute, 171 77, Stockholm, Sweden. Electronic address:

Objectives: To assess the implementation, limited efficacy, and acceptability of the BEAST (better and safer return to sport) tool - a rehabilitation and return-to-sport (RTS) decision tool after anterior cruciate ligament reconstruction (ACLR) in nonprofessional athletes.

Design: Prospective cohort.

Participants: 43 nonprofessional pivoting sport athletes with ACLR. Read More

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Experiences With Hearing Health Care Services: What Can We Learn From Online Consumer Reviews?

Am J Audiol 2021 Sep 7;30(3):745-754. Epub 2021 Sep 7.

Ear Science Institute Australia, Subiaco, Western Australia.

Objective The aim of this study was to examine experiences of hearing health care services as described in online consumer reviews. Design This study used a cross-sectional design. Online consumer reviews about hearing health care services generated from Google. Read More

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September 2021

Impact of an end-of-fourth-year emergency medicine bootcamp.

Int J Emerg Med 2021 Sep 3;14(1):48. Epub 2021 Sep 3.

Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, Rosenberg Building 2, Boston, MA, 02215, USA.

Background: The final months of the fourth-year of medical school are variable in educational and clinical experience, and the effect on clinical knowledge and preparedness for residency is unclear. Specialty-specific "bootcamps" are a growing trend in medical education aimed at increasing clinical knowledge, procedural skills, and confidence prior to the start of residency.

Methods: We developed a 4-week Emergency Medicine (EM) bootcamp offered during the final month of medical school. Read More

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September 2021

[A posthumous tribute to Alejandro Goic, M.D. (1929-2021), Editor Emeritus].

Rev Med Chil 2021 Apr;149(4):598-601

Academia Chilena de Medicina, Universidad de Chile, Chile.

Alejandro Goic, M.D., son of Croatian immigrants, graduated as M. Read More

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Cross-sectional Survey of Medical student Attitudes to Research and Training pathways (SMART) in the UK: study protocol.

BMJ Open 2021 09 2;11(9):e050104. Epub 2021 Sep 2.

Medical Sciences Division, University of Oxford, Oxford, UK.

Background: An understanding and appreciation of scientific research is a key quality of the modern clinician. Yet the Medical Schools Council has previously reported a reduction in the number of clinicians performing research. To explore the reasons for this difficulty, this multicentre, cross-sectional study aims to determine the medical student involvement and perceptions of research and research-orientated careers. Read More

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September 2021

Evaluation of an Educational Outreach and Audit and Feedback Program to Reduce Continuous Pulse Oximetry Use in Hospitalized Infants With Stable Bronchiolitis: A Nonrandomized Clinical Trial.

JAMA Netw Open 2021 Sep 1;4(9):e2122826. Epub 2021 Sep 1.

Section of Pediatric Hospital Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Importance: National guidelines recommend against continuous pulse oximetry use for hospitalized children with bronchiolitis who are not receiving supplemental oxygen, yet guideline-discordant use remains high.

Objectives: To evaluate deimplementation outcomes of educational outreach and audit and feedback strategies aiming to reduce guideline-discordant continuous pulse oximetry use in children hospitalized with bronchiolitis who are not receiving supplemental oxygen.

Design, Setting, And Participants: A nonrandomized clinical single-group deimplementation trial was conducted in 14 non-intensive care units in 5 freestanding children's hospitals and 1 community hospital from December 1, 2019, through March 14, 2020, among 847 nurses and physicians caring for hospitalized children with bronchiolitis who were not receiving supplemental oxygen. Read More

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September 2021

Readiness and Acceptance of eHealth Services for Diabetes Care in the General Population: Cross-sectional Study.

J Med Internet Res 2021 Sep 2;23(9):e26881. Epub 2021 Sep 2.

Research Division, Institute of Mental Health, Singapore, Singapore.

Background: Diabetes management is a growing health care challenge worldwide. eHealth can revolutionize diabetes care, the success of which depends on end user acceptance.

Objective: This study aims to understand the readiness and acceptance of eHealth services for diabetes care among the general population, perceived advantages and disadvantages of eHealth, and factors associated with eHealth readiness and acceptance in a multiethnic Asian country. Read More

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September 2021

Cigarette, e-cigarette, and dual use during the third trimester of pregnancy in a national sample of heterosexual and sexual minority women.

Am J Addict 2021 Sep 2. Epub 2021 Sep 2.

Center for the Study of Drugs, Alcohol, Smoking, and Health, University of Michigan School of Nursing, Ann Arbor, Michigan, USA.

Background And Objectives: Research investigating e-cigarettes/e-products and dual use with cigarettes among pregnant sexual minority individuals in the United States is lacking. This study addresses this gap using a national sample.

Methods: Two waves of national panel data (2015-2018) from the Population Assessment of Tobacco and Health study were used. Read More

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September 2021

Base of thumb osteoarthritis in UK interface services-a cohort and survey-based study to assess current practice.

Rheumatology (Oxford) 2021 Sep;60(9):4094-4102

Connect Health Yorkshire, Wakefield, UK.

Objective: Base of thumb OA (BTOA) is a common age-related disease that has a significant negative impact on quality of life, while little is known about the structure and pathways of interface services. Our aim was to assess disease burden, referral pathways, service structure and management pathways in UK interface services.

Methods: A structured questionnaire was carried out with a participating clinician at each centre to detail the local guidelines and management of BTOA. Read More

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September 2021

Primary care clinical provider knowledge and experiences in the diagnosis and treatment of tick-borne illness: a qualitative assessment from a Lyme disease endemic community.

BMC Infect Dis 2021 Aug 31;21(1):894. Epub 2021 Aug 31.

Department of Entomology, Cornell University, 2126 Comstock Hall, Ithaca, NY, 14853, USA.

Background: Primary care and frontline healthcare providers are often the first point of contact for patients experiencing tick-borne disease (TBD) but face challenges when recognizing and diagnosing these diseases. The specific aim of this study was to gain a qualitative understanding of frontline and primary care providers' knowledge and practices for identifying TBDs in patients.

Methods: From fall 2018 to spring 2019, three focus groups were conducted with primary care providers practicing in a small-town community endemic to Lyme disease (LD) and with emerging incidence of additional TBDs. Read More

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