Between 1870 and 1880 Colorado saw the arrival of many physicians, which included a number of women. This may have in part been due to Colorado being touted for a climate known for helping those who suffered from consumption. Note, consumption was not just TB, but any wasting disease. There was another spurt from 1890-1900. Yes, many of these women congregated in the larger towns, to include the boom towns of Leadville, Cripple Creek and Victor. Once the floodgates were opened, women physicians made their way to Colorado. Many became involved in the suffrage movement, while others worked to better the conditions of others. Dr. Caroline Spencer of Colorado Springs and Dr. Alida Avery worked for the rights of women. Dr. Mary Helen Barker Bates helped start a hospital in Leadville. Dr. Kate Yont worked in the Italian community with the naturalization process in Denver. Some carried guns, others didn't have to, but all have stories waiting to be told.. So you see, while the story of Dr. Susan 'Doc ...
What goes into a blog post? Helpful, industry-specific content that: 1) gives readers a useful takeaway, and 2) shows you're an industry expert. Use your company's blog posts to opine on current industry topics, humanize your company, and show how your products and.... ...
Presenter(s): Sarah E. Wakeman, MD, Medical Director, Massachusetts General, Substance Use Disorder Initiative. Note: Recording and presentation slides unavailable for this archive.. About the webinar: This program focuses on harms from opioid-type medications, the development and fundamental features of opioid use disorder, and how physicians can play a key role in reversing what has been called the "opioid epidemic" through evidence-based treatment of opioid use disorder. Sarah E. Wakeman, MD, Medical Director, Massachusetts General Substance Use Disorder Initiative, will help learners understand the basis of opioid use disorder and the key attributes of successful treatment, and will provide examples of how interventions can be applied at various points of patient engagement, and within different clinical practice settings.. Educational objectives:. ...
Most ophthalmologists use the commercially available form of KenalogTM. A minority, however, choose to administer a preservative-free form that is usually prepared by a compounding pharmacy, a process that may introduce other risks. Compounding pharmacies must comply with Chapter 797 of the United States Pharmacopeia (USP), which sets standards for the compounding, transportation, and storage of compounded sterile products (CSP). There is now a Pharmacy Compounding Accreditation Board, which can verify that the pharmacy is adhering to these standards. To ensure safe compounding and administration, ophthalmologists should ask the compounding pharmacy 1) to prepare the medication under aseptic conditions, 2) to confirm the dose and sterility, 3) to label each container or syringe with the strength, lot number, storage, and "beyond use" instructions, 4) to verify that it is licensed/registered in the state in 10 Narayanan, Raja et al. Toxicity of Triamcinolone Acetonide on Retinal Neurosensory and ...
TY - JOUR. T1 - Development and validation of scales for attitudes, self-reported practices, difficulties and knowledge among home care nurses providing palliative care. AU - Shimizu, Megumi. AU - Nishimura, Misako. AU - Ishii, Yoko. AU - Kuramochi, Masayo. AU - Kakuta, Naoe. AU - Miyashita, Mitsunori. PY - 2016/6/1. Y1 - 2016/6/1. N2 - Purpose: Although educational programs for nurses are required to ensure high-quality home care, there is currently no scale to appropriately evaluate such programs for home care nurses providing palliative care. We developed and validated four scales to evaluate home care nurses' attitude, self-reported practices, difficulties, and knowledge regarding home palliative cancer care, and identified factors associated with home care nurses' attitude, self-reported practices, and difficulties. Method: The scale items were generated based on literature review and a cross-sectional questionnaire survey was conducted. Experienced home care nurses from visiting nurse ...
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The National Physician Survey (NPS) gathers opinions of physicians, medical residents and students across Canada. It is the largest census survey of its kind and provides insight from current and future doctors on a wide range of health care issues. It is produced in collaboration between the College of Family Physicians of Canada (CFPC), Canadian Medical Association (CMA) and the Royal College of Physicians and Surgeons of Canada (Royal College).
