The purpose of this study was to determine the adoption of electronic medical records (EMR) by rural and urban Alabama family medicine physicians. This cross-sectional study evaluated EMR use among Alabama family medicine physicians (N = 1197). Half (49.3%) of the physicians surveyed reported using EMR in their practices; however, ...

Key Indicators in Academic Medicine (KIAMs), a new feature in Academic Medicine, are intended to substantially inform teaching hospitals and medical schools on those metrics that may best gauge their health, including the performance of units and programs within these organizations. Ultimately, KIAMs may promote effective growth and development in ...

Purpose:As advances in genomics make genome sequencing more affordable, the availability of new genome-based diagnostic and therapeutic strategies (i.e., personalized medicine) will increase. This wave will hit front-line physicians who may be faced with a plethora of patients' expectations of integrating genomic data into clinical care. The objective of this ...

BACKGROUND: Children's understanding of medicines has an impact on their behavior toward those medicines, and yet there has been a paucity of studies exploring this area. OBJECTIVES: To assess children's ability to identify and to explore their risk perceptions of medicines. METHODS: One hundred eighty-two children aged 4 to 11 ...

To explore the current use of conventional and complementary medicines in Australians aged ≥ 50 years. Cross-sectional postal survey sent to a random sample of 4500 Australians aged ≥ 50 years between June 2009 and February 2010. Prevalence of medicines use, reasons for medicines use and sources of medicines. Response rate was 37.3%. Medicines use was ...

AimTo determine how foundation year 2 (F2) doctors view the input of hospital consultants into their workplace based assessments (WPBAs).Study designF2 doctors in Northern Ireland participated in an electronic survey to evaluate their experiences of foundation programme WPBAs. The opportunity to participate was available to all F2 doctors. The survey ...

BackgroundDirect access physical therapy (DAPT) practice is permitted by law in the majority of states and across all practice settings. Ohio enacted legislation in 2004, however it was unknown how DA had impacted actual clinical practice.ObjectivesThe purpose of this study was to describe physical therapist and physical therapy practice environment ...

Abstract On September 23, 2010, the American Board of Medical Specialties (ABMS) approved emergency medical services (EMS) as a subspecialty of emergency medicine. As a result, the American Board of Emergency Medicine (ABEM) is planning to award the first certificates in EMS medicine in the fall of 2013. The purpose ...

Professional performance evaluation provides an opportunity to measure the practice of health providers within healthcare settings. Standardized evaluation can be challenging as a result of diverse practice arenas, multiple evaluators and standards of care. Using Benner's novice to expert model, a Performance Excellence and Accountability tool (PEAC Tool(©)) has been ...

ACADEMIC EMERGENCY MEDICINE 2012; 19:1-6 © 2012 by the Society for Academic Emergency Medicine ABSTRACT: The benefits of mentorship for the protégé are well established and include increased career satisfaction, advancement, and income. Mentors can derive satisfaction from personal and professional networks within their institutions and specialties. However, the advantages ...

Following up on the recommendations of the ACR/SNM Task Force on Nuclear Medicine Training, the respective leaderships convened Task Force II. Its charge is to develop realistic residency training pathways integrating diagnostic radiology, nuclear radiology, nuclear medicine, and molecular imaging. The diagnostic radiology participants offer these "pathways of the future" ...

OBJECTIVE: Successful implementation of evidence-based practice (EBP) guidelines has been shown to improve the nutrition status of dialysis patients. This study aimed to establish use of EBP guidelines and implementation of key recommendations for nutrition assessment of dialysis patients, as well as to identify barriers and enablers associated with EBP ...

The end of training marks the beginning of learning. Moving into practice is exciting, and there are good opportunities. Although there is still a great deal of uncertainty with the economy, you have a skill set that is in demand. By understanding your real priorities, being deliberate and organized in ...

PURPOSE/OBJECTIVES:: Homelessness is a social condition increasing in frequency and severity across Canada. Interventions to end and prevent homelessness include effective case management in addition to an affordable housing provision. Little standardization exists for service providers to guide their decision making in developing and maintaining effective case management programs. The ...

Expert communication is essential to high-quality care for older patients with serious illness. Although the importance of communication skills is widely recognized, formal curricula for teaching communication skills to geriatric and palliative medicine fellows is often inadequate or unavailable. The current study drew upon the educational principles and format of ...

The Hastings Center was founded in 1969 to study ethical problems in medicine and biology. The Center arose from a confluence of three social currents: the increased public scrutiny of medicine and its practices, the concern about the moral problems being generated by technological developments, and the desire of one ...

