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Journal articles on the topic 'Medical specialists'

Author: Grafiati

Published: 4 June 2021

Last updated: 19 February 2022

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1

de Cocq, Eva, and Theresa Redl. "Neurologe of liever neuroloog?" Tijdschrift voor Taalbeheersing 43, no. 1 (May 1, 2021): 35–63. http://dx.doi.org/10.5117/tvt2021.1.002.deco.

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Abstract The effect of female job titles on the credibility of medical specialists Speakers of Dutch as spoken in the Netherlands often use masculine job titles for female professionals. We tested the influence of gender(in)congruent job titles on the credibility of medical specialists in Dutch as spoken in the Netherlands. More specifically, we investigated whether the credibility of female medical specialists is boosted by referring to them with a masculine job title (e.g., neuroloog ‘neurologist (masc.)’) as opposed to a feminine job title (e.g., neurologe ‘neurologist (fem.)’). We also tested if this effect is moderated by participant gender. We constructed three news articles in which a medical specialist – either a neurologist, oncologist or a surgeon – shared their opinion on a health topic. The medical specialist was referred to by either the masculine or the feminine job title, thereby being incongruent or congruent with the female medical specialist’s actual gender, respectively. After having read the article, participants had to rate the medical specialist on several dimensions, based on which we calculated the health professional’s perceived credibility. The results of this study showed a significant difference between female and male participants regarding the influence of gender(in)congruent job titles on the credibility of medical specialists. Women perceived male and female medical specialists as equally credible, regardless of their job titles. Men, on the other hand, evaluated the credibility of female medical specialists to be lower when they were referred to with a masculine job title. Gender congruent job titles thus increase female medical specialists’ credibility from the perspective of men.

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2

Coppo, Rosanna. "Interaction among medical specialists." Journal of Nephrology 25, Suppl. 19 (2012): 1. http://dx.doi.org/10.5301/jn.5000139.

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3

BROWN, HEATHER, and THERESE M. MADEY. "MEDICAL RECORDS SPECIALISTS RESPOND." Nursing 22, no. 4 (April 1992): 4. http://dx.doi.org/10.1097/00152193-199204000-00001.

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4

Bingham, Hal G. "Recertification for Medical Specialists." Plastic and Reconstructive Surgery 83, no. 3 (March 1989): 567. http://dx.doi.org/10.1097/00006534-198903000-00047.

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5

Turtle, Elizabeth, Anna Vnuk, and Vivian Isaac. "Distribution of male and female procedural and surgical specialists in Australia." Australian Health Review 45, no. 2 (2021): 235. http://dx.doi.org/10.1071/ah19179.

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ObjectiveThis study examined the distribution of the sexes across Australian medical procedural specialties in 2017 and investigated the proportion of currently registered female specialists based on their graduation date from 1969 to 2008. MethodsA cross-sectional analysis of current Australian procedural and surgical specialists registered with the Australian Health Practitioner Registration Agency as of January 2017 was undertaken. Participants included 4851 surgical specialists (594 female, 4257 male) and 14948 specialists in specialties with high levels of procedural clinical work (4418 female, 10530 male). The number of male and female specialists across each procedural specialty and the medical school graduation date of current female specialists were analysed. ResultsIn 2017, female fellows represented only one in 10 surgeons and three in 10 procedural specialists. All surgical specialties are underrepresented by female specialists. Cardiology is least represented by female practitioners (one in 10), followed by intensive care and ophthalmology (two in 10). General surgery, otolaryngology and urology saw more female specialists with graduation dates between 1983 and 2003 compared with the other surgical specialties. ConclusionThe number of female practitioners registered as specialists is increasing, but they continue to be underrepresented at specialist level across many procedural and surgical specialties. What is known about the topic?Although the number of female students entering medical school now outnumbers that of males, female practitioners remain underrepresented at the specialist level. What does this paper add?Surgery continues to be underrepresented by female specialists, but general surgery, otolaryngology and urology have shown increases in females reaching specialist level. All procedural specialties have shown increasing numbers of female practitioners reaching the specialist level. What are the implications for practitioners?All surgical specialties and nearly all procedural specialties need to adopt evidence-based practices to make their training programs both appealing and sustainable to female trainees in order to work towards achieving gender parity.

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Pierce, J. Thomas. "Exposure Assessment: Industrial Hygiene and Safety." Journal of Pharmacy Practice 13, no. 1 (February 2000): 82–85. http://dx.doi.org/10.1177/089719000001300107.

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Poison information specialists use a wide variety of consultants in the process of fielding calls. One group with whom they may appear to have the least in common is the industrial safety and health specialists. By knowing more about their respective backgrounds, both these specialists can benefit, ultimately making better clinical decisions on any given patient exposure event that they may be responding to. In terms of training, there are some important differences to note with respect to the poison information specialist and industrial safety and health specialist.

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Higgins, Niall S., Kersi Taraporewalla, Michael Steyn, Rajesh Brijball, and Marcus Watson. "Workforce education issues for international medical graduate specialists in anaesthesia." Australian Health Review 34, no. 2 (2010): 246. http://dx.doi.org/10.1071/ah09793.

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International medical graduate (IMG) specialists in anaesthesia need education to be part of the assessment process for pre-registration college fellowship. Fellowship of the anaesthetic college is required in Australia for registration as a specialist in this field. Marked differences exist between local trainees and IMG specialists in terms of training, stakes of the exam and isolation of practice. We have examined the reasons for the low pass rate for IMG specialists compared to the local trainees in the Australian and New Zealand College of Anaesthetists (ANZCA) final fellowship examinations. We also offer an IMG specialists’ view of this perceived problem. It highlights their difficulties in obtaining adequate supervision and education. What is known about the topic?There has been a worldwide shortage of doctors over the last decade. In Australia this shortage has been attributed to government policy in the 1990s limiting the number of medical school places. Other factors that may have contributed to this shortage are changes in the practice of medicine, increasing specialisation, growth in population and patterns of population settlement at the coastal fringes of Australia. The use of international medical graduates and reliance