Medical Staff, Hospital
Referral and Consultation
Education, Medical, Graduate
State Medicine
Medicine
Attitude of Health Personnel
Orthopedics
Professional Practice
Clinical Competence
Medical Audit
General Surgery
Emergency Medicine
Ophthalmology
Outpatient Clinics, Hospital
Workload
Rheumatology
Questionnaires
Theology
Ethics Consultation
Hospitals, District
Correspondence as Topic
Nurse Clinicians
Hospitals, General
Physician's Practice Patterns
Ethicists
Surgery Department, Hospital
Urology
Remote Consultation
Family Practice
Education, Medical, Continuing
Lobbying
State Dentistry
Obstetrics and Gynecology Department, Hospital
Orthodontics
Traumatology
Optometry
Psychiatry
Hospital-Physician Relations
Hospitals, Special
Health Care Surveys
Gastroenterology
Emergency Service, Hospital
Morale
Career Mobility
Physicians, Family
Surgery, Oral
Time and Motion Studies
Job Description
Pediatrics
Neurology
Otolaryngology
Ethics, Clinical
Telepathology
Infection Control Practitioners
Obstetrics
Peer Review, Health Care
Hospitals, Teaching
Gynecology
Emergencies
Pathology, Clinical
Dermatology
Contracts
Anesthesia Department, Hospital
Surgical Procedures, Operative
Jurisprudence
Dental Audit
Private Practice
Professional Competence
Appointments and Schedules
Credentialing
Geriatrics
Urology Department, Hospital
Practice Guidelines as Topic
Sending parents outpatient letters about their children: parents' and general practitioners' views. (1/277)
Parents' cooperation is essential to ensuring implementation of effective healthcare management of children, and complete openness should exist between paediatricians and parents. One method of achieving this is to send parents a copy of the outpatient letter to the general practitioner (GP) after the child's outpatient consultation. To determine the views of parents and GPs a pilot survey was conducted in two general children's outpatient clinics in hospitals in Newcastle upon Tyne. In March and April 1991 a postal questionnaire was sent to 57 parents of children attending the clinics, and a similar questionnaire to their GPs to elicit, respectively, parents' understanding of the letter and perception of its helpfulness, and GPs' views on the value of sending the letters to parents. Completed questionnaires were received from 34(60%) parents and 47(82%) GPs; 26(45%) respondents were matched pairs. 27(79%) parents said they understood all of the letter, 19(56%) that it helped their understanding, 32(94%) felt it was a good idea, and 31(91%) made positive comments. In all, 29(61%) GPs favoured the idea and six (13%) did not. Eleven (23%) said they would be concerned if this became routine practice, and 20(74%) of the 27 providing comments were doubtful or negative; several considered that they should communicate information to parents. The views in the matched pairs were dissimilar: parents were universally in favour whereas many GPs had reservations. The authors concluded that sending the letters improved parents' satisfaction with communication, and they recommend that paediatricians consider adopting this practice. (+info)Management of primary antibody deficiency by consultant immunologists in the United Kingdom: a paradigm for other rare diseases. (2/277)
Variation in clinical practice and its effect on outcome is little known for rare diseases such as primary antibody deficiency. As part of a national audit a survey of all 30 consultant immunologists in the United Kingdom dealing with primary antibody deficiency syndromes in adults and children was carried out in 1993 to ascertain their practices in diagnosis and management. Consensus guidelines were published after the survey was completed. Comparison of the survey results of clinical practice at the time the guidelines were published with the standards identified highlighted that the practice of a minority of specialists was at variance with their peers and with the consensus document, particularly in the use of intramuscular immunoglobulin, the dose and frequency of intravenous immunoglobulin, and target trough immunoglobulin G concentration, which has implications for the quality of patient care. However, much closer agreement existed in the key areas of management, such as diagnosis and selection of intravenous immunoglobulin. The approach and the problems identified are relevant to the management of other rare diseases, in which diagnosis and management is complex and there are few specialists with the necessary knowledge to undertake such care. This survey, the first attempted audit of practice, shows that within a motivated group of specialists highly significant differences in practice may exist and the authors emphasise the importance of setting clear guidelines against which care can be assessed. (+info)Cardioversion for atrial fibrillation: the views of consultant physicians, geriatricians and cardiologists. (3/277)
