TY - JOUR. T1 - Organizational Factors that Influence Information Technology Diffusion in Academic Health Sciences Centers. AU - Ash, Joan. PY - 1997. Y1 - 1997. N2 - Objective: To identify the organizational factors which influence the diffusion of end user online literature searching, the computer-based patient record, and electronic mail systems in academic health sciences centers in the United States. Design: A total of 1335 individuals working in informatics and library areas at 67 academic health sciences centers in the U.S. were surveyed. Multivariate techniques were used to evaluate the relationship between the set of six organizational factors and two measures of innovation diffusion. Measurements: A Guttman-like scale was developed to measure infusion, or depth or sophistication, of each of the three innovations at each institution. Diffusion was measured by a question previously developed for another study. Six independent variables were measured via five formerly developed scales and ...
Clin Med 12(3):200-206 (2012). The well-trained APP provides a consistent level of competence and beyond. Here the graph on the left represents the PGY1-PGY3 resident while the graph on the right represents the fellow. The solid line labeled Physician Assistants is the well-trained APP that has been practicing for at least 2 years on service.. Chekijian et al. aimed to describe best practices and considerations regarding the integration of APPs at four separate academic institutions in Emergency Medicine. Yale has a postgraduate APP residency in EM that is 18 months in duration and directly parallels the medical residency for MDs with complete integration from the start date of the internship year through the 18 month program. Expectations of review of board material also parallel the MD residency program. At Brown, Physician Extender Development Program (PEDP) was developed for new graduate APPs for a 1 year period. This includes 5 hours of lecture time each week with the EM residency ...
Training can provide good preparation for EMR use, but it is during the go-live period that users actually begin to interact with the EMR in their daily work environment. At go-live, well-planned support is critical. Considerations for this type of support include determining the appropriate ratio of support personnel per user, determining the length of time intense support will be needed, and deciding the manner in which support will be provided. In our experience, we found that a ratio of 1:1 support for providers and 1:3 support for staff worked well. With sufficient support at go-live, the length of time needed to provide support can often be limited to 4-6 weeks, depending on how frequently the user interacts with the EMR.. The manner of support is also an important consideration. Initially, support should be active, intense, and at the elbow to allow the user to maximize the use of the native tools in the application, ensure appropriate incorporation into the workflow, and explore ...
Purpose: Invasive fungal infection (IFI) after liver transplant (LTx) is associated with increased morbidity and mortality. Studies show that IFI prophylaxis improves outcomes but the prophylaxis regimen and patient selection criteria are not well established. The objective of this study was to evaluate the impact of our fungal prophylaxis protocol (FPP) on liver transplant outcomes.. *Methods: We performed a single center, retrospective study of adult LTx recipients between 7/1/09-6/30/17. We initiated our FPP on 9/1/16 in patients with one of the following criteria: liver re-transplantation, pre-transplant dialysis, pre-transplant hospitalization > 7 d, pre-transplant candidal colonization, MELD > 35, OR time > 10 h, biliary-enteric anastomosis, intraoperative transfusion requirement of ≥40 units cellular blood products, and return to OR within 30 d. Patients meeting criteria were given 400 mg of fluconazole on POD 1-14. For this analysis patients were divided into two groups; those screened ...
Background:. Invasive fungal infections cause significant mortality and morbidity. Isavuconazole (ISV) is a new triazole approved for treatment of mucormycosis and aspergillosis. Data on its effectiveness outside clinical trials and in patients receiving prior triazole prophylaxis are lacking. Methods:. We conducted a retrospective cohort study on all patients at the Cleveland Clinic 6/1/2015 1/31/2017 who received ISV to determine 6-week response in a population with varying underlying diseases, and previous triazole prophylaxis or treatment. Descriptive statistics and univariate associations were calculated. Results:. 33 patients were identified including Organ transplant recipients (5), Hematopoietic cell transplant recipients (7), and acute leukemia (18). 25 had lung involvement while 13 had rhino-orbital-cerebral disease. In 13 cases, a fungal pathogen was identified: Mucorales (7) and Aspergillus (6). 15 received triazole prophylaxis prior to initiating ISV. 24 received antifungal therapy ...
The American academic health center has emerged from a tradition that bound research, teaching, and patient care. In recent decades major changes in its faculty array and activities have been generated by extramural funding patterns that have emphasized the research functions of the faculty and, more recently, subspecialty care by faculty members, to the detriment of teaching functions and of immersion in major health care and health promotion issues. The latter are arising more prominently in the public agenda than in the academic agenda. The academic health centers should re-examine their activities with particular attention to the opportunities afforded by this emergent public agenda in biomedicine and health. ...
