8,376 results match your criteria practicing physicians


Differences in Patient and Physician Perceptions of Urgency for Musculoskeletal Conditions During the COVID-19 Pandemic.

Orthopedics 2021 Jul-Aug;44(4):e534-e538. Epub 2021 Jul 1.

In 2020, the coronavirus disease 2019 (COVID-19) pandemic limited musculoskeletal care to urgent or "nonelective" office visits and procedures. No guidelines exist to inform patients or physicians what meets these criteria. The purpose of this multi-institutional study was to describe the differences in perceptions of urgency for musculoskeletal complaints between patients and providers during the COVID-19 pandemic. Read More

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The Importance of Interprofessional Practice in Family Medicine Residency Education.

Fam Med 2021 Jul 17;53(7):548-555. Epub 2021 Jun 17.

National Center for Interprofessional Practice and Education, University of Minnesota, Minneapolis, MN.

The practice of family medicine is undergoing rapid transformation, with increasing recognition that family physicians can most effectively meet the needs of individual patients and populations within the context of highly effective interprofessional teams. A substantive evidence base exists to support effective workplace learning by practicing health care teams and learners, much of which has been developed in primary care teaching practices. A strong national consensus now emphasizes the importance of the interprofessional clinical learning environment, including in graduate medical education. Read More

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Growth of Physicians and Nurse Practitioners Practicing Full Time in Nursing Homes.

J Am Med Dir Assoc 2021 Jul 15. Epub 2021 Jul 15.

Sealy Center on Aging, The University of Texas Medical Branch at Galveston, Galveston, TX, USA; Department of Medicine, The University of Texas Medical Branch at Galveston, Galveston, TX, USA; Department of Preventive Medicine and Population Health, The University of Texas Medical Branch at Galveston, Galveston, TX, USA.

Objectives: The objective was to describe the growth of physicians, nurse practitioners (NPs), and physician assistants (PAs) who practice full time in nursing homes, to assess resident and nursing home characteristics associated with receiving care from full-time providers, and describe variation among nursing homes in use of full-time providers.

Design: Retrospective cohort study.

Setting And Participants: A 20% national sample Medicare data on long-term care residents in 2008 to 2018 and the physicians, NPs, and PAs who submitted charges to Medicare for their care. Read More

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Current status of pediatric electrophysiology in Latin America: a LAHRS survey.

J Interv Card Electrophysiol 2021 Jul 16. Epub 2021 Jul 16.

Clinical Investigation Department, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico.

Purpose: Over the last years, pediatric electrophysiology (EP) has evolved as a consolidated subspecialty of pediatric cardiology. In the USA, Canada, and Europe, there is a clear picture of the status of pediatric EP, but the situation in Latin America is largely unknown.

Methods: A descriptive cross-sectional observational study was performed. Read More

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Individualized coaching in health system-wide provider communication training.

Patient Educ Couns 2021 Jun 30. Epub 2021 Jun 30.

Department of Family Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA. Electronic address:

Objectives: Most practicing health professionals lack communication skills training (CST). Increasingly health care systems have implemented CST programs, mainly through single workshops which are limited in creating meaningful change in communication behaviors in practice. This paper describes a provider CST program which includes coaching to reinforce skills learned in CST workshops. Read More

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American Joint Committee on Cancer's Staging System for Breast Cancer, Eighth Edition: Summary for Clinicians.

Eur J Breast Health 2021 Jul 24;17(3):234-238. Epub 2021 Jun 24.

Department of Radiology UT Southwestern Medical Center, Dallas, Texas.

Breast cancer is commonly staged using the American Joint Committee on Cancer (AJCC) staging system. The 7 edition of the AJCC Staging Manual, was a purely anatomic staging method, which uses primary tumor size (T), nodal involvement (N), and metastasis (M) based on clinical and pathological evaluations. Advancements in tumor biology and prognostic biological markers, such as estrogen receptor (ER)/progesterone receptor (PR), HER2/neu, and Ki-67, have allowed clinicians to understand why similarly staged patients had significantly different outcomes. Read More

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Obstetrician-Gynecologists' Practices in Postpartum Sterilization Without a Valid Medicaid Consent Form.

