<i>Background:</i> Recruitment and retention of medical staff are important issues in rural health. The aim of this study was to describe and understand the perceptions of women doctors working in rural hospitals in South Africa about their work. <br><i>Methods:</i> This was a descriptive study, using a qualitative methodology. Free attitude interviews were conducted with 14 women doctors. Themes were identified and tested against the data and comments from the research diary. <br><i>Results:</i> The main theme was balance. A rural woman doctor has to juggle different issues, including running the household and responsibilities at work. Other themes that were identified included the reason for working at a rural hospital, attitudes to rural life, opportunities for personal and professional growth, the feeling of being needed in a rural hospital, advantages and disadvantages for
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:. ...
DBC Back in Top, Eye Care centre in Top, Pharmacist in Top, Hospital doctor in Top, Family Doctor in Top, Health and wellness service in Top, Family practitioner in Top, Dermatologist in Top, Dentist in Top, Clinic doctor in Top, Chiropractor in Top, Family medical centre in Top, Medical Centres in Top, Plastic and Reconstructive Surgeon in Top, Care Centres in Top, Health wellness centre in Top, Executive Medical in Top, Health and wellness coach in Top, Dental centres in Top, Neck Pain Clinics in Top, Skin Doctor in Top, Chiropractors in Top, Beauty Clinics in Top, Psychologist in Top, Baby Clinic in Top, Pathology in Top, Registered Counsellors in Top, Family doctor in Top, Psychologists in Top, Optometrist in Top, Health centres in Top, Female Family Doctors in Top, Therapist in Top, Health and wellness company in Top, Doctor G in Top, Dermatology in Top, Lancet Laboratory in Top, Lancet Labs in Top, Dental care in Top, Clinical Psychologist in Top, Eye Clinic in Top, Gyn Doctor in Top, Plastic
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 ...
Physician Jobs. Search physician jobs in all specialties nationwide. Find jobs by city and state in family medicine, internal medicine, emergency medicine and hundreds more specialties. Find permanent or locum tenens physician jobs plus nurse practitioner and physician assistant jobs.
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).
More to come," says vice dean for faculty. On Nov. 1, 2005, The Johns Hopkins University School of Medicine will celebrate the milestone of having promoted more than 100 women to full professorships at the Johns Hopkins University School of Medicine. The celebration, scheduled to begin in the Turner Auditorium on campus at 7:45 a.m., will include a symposium featuring 2004 Nobel Laureate Linda Buck Ph.D., a Howard Hughes Medical Institute investigator at the University of Washington, Seattle, as keynote speaker. Also featured are Hopkins faculty member Catherine DeAngelis, M.D, editor in chief of the Journal of the American Medical Association; Cokie Roberts of ABC News and more than a dozen of Johns Hopkins leading women physicians and scientists.. The School of Medicine, which opened in 1893, leads the country as the institution with the largest percentage of female medical faculty who have been promoted to full professor. "We have come a long way, and there are more to come," says Janice ...
Search 565 Physician jobs in Brooklyn Ny at Ladders. Join Ladders to find the latest Brooklyn Ny Physician jobs such as Physician Assistant, Medical Director, Family Medicine Physician and get noticed by over 22,000 recruiters.
Check out for the latest news on Family Physicians Association along with Family Physicians Association live news at Times of India
Florence Rena Sabin was one of the first women physicians to build a career as a research scientist. She was the first woman on the faculty at Johns Hopkins University School of Medicine, building an impressive reputation for her work in embryology and histolology (the study of tissues). She also overturned the traditional explanation of the development of the lymphatic system by proving that it developed from the veins in the embryo and grew out into tissues, and not the other way around. Florence Sabin was born in Central City, Colorado, and grew up in Denver, Chicago, and Vermont. She and her sister Mary were raised in part by their uncle and grandparents after their mother died in childbirth in 1877. The family was supportive of education for girls and women, so the sisters received a good secondary education, and both attended Smith College.. Sabins talent for science was evident when she was still in high school, and when she realized that she was a good but not brilliant pianist, she ...
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 womans hormones are imbalanced. This can cause problems with a ...