BACKGROUND AND AIMS: Atrial fibrillation (AF) increases the risk of stroke and also has adverse haemodynamic consequences. Cardioversion of AF to sinus rhythm may obviate the need for long-term anticoagulation and improve cardiovascular haemodynamics, but is probably underused. We therefore investigated the views of hospital consultants about cardioversion for AF. METHODS: 336 Postal questionnaires were sent to all 186 consultant physicians, 54 cardiologists and 96 geriatricians in Scotland, followed by one reminder letter to non-responders. RESULTS: 71% Of questionnaires were returned. Cardiologists referred 18% of AF patients for cardioversion, while physicians referred 11% and geriatricians 5%. Cardiologists had better access to cardioversion facilities and were less likely to consider an enlarged left atrium and organic heart disease to be contra-indications to cardioversion. Anticoagulation was given for less than 3 weeks before cardioversion by 9% of cardiologists, 39% of physicians and 65% of geriatricians (P<0.001), and for less than 3 weeks after cardioversion by 17% of cardiologists, 45% of physicians and 47% of geriatricians (P = 0.7). SUMMARY: The wide variation in practice both between and within the different specialties suggests that consensus guidelines based on the best available evidence should be developed. (+info)Role of the surgical trainee in upper gastrointestinal resectional surgery. (4/277)
The 'New Deal' set out by the Department of Health in 1991, together with the introduction of specialist 6-year training grades by Calman in 1993, has resulted in a decrease in available training time for surgeons in the UK. There is also an emerging belief that surgical procedures performed by trainees might compromise patient outcome. This study examines the level of trainee experience in a specialist gastrointestinal unit and whether operation by a trainee surgeon adversely affects patient outcome. All patients in the University Department of Surgery, Royal Infirmary, Edinburgh, undergoing oesophagogastric, hepatic or pancreatic resection between January 1994 and December 1996 were entered into the study. The early clinical outcome (in-hospital mortality and morbidity, considered in three groups: anastomotic leak, other technique-related complications and non-technique-related complications) was evaluated with regard to the grade of surgeon (consultant or trainee) performing the operation. Of the 222 patients undergoing major upper gastrointestinal resection during the study period, 100 (45%) were operated on by trainees. Trainees were assisted and closely supervised by consultants in all but six resections. There was no major difference in mortality rate (consultant, 4.1% vs trainee, 5%), incidence of non-technique-related complications (consultant, 6.7% vs trainee, 7.1%), anastomotic leaks (consultant, 10.7% vs trainee, 5%) or technique-related complications (consultant, 18.9% vs trainee, 15%) between the two grades of surgeon. In a specialist unit, the early clinical outcome of patients undergoing major upper gastrointestinal resection by supervised trainees is no worse than in those operated on by consultants. Participation of trainees in such complex procedures enhances surgical training and does not jeopardise patient care. (+info)Influence of hospital and clinician workload on survival from colorectal cancer: cohort study. (5/277)
OBJECTIVE: To determine whether clinician or hospital caseload affects mortality from colorectal cancer. DESIGN: Cohort study of cases ascertained between 1990 and 1994 by a region-wide colorectal cancer register. OUTCOME MEASURES: Mortality within a median follow up period of 54 months after diagnosis. RESULTS: Of the 3217 new patients registered over the period, 1512 (48%) died before 31 December 1996. Strong predictors of survival both in a logistic regression (fixed follow up) and in a Cox's proportional hazards model (variable follow up) were Duke's stage, the degree of tumour differentiation, whether the liver was deemed clear of cancer by the surgeon at operation, and the type of intervention (elective or emergency and curative or palliative intent). In a multilevel model, surgeon's caseload had no significant effect on mortality at 2 years. Hospital workload, however, had a significant impact on survival. The odds ratio for death within 2 years for cases managed in a hospital with a caseload of between 33 and 46 cases per year, 47 and 54 cases per year, and >/=55 cases per year (compared to one with +info)Content-based image retrieval in picture archiving and communications systems. (6/277)