The authors discuss common themes of the Association of Academic Health Centers 6th Trilateral Conference, titled Health as an Instrument of Foreign Policy: Challenges for Academic Centers.
Simulation-based methods are regularly used to train inter-professional groups of healthcare providers at academic medical centers (AMC). These techniques are used less frequently in community hospitals. Bringing in-situ simulation (ISS) from AMCs to community sites is an approach that holds promise for addressing this disparity. This type of programming allows academic center faculty to freely share their expertise with community site providers. By creating meaningful partnerships community-based ISS facilitates the communication of best practices, distribution of up to date policies, and education/training. It also provides an opportunity for system testing at the community sites. In this article, we illustrate the process of implementing an outreach ISS program at community sites by presenting four exemplar programs. Using these exemplars as a springboard for discussion, we outline key lessons learned discuss barriers we encountered, and provide a framework that can be used to create similar
Dr. Erica Friedman has been appointed as interim dean of the CUNY School of Medicine. She will also continue in her role as Deputy Dean for Medical Education. Friedman is board certified in Internal Medicine and Rheumatology. She has practiced in academic medical centers in New York City including NYU School of Medicine, New York Medical College and the Icahn School of Medicine at Mount Sinai. She is an American College of Physicians Fellow and a member of the American Medical Association.. Friedman is an expert in medical education, having over 33 years of experience at academic medical centers. Dr. Friedman is passionate about advocating for diversity and equity in the health professions workforce and for being a change agent for needed systemic healthcare reform that will lead to health and quality of life improvements for individuals, communities and our nation, particularly those that are chronically underserved.. I am proud to be serving as interim dean of this amazing school of ...
Infections caused by methicillin-resistant Staphylococcus aureus (MRSA) doubled at academic medical centers in the US between 2003 and 2008, according to a report published in the August issue of Infection Control and Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America.
Our ultimate goal was to determine whether the MyProstateScore test could be a practical, reliable test that could rule out the need for more costly or invasive testing in men referred for a prostate biopsy, says study lead author Jeffrey Tosoian, M.D., M.P.H., a clinical lecturer in urology at Michigan Medicine.. Tosoian and two of his co-authors were founders of LynxDX and hold an equity stake in the company.. Not all prostate cancers are equally worrisome. Many arise later in life and are so slow growing that the best course of action is to simply monitor them. It is patients with these slow growing cancers or no cancer who, despite elevated PSA levels, could be spared from the more invasive or expensive procedures if doctors had better tests, the researchers say.. The validation study included patients seen at academic health centers and in community health settings. Among these 1,525 patients, 338-22%-had cancers detected on biopsy that were group grade 2 or higher, meaning they were ...
After graduation, many MHA students pursue administrative fellowships at healthcare organizations. In recent years, students obtained positions at academic medical centers, consulting organizations, community hospitals, insurers, and health systems.. The post-graduate fellowship is a comprehensive learning opportunity which refines the individuals analytic, technical, decision-making, and interpersonal, while providing broad exposure to health care issues within an organizational setting. Fellowships afford a valuable means of observing, developing and demonstrating practical management skills while developing career networks of valued colleagues.. Graduates who decide not to pursue an administrative fellowship are employed in a variety of positions and organizations, including consulting, medical group management, policy firms, and third party payers.. Post-graduate placement map…. ...
The psychiatrist held the door open for me and my first thought as I entered the room was Where is the couch?. Instead of the expected leather couch, I saw a patient lying down on a flat operation table surrounded by monitors, devices, electrodes, and a team of physicians and nurses. The psychiatrist had asked me if I wanted to join him during an ECT for a patient with severe depression. It was the first day of my psychiatry rotation at the VA (Veterans Affairs Medical Center) in San Diego, and as a German medical student I was not yet used to the acronymophilia of American physicians. I nodded without admitting that I had no clue what ECT stood for, hoping that it would become apparent once I sat down with the psychiatrist and the depressed patient.. I had big expectations for this clinical rotation. German medical schools allow students to perform their clinical rotations during their final year at academic medical centers overseas, and I had been fortunate enough to arrange for a ...
Recent changes to the delivery of health care, including the affordable health care act, mandates concerning cost reduction, the need for greater efficiency in patient care and new reimbursement models have driven academic medical centers (AMCs) to the edge of a precipice. They have reached a critical mass where they must restructure, reorganize and innovate or else they will almost certainly become financially unsustainable and obsolete.. How did they get here? As the health care landscape has continued to evolve, these academic institutions have remained rather stagnant, creating financial pressure and a changing environment with which they cannot keep up. If the medical community is to keep AMCs from closing or from ceasing to be academic, they must now exert enormous effort to keep them viable.. To say AMCs are important, is to say that academic medicine is important, says Marvin A. Konstam, MD, FACC, chair of ACCs Academic Section. What were talking about here is preserving the ability ...