Insurance denials are one of the major factors that affect a physicians revenue even though health reforms do address some issues faced by patients and physicians in dealing with insurance companies, the denial rate of claims has not significantly altered due to such reforms. These insurance denials are avoidable especially as they create problems for physicians and providers and delay or even eliminate the possibility of proper provider reimbursement. Dealing with insurance companies is tough enough for experienced physicians; it is even tougher for new physicians who have limited hands-on experience in such matters.. The reforms have played a significant role in reining in insurance companies and some of these policies may work but still remain to be fully tested. The survey conducted by The United States Department of Health and Human Services finds that the rate of denial is 19% but the denial rate increases with the age group of the patient. People who are older face more denials compared ...
The authors who recently reviewed the barriers that inhibit the implementation of hypertension management guidelines in Canada1 neglected to mention what might be one of the most important factors: the powerful influence of pharmaceutical manufacturers marketing campaigns on physician practice patterns.2 The freebie phenomenon was addressed in a news item in the same issue of CMAJ in which the review appeared.3 Flip through the pages of that particular issue and you will come across 5 glossy advertisements promoting angiotensin-converting-enzyme inhibitors or AT1 receptor blockers in the treatment of hypertension. Clinical practice guidelines are reflected only in footnotes in tiny print stating that the drugs being advertised are indicated when treatment with diuretics or β-blockers is ineffective or not appropriate.. If the groups that create clinical practice guidelines are wondering how to influence physicians practices more effectively across the country, perhaps they should take a ...
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 physicians role in law enforcement in Great Britain and in investigations of torture on the international scene. (KIE abstract) ...
Yes, he was guilty. But what about the other doctors who prescribed this for Jackson, or the fact that Jackson basically went shopping for a doctor whod prescribe whatever he wanted? The fact that Jackson was having to pay a doctor almost $2m a year suggests that he realised there would be rule-bending involved - no-one gets paid that for a straightforward physicians role, not even in the confused world of Michael Jackson.. I certainly believe Murray to be responsible for the timing of Jacksons death - if hed given better care or called the emergency services sooner, the King Of Crap Music would have survived a bit longer. But ultimately, this was only ever going to end one way, and Jacksons the only person to blame for the way he went out.. Posted 6 years ago ...
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 ...
Cross-Sectional Studies, Decision Making, Hospitals; Teaching/standards, Humans, Medical Staff; Hospital/*standards, Physicians Practice Patterns, Prescriptions; Drug/*standards, Quality of Health Care/standards, Research Support; Non-U.S. Govt ...
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 ...
to the editor: Our practice cares for all its hospitalized patients (adults and children), so I have been dismayed that many family physicians and generalists have given up hospital-based care. This movement has occurred despite high-quality evidence demonstrating no improvement in outcomes or cost savings from specialists in hospital medicine. I was pleased to read the "Tips from Other Journals" by Dr. Kripke that reviewed the study from the New England Journal of Medicine.1 This study showed that family physicians provide inpatient care on par or superior to that of general internists and hospitalists.1 In this study, the small reduction in length of stay (0.4 days) in patients cared for by hospitalists actually translated to zero cost improvement compared with hospitalized patients cared for by family physicians. Surprisingly, the closing line in that study stated that "there remains a need to understand how hospitalist systems should be structured in order to improve the quality and outcomes ...
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 youll be bombarded with links to numerous health web sites. These days, all it takes is a computer with internet access and youve 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 whats good or bad information? Family physicians will tell you there is no foolproof way to do it without the help of your doctor - so dont ...
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: Antibiotics are frequently prescribed for upper acute respiratory tract infections (ARI) in the emergency department. To reduce inappropriate overprescribing, it is necessary to understand factors influencing physicians decisions to prescribe antibiotics. Objective: Analyze the judgment policies of emergency physicians to determine factors predicting antibiotic use. Design: Paper case vignette study. Participants: 104 emergency physicians from Wisconsin. Measurements: We used judgment analysis to derive the policies of 104 emergency physicians from their responses to 20 case vignettes. We designed the cases such that each physicians use of clinical findings and patient factors could be inferred from the decisions they made about each case. Findings were compared to primary care practitioners (PCPs) in Colorado responding to the same paper cases to examine differences in factors influencing prescribing among the two groups. Results: The emergency physicians said they would prescribe an
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 Committees (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 practitioners 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 ...