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TY - JOUR. T1 - General Practitioners' Perception of Risk for Travelers Visiting Friends and Relatives. AU - Heywood, Anita E.. AU - Forssman, Bradley L.. AU - Seale, Holly. AU - MacIntyre, C. Raina. AU - Zwar, Nicholas. PY - 2015/1/1. Y1 - 2015/1/1. N2 - Background General practitioners (GPs) are an important source of pre-travel health advice for travelers; however, only a few studies have investigated primary healthcare provider-related barriers to the provision of pre-travel health advice, particularly to travelers visiting friends and relatives (VFR). We aimed to investigate Australian GPs' knowledge, attitudes, and practices with regard to VFR travelers. Methods A postal survey was sent to randomly sampled GPs in Sydney, Australia, in 2012. The questionnaire investigated GPs' perception of risk and barriers to the provision of advice to VFR travelers. Results Of 563 GPs, 431 (76.6%) spoke a language other than English (LOTE) with 361 (64.1%) consulting in a LOTE. Overall, 222 (39.4%) GPs ...
DAYTON, OHIO-Wright State Physicians Obstetrics & Gynecology will offer an educational session about polycystic ovary syndrome (PCOS) on Thursday, Sept. 1, 6:30 to 7:30 p.m., in Classroom 1 on the second floor of the Wright State Physicians Health Center (725 University Blvd., Fairborn, OH 45324) on the campus of Wright State University. The session is free and open to the public.. The speaker is Steven R. Lindheim, M.D., M.M.M., director of the Wright State Physicians Obstetrics and Gynecology Fertility Program. He is a reproductive endocrinologist who is known nationally and internationally for his expertise in infertility, in-vitro fertilization, third-party reproduction, oncofertility, cryopreservation, bioethics and minimally invasive surgery. Lindheim also is a professor of obstetrics and gynecology at the Wright State University Boonshoft School of Medicine.. Lindheim will lead a discussion about PCOS, a condition in which a woman's hormones are imbalanced. This can cause problems with a ...
Pharmacovigilance Physician Jobs - Check out latest ✔ Pharmacovigilance Physician job vacancies @monster.com.ph with eligibility, salary, location etc. Apply quickly to various Pharmacovigilance Physician job openings in top companies!
Practice is an essential part of music training, but critical content-based analyses of practice behaviors still lack tools for conveying informative representation of practice sessions. To bridge this gap, we present a novel visualization system, the Music Practice Browser, for representing, identifying, and analysing music practice behaviors. The Music Practice Browser provides a graphical interface for reviewing recorded practice sessions, which allows musicians, teachers, and researchers to examine aspects and features of music practice behaviors. The system takes beat and practice segment information together with a musical score in XML format as input, and produces a number of different visualizations: Practice Session Work Maps give an overview of contiguous practice segments; Practice Segment Arcs make evident transitions and repeated segments; Practice Session Precision Maps facilitate the identifying of errors; Tempo-Loudness Evolution Graphs track expressive variations over the course of a
TY - JOUR. T1 - Impact of functional testing results on prescription patterns of anti-anginal medication after coronary artery bypass graft surgery. T2 - Results from the ROSETTA-CABG Registry. AU - Wou, Karen. AU - Nguyen, Hiep. AU - Duerr, Robert. AU - Del Core, Michael. AU - Fourchy, Dominique. AU - Huynh, Thao. AU - Lader, Ellis. AU - Rogers, Felix J.. AU - Chaudhry, Rashid. AU - Pilote, Louise. AU - Eisenberg, Mark J.. N1 - Copyright: Copyright 2008 Elsevier B.V., All rights reserved.. PY - 2006/6. Y1 - 2006/6. N2 - BACKGROUND: Although coronary artery bypass graft surgery (CABG) is known to reduce angina, previous studies have suggested that anti-anginal medication use is not significantly reduced after CABG. However, it is unclear how functional testing results have an impact on anti-anginal medication prescription patterns. OBJECTIVES: To determine whether post-CABG functional testing results impact prescription patterns of anti-anginal medication during the 12 months after CABG. ...