We propose the concept of content-based image retrieval (CBIR) and demonstrate its potential use in picture archival and communication system (PACS). We address the importance of image retrieval in PACS and highlight the drawbacks existing in traditional textual-based retrieval. We use a digital mammogram database as our testing data to illustrate the idea of CBIR, where retrieval is carried out based on object shape, size, and brightness histogram. With a user-supplied query image, the system can find images with similar characteristics from the archive, and return them along with the corresponding ancillary data, which may provide a valuable reference for radiologists in a new case study. Furthermore, CBIR can perform like a consultant in emergencies when radiologists are not available. We also show that content-based retrieval is a more natural approach to man-machine communication. (+info)Doctors as patients: postal survey examining consultants and general practitioners adherence to guidelines. (7/277)
OBJECTIVES: To examine the adherence by senior NHS medical staff to the BMA guidelines on the ethical responsibilities of doctors towards themselves and their families. DESIGN: Postal semistructured questionnaire. SETTING: Four randomly selected NHS trusts and three local medical committees in South Thames region. SUBJECTS: Consultants and principals in general practice. MAIN OUTCOME MEASURES: Personal use of health services. RESULTS: The response rate was 64% (724) for general practitioners and 72% (427) for consultants after three mailings. Most (1106, 96%) respondents were registered with a general practitioner, although little use was made of their services. 159 (26%) general practitioners were registered with a general practitioner in their own practice and 80 (11%) admitted to looking after members of their family. 73 (24%) consultants would never see their general practitioner before obtaining consultant advice. Most consultants and general practitioners admitted to prescribing for themselves and their family. Responses to vignettes for different health problems indicated a general reluctance to take time off, but there were differences between consultants and general practitioners and by sex. Views on improvements needed included the possibility of a "doctor's doctor," access to out of area secondary care, an occupational health service for general practitioners, and regular health check ups. CONCLUSION: The guidelines are largely not being followed, perhaps because of the difficulties of obtaining access to general practitioners outside working hours. The occupational health service should be expanded and a general practitioner service for NHS staff piloted. (+info)Major incidents: training for on site medical personnel. (8/277)
OBJECTIVE: To assess the present levels of training for the medical incident officer (MIO) and the mobile medical team leader (MMTL) throughout the UK. METHOD: Postal questionnaire to consultants in charge of accident and emergency (A&E) departments seeing more than 30,000 patients a year. Information regarding MIO staffing and training and MMTL training and provision requested. RESULTS: A&E provides the majority of both MIOs and MMTLs in the event of a major incident. Virtually all MIOs are consultants or general practitioners. However, 63% of MMTLs are from hospital training grade staff. One third of hospitals required their designated MIO to have undertaken a Major Incident Medical Management and Support course and a quarter had no training requirement at all. Two thirds of MMTLs were expected to have completed an Advanced Trauma Life Support course, but in 21% there was no minimum training requirement. Training exercises are infrequent, and hence the exposure of any one individual to exercises will be minimal. CONCLUSION: There has been some improvement in major incident training and planning since 1992, but much remains to be done to improve the national situation to an acceptable standard. (+info)In the medical field, emergencies are situations that require immediate medical attention to prevent serious harm or death. These situations may include:
1. Life-threatening injuries, such as gunshot wounds, stab wounds, or severe head trauma.
2. Severe illnesses, such as heart attacks, strokes, or respiratory distress.
3. Acute and severe pain, such as from a broken bone or severe burns.
4. Mental health emergencies, such as suicidal thoughts or behaviors, or psychosis.
5. Obstetric emergencies, such as preterm labor or placental abruption.
6. Pediatric emergencies, such as respiratory distress or dehydration in infants and children.
7. Trauma, such as from a car accident or fall.
8. Natural disasters, such as earthquakes, hurricanes, or floods.
9. Environmental emergencies, such as carbon monoxide poisoning or exposure to toxic substances.
10. Mass casualty incidents, such as a terrorist attack or plane crash.
In all of these situations, prompt and appropriate medical care is essential to prevent further harm and save lives. Emergency responders, including paramedics, emergency medical technicians (EMTs), and other healthcare providers, are trained to quickly assess the situation, provide immediate care, and transport patients to a hospital if necessary.