Statesville is home to two North Carolina unique and exciting festivals; the Statesville Pumpkin Festival and the Carolina BalloonFest. These two festivals combined feature great entertainment, food, arts and crafts, hot air balloons and much more. Beyond festivals, Statesville is also home to numerous attractions and activities including Historic Downtown Statesville, Lake Norman, NASCAR, Fort Dobbs, Love Valley, Zootastic Park, golf, outlet shopping, unique local cuisine, museums and even gem mining. Conveniently located near Charlotte, the town has something to offer everyone.. Why Practice with ApolloMD?. Provider owned and operated, ApolloMD partners with more than 100 hospitals and health systems to provide Emergency Medicine, Hospital Medicine, Anesthesia and Radiology services, treating more than three million patients each year. ApolloMD allows Physicians and Physician Assistants to practice with local autonomy, while providing the support of a national group. Physicians and Physician ...
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 ...
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 ...
BACKGROUND: Physicians current attitudes and practices toward the management of high cholesterol levels in patients with recent acute myocardial infarction are not well defined. OBJECTIVE: To examine threshold levels of serum cholesterol and other factors that influence physicians decision to prescribe lipid-lowering drugs and initiate dietary therapy in patients with recent acute myocardial infarction. METHODS: Community-wide questionnaire survey of general internists, cardiologists, and family physicians practicing in the Worcester, Mass, metropolitan area. RESULTS: Among the 257 responding physicians, lipid-lowering drug therapy was more likely to be initiated in younger patients at lower total serum and low-density lipoprotein (LDL) cholesterol levels than in older patients (P =.03). Younger physicians were more likely to initiate dietary and lipid-lowering drug therapy at lower total and LDL cholesterol levels than their older counterparts. Younger physicians also considered LDL cholesterol level
TY - JOUR. T1 - Breast cancer screening. T2 - Effect of physician specialty, practice setting, year of medical school graduation, and sex. AU - Turner, B. J.. AU - Amsel, Z.. AU - Lustbader, E.. AU - Schwartz, J. S.. AU - Balshem, A.. AU - Grisso, J. A.. PY - 1992. Y1 - 1992. N2 - We surveyed physicians of different specialties in a large metropolitan area to determine how their characteristics affected their performance and beliefs about breast cancer screening. Of 664 general internists, obstetrician-gynecologists, and cardiologists surveyed, we received 298 responses (45%). We found significant differences in reported performance of breast cancer screening and physicians beliefs about mammography screening among practising obstetrician-gynecologists, internists, and cardiopulmonary specialists. Cardiopulmonary specialists performed the fewest breast examinations and screening mammograms and were most likely to believe annual mammography screening unnecessary even for women in their 50s. We ...
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. ...
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 ...
BACKGROUND: Nursing in Australian general practice has grown rapidly over the last decade in response to government initiatives to strengthen primary care. There are limited data about how this expansion has impacted on the nursing role, scope of practice and workforce characteristics. This study aimed to describe the current demographic and employment characteristics of Australian nurses working in general practice and explore trends in their role over time. METHODS: In the nascence of the expansion of the role of nurses in Australian general practice (2003-2004) a national survey was undertaken to describe nurse demographics, clinical roles and competencies. This survey was repeated in 2009-2010 and comparative analysis of the datasets undertaken to explore workforce changes over time. RESULTS: Two hundred eighty four nurses employed in general practice completed the first survey (2003/04) and 235 completed the second survey (2009/10). Significantly more participants in Study 2 were ...