The school nurse functions as a leader and the coordinator of the school health services team. The team may also include a school physician, licensed practical nurses, health aides and clerical staff, school counselors, school psychologists, school social workers, and substance abuse counselors. The health team may also expand to create a coordinated school health team that integrates health services, health education, physical education, nutrition services, counseling/psychological/social services, healthy school environment, health promotion for staff, and family/community involvement.23 Occupational therapists, physical therapists, and speech-language pathologists may also be part of the school health team. A pediatrician often fills the school physician role, because pediatricians are knowledgeable about general pediatrics, school health, and adolescent health. School physicians review guidelines, policies, and programs related to health care in schools. In some schools, a pediatric or ...
We again urge you to use your discretion to revise the calculation of physician expenditures and to support efforts in Congress to replace the SGR policy. Specifically, we do not think physician expenditures should include the cost of prescription drugs furnished incident to a physician s service. As you know, drugs administered in a physician s office are not paid for under the physician fee schedule; including them in the estimates of spending under the fee schedule holds physicians accountable for an expense that is largely outside their control, and one that is rising very rapidly. In addition, we believe that the estimate of physician expenditures should be adjusted to account for increased outlays related to new national coverage decisions. Coverage decisions that expand beneficiary access to advancements in medical diagnosis and treatment should be treated in a manner similar to changes in law and regulation that are expected to affect outlays for physicians services. In our view, there ...
Recent activities of the Council of the British Medical Association related to ethical and public policy issues are described. The Council has been working to improve the network of local research ethics committees and favors the establishment of a national committee to review research proposals. It has been engaged in efforts to shape the Data Protection Act to safeguard the confidentiality of personal health records and to protect the confidentiality of minors who seek contraceptive advice without their parents' knowledge. Other Council concerns include advertising by the medical profession and the physician's role in law enforcement in Great Britain and in investigations of torture on the international scene. (KIE abstract) ...
The Rise of Electronic Health Record Adoption Among Family Physicians. Imam M. Xierali , and colleagues Background Electronic health records (EHRs) are generally expected to improve the quality of health care, lower health care costs, and provide patients with more involvement in their own health care. Achieving these benefits, however, depends on clinicians' use of the technology. This study estimates uptake of EHRs by US family physicians and other outpatient doctors, and looks at EHR adoption by state. What This Study Found Adoption of electronic health records by family physicians has doubled since 2005, reaching 68 percent nationally in 2011. Family physicians are adopting electronic health records at a higher rate than other office-based physicians and are likely to exceed 80 percent penetration by 2013 if the current trend continues. State-level analysis, however, indicates significant variation in EHR adoption, from a low of 44 percent in North Carolina to a high of 88 percent in Hawaii, ...
Adult, Aged, Antihypertensive Agents, Biomarkers, Blood Pressure, Cardiology, Cardiovascular Agents, Cardiovascular Diseases, Chronic Disease, Delivery of Health Care, Diabetes Mellitus, Type 2, Diabetic Angiopathies, Diagnostic Imaging, Diet, Drug Combinations, Early Diagnosis, Electronic Health Records, Evidence-Based Medicine, Exercise, Female, General Practice, Health Promotion, Hospitalization, Humans, Hypercholesterolemia, Hypertension, Life Style, Lipids, Male, Medication Adherence, Middle Aged, Nurse's Role, Obesity, Patient Selection, Physician's Role, Primary Health Care, Prognosis, Risk Assessment, Risk Reduction Behavior, Self Care, Smoking, Smoking Cessation, Smoking Prevention, Socioeconomic Factors, Stress, Psychological. ...
Antibiotics are commonly prescribed to critically ill patients throughout the world, with rates as high as 60%.1 A major concern is the almost universal observation that 31 - 77% of these are inappropriate.1-5 The inappropriate use of antibiotics is associated with increased morbidity, mortality and cost, and is a major driver in the emergence of resistant pathogens. Antibiotic prescription practices in South African intensive care units (ICUs) have not been described in the public or private sectors. Apart from its economic implications, this information is relevant because of the emergence of extremely high levels of drug resistance among Gram-negative bacilli in South Africa.6. As a continuum of the National Critical Care Audit, the Critical Care Society of Southern Africa (CCSSA) undertook a 1-day prevalence study of infection as a first step to ascertain the national profile of sepsis among critically ill patients.7-11 One aspect of the study was to ascertain antibiotic prescription ...