Hewson Consultants
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CTI Consultants
Consolidated Consultants
Quiller Consultants
Stanley Consultants
GVA Consultants
Cambridge Consultants
LeMessurier Consultants
Overseas Consultants
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Medical practice consultants
High Field Consultants
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Saffron Brand Consultants
Joint Consultants' Committee
United Consultants Twin Bee
Investment Management Consultants Association
Association of Noise Consultants
Supreme Council of Consultants
Independent Educational Consultants Association
Diamond Management & Technology Consultants
ETG Designers and Consultants
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Lactation Consultants4
- Lactation consultants provide information and advice to parents and others on breastfeeding and lactation. (payscale.com)
- Lactation consultants also provide information on subjects such as the use of breast pumps and how to transition from home to work. (payscale.com)
- They found that women visited by lactation consultants were four times as likely to exclusively breastfeed their children for a month than were woman who didn't receive the visits. (nih.gov)
- New mothers working with lactation consultants also were three times as likely to still breastfeed after three months, enough time for mother and baby to receive at least some of the benefits of breastfeeding. (nih.gov)
20231
- Please join us in celebrating The Top 25 Digital Transformation Consultants and Leaders of 2023. (prweb.com)
Admissions3
- College admissions consultants, however, say that the recent announcement has shed light into how consultant agencies should not operate, warning of the red flags a business is illegitimate or operating through unethical tactics. (bostonherald.com)
- Accepted's medical school admissions consultants have helped thousands of medical school and healthcare program applicants get accepted at every level of education. (accepted.com)
- When you choose Accepted, you'll have a passionate and invested admissions consultant dedicated to helping you specifically, in addition to the support of a team of uncommonly talented professionals, including former admissions directors, professors, program directors, doctors, and PhDs. (accepted.com)
Program Consultants1
- Get to know our medical school and healthcare program consultants and you'll see why Accepted can help YOU get accepted! (accepted.com)
Salary2
- The estimated total pay for a IT Consultant is $82,683 per year in the United States area, with an average salary of $75,812 per year. (glassdoor.com)
- 2. Does the salary cap include consultants? (nih.gov)
Disability2
- Top-end-of-town consultants and lawyers are ripping off the government on advice regarding the National Disability Insurance Scheme, contributing to the program's ballooning costs , according to Labor. (afr.com)
- Mr Shorten said that it was too soon to know how much of the NDIS's overall budget was wasted on "rorts" by consultants, lawyers and "shonky" disability service providers, blaming a lack of transparency from the Coalition over the scheme's expenses. (afr.com)
Workplace1
- Whether it is workplace violence, pre-incident indicators, first aid/CPR certification, security license refresher training or guard card training, AEGIS security consultants will rely on their skills and experience to train the individuals on site to handle any situation they encounter. (aegis.com)
Procurement1
- As it is expected that compound acquisition in this Program will be substantially guided by external procurement using available cheminformatic tools the consultant services described in this notice will not require the provision of chemical synthesis support. (nih.gov)
Consulting3
- So, whether you're an expert looking to use that knowledge as a professional consultant, a young consultant seeking to build up your consulting skills, a senior member of a consulting firm eager to learn about new specialisations or the owner of a consulting business seeking to enhance your business model, get the training you need to step up your game. (ebrd.com)
- AEGIS security consultants in Glendale collectively have decades of experience conducting threat assessments, advances, target hardening, training, penetration testing and consulting. (aegis.com)
- In addition to all hazards security consulting in Glendale, the AEGIS security consultant service also includes optional training for all individuals on site. (aegis.com)
Compensation2
- An entry-level Lactation Consultant with less than 1 year experience can expect to earn an average total compensation (includes tips, bonus, and overtime pay) of $28.93 based on 21 salaries. (payscale.com)
- An early career Lactation Consultant with 1-4 years of experience earns an average total compensation of $30.05 based on 126 salaries. (payscale.com)
Organization2
- If a student is unqualified, there's no secret sauce to get into an Ivy League," said Mark Sklarow, CEO of the Independent Educational Consultants Association (IECA), a professional organization that represents 2,000 education consultants. (bostonherald.com)
- BCG's consultants and industry experts focusing on organization continue to partner with leading companies and organizations to arrive at solutions in organization design for the future of work. (bcg.com)
Hire2
- By the time we carry out our project evaluation one year after the project is completed, almost 95 per cent say they would hire a consultant again - and almost half have already done so. (ebrd.com)
- Why You Should Hire Independent IT Consultants Hire quality IT expertise that won't squander your budget and will deliver what you need. (entrepreneur.com)
Labor1
- Labor last month committed to cut public spending on consultants across the board if it wins government on May, after $1.2 billion was spent in the last financial year on the services provided by Accenture, Deloitte, EY, KPMG and PwC. (afr.com)
Content1