This study explored mind-brain characteristics of successful leaders as reflected in scores on the Brain Integration Scale, Gibbs's Socio-moral Reasoning questionnaire, and an inventory of peak experiences. These variables, which in previous studies distinguished world-class athletes and professional classical musicians from average-performing controls, were recorded in 20 Norwegian top-level managers ...

ABSTRACT: BACKGROUND: The worldwide increase in obesity is becoming a major health concern. General practitioners (GPs) play a central role in managing obesity. We aimed to examine Swiss GPs self-reported practice in diagnosis and treatment of obesity with a special focus on the performance of waist measurement.. METHODS: A structured ...

INTRODUCTION: General practice is a recommended setting for the delivery of smoking cessation programs. Little is known about the types of practice that achieve higher cessation rates. To address this gap in knowledge, we assessed the impact of general practice characteristics on the outcomes of a large scale smoking cessation ...

Context. Emergency preparedness has been increasingly recognized as important. Research shows many medical personnel feel unprepared to respond to radiation incidents. Knowledge and attitudes of emergency medicine residents and faculty are largely unstudied, regarding their abilities to provide care for radiation disaster victims. It is unknown whether receiving training in ...

OBJECTIVE: Vitamin D deficiency and polypharmacy are common in the elderly. However, knowledge on the associations between the use of specific medicines and serum 25-hydroxyvitamin D (25(OH)D) is limited. The aim of this study was to (better) define the associations between the use of specific medicines and serum 25(OH)D. METHODS: ...

ABSTRACT: This project endeavored to create an educational module including methodology to instruct physical medicine and rehabilitation residents in the evaluation and appropriate treatment of patients with spasticity and other sequelae of the upper motor neuron syndrome. It further sought to verify acquired competencies in spasticity management through objective evaluation ...

Rationale, aims and objectives  The management of many inherited metabolic disorders (IMDs) is dependent on nutrition intervention, but few clinical management guidelines for these uncommon disorders exist. Clinicians are forced to make nutrition treatment decisions using limited data. This results in clinical variations in both service and cost. We describe ...

OBJECTIVES: Few studies have assessed respiratory protective equipment (RPE) failures at the organizational level despite evidence to suggest that compliance with good practice may be low. The aim of this study was to develop an understanding of what current RPE programmes look like across industry and how this compares with ...

To date, there has been no study correlating the American College of Preventive Medicine (ACPM) in-service exam (ISE) with the American Board of Preventive Medicine (ABPM) certification exam. To validate the ACPM ISE as a predictor of success on the ABPM certification exam. ISE and ABPM certification exam scores were ...

: To estimate whether a night-float call schedule for attending obstetricians is associated with different labor management or obstetric outcomes compared with a traditional call schedule. : A chart review was performed for all women admitted for labor and delivery during two 3-month periods. One period occurred immediately before a ...

Wisanskoonwong P, Fahy K, Hastie C. International Journal of Nursing Practice 2011; 17: 628-635 Reflections on the practice of facilitating group-based antenatal education: Should a midwife wear a uniform in the hospital setting? The first author of this paper, a Thai midwife, conducted a feminist action research project aimed at ...

ACADEMIC EMERGENCY MEDICINE 2011; 18:1313-1317 © 2011 by the Society for Academic Emergency Medicine ABSTRACT: This article summarizes the proceedings of a breakout session, "Interventions to Safeguard System Effectiveness," at the 2011 Academic Emergency Medicine consensus conference, "Interventions to Assure Quality in the Crowded Emergency Department." Key definitions fundamental to ...

This article describes trends in nuclear medicine in the developing world as noted by nuclear medicine professionals at the International Atomic Energy Agency (IAEA). The trends identified are based on data gathered from several sources, including information gathered through a database maintained by the IAEA; evaluation of country program frameworks ...

Joining a practice for the first time after training, whether in academia or the private sector, is fraught with challenges and a learning curve. Postgraduate education has not sufficiently taught anyone how to manage the nuances of this new arena or how to become successful. Success is not solely a ...

There are many aspects of your practice that you never think of when you first get into your new practice environment. You have spent the better part of your life training in a rigorous surgical residency and possibly fellowship. You have worked hard to get to this station in life. ...

(Full text is available at http://www.manu.edu.mk/prilozi). Aim: To analyse and present the milestone activities and actors, with special emphasis on the contribution of doctors from Croatia in the establishment and initial development of the Faculty of Medicine in Skopje, Macedonia, in the period 1947-60. Method: A retrospective study based on ...

In low-income countries, healthcare waste is mixed with the municipal waste stream and rarely receives special attention. This paper presents the lessons learned from a pilot project targeted to improve healthcare waste management in Hargeisa (Somaliland). The interventions were carried out in three of the main hospitals in the city. ...