Obstet Gynecol 2021 Jul;138(1):66-72

Department of Obstetrics and Gynecology, MetroHealth Medical Center, and the Department of Bioethics, Case Western Reserve University, Cleveland, Ohio; the Department of Obstetrics and Gynecology, University of Tennessee, Knoxville, Tennessee; and the Steve Hicks School of Social Work and the Department of Sociology, University of Texas at Austin, Austin, Texas.

Objective: To explore the practices of obstetrician-gynecologists (ob-gyns) in the United States surrounding postpartum sterilization when the Medicaid consent form was not valid.

Methods: Using the American College of Obstetricians and Gynecologists' online directory, we conducted a qualitative study where we recruited ob-gyns practicing in 10 geographically diverse U.S. Read More

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Safety culture in healthcare: mixed method study.

J Health Organ Manag 2021 Jul;ahead-of-print(ahead-of-print)

Faculty of Social Sciences, University of Victoria, Victoria, Canada.

Purpose: Healthcare providers' perceptions of management's effectiveness in achieving safety culture improvements are low, and there is little information in the literature on the subject. Objective: The overall aim of this study was to examine the patient safety culture within an interprofessional team - physicians, nurses, nurse technicians, speech therapist, psychologist, social worker, administrative support - practicing in an advanced neurology and neurosurgery center in Southern Brazil.

Design/methodology/approach: The authors applied the safety attitudes questionnaire (SAQ) in a mixed methods study, with a quan→QUAL sequential explanatory approach. Read More

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Cost Conversations About Anticoagulation Between Patients With Atrial Fibrillation and Their Clinicians: A Secondary Analysis of a Randomized Clinical Trial.

JAMA Netw Open 2021 Jul 1;4(7):e2116009. Epub 2021 Jul 1.

Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota.

Importance: How patients with atrial fibrillation (AF) and their clinicians consider cost in forming care plans remains unknown.

Objective: To identify factors that inform conversations regarding costs of anticoagulants for treatment of AF between patients and clinicians and outcomes associated with these conversations.

Design, Setting, And Participants: This cohort study of recorded encounters and participant surveys at 5 US medical centers (including academic, community, and safety-net centers) from the SDM4AFib randomized trial compared standard AF care with and without use of a shared decision-making (SDM) tool. Read More

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Six hours to study: temporality and ignorance in medical education.

Authors:
Julia Knopes

Anthropol Med 2021 Jul 12:1-16. Epub 2021 Jul 12.

Case Western Reserve University, Cleveland, OH, USA.

Individual scientists, clinicians, and other experts cannot have absolute knowledge of all of the theories, methods, models, and findings in their field of practice. Rather, these individuals make choices about the kind of information that will be most meaningful and impactful in their work, while choosing - or being compelled to choose - what knowledge to overlook or ignore: a process identified as sufficient knowledge. In biomedicine, medical students are socialized to deliberately decide what information matters most; so, too, do practicing physicians openly acknowledge that they make choices around knowledge in daily practice. Read More

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Educating the Leaders and Clinicians of Tomorrow: An Innovative Emergency Medicine Research Curriculum for Resident Physicians.

Med J (Ft Sam Houst Tex) 2021 Apr-Jun(PB 8-21-04/05/06):78-82

University of Texas at San Antonio, Department of Mechanical Engineering and the Department of Biomedical Engineering; and with the University of Texas Health Science Center at San Antonio, Department of Emergency Medicine, San Antonio, TX.

