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22 papers 100 to 500 followers
By Joe Weatherly FM/Hospitalist-CoFounder of QuestioningMedicine and PCRAP contributor.
Stephen M Petterson, Winston R Liaw, Carol Tran, Andrew W Bazemore
PURPOSE: The purpose of this study was to calculate the projected primary care physician shortage, determine the amount and composition of residency growth needed, and estimate the impact of retirement age and panel size changes. METHODS: We used the 2010 National Ambulatory Medical Care Survey to calculate utilization of ambulatory primary care services and the US Census Bureau to project demographic changes. To determine the baseline number of primary care physicians and the number retiring at 66 years, we used the 2014 American Medical Association Masterfile...
March 2015: Annals of Family Medicine
Marjorie A Bowman, Anne Victoria Neale, Dean A Seehusen
Oh, what an issue! Extra, Extra, Read all about it! Patients deceiving doctors for prescriptions; characteristics of chronic pain seekers in primary care versus specialty settings; potential overuse of antidepressants when depression screening instruments are used; improving smoking quit rates through anger/stress management training; using immunoglobulin G levels to diagnose and follow eradication of Helicobacter pylori; patient- and family-friendly gentle cesarean deliveries; plus the economic impact of family physicians delivering babies … quite a line-up this issue...
September 2014: Journal of the American Board of Family Medicine: JABFM
Neil Chanchlani
No abstract text is available yet for this article.
September 16, 2014: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
Kristi H Grall, Lisa R Stoneking, Lawrence A DeLuca, Anna L Waterbrook, T Gail Pritchard, Kurt R Denninghoff
BACKGROUND: Procedural skills have historically been taught at the bedside. In this study, we aimed to increase resident knowledge of uncommon emergency medical procedures to increase residents' procedural skills in common and uncommon emergency medical procedures and to integrate cognitive training with hands-on procedural instruction using high- and low-fidelity simulation. METHODS: We developed 13 anatomically/physiologically-based procedure modules focusing on uncommon clinical procedures and/or those requiring higher levels of technical skills...
2014: Advances in Medical Education and Practice
Mohammad Hassan Murad, Victor M Montori, John P A Ioannidis, Roman Jaeschke, P J Devereaux, Kameshwar Prasad, Ignacio Neumann, Alonso Carrasco-Labra, Thomas Agoritsas, Rose Hatala, Maureen O Meade, Peter Wyer, Deborah J Cook, Gordon Guyatt
Clinical decisions should be based on the totality of the best evidence and not the results of individual studies. When clinicians apply the results of a systematic review or meta-analysis to patient care, they should start by evaluating the credibility of the methods of the systematic review, ie, the extent to which these methods have likely protected against misleading results. Credibility depends on whether the review addressed a sensible clinical question; included an exhaustive literature search; demonstrated reproducibility of the selection and assessment of studies; and presented results in a useful manner...
July 2014: JAMA: the Journal of the American Medical Association
John Saultz
No abstract text is available yet for this article.
June 2014: Family Medicine
Isabelle Aujoulat, Patricia Jacquemin, Ernst Rietzschel, André Scheen, Patrick Tréfois, Johan Wens, Elisabeth Darras, Michel P Hermans
Failure to initiate or intensify therapy according to evidence-based guidelines is increasingly being acknowledged as a phenomenon that contributes to inadequate management of chronic conditions, and is referred to as clinical inertia. However, the number and complexity of factors associated with the clinical reasoning that underlies the decision-making processes in medicine calls for a critical examination of the consistency of the concept. Indeed, in the absence of information on and justification of treatment decisions that were made, clinical inertia may be only apparent, and actually reflect good clinical practice...
2014: Advances in Medical Education and Practice
Adeel Yang, Hersh Goel, Matthew Bryan, Ron Robertson, Jane Lim, Shehran Islam, Mark R Speicher
BACKGROUND: Medical students are required to retain vast amounts of medical knowledge on the path to becoming physicians. To address this challenge, multimedia Web-based learning resources have been developed to supplement traditional text-based materials. The Picmonic(®) Learning System (PLS; Picmonic, Phoenix, AZ, USA) is a novel multimedia Web-based learning platform that delivers audiovisual mnemonics designed to improve memory retention of medical sciences. METHODS: A single-center, randomized, subject-blinded, controlled study was conducted to compare the PLS with traditional text-based material for retention of medical science topics...
2014: Advances in Medical Education and Practice
J Aaron Johnson, J Paul Seale, Sylvia Shellenberger, Mary M Velasquez, Candice Alick, Katherine Turk
BACKGROUND: Alcohol screening and brief intervention (SBI) reduces drinking among at-risk drinkers. Lack of training and negative attitudes represents a barrier to SBI performance. This study evaluates the impact of a medical student workshop using recovering alcoholics in simulated patient interviews to teach SBI skills. METHODS: Third-year students (n=94) were surveyed before and after a 3-hour alcohol SBI workshop regarding their perceived importance and confidence in performing eleven SBI behaviors...
2014: Advances in Medical Education and Practice
Amitabh Chandra, Dhruv Khullar, Gail R Wilensky
A central health care–related policy question for the United States is whether the federal government's role in financing graduate medical education (GME) increases the number of physicians trained and influences their specialty choices by subsidizing the cost of training. Total federal GME..