Primary care physicians in Germany are essential participants in infectious disease surveillance through mandatory reporting. Feedback on such surveillance should reflect the needs and attitudes of these physicians. These issues were investigated in a questionnaire survey among 8,550 randomly sampled physicians in Germany in 2001. Of the 1,320 respondents, 59.3% claimed not to have received any feedback on infectious disease surveillance, and 3.7% perceived feedback as not important. Logistic regression analysis showed that physicians in the former East Germany were 2.2 times more likely to have received feedback than those in the former West Germany. Physicians preferred to receive occasional reports (e.g., in case of outbreaks, 31.6%) as opposed to actively having to search for constantly updated information on the Internet (7.8%). The preferred formats were fax (31.7%), mail (30.9%), and the official organ of the German Medical Association (Deutsches Arzteblatt) (30.5%). Feedback of surveillance data
The study will provide additional safety data for specific safety events in persons receiving intravitreal injections. The Committee for Medicinal Products for Human Use (CHMP) is interested in obtaining additional safety information when Macugen is used in real world settings by practitioners in Europe treating patients with neovascular (wet) age-related macular degeneration (AMD). The study will provide information about physician practice patterns and characteristics of patients treated with Macugen ...
On November 1, the Centers for Medicare and Medicaid Services (CMS) released the final 2013 Medicare physician fee schedule rule, which sets the therapy cap amount on outpatient therapy services for 2013 at $1,900; updates 2013 payment amounts for physicians, physical therapists, and other health care professionals; and revises other payment policies. The therapy cap exceptions process will expire on December 31 unless Congress acts to extend it. Additional policies that will impact physical therapists include implementation of new functional status codes for reporting therapy services and updates to the Physician Quality Reporting System (PQRS).. The final rule includes a 26.5% across-the-board reduction to Medicare payment rates for physicians, physical therapists, and other professionals due to the flawed sustainable growth rate (SGR) formula. Since 2003, Congress had enacted legislation preventing the reduction every year. CMS announces that it is "committed to fixing the SGR update ...
Traditional Chinese medicine (TCM) has been used by Chinese patients and in many other countries worldwide. However, epidemiological reports and prescription patterns on children are few. A cohort of 178,617 children aged 18 and under from one million randomly sampled cases of the National Health Insurance Research Database was analyzed for TCM prescription patterns. SAS 9.1 was applied and descriptive medicine utilization patterns were presented. The cohort included 112,889 children treated by TCM, with adolescents (12- to 18-year-olds) as the largest group. In the children's TCM outpatient visits, Chinese herbal remedies were the main treatment. The top three categories of diseases treated with Chinese herbal remedies were respiratory system; symptoms, signs, and ill-defined conditions; and digestive system. The top three categories using acupuncture were: injury and poisoning, diseases of the musculoskeletal system and connective tissue, and diseases of the respiratory system. Of the top ten herbal
Each state has its own individual licensing boards along with their own Physician Assistant licensure requirements. The master's degree program in Physician Assistant Studies at the University of South Carolina is provisionally accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA), and by virtue of that accreditation, its graduates are eligible to sit for the Physician Assistant National Certifying Examination (PANCE). As of July 2020, all 50 states require graduation from an ARC-PA accredited program and National Commission on Certification of Physician Assistants (NCCPA) certification following the successful completion of the PANCE as conditions for initial PA licensure. Besides initial PANCE certification, we cannot confirm that the program meets any additional requirements for professional licensure in states other than South Carolina. Students seeking licensure outside of South Carolina should click here for information regarding state ...
Want to cross-reference your medical symptoms, read up on heart disease or map out an exercise plan? Simply key a few words into a search engine and you'll be bombarded with links to numerous health web sites. These days, all it takes is a computer with internet access and you've got a wealth of health information at your fingertips. The hard part is deciding whether that information can be trusted.. "The world wide web is well-named after its biological counterpart, the spider web," said Glenn Nemec, a Monticello family physician and member of the Minnesota Academy of Family Physicians. "The spider has to sift through dust, leaves and grass to get his meal. When it comes to medical information on the web, we humans have the same problem. We need to sort through a lot of junk to get stuff fit for consumption.". So how does the average person figure out what's good or bad information? Family physicians will tell you there is no foolproof way to do it without the help of your doctor - so don't ...