OBJECTIVES: To better understand patient satisfaction and perceived engagement with traditional hospital-based communication and to elicit patient preferences for health information technologies that would lead to improved satisfaction and engagement. STUDY DESIGN: We performed a mixed-methods study involving qualitative interviews followed by a survey of hospitalized patients and their family members at a single large academic medical center. METHODS: We conducted semi-structured interviews with 41 patients and surveyed 267 patients or family members to elicit their perspectives on satisfaction with traditional hospital communication methods, information needed to more fully engage in the patients medical care, and potential solutions for improved hospital-based communication ...
Consecutive patients presenting to two large academic medical centres with a Type 1 MI at ≤50 years of age between 2000 and 2016 were included. Cause of death was adjudicated using electronic health records and death certificates. In total, 2097 individuals (404 female, 19%) had an MI (mean age 44 ± 5.1 years, 73% white). Risk factor profiles were similar between men and women, although women were more likely to have diabetes (23.7% vs. 18.9%, P = 0.028). Women were less likely to undergo invasive coronary angiography (93.5% vs. 96.7%, P = 0.003) and coronary revascularization (82.1% vs. 92.6%, P , 0.001). Women were significantly more likely to have MI with non-obstructive coronary disease on angiography (10.2% vs. 4.2%, P , 0.001). They were less likely to be discharged with aspirin (92.2% vs. 95.0%, P = 0.027), beta-blockers (86.6% vs. 90.3%, P = 0.033), angiotensin-converting enzyme inhibitors/angiotensin-receptor blockers (53.4% vs. 63.7%, P , 0.001), and statins (82.4% vs. 88.4%, P , ...
A multidisciplinary neurosurgical group in northern New Jersey is seeking a BE/ BC Movement Disorder Neurologist to work directly with their fellowship trained Functional Neurosurgeon who specializes in Deep Brain Stimulation. The position will be full time or maybe part time.. The practice is affiliated with a large Academic Medical Center, the incoming Neurologist will have the ability to work with residents and also have research possibilities. The incoming Neurologist will come in to a 95% movement disorder practice. The Neurologist will evaluate patients suspected of having Parkinsons and follow them by medicating or making medication adjustments with these patients. The incoming Neurologist will not be on call for the practice, however they will be expected to cover their patients unless they are unreachable, this is done over the phone. If there is surgical issue at night or on weekend, they would refer to the neurosurgeon. The incoming Neurologist will have no ER coverage. There is PA ...
INTRODUCTION: The population of patients in the USA over the age of 65 is expected to significantly increase over the next 40 years. These patients are at increased risk for hip fractures and will pose a burden to providers in the near future. In order to provide high value care, providers will need to maintain positive outcomes, mitigate complications, and reduce overall cost burdens. This study was designed to investigate the safety and efficacy of a patient transfer protocol between a large academic medical center and a single specialty orthopaedic institution ...
In preparation for my next days cases at the large academic medical center where I work, I reviewed a chart for a 90-year-old with severe spinal cord stenosis who was scheduled for extensive spine surgery to alleviate debilitating neurologic symptoms.. She suffered from a myotonic dystrophy and mild dementia. Her history was complicated by severe mitral regurgitation with severely elevated pulmonary artery pressures and a heart failure-related hospital admission the prior year, although she had not had an echocardiogram for nearly two years. Afflicted with longstanding cardiac conduction disease, she had a pacemaker placed decades ago. It had been subject to many revisions since then but had not been interrogated for a year. Her spinal cord symptoms had progressed with such severity that for the past year that she was wheelchair bound.. Her primary care provider, a clinic nurse practitioner, had seen the patient recently. The patient is stable and she is cleared for her upcoming surgery, read ...
Mathur, G., Yadav, K., Ford, B., Schafer, I., Basavaraju, S., Knust, B., Shieh, W., Hill, S., Locke, G., Quinlisk, P., Brown, S., Gibbons, A., Cannon, D., Kuehnert, M., Nichol, S., Rollin, P., Ströher, U. & Miller, R. (2017). High clinical suspicion of donor-derived disease leads to timely recognition and early intervention to treat solid organ transplant-transmitted lymphocytic choriomeningitis virus. Transplant Infectious Diseases, 4(19). PMID: 28423464.. Ford, B. A. (2017). mecC-MRSA: Hiding in Plain Sight. Journal of clinical microbiology. PMID: 29118173.. Dunseth, C. D., Ford, B. A. & Krasowski, M. D. (2017). Traditional versus reverse syphilis algorithms: A comparison at a large academic medical center. Practical Laboratory Medicine, 8(2017), 52-59. DOI: 10/1016/j.plabm.2017.04.007.. Marra, A. R., Edmond, M. B., Ford, B. A., Herwaldt, L. A., Algwizani, A. R. & Diekema, D. J. (2016). Failure of Risk-Adjustment by Test Method for C. difficile Laboratory-Identified Event Reporting. Infection ...