Background: Academic productivity is a requirement by the Accreditation Council for Graduate Medical Education (ACGME). In addition to the requirements by the ACGME, residency training programs are required to provide education on medical research with the end-goal of teaching physicians how to read, interpret, and apply medical evidence in the form of evidence-based medicine. An understanding of research design, evidencebased medicine, and critical appraisal of available literature is central to practicing medicine and applying new research to clinical practice. Read More

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Management of dengue with co-infections: an updated narrative review.

Drug Discov Ther 2021 ;15(3):130-138

Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.

Dengue is a life-threatening mosquito borne viral disease. We are still in the era of supportive treatment where morbidity and mortality are a major concern. Dengue infection in presence of other co-infections makes this scenario rather worse. Read More

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January 2021

Physicians in Myanmar Provide Palliative Care Despite Limited Training and Low Confidence in Their Abilities.

Palliat Med Rep 2020 11;1(1):314-320. Epub 2020 Dec 11.

Department of Emergency Medicine, Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA.

Patients in low-income and middle-income countries (LMICs) have limited access to palliative care providers. In Myanmar, little is known about physician knowledge of or perceptions about palliative care. An assessment of physician practice and capacity to provide palliative care is needed. Read More

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December 2020

Cross-sectional analysis of online patient reviews of infertility care providers.

F S Rep 2020 Dec 25;1(3):282-286. Epub 2020 Jul 25.

University of Central Florida College of Medicine, Orlando, Florida.

Objective: To observe the effects of practice type, location, and mandated insurance coverage on infertility physician online reviews by patients.

Design: Retrospective cohort study.

Setting: Not applicable. Read More

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December 2020

Defining the Core Skills and Activities of the Attending Physician in Post-Acute and Long-Term Care.

J Am Med Dir Assoc 2021 Jun 29. Epub 2021 Jun 29.

Department of Geriatrics, FSU College of Medicine, Tallahassee, FL, USA.

The American Board of Post-Acute and Long-Term Care Medicine (ABPLM) contracted with a psychometric firm to perform a 3-phase Job Analysis following best practices. Literature was reviewed, a task force of subject matter experts was convened, a survey was developed and sent via Survey Monkey to attending physicians practicing in post-acute and long-term care settings (PALTC). The task force refined a comprehensive list of the tasks, knowledge, and medical knowledge needed in the role of attending physician in PALTC. Read More

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Medically underserved areas and International Medical Graduates (IMGs) in the United States: challenges during the COVID-19 era.

J Community Hosp Intern Med Perspect 2021 Jun 21;11(4):457-463. Epub 2021 Jun 21.

Department of Medicine, Bay Area Hospital, Coos Bay, USA.

Given that nearly a quarter of the US physician workforce are international medical graduates (IMGs), many of whom remain on temporary work visas for prolonged periods due to processing delays, the pandemic has posed unique challenges to these frontline workers and has arbitrarily limited our physician workforce. This is cross-sectional survey data obtained from IMGs on temporary work visas pertaining to their role in healthcare, impact of visa-related restrictions on their professional and personal lives was sent to the participants. A total of 2630 IMGs responded to the survey. Read More

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"Negative Secular Trends in Medicine: Part VIII: Practicing Physicians Posting on Social Media".

Am J Med 2021 Jun 28. Epub 2021 Jun 28.

The Physician Investor Newsletter. Electronic address:

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Perceptions and Challenges Experienced by African Physicians When Prescribing Methotrexate for Rheumatic Disease: An Exploratory Study.

ACR Open Rheumatol 2021 Jul 1. Epub 2021 Jul 1.

McGill University, Montreal, Quebec, Canada.

Objective: Guidelines for methotrexate (MTX) use in rheumatic disease may not be feasible for physicians practicing in the least developed countries. We aimed to understand the experiences of MTX prescribers relating to MTX use for rheumatic disease in African countries to inform the development of culturally and geographically appropriate recommendations.

Methods: African physicians who self-identified as MTX prescribers from countries classified as having a low versus a medium or high Human Development Index (L-HDI versus MH-HDI) participated in semistructured interviews between August 2016 and September 2017. Read More

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Interactive virtual cases for emergency medicine physicians during the COVID-19 pandemic.