Systematic Review of Grading Practice: Is there evidence of grade inflation? This paper describes the outcomes of a systematic review of literature pertaining to the grading of practice within nursing, midwifery, medicine and allied health professions. From a total of 215 papers, 147 were included and data were extracted using ...

ABSTRACT: In a commentary on recent papers which have aimed to improve the recognition of dehydration in children the challenges of assessing and managing this very common condition are discussed. It can be argued if those assessing and validating the extent of dehydration in studies are specifically trained to do ...

ABSTRACT: BACKGROUND: When a medicine such as rofecoxib (Vioxx) is withdrawn, or a whole class of medicines discredited such as the selective COX-2 inhibitors (COX-2s), follow-up of impacts at consumer level can be difficult and costly. The Australian Longitudinal Study on Women's Health provides a rare opportunity to examine individual ...

Background With increasing deregulation of prescription-only medicines and drive for self-care, pharmacists have greater scope to manage more conditions. This brings added responsibility to be competent healthcare professionals who deliver high quality evidence-based patient care. Objective This study sought to establish pharmacists' attitudes towards an evidence based approach for over-the-counter ...

OBJECTIVE: This study explores and describes the values, beliefs, and practices of rural Swazi women regarding childbearing in the postpartum period. METHOD: A retrospective ethnographic research design was used. A snowballing sampling method was used to recruit fifteen participants. Face-to-face unstructured audio-taped interviews and field notes were utilised to gather ...

OBJECTIVE: To determine the knowledge, attitudes, and practices of obstetric care providers (OCPs) in Bugesera District, Rwanda, crucial to the delivery of safe motherhood services. METHODS: A quantitative descriptive survey in Kinyarwanda targeting all OCPs in the district was implemented in November 2010 to determine demographic characteristics, safe motherhood knowledge, ...

PURPOSE: Despite recent efforts to understand the complex process of physician career development, the medical education community has a poor understanding of why, how, and when women physicians embark on careers in academic medicine. METHOD: In 2010, the authors phone-interviewed women physicians in academic medicine regarding why, how, and when ...

The translation of the evidence-base for preventing falls among community-dwelling older people into practice has been limited. This study systematically reviewed and synthesised the effectiveness of methods to implement falls prevention programmes with this population. Articles published between 1980 and May 2010 that evaluated the effects of an implementation strategy. ...

ABSTRACTBackground: The ability to manage everyday technology (ET), such as computers and microwave ovens, is increasingly required in the performance of everyday activities and participation in society. This study aimed to identify aspects that influence the ability to manage ET among older adults with and without cognitive impairment.Methods: Older adults ...

AIM:The net mechanical efficiency of wheelchair propulsion is very low, approximately 13%. It is necessary to look for effective practice methods to obtain greater output with less energy expenditure during wheelchair propulsions. Literature indicates that variable practice (VP) is more effective than constant practice (CP) in motor-skill learning. However, it ...

Assessment moderation is a significant component of a quality education system. How this practice is conceptualised, applied to the assessment process and embedded in teaching and learning, influence the quality of nurse education programmes. This paper challenges the traditional view that moderation is confined to what happens at the time ...

The evaluation of interventions is becoming increasing common and now often seeks to involve managers in the process. Such practical participatory evaluation (PPE) aims to increase the use of evaluation results through the participation of stakeholders. This study focuses on the propensity of health managers for PPE, as measured through ...

ABSTRACT: BACKGROUND: The use of complementary and alternative medicines (CAM) has been extensively studied globally among adult and paediatric populations. Parents, as a group, had not been studied to assess their knowledge and attitude to CAM and general medicine use. This study is necessary since parents' attitude to medicine use ...

ABSTRACT: BACKGROUND: General Internal Medicine (GIM) has recently been approved as a subspecialty by the Royal College of Physicians and Surgeons of Canada. As such, there is a need to define areas of knowledge that a General Internist must learn in those two years of training. There is limited literature ...

It is important that a leader assesses his strengths and weaknesses and evaluates where and how he does well. It is also important that a leader is aware of his emotions and is able to use that to better manage himself. Finally, a leader should be aware of the emotions ...

Medicine evolved in parallel with religion. Its practitioners developed their skills by selection, training, and culling. Codes of loyalties, behavior, and ethics emerged. This made them distinct. In common with government and politics, medicine has to do with the common weal. Still, the relationship of patients with physicians is based ...

Context.-Managing the quality of point-of-care testing (POCT) is a continuing challenge. Advances in testing technologies and the development of specialized informatics for POCT have greatly improved the ability of hospitals to manage their POCT program. Objectives.-To present the evolving role of technology improvement, informatics, and program management as the key ...