LOS ANGELES -- Older patients admitted to a large academic medical center on busy shifts may have a greater mortality risk than those who come to the hospital on less frenetic days, suggested investig
The results also underline the need for something that is particularly important to me: enhanced, appropriately funded surveillance that will define the true size of the MRSA epidemic and delineate the behavior of the various strains within it. Right now, surveillance is patchy and incomplete, done partially by various CDC initiatives and partially by the major MRSA research teams at academic medical centers. As weve discussed, there is no national requirement for surveillance of patients, and very few state requirements; there is no incentive for insurance companies to pay for surveillance, since it benefits public health, not the patient whose treatment the insurance is paying for; and there is a strong disincentive for hospitals to disclose surveillance results, because they will be tarred as dirty or problematic. Yet to know what to do about the MRSA epidemic, we first have to know the size and character of what we are dealing with, and we do not now ...
Choose ProHealth Care in Waukesha County, WI, for expert treatment of your brain, spine and nerves - including advanced technology and expertise youd typically find only at academic medical centers.
Academic medical centers sit at the nexus of scientific care, education and research. Even under normal scenarios, stabilizing these priorities can be challenging, however the COVID-19 pandemic has actually worsened existing difficulties.. At a Sept. 25 session at the Beckers Academic Medical Centers Virtual Forum, 3 leaders went over how their organizations are satisfying their mentor missions and encouraging cooperation despite the difficulties induced by the pandemic.. Panelists included:. Here is an excerpt from the conversation, modified for clarity. To view the full session on-demand, click on this link.. ● Mary Nash, PhD, vice president of company advancement and learning at NYU Langone Health in New York City ● Ted Witherell, senior director of talent management at Boston-based Partners HealthCare System ● Vineet Arora, MD, assistant dean of scholarship and discovery at the Pritzker School of Medicine, and associate CMO-clinical learning environment at University of Chicago ...
There was also a half-day release to assess elderly patients at home. In the fourth year, students had twelve half days in general practice on the management of chronic illness, with opportunities for computer assisted learning. They were also taken to see patients with infectious diseases at home. Organising teaching was a considerable task involving fifty to 100 general practice tutors, who received little recompense. In addition, staff did joint teaching in the third integrated year, including at the bedside in hospitals. This was helped a great deal by the support of the then FHSA who believed strongly in the student presence in practices helping to raise standards. The other major fortuitous activity was the development of the NHS R&D initiative which in the mid-1990s had several commissioned calls for research that spoke strongly to the academic general practice agenda and skill base. This, together with further funds to appoint two lecturers in general practice, marked the beginning of an ...
IRVINE, Calif., and HERSTAL, Belgium, June 21, 2016 (GLOBE NEWSWIRE) -- MDxHealth SA (Euronext: MDXH.BR), announced today that it has entered into an agreement with Duke University Health System regarding the use of its ConfirmMDx for Prostate Cancer test. The test is approved for the management of men with a previous negative prostate biopsy who may be at risk for undetected cancer and are being considered for a repeat biopsy.
Clinical question: What is the influence of patient complexities on providers decisions to prescribe antibiotics in three common hospital-based clinical vignettes? Background: Antibiotic treatment decisions for medically complex patients are complicated, because the risk of undertreatment may be severe, while overtreatment may be associated with adverse effects and the emergence of resistant pathogens. It is believed that physicians are more likely than not to prescribe antibiotics for complex patients. Study design: Hospital-based, physician survey. Setting: Three urban academic medical centers in Los Angeles County, Calif. Synopsis: Physicians were presented with three clinical vignettes, with variations by age, comorbidity, functional status, and follow-up, and asked to choose the best antibiotic regimen. Of the 874 invited physicians, 255 (29%) responded to the survey; 245 physicians were eligible for the study. Study results showed 28% to 49% of physicians recommended antibiotics that were ...
AMC Strategies, LLC, is a consulting firm specializing in strategic and business planning for Academic Medical Centers. Our clientele includes hospitals, health systems, schools of medicine, as well as other academic and health care entities. The distinction of AMC Strategies in the academic strategic planning field has been built upon a foundation of over 16 years of hands-on experience, applied both internally within the academic realm and as independent consultants to leaders in academic medicine throughout the United States.