CJEM 2021 Jun 30. Epub 2021 Jun 30.

Division of Emergency Medicine, Department of Medicine, Western University, E1-125 Westminster Tower, 800 Commissioners Road East, London, ON, N6A 5W9, Canada.

Continuing professional development activities often involve interactive learning modalities, such as simulation. The COVID-19 pandemic limited many in-hospital activities, at a time when practicing high stress procedural scenarios and testing rapidly evolving processes was coveted. Thus, an interactive virtual case curriculum was conceptualized, piloted, and implemented to provide ongoing professional development for emergency medicine (EM) physicians. Read More

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Oncology clinical practice guidelines usage among physicians in Nepal.

J Eval Clin Pract 2021 Jun 28. Epub 2021 Jun 28.

Department of GI and General Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.

Objective: Oncology clinical practice guidelines (OCPGs) are systematically developed evidence-based recommendations aimed to guide practitioners in decision making during the diagnosis, management, and treatment of cancer patients under specific circumstances, thereby optimizing clinical outcomes. However, little is known about the implementation of those guidelines in low and middle-income countries including Nepal. This research aimed to identify the type of OCPGs used by Nepalese physicians working in oncology departments and to explore barriers and facilitators affecting their use. Read More

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Culture That Facilitates Change: A Mixed Methods Study of Hospitals Engaged in Reducing Cesarean Deliveries.

Ann Fam Med 2021 May-Jun;19(3):249-257

Stanford University, California Maternal Quality Care Collaborative, Stanford, California.

Purpose: Large-scale efforts to reduce cesarean deliveries have shown varied levels of impact; yet understanding factors that contribute to hospitals' success are lacking. We aimed to characterize unit culture differences at hospitals that successfully reduced their cesarean rates compared with those that did not.

Methods: A mixed methods study of California hospitals participating in a statewide initiative to reduce cesarean delivery. Read More

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Regional Population-Based Workforce Shortages in General Surgery by Practicing Surgeon and Resident Trainee.

Am Surg 2021 Jun 26:31348211029870. Epub 2021 Jun 26.

Department of Surgery, Division of Trauma and Surgical Critical Care, 14506Kendall Regional Medical Center, Miami, FL, USA.

Background: The physician shortage in the United States (US) continues to become more apparent. We aimed to evaluate the relationship between the US physician distribution from 2012-2019 by specialty at the state/regional level relative to the corresponding population growth.

Methods: US matched residents and practicing physicians from 2012-2019 were extracted from the National Resident Matching Program and Association of American Medical College databases, respectively. Read More

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Knowledge and vaccination practices among family physicians in northeastern France regarding tick-borne encephalitis virus.

Ticks Tick Borne Dis 2021 Jun 17;12(5):101774. Epub 2021 Jun 17.

Emergency Department, Pontarlier Regional Hospital, 25300 Pontarlier, France.

Tick-borne encephalitis (TBE) cases have been emerging in Europe. The Franche-Comte area, in northeastern France, borders Switzerland, but the two countries differ in their approach to TBE surveillance and prevention. Because family physicians (FPs) are in direct contact with the local population, at-risk of infected tick bites, they need to be well aware of TBE epidemiology and management. Read More

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Oncologists' experience with discussing cancer prognosis with patients and families: perspectives from India.

Transl Behav Med 2021 Jun 25. Epub 2021 Jun 25.

Indian Institute of Technology Hyderabad, Hyderabad, Telangana, India.

Nondisclosure of prognosis of advanced cancer is commonly practiced in some Asian cultures including India; but research is limited. To describe experiences of Indian oncologists in discussing cancer prognosis with people with cancer and their caregivers, with a focus on barriers and facilitators of prognostic discussions. Thirty oncologists practicing in South India, Hyderabad participated in semi-structured interviews; and analyzed using Interpretative Phenomenological Analysis. Read More

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Exploring the use and challenges of implementing virtual visits during COVID-19 in primary care and lessons for sustained use.