- Jack Humphrey is a full-time professional web marketing consultant, authority site builder, the author of Power Linking, Leverage Black Book , co-author of Bending the Web, co-creator of Content Desk, and the managing partner of DUvisio.com . (selfgrowth.com)
Work4
- ZA - Asbestos Business - A business which is qualified by either an Asbestos Contractor or Consultant to perform the work within the scope of the qualifier's license. (myfloridalicense.com)
- The rating system provides the Department with a means of rewarding those Consultants who produce quality work, provides essential data to be used in the selection process for future projects and provides Consultants with the opportunity to improve job performance from one rating cycle to the next. (nj.us)
- Anna L. Verschoore , MSW, LCSW-C, LISW-S, NIH EAP Federal Coordinator and EAP Consultant, received her undergraduate degree and Master's Degree in Social Work at the University of Maryland, She has completed advanced training, and has extensive experience in treating mood disorders, relationship enhancement and trauma recovery. (nih.gov)
- Karen Bressler , MSW, LCSW-C, EAP Consultant, received her Masters in Social Work from The Catholic University of America. (nih.gov)
Years1
- She has over 12 years experience as an EAP Consultant working for various federal agencies. (nih.gov)
Find2
- Find out what the JAN Consultants are discussing with their customers! (askjan.org)
- For organizations without IT management skills, independent IT consultants can be valuable allies who help identify needs, find potential service providers, advise on provider selection, and help plan and manage the project. (entrepreneur.com)
Professional1
- The Department of Business and Professional Regulation is responsible for licensing and regulating asbestos contractors and asbestos consultants. (myfloridalicense.com)
Data2
- Some of the distinguished leaders on this year's list include Stephan Krubasik, Partner, Managing Director, and Global Co-Lead of Kearney Analytics, which grew by 50% last year and is now a global team of more than 500 analytics consultants, data scientists, data engineers, and software engineers. (prweb.com)
- Consultants provide feedback and guidance on project milestones, development strategy, study design, and data interpretation. (nih.gov)
Project7
- We connect businesses with local consultants for dynamic projects in a range of areas of expertise, explaining the process and sharing the project cost with the client. (ebrd.com)
- About 82 per cent of our clients have never worked with a consultant before starting their project. (ebrd.com)
- But they were unsure how to do that, so I offered act as an independent IT consultant on the project. (entrepreneur.com)
- After all, quality service providers will gather requirements, plan the project, and manage it, so why spend more money to have a consultant do the same thing? (entrepreneur.com)
- URGenT Project Consultants support the translational development of ultra-rare disease therapeutics through technical recommendations and advice to PI and her/his team. (nih.gov)
- Each Multidisciplinary Project Team (MPT) receives support from URGenT consultants. (nih.gov)
- Consultants are assigned to a project with consideration of the project team's individual needs and consultants' expertise. (nih.gov)
Support2
- This article discusses the consultants and support staff who may be involved in the care of your infant depending on your infant's specific medical needs. (medlineplus.gov)
- Each Lead Development Team (LDT) receives support from BPN-Biologics consultants. (nih.gov)
Projects1
- Smaller businesses without skilled IT management can bring this expertise in-house temporarily for specific projects by hiring independent consultants, and that's the role I played for my friend's company. (entrepreneur.com)
Expert1
- The expert AEGIS security consultants in Glendale can conduct an advance to where their client is planning on traveling, establishing a residence or operation. (aegis.com)
Independent2
- Despite the obvious benefits of retaining an independent IT consultant, finding one who's qualified isn't easy. (entrepreneur.com)
- Community Experts (CEs) are independent contractor consultants. (nih.gov)
Service providers1
- Moreover, it's tempting to cut costs by talking directly to service providers without input from a consultant. (entrepreneur.com)
Title1
- Is Average Lactation Consultant Hourly Pay your job title? (payscale.com)
Documents1
- Court documents reveal that the consultant, William Singer, bribed college entrance exam proctors, coaches, and a psychologist to fake a student's learning disabilities. (bostonherald.com)
Department1
- The evaluation system benefits both the Department and the Consultant. (nj.us)
Role1
- ABSTRACT This case series illustrates the role of the forensic consultant in hymen care for unmarried Muslim females exposed to gynaecology interventions. (who.int)
Site1
- When contracting a Glendale security consultant to conduct a threat assessment, the processes typically evolves over multiple days and includes observation of the site, employees and the public. (aegis.com)
Evaluation1
- The Consultant Evaluation System (CES) has been developed to provide an objective, consistent method for measuring Consultant performance. (nj.us)
Crime1
- AEGIS security consultants in Glendale utilize techniques known as crime prevention through environmental design aka CPTED. (aegis.com)
Government1
- This comprehensive service employed by security consultants has been proven by government facilities, the military, schools and universities as well as corporations and individuals to increase sustainability in a hostile environment. (aegis.com)
Parents1
- Le conseiller en médecine légale joue un rôle précieux en rassurant les patientes et les parents à propos des procédures appliquées pour éviter la rupture de l'hymen, et en protégeant les droits des gynécologues et des patientes grâce à la communication d'informations sur l'état de l'hymen avant et après l'intervention, lorsque les dommages sont inévitables. (who.int)