AMC Strategies, LLC, is a consulting firm specializing in strategic and business planning for Academic Medical Centers. Our clientele includes hospitals, health systems, schools of medicine, as well as other academic and health care entities. The distinction of AMC Strategies in the academic strategic planning field has been built upon a foundation of over 16 years of hands-on experience, applied both internally within the academic realm and as independent consultants to leaders in academic medicine throughout the United States.
Western IRB (WIRB), the worlds largest provider of ethical research review serving 2300 academic medical centres (AMCs) and hospitals, has announced an alliance with Huron, a global professional services firm serving the healthcare, higher education, life sciences and commercial sectors.. WIRBs and Hurons combined strengths can help institutions to improve the effectiveness of clinical research for the development of new pharmaceuticals and medical devices.. The alliance will provide clients with a wide range of administrative and clinical services that are integrated with empowering technologies to ease the financial, regulatory and operational responsibilities of performing essential clinical research.. Today, a number of factors have combined to make the conduct of clinical research challenging for many AMCs, hospitals and their researchers. These programmes are facing a reduction in government-sponsored research grants, coupled with an increase in regulatory requirements, said Donald ...
Latest news - University Medical Center, Photos - University Medical Center, Videos - University Medical Center. University Medical Center updates on Rediff News
Health,... Inadequate funding for research and the health workforce raises se...WASHINGTON Feb. 5 -- The Association ofAcade... The Presidents FY 2009 budget does little to sustain the nationspr...While pleased to note increases in the physical and engineeringscienc...,Association,of,Academic,Health,Centers,Faults,Bushs,FY,2009,Budget,medicine,medical news today,latest medical news,medical newsletters,current medical news,latest medicine news
Boston Medical Center (BMC) is a 487-bed academic medical center located in Bostons historic South End, providing medical care for infants, children, teens and adults.
In recent years, policymakers and researchers have expressed concern that the medical research system produces new knowledge that may not be incorporated effectively into clinical practice.1,2 Acquisition of much of the evidence base of health care through clinical research conducted in tertiary care academic health centers is one barrier to the translation of research into practice.3 This raises concerns about the external validity (generalizability) of findings, in part because the patients treated in such health centers represent fewer than 1 in 1000 patients being treated in the health care system.4,5 Thus, to improve the health of the nation, research must include representative samples of the majority who receive health care outside of academic health centers.. Research focusing on health conditions without considering the social, cultural, ethnic, and geographic identity of study participants may not be easily applied to clinical problems and the care of diverse patients in community ...
In this study, the authors report that close to half of the research leaders at U.S. medical schools do not consider their clinical research enterprises to be healthy or robust, and that they also question the overall quality of the clinical research being conducted.
Our study is the first to assess faculty attitudes, needs, and practice experiences with H/NP before and after implementing a solution to the H/NP needs that clinicians face. Furthermore, we are only the second group to explore physician acceptance, experiences, and knowledge of dietary supplements within an academic medical center [8, 13, 18].. Based upon responses obtained by our surveys, at our medical center, the NMCD tool appeared to be of greatest relevance to FCM providers. The openness and interest of FCM clinicians to nontraditional therapeutic alternatives may reflect a philosophical difference between FCM and other specialties, as this group of physicians tends to place great emphasis on developing, nurturing, and maintaining patient-centered relationships. Therefore, rather than simply disavowing use of all dietary supplements, it is important for FCM physicians to know about these alternatives in order to foster patient relationships. In contrast, our data found that our Med ...
AAHCI Fall International Meeting: Themed Innovation, Technology and Health: Making it Work, the AAHCI Fall Regional Meeting in Canada will bring together leaders from Canadian and international Academic Health Centers. The meeting will be hosted by Western University in London, Ontario, Canada, home to the Schulich School of Medicine & Dentistry. Participants will explore innovative ways to integrate technology and healthcare within an academic health center ...
The American Association of Colleges of Nursing (AACN) recently released a commissioned report titled Advancing Healthcare Transformation: A New Era for Academic Nursing. By building on the Future of Nursing report from the Institute of Medicine, Manatt Health examined the opportunities for schools of nursing within or aligned with academic health centers (AHCs) to become firmly integrated in advancing health care transformation.. The AHCs are hubs of innovation for developing and testing new models of care. Nurses, of course, are key to the success of transforming health care in this new environment, especially as the Affordable Care Act facilitates experiments that move away from fee-for-service and toward value-based payments tied to metrics for quality, safety and value in the context of population health.. Over the past few years, schools of nursing have already begun contributing to these important changes through all aspects of our tripartite mission of research, education and practice. ...