Background: Data from trials suggest that antibiotics reduce the risk of complications of sore throat by at least 50%, but few trials for complications have been done in modern settings, and datasets of delayed antibiotic prescription are underpowered. Observational evidence is important in view of poor compliance with antibiotic treatment outside trials, but no prospective observational cohort studies have been done to date. Methods: We generated a large prospective cohort from the DESCARTE study, and the PRISM component of DESCARTE, of 12829 adults presenting with sore throat (≤2 weeks duration) in primary care. Our follow-up of the cohort was based on a detailed and structured review of routine medical records, and analysis of the comparison of three antibiotic prescription strategies (no antibiotic prescription, immediate antibiotic prescription, and delayed antibiotic prescription) to control for the propensity to prescribe antibiotics. Information about antibiotic prescription was recorded in
Prescription pattern and prevalence of potentially inappropriate medications among elderly patients in a Nigerian rural tertiary hospital Joseph O Fadare,1 Segun Matthew Agboola,2 Olumide Augustine Opeke,3 Rachel A Alabi41Department of Medical Pharmacology and Therapeutics, Obafemi Awolowo University, Ile-Ife, Nigeria; 2Department of Family Medicine, 3Department of Internal Medicine, 4Pharmacy Department, Federal Medical Centre, Ido-Ekiti, NigeriaIntroduction: Polypharmacy and inappropriate prescriptions are prominent prescribing issues with elderly patients. Beers criteria and other guidelines have been developed to assist in the reduction of potentially inappropriate medications prescribed to elderly patients. The objectives of this study were to assess the prescribing pattern for elderly Nigerian outpatients and estimate the prevalence of potentially inappropriate medications among them using the Beers criteria.Methodology: This was a prospective cross-sectional study of elderly patients (65 years
Background: Clinical practice guidelines (CPG) are thought to be an effective tool in improving efficiency and outcomes of clinical practice. Physicians' adherence to guidelines is reported to be poor. We evaluated the relationship between generalizability of guidelines on hypertension and physicians' adherence to guidelines' recommendations for pharmacological treatment. Methods: We used the Sixth Joint National Committee's (JNC VI) guidelines on hypertension to evaluate our hypothesis. We evaluated the evidence from controlled clinical trials on which the JNC VI bases its recommendation, and compared the population enrolled in those trials with the American hypertensive population. Data on this population came from the National Health and Nutritional Examination Survey III. Results: Twenty-three percent of the NHANES population had a diagnosis of hypertension, 11% had hypertension requiring drug treatment according to the JNC VI. Only half of the population requiring treatment would have been ...
General practitioners increasingly use point-of-care ultrasonography despite a lack of evidence-based guidelines for their appropriate use in primary care. Little is known about the integration of ultrasonography in general practice consultations and the impact of its use on patient care. The purpose of this study was to explore general practitioners' experiences of using ultrasonography in the primary care setting. Adopting an explorative phenomenological approach, we performed semi-structured interviews with general practitioners who used ultrasonography in their daily work. Thirteen general practitioners were recruited stepwise, aiming for maximum variation in background characteristics. Interviews were conducted at the general practitioner's own clinic. Transcription and systematic text condensation analysis began immediately after conducting each interview. The general practitioners described using ultrasonography for both selected focused examinations and for explorative examinations. The two
Our study demonstrated that there are several inconsistencies in the perceptions of GP about diagnosis and management of axSpA, including AS. Most GP could provide an adequate description about "classic" AS and were aware of the fact that there is a substantial delay in diagnosis. GP also knew that there is a difference between MBP and IBP, but were unable to explain how to differentiate one from the other. Knowledge about the disease spectrum of axSpA and associated extraarticular manifestations was limited. All GP were aware of the benefits of physiotherapy and NSAID, and half of the GP knew that anti-TNF-α therapy can be prescribed in patients with axSpA.. Chronic back pain is a common symptom in the general population and it is estimated that in 5% of these cases axSpA is the underlying disease8. In about 75% of the patients with axSpA, the chronic back pain has an inflammatory character. Several criteria sets to define IBP have been proposed, consisting of several measures to differentiate ...