PLoS One 2021 24;16(6):e0253665. Epub 2021 Jun 24.

eHealth Centre of Excellence, Kitchener, Ontario, Canada.

Background: The COVID-19 pandemic has rapidly transformed how healthcare is delivered to limit the transmission of the virus. This descriptive cross-sectional study explored the current use of virtual visits in providing care among primary care providers in southwestern Ontario during the first wave of the COVID-19 pandemic and the anticipated level of utilization post-pandemic. It also explored clinicians' perceptions of the available support tools and resources and challenges to incorporating virtual visits within primary care practices. Read More

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Industry Payments to Practicing US Rheumatologists, 2014-2019.

Arthritis Rheumatol 2021 Jun 23. Epub 2021 Jun 23.

Division of Rheumatology and Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.

Background: Payments from the pharmaceutical industry to practicing physicians may influence prescribing behavior. The objective of this study was to investigate the nature, quantity, and geographical distribution of payments to US rheumatologists.

Methods: General payments from industry sponsors to US rheumatologists from 2014-2019 were extracted from the Centers for Medicare & Medicaid Services (CMS) Open Payments database. Read More

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Barriers and facilitators to the adoption of electronic clinical decision support systems: a qualitative interview study with UK general practitioners.

BMC Med Inform Decis Mak 2021 06 21;21(1):193. Epub 2021 Jun 21.

Dyson School of Design Engineering, Imperial College London, London, UK.

Background: Well-established electronic data capture in UK general practice means that algorithms, developed on patient data, can be used for automated clinical decision support systems (CDSSs). These can predict patient risk, help with prescribing safety, improve diagnosis and prompt clinicians to record extra data. However, there is persistent evidence of low uptake of CDSSs in the clinic. Read More

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Physicians' viewpoints on faculty anatomists and dissection of human bodies in the undergraduate medical studies.

Ann Anat 2021 Nov 19;238:151786. Epub 2021 Jun 19.

Department of Neurosciences, School of Medicine and Nursing, The University of the Basque Country (UPV/EHU), Leioa (Biscay), Spain.

Background: Studies abound regarding the views of faculty anatomists and medical students on the importance of anatomy and the dissection of human bodies, but very little is known about the views of practicing physicians.

Methods: A survey was distributed among physicians and surgeons practicing in Spain in order to find out their views on the practice and consequences of human dissection by undergraduate students of medicine. The most relevant definition to qualify faculty anatomists of medical schools was also requested. Read More

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November 2021

Genetic diseases mimicking multiple sclerosis.

Postgrad Med 2021 Jul 6:1-22. Epub 2021 Jul 6.

Department of Neurology, Poznan University of Medical Sciences, Poznan, Poland.

Multiple sclerosis (MS) is an inflammatory neurodegenerative disorder manifesting as gradual or progressive loss of neurological functions. Most patients present with relapsing-remitting disease courses. Extensive research over recent decades has expounded our insights into the presentations and diagnostic features of MS. Read More

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Evidence-based outcomes after oocyte cryopreservation for donor oocyte in vitro fertilization and planned oocyte cryopreservation: a guideline.

Authors:

Fertil Steril 2021 07;116(1):36-47

The American Society for Reproductive Medicine, Birmingham, Alabama.

Objective: To provide evidence-based recommendations to practicing physicians and others regarding the efficacy of oocyte cryopreservation (OC) for donor oocyte in vitro fertilization and planned OC.

Methods: The American Society for Reproductive Medicine conducted a literature search, which included systematic reviews, meta-analyses, randomized controlled trials, and prospective and retrospective comparative observational studies published from 1986 to 2018. The American Society for Reproductive Medicine Practice Committee and a task force of experts used available evidence and through consensus developed evidence-based guideline recommendations. Read More

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