Most prominent academic medical centers develop and distribute advertisements to attract patients, but none have a formal review process to assess the balance and straightforwardness of these advertisements, according to the first study to investigate these practices. Several of the ads promote services of unclear health value to the public and, in some cases, seem to place the financial interests of the medical centers before the interests of the patients, the authors conclude.
Learn how a leading Academic Medical Center depends on LawLogix Edge for the organizational and case management tools necessary to keep international talent en route to their organization, all while keeping costs and keystrokes to a minimum and ultimately allowing the Medical Center to maintain focus and funding on their patient ...
Academic Medical Centre at the University of Amsterdam. NLLaboratory Genetic Metabolic Diseases. Dr. Hans R. Waterham. [email protected] ...
Simones Maxims Updated and Expanded: Understanding Todays Academic Medical Centers also offers the latest perspective about the practice of medicine and how health care providers can best achieve their professional goals. Dr. Joseph Simone, author of the seminal Simones Maxims, speaks to all generations of physicians and health care providers about the hard truths of medicine and personal success. ...
Mount Sinai Hospital. Mount Sinai Hospital, part of Sinai Health System, is as an internationally recognized 442-bed acute care academic health sciences centre affiliated with the University of Toronto that is dedicated to delivering the best medicine and best patient experience. It is focused on excellence in patient and family-centred care, innovative education and leading-edge research. Clinical strengths include womens and infants health, chronic disease management, specialized cancer care, emergency medicine, and geriatrics. The hospital has been designated with Exemplary Status from Accreditation Canada and every aspect of patient care is anchored in a rigorous quality plan and monitoring of safety and quality goals. Mount Sinais Lunenfeld-Tanenbaum Research Institute ranks in the top ten biomedical research institutes in the world. The Hospital was recently named the first hospital in Canada to receive Magnet® status for nursing excellence and patient care. The Hospital is considered ...
We are the Faculty of Medicine & Dentistry at the University of Alberta, one of the worlds elite academic health sciences centres, where top students are taught by award-winning educators and mentored by renowned scientists in a dynamic learning environment.. ...
We are the Faculty of Medicine & Dentistry at the University of Alberta, one of the worlds elite academic health sciences centres, where top students are taught by award-winning educators and mentored by renowned scientists in a dynamic learning environment.. ...
The fact is that most doctors who graduate from medical school will not practice in a tertiary academic health center (AHC), but rather in the community, although the other fact is that a disproportionate number of them will choose specialties that are of little or no use in many communities that need doctors. They will, if they can (i.e., if their grades are high enough) often choose subspecialties that can only be practiced in the high-tech setting of the AHC or the other relatively small number of very large metropolitan hospitals, often with large residency training programs. As they look around at the institution in which they are being educated, they see an enormously skewed mix of specialties. For example, 10% of doctors may be anesthesiologists and there well may be more cardiologists than primary care physicians. While this is not the mix in world of practice, and still less the mix that we need to have for an effectively functioning health system, it is the world in which they are ...
When you have seen one AHSC, you have seen just one AHSC - Academic Health Sciences Centre, National Task Force Final Report1. Australias health system is struggling to meet demand and expectations. Demand is driven by an increasing burden of chronic non-infectious disease associated with ageing.2 Expectations of cutting-edge care for all are set by the public and by government.3 Meeting these demands and expectations will be possible only with substantial effort in research and education as part of health service delivery. Separation of funding for research and education from the delivery of patient care diminishes the opportunity for mutually enhancing integration, and for expenditure efficiencies.4,5. ...
BACKGROUND: Colorectal cancer is the second most frequent cancer in Malaysia. Nevertheless, there is little information on treatment and outcomes nationally. We aimed to determine the demographic, clinical and treatment characteristics of colorectal cancer patients treated at the University Malaya Medical Centre (UMMC) as part of a larger project on survival and quality of life outcomes. MATERIALS AND METHODS: Medical records of 1,212 patients undergoing treatment in UMMC between January 2001 and December 2010 were reviewed. A retrospective-prospective cohort study design was used. Research tools included the National Cancer Patient Registration form. Statistical analysis included means, standard deviations (SD), proportions, chi square, t-test/ ANOVA. P-value significance was set at 0.05. RESULTS: The male: female ratio was 1.2:1. The mean age was 62.1 (SD12.4) years. Patients were predominantly Chinese (67%), then Malays (18%), Indians (13%) and others (2%). Malays were younger than Chinese ...