June 19, 2014: New England Journal of Medicine
Kenneth D Royal, James C Puffer
No abstract text is available yet for this article.
May 2014: Annals of Family Medicine
Phillip Lupo, Anne Victoria Neale, Marjorie A Bowman
No abstract text is available yet for this article.
May 2014: Journal of the American Board of Family Medicine: JABFM
Lisa D Mims, Arch G Mainous, Svetlana Chirina, Peter J Carek
BACKGROUND AND OBJECTIVES: While standard characteristics, such as location and size of family medicine residency programs, have been found to be significantly associated with initial Match rates, the association of characteristics potentially related to quality or non-Accreditation Council of Graduate Medical Education (ACGME) required curricular activities (NRCA) with initial Match rates has not been previously studied. The aim of this study is to examine the association between initial program Match rates and previously uninvestigated measures of potential quality and curriculum...
April 2014: Family Medicine
Eliana C Korin, Amy J Odom, Nancy K Newman, Jason Fletcher, Claudia Lechuga, M Diane McKee
BACKGROUND AND OBJECTIVES: Integrating family into family medicine has been recognized as important for the discipline, yet there is little known about how family-oriented care is taught in training environments. This paper presents results of a national survey assessing the status of teaching family concepts/skills in family medicine residency programs. METHODS: We sought to survey the program director (PD), a behavioral science faculty (BSF), and a chief resident (CR) from all 454 Accreditation Council for Graduate Medical Education (ACGME) family medicine residency programs...
March 2014: Family Medicine
Sunny D Smith, Laura Marrone, Alex Gomez, Michelle L Johnson, Steven D Edland, Ellen Beck
OBJECTIVES: Our objective was to determine if the quality of care of diabetic patients at a Student-Run Free Clinic Project (SRFCP) meets the standard of care, is comparable with other published outcomes, and whether pertinent diabetic clinical indicators improve over time. METHODS: The authors conducted a retrospective chart review of diabetic patients at three University of California-San Diego (UCSD) SRFCP sites from December 1, 2008 to December 1, 2009 (n=182), calculated the percentage who received recommended screening tests, percent at goal, and compared these to published outcomes using Fisher's exact tests...
March 2014: Family Medicine
David Anthony, Christine M Jerpbak, Katherine L Margo, David V Power, Lisa M Slatt, Derjung M Tarn
BACKGROUND AND OBJECTIVES: Family medicine clerkships depend heavily on community-based family physician preceptors to teach medical students. These preceptors have traditionally been unpaid, but in recent years some clerkships have started to pay preceptors. This study determines trends in the number and geographic region of programs that pay their community preceptors, identifies reasons programs pay or do not pay, and investigates perceived advantages and disadvantages of payment. METHODS: We conducted a cross-sectional, electronic survey of 134 family medicine clerkship directors at allopathic US medical schools...
March 2014: Family Medicine
David O Warner, Keith Berge, Huaping Sun, Ann Harman, Andrew Hanson, Darrell R Schroeder
IMPORTANCE: Substance use disorder (SUD) among anesthesiologists and other physicians poses serious risks to both physicians and patients. Formulation of policy and individual treatment plans is hampered by lack of data regarding the epidemiology and outcomes of physician SUD. OBJECTIVE: To describe the incidence and outcomes of SUD among anesthesiology residents. DESIGN, SETTING, AND PARTICIPANTS: Retrospective cohort study of physicians who began training in United States anesthesiology residency programs from July 1, 1975, to July 1, 2009, including 44,612 residents contributing 177,848 resident-years to analysis...
December 4, 2013: JAMA: the Journal of the American Medical Association
Richard P Deane, Deirdre J Murphy
IMPORTANCE: Student attendance is thought to be an important factor in the academic performance of medical students, in addition to having important regulatory, policy, and financial implications for medical educators. However, this relationship has not been well evaluated within clinical learning environments. OBJECTIVE: To evaluate the relationship between student attendance and academic performance in a medical student obstetrics/gynecology clinical rotation...
December 4, 2013: JAMA: the Journal of the American Medical Association
Amy J Starmer, Theodore C Sectish, Dennis W Simon, Carol Keohane, Maireade E McSweeney, Erica Y Chung, Catherine S Yoon, Stuart R Lipsitz, Ari J Wassner, Marvin B Harper, Christopher P Landrigan
IMPORTANCE: Handoff miscommunications are a leading cause of medical errors. Studies comprehensively assessing handoff improvement programs are lacking. OBJECTIVE: To determine whether introduction of a multifaceted handoff program was associated with reduced rates of medical errors and preventable adverse events, fewer omissions of key data in written handoffs, improved verbal handoffs, and changes in resident-physician workflow. DESIGN, SETTING, AND PARTICIPANTS: Prospective intervention study of 1255 patient admissions (642 before and 613 after the intervention) involving 84 resident physicians (42 before and 42 after the intervention) from July-September 2009 and November 2009-January 2010 on 2 inpatient units at Boston Children's Hospital...
December 4, 2013: JAMA: the Journal of the American Medical Association
James A Colbert
No abstract text is available yet for this article.
August 8, 2013: New England Journal of Medicine
2014-07-22 03:27:11
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