Medical practice for these physicians is limited to ethically approved medical research studies. Search the Primary Care Networks' website [4], On May 9, 1906, the Alberta Medical Profession Act was passed in the newly formed Alberta legislature. College of Physicians & Surgeons of Alberta Standard of Practice - sexual boundary violations 12. More contact options [2], While still part of the Northwest Territories, the NWT Medical Ordinance regulated the medical profession in the geographic regions that became the provinces of Alberta and Saskatchewan. New patients must meet the following patient selection criteria: Phone 780-756-1234 These physicians are not the most responsible physician in the care of patients and require supervision by the Program Lead or designate. These physicians are not the most responsible physician in the care of patients and require supervision by a medical investigator. These physicians are not the most responsible physician in the care of patients and require ...
Members of the ACCME Board of Directors and executive staff participated in a meeting of the Coalition for Physician Accountability held in August in Philadelphia. James F. Burke, MD, Vice-Chair, and Edward J. Susank, Treasurer, ACCME Board of Directors; and Murray Kopelow, MD, ACCME President and Chief Executive, participated in the meeting, which was hosted by the Educational Commission for Foreign Medical Graduates. The Coalition comprises national organizations responsible for physician assessment, accreditation, licensure, and credentialing. Its purpose is to advance the quality and safety of patient care by providing a forum for dialogue among members about ways to enhance physician accountability through continuous improvement of medical education, training, and practice. The ACCME is a charter member. Other charter members include the Accreditation Council for Graduate Medical Education, the American Board of Medical Specialties, the American Osteopathic Association, the Association of ...
TY - JOUR. T1 - Physician preferences and attitudes regarding different models of cancer survivorship care. T2 - A comparison of primary care providers and oncologists. AU - Cheung, Winson Y.. AU - Aziz, Noreen. AU - Noone, Anne Michelle. AU - Rowland, Julia H.. AU - Potosky, Arnold L.. AU - Ayanian, John Z.. AU - Virgo, Katherine S.. AU - Ganz, Patricia A.. AU - Stefanek, Michael. AU - Earle, Craig C.. PY - 2013/9/1. Y1 - 2013/9/1. N2 - Purpose: New strategies for delivering cancer follow-up care are needed. We surveyed primary care providers (PCPs) and oncologists to assess how physician attitudes toward and self-efficacy with cancer follow-up affect preferences for different cancer survivorship models. Methods: The survey of physician attitudes regarding the care of cancer survivors was mailed to a randomly selected national sample of PCPs and oncologists to evaluate their perspectives regarding physician roles, knowledge about survivorship care processes, and views on cancer surveillance. ...
TO THE EDITOR: From a patient-centered perspective, there is enough interest in natural family planning (NFP) to consider it as an option for family planning and gynecologic health. However, the authors of the article state that only one-half of physicians would provide information about NFP to patients who wish to prevent pregnancy. Our survey of 120 family medicine residency programs found that more than one-half of women's health faculty members were not familiar with modern methods of NFP, and 25% of these programs do not include NFP in the women's health curriculum.1 This knowledge gap among family physicians is a barrier to providing accurate information and referral for interested patients.. The authors cite a 76% user-effectiveness rating for NFP. This widely quoted figure, which perpetuates the knowledge gap, is derived from surveys of women with unintended pregnancies who were asked which family planning method they were using at the time of conception.2 From this number, all NFP ...
Tools for Practice articles in Canadian Family Physician are adapted from articles published twice monthly on the Alberta College of Family Physicians (ACFP) website, summarizing medical evidence with a focus on topical issues and practice-modifying information. The ACFP summaries and the series in Canadian Family Physician are coordinated by Dr G. Michael Allan, and the summaries are co-authored by at least 1 practising family physician. Feedback is welcome and can be sent to toolsforpractice{at}cfpc.ca. Archived articles are available on the ACFP website: www.acfp.ca. ...