The University of Malaya was initially set up in Singapore in 1949 as an amalgamation of the two premier institutions of higher education in colonial Malaya and Singapore, Raffles College and King Edward VII College of Medicine to serve the needs of the colony. Following independence of Malaya in 1957, two autonomous divisions of the university, one in Singapore and one in Kuala Lumpur, were established in 1959. The government of Malaya expressed a desire to change the status of the Kuala Lumpur division to a national University and following appropriate legislation, the University of Malaya was established in 1962. The Singapore Division was renamed the University of Singapore.. In 1961, the Board of Education, University Malaya had proposed that a medical institution be established to cater to the shortages of medical doctors in Malaya at that time.The first Faculty of Medicine in Malaysia was established in the University of Malaya in 1963. Instruction started in 1964 with the first batch of ...
The University of Malaya was initially set up in Singapore in 1949 as an amalgamation of the two premier institutions of higher education in colonial Malaya and Singapore, Raffles College and King Edward VII College of Medicine to serve the needs of the colony. Following independence of Malaya in 1957, two autonomous divisions of the university, one in Singapore and one in Kuala Lumpur, were established in 1959. The government of Malaya expressed a desire to change the status of the Kuala Lumpur division to a national University and following appropriate legislation, the University of Malaya was established in 1962. The Singapore Division was renamed the University of Singapore.. In 1961, the Board of Education, University Malaya had proposed that a medical institution be established to cater to the shortages of medical doctors in Malaya at that time.The first Faculty of Medicine in Malaysia was established in the University of Malaya in 1963. Instruction started in 1964 with the first batch of ...
Physicians and scientists at academic medical centers face many competing demands for their time. Efforts to help them improve their teaching or scholarship traditionally have taken place in face-to-face lunchtime workshops. As clinical volume and the difficulty of obtaining external funding increases, faculty members have less opportunities to devote to their own professional development.. Researchers from BUSM and BUSPH surveyed the websites of all 154 accredited medical schools in the U.S. and Canada to locate examples where medical schools have used social media to engage with faculty in a virtual environment. Their findings were recently reported in Medical Education Online.. The researchers found 22 medical schools (14.3 percent) employed at least one social media technology tool in support of faculty development. In total, 40 instances of social media tools were identified - the most popular platforms being Facebook (nine institutions), Twitter (eight institutions) and blogs (eight ...
As an ICU nurse in a large academic medical center, I have experienced first-hand the importance of interdisciplinary communication. The University of Pennsylvania Health System appears to have done an excellent job in creating a program that facilitates communication between nurse leaders and physicians. The data speaks for itself; better interdisciplinary communication and teamwork between specialties fosters better outcomes for patients. The idea of co-managing teams with physician and nursing leadership is crucial, and the introduction of project managers is an excellent way to take some of the burden for implementing these projects off of front line clinical staff. Transparency regarding outcomes and unit-wide rewards for successes are great ways to hold healthcare teams accountable and to ensure staff buy in. Knowledge sharing between units is also an excellent practice to ensure that the motivation for the project is felt hospital-wide. While the patient-related outcomes themselves are ...
Author(s): Gui, Xinning; Chen, Yunan; Zhou, Xiaomu; Reynolds, Tera L; Zheng, Kai; Hanauer, David A | Abstract: ObjectivePhysician champions are boots on the ground physician leaders who facilitate the implementation of, and transition to, new health information technology (HIT) systems within an organization. They are commonly cited as key personnel in HIT implementations, yet little research has focused on their practices and perspectives.Materials and methodsWe addressed this research gap through a qualitative study of physician champions that aimed to capture their challenges and strategies during a large-scale HIT implementation. Email interviews were conducted with 45 physician champions from diverse clinical areas 5 months after a new electronic health record (EHR) system went live in a large academic medical center. We adopted a grounded theory approach to analyze the data.ResultsOur physician champion participants reported multiple challenges, including insufficient training, limited at-the
A UC Davis study has found that general thoracic surgeons, especially those at academic health centers, perform the vast majority of complex noncardiac operations, including surgeries of the esophagus and lungs. The authors said their results, published in the October issue of The Annals of Thoracic Surgery, support the designation of general thoracic surgery as a distinct specialty, which will benefit patients when selecting surgeons for specific procedures.