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 Kaisers 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 ...
in reply: We appreciate Dr. Kaufmans concerns regarding the anticipatory guidance that women receive about the treatment for a miscarriage. Extensive literature exists on the pain associated with the first-trimester aspiration procedure.1,2 Many authors conclude that the psychological state of the woman has the greatest influence on her perception of pain. As we point out in our article, patient preference about treatment choice is paramount. The article focuses on strategies that an office-based family physician can offer for management of miscarriage. However, after receiving accurate counseling regarding all aspects of the procedure (including logistics, timing, pain control, and cost), if the patient prefers a hospital-based procedure to expectant or medical management, or an office-based procedure, her preference should be honored.. We find that with this counseling nearly all women elect to stay within the family medicine office because this allows them to have a support person of their ...
to the editor: The article1 and editorial2 on care of patients with human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) in the January 15, 2006, issue of American Family Physician emphasized the important medical services that family physicians can provide for patients infected with HIV, including health care maintenance, baseline evaluation and laboratory studies, and monitoring to guide the initiation of antiretroviral therapy and prophylaxis against opportunistic infections.. The role of family physicians will need to shift toward routine HIV screening for nearly all of our patients. The Centers for Disease Control and Prevention (CDC) recently released new guidelines that recommend making HIV testing routine.3 The new federal guidelines will recommend one-time HIV testing for everyone between 13 and 64 years of age, with annual testing for those with risk factors. The new CDC guidelines are not consistent with those issued by the U.S. Preventive Services Task ...
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 ...
TY - JOUR. T1 - Impact of Physician Race on Patient Decision-Making and Ratings of Physicians. T2 - a Randomized Experiment Using Video Vignettes. AU - Saha, Somnath. AU - Beach, Mary Catherine. PY - 2020/4/1. Y1 - 2020/4/1. N2 - Background: Studies suggest that black patients have better interactions, on average, with physicians of their own race. Whether this reflects greater "cultural competence" in race-concordant relationships, or other effects of race unrelated to physician behavior, is unclear. It is also unclear if physician race influences patient decision-making. Objective: To determine whether physician race affects patients ratings of physicians and decision-making, independent of physician behavior. Design: Randomized study using standardized video vignettes. Participants: Primary care patients with coronary risk factors or disease. Interventions: Each participant viewed one of 16 vignettes depicting a physician reviewing cardiac catheterization results and recommending coronary ...
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.
Our study found that Hong Kong physicians made the decision to encourage cervical screening and to participate in the CSP or to follow its guidelines based primarily upon their clinical and business practice needs rather than upon the scientific evidence. The low rates of adoption of the CSP can be attributed to the physicians perceptions that the programs complexity and incompatibility exceeded its relative advantages. Furthermore, womens knowledge, attitudes and practices, identified as barriers by physicians, were also barriers to physicians adopting the CSP. Our study finding of the physicians negative perceptions of the program, coupled with the individual nature of the patient-physician screening decision, indicate that the programs strategic focus on the private sector physician should be re-assessed to either add physician incentives or to refocus on increasing population-based demand.. Both private and public health care systems have struggled to disseminate evidence-based ...
Building on more than 20 years of experience with telephonic and behavioral change programs, National Jewish Medical and Research Center has launched a unique weight-loss program that relies on customized personal coaching, Internet education and support, and wireless activity monitors and scales. The program builds on a successful prototype previously offered to residents of rural Colorado. Five thousand members of the Colorado Public Employees Retirement Association (PERA) will be the first customers to benefit from the program, called PERAFit.
Find tips for how to choose a safe and successful weight-loss program, including what to look for in a program and what kind of questions to ask.
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.
The HQCA is partnering with CII-CPAR. If you are participating in CII-CPAR, and interested in receiving a Confirmed Patient List (CPL) report, you do not need to submit your CPL to the HQCA. Simply request your CPL report from the HQCA annually. Your CII-CPAR list can be used to generate your CPL report.. If you are NOT participating in CII-CPAR, please click on the links below to request a report. One of the benefits of participating in CII-CPAR is that your Primary Health Care Patient Panel Report will be based on a more accurate patient panel. To get started, contact the CII-CPAR team at 1.866.505.3302 or [email protected] ...
Get John Bostock Physician essential facts. View Videos or join the John Bostock Physician discussion. Add John Bostock Physician to your PopFlock.com topic list or share. John Bostock Physician at popflock.com
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.