Our educational tutorial was very successful in improving pediatric and family practice residents' general knowledge and knowledge of adverse events regarding childhood immunizations. Although some residents were well informed about the historical and ideological origins of parents' resistance to vaccination, most were not. The majority was unfamiliar with resources for accurate information, the nature of the reporting system for adverse events, physician involvement in the antivaccine movement, and the status of philosophical objections to immunization. A large portion of residents likewise had inaccurate beliefs about many of the clinical features that are (or are not) associated with routine childhood immunizations.. On all but 3 of the clinical measures, posttest knowledge improved significantly. For the 2 of 3 that did not (fever and seizures), it was subsequently noted that the wording and layout of the items in question lent themselves to misinterpretation. In the case of "Fever ,102°F ...
Given the recent flourish of new vaccines, concerns about vaccine supply and distribution, and financial ramifications, family physicians must have a better understanding of the process by which new vaccines come into routine use. Following appropriate phase 3 clinical trials for evaluation of a vaccine's safety and effectiveness, manufacturers submit a biologic license application to the U.S. Food and Drug Administration. Often during this period, a working group of the Advisory Committee on Immunization Practices (ACIP) is formed to address the underlying epidemiology and need; review the clinical data for safety, immunogenicity, effectiveness, and cost-effectiveness; and draft a recommendation for use. Following licensure, if sufficient need exists, a recommendation is typically brought to ACIP for discussion and vote at its next meeting.. Once a new recommendation has been approved by ACIP, it becomes a provisional CDC recommendation and is posted on the ACIP Web site ...
The series of studies by the Duke University group provided powerful, quantitative data to help explain why so many primary care physicians feel overwhelmed at work and why the delivery of preventive and chronic care services continues to fall below targeted goals. Our study extends the work of those authors by translating their data into estimates of what panel sizes might be reasonable for these physicians under different models for delivering primary care.. Many primary care physicians in the United States have panel sizes far exceeding 2,000 patients and work under a prevailing model whereby physicians continue to personally deliver most routine preventive and chronic services. Our results suggest that this traditional practice model would be viable only if a primary care physician could care for a panel of slightly fewer than 1,000 patients. This finding makes it clear why some primary care physicians have gravitated toward concierge models of practice, with panel sizes of fewer than 1,000 ...
Past President of the FAFP. Dr. Sandra Argenio served as a Consultant in the Department of Family Medicine at Mayo Clinic Florida and Assistant Professor of Family Medicine at Mayo Medical School. She joined Mayo Clinic in 1992 and continues as an Emeritus member of the Family Medicine Department. Dr. Argenio has nurtured new generations of doctors, was instrumental in the development of the Family Medicine Residency at Mayo Clinic Florida and served as the program's first residency director. She has trained and mentored over 150 family medicine residents.. Dr. Argenio served as the President of the Florida Academy of Family Physicians in 2005 and has been active on many committees of the FAFP and the American Academy of Family Physicians.. She has been active in CME program planning at Mayo Clinic and the Florida Academy of Family Physicians, conducting Maintenance of Certification Workshop sessions on multiple topics for over 1,100 participants at FAFP meetings.. Dr. Argenio had a leading role ...
Joining a weight-loss program may be the best bet for obese people who want to lose weight, a new study suggests.. Obese survey participants who reported losing at least 10 percent of their body weight in the previous year were more likely to have joined a weight-loss program, compared with those who hadn't lost that amount of weight.. Participants who reported losing at least 5 percent of body weight in the previous year were more likely to say they ate less fat, exercised more and used prescription weight-loss medications.. Eating diet foods and products, taking nonprescription diet pills, and using popular diets were less successful strategies, according to the researchers.. "This suggests that the structure of being in a program may be more important," said study researcher Dr. Jacinda Nicklas, of Harvard Medical School in Boston. Moreover, "it is possible that some dieters may be overeating diet products because they believe they are healthy, or low in calories.". The study showed ...