In the 1980s, communication with other healthcare providers reigned king. We marked up medical student H&Ps with red ink if they didnt have perfect grammar and we carefully dictated referral letters and then edited them before sending them out. Nobody cared about billing documentation back then - it just wasnt important. All of that changed on June 21, 1996, when the Office of the Inspector General announced the PATH audits - Physicians At Teaching Hospitals. Although designed to be a way to protect Medicare against billing fraud, the PATH audits turned into the medical billing equivalent of the Spanish Inquisition. Federal Inspectors would do probing chart reviews of physicians at academic medical centers and if they found charts that didnt have the right documentation elements, they would swoop in and do a massive audit of all of the physicians, often resulting in fines of 10s of millions of dollars.. It was easy for these investigators - Medicare had established billing rules and ...
Female surgeons at a large academic medical center perform less complex surgical procedures than their male counterparts, according to a new study by researchers at Massachusetts General Hospital (MGH). This study, published in Annals of Surgery, is one of the first to measure the problem of underemployment among female surgeons in the United States, which can affect compensation, career advancement and job satisfaction.
TY - JOUR. T1 - Adolescent girls with polycystic ovary syndrome have an increased risk of the metabolic syndrome associated with increasing androgen levels independent of obesity and insulin resistance. AU - Coviello, Andrea D.. AU - Legro, Richard S.. AU - Dunaif, Andrea. PY - 2006/2. Y1 - 2006/2. N2 - Context: Adult women with polycystic ovary syndrome (PCOS) have an increased prevalence of the metabolic syndrome (MBS). The prevalence of MBS is also increasing in adolescents. Objective: Our objective was to test the hypothesis that the prevalence of MBS is increased in adolescent girls with PCOS compared with the general population and to determine the factors associated with an increased risk of the MBS in PCOS. Design and Setting: We conducted a cross-sectional case-control study at academic medical centers with general clinical research centers. Participants: Participants included 49 adolescent girls with PCOS and 165 girls from the Third National Health and Nutrition Examination Survey ...
This article describes the roll out of Malacef (IV artesunate) under named patient programmes in three EU member countries. France has a system that uses proactive authorisation and surveillance, whereas Belgium and the Netherlands depend on the passive detection of adverse events. Most patients are treated at academic medical centres, but more specialised general hospitals also have IV artesunate in stock. The geographical distribution of Malacef throughout the Netherlands was relatively rapid, which is not surprising for a small country in which the professional groups are highly organised. In Belgium and France, the geographical distribution of Malacef proceeded more slowly. In Belgium, this is due to the fact that the use of Malacef is restricted to select specialised centres; in France, the slow distribution was likely due to a centralised procedure that is tightly controlled by the French government and requires strict and therefore lengthy application procedures.. The major limitations of ...
The University of Florida Academic Health Center - the most comprehensive academic health center in the Southeast - is dedicated to high-quality programs of education, research, patient care and public service.. The UF College of Dentistry is the only public-funded dental school in Florida and is recognized as one of the top U.S. dental schools for the quality of its educational programs, oral health research enterprise and commitment to patient care and service.. The College of Medicine, the largest of six colleges at the University of Florida Academic Health Center, opened in 1956 with a mission to increase Floridas supply of highly qualified physicians, provide advanced health-care services to Florida residents and foster discovery in health research.. Founded in 1956, the University of Florida College of Nursing is the premier educational institution for nursing in the state of Florida and is ranked in the top 10 percent of all nursing graduate programs nationwide. The UF College of Nursing ...
The University of Florida Academic Health Center - the most comprehensive academic health center in the Southeast - is dedicated to high-quality programs of education, research, patient care and public service.. The UF College of Dentistry is the only public-funded dental school in Florida and is recognized as one of the top U.S. dental schools for the quality of its educational programs, oral health research enterprise and commitment to patient care and service.. The College of Medicine, the largest of six colleges at the University of Florida Academic Health Center, opened in 1956 with a mission to increase Floridas supply of highly qualified physicians, provide advanced health-care services to Florida residents and foster discovery in health research.. Founded in 1956, the University of Florida College of Nursing is the premier educational institution for nursing in the state of Florida and is ranked in the top 10 percent of all nursing graduate programs nationwide. The UF College of Nursing ...
The University of Florida Academic Health Center - the most comprehensive academic health center in the Southeast - is dedicated to high-quality programs of education, research, patient care and public service.. The UF College of Dentistry is the only public-funded dental school in Florida and is recognized as one of the top U.S. dental schools for the quality of its educational programs, oral health research enterprise and commitment to patient care and service.. The College of Medicine, the largest of six colleges at the University of Florida Academic Health Center, opened in 1956 with a mission to increase Floridas supply of highly qualified physicians, provide advanced health-care services to Florida residents and foster discovery in health research.. Founded in 1956, the University of Florida College of Nursing is the premier educational institution for nursing in the state of Florida and is ranked in the top 10 percent of all nursing graduate programs nationwide. The UF College of Nursing ...