In October, the Oakland, Calif.-based Kaiser Permanente integrated health system released the first large studies of its proprietary Panel Support Tool. That tool, first rolled out in 2006, uses Web-based software that extracts information from Kaiser's HealthConnect electronic medical record (EMR) to help physicians improve and manage their patients' care. Kaiser officials say the two studies are the first to examine the effectiveness of the Panel Support Tool in a large, diverse patient population.. Kaiser Permanente leaders developed the Panel Support Tool in-house in order to help their primary care physicians manage the care of individual patients, groups of patients, or their entire panels. It works by comparing the care a patient is receiving to the care recommended by national guidelines. A physician can, for example, query the Panel Support Tool in advance of a patient visit, to find out if that patient needs a screening test or a vaccination. Physicians can also ask the Panel Support ...
Family medicine doctors play an important role in pediatric care, and it is important to include those busy clinicians in the practice's quality improvement (QI) approach. Understanding the context in which QI interventions take place is essential to building the science of QI and making it useful to the front line of practice clinicians.9 The ORPRN Child Health Measures Survey describes the value of CHIPRA child health quality measures in terms of physician priorities.. Nationwide, family medicine physicians provide a medical home for one third of the current US child population and, in rural Oregon settings, family physicians are the main source of care for ,80% of the regions' children.2,10 The decreasing scope of care provided by family physicians may affect the motivation of clinicians to make child health measures a priority. Fewer family physicians are performing deliveries, with a decline from 17.0% in 2003 to 10.1% in 2009.11 Our survey reports that only 27% of responding rural Oregon ...
Letting your children play physician when they're youthful is a great way to have them accustomed to visiting a physician when it's time to allow them to have a trip. It may be frightening as a 4 or 6 years old to visit the physician the very first time. Allowing them to have fun with physician outfits could make them convenient.. First you need to go to your local Halloween or costume store since this is a good option to locate physician outfits. After you have selected a dress-up costume then you need to set a while aside so your kids can also enjoy playing physician together. It can help these to 't be afraid once they visit the physician.. Next, be sure to speak to your children about visiting the physician and explain the objective of a physician. You need to keep the kids minds comfortable because visiting the physician could be a frightening factor on their behalf. Should you inform them that it's Alright to be frightened but listed here are the advantages of going to the physician then ...
The American College of Physicians is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.. The American College of Physicians designates this journal-based CME Activity, Annals articles, for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.. The American College of Physicians designates this Enduring Material, In the Clinic, for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.. The American College of Physicians designates this Enduring Material, ACP Ethics Manual, Sixth Edition, for a maximum of 10 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.. The American College of Physicians designates this Enduring ...
A study in the September 8 issue of JAMA says that patients panels with greater proportions of underinsured patients were associated with lower physician quality rankings.
By the year 2020, when many in my generation of physicians are no longer practicing, healthcare will look very different due to the Affordable Care Act (ACA). The road ahead will require a lot of collaboration between physicians, hospitals, health plans, patients, and more. Physician leadership is now needed and wanted at all levels. And I think it is very important that younger physician leaders-the physicians who will actually be practicing in the future-join in the planning for and leadership of that future.. I am never surprised at just how talented and well-rounded physicians are. And I am not just talking about physicians that I work with, but all who successfully navigated med school. So the question is not whether there are enough good young leaders, but how they can most effectively be engaged and then empowered to lead?. Our medical group has recognized the value of physician leadership for decades. We promote mentorship by senior leaders, conduct a number of leadership courses every ...
IntroductionThe urban family physician program for increase the utilization of health services has been implemented in Fars and Mazandaran provinces since 2012. In this way, this study aimed to determine the benefit level for population covered by the urban family physician program in Iran.Materials and MethodsThis cross-sectional study was conducted in 2017. Participants on the households covered by the urban family physician program; were selected by random cluster sampling. The data collection tool was a researcher-made questionnaire consisting of 2 parts: individual variables and benefit level of health services with 33 open and closed questions; its validity and reliability were confirmed.ResultsAmong 1768 households with a population of 5628 people, 5521(98.1%) had one type of basic insurance. 0.31% of the people who had supplementary insurance. The average time between the home and the work place for the family physician was 18.6±18.9 minutes on foot and 5.7±5.1 by car.
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In 2015, approximately 114,089 physicians specialized in internal medicine making it the leading specialty among active physicians. Of all active physicians in the U.S., 567,845 physicians were male and 292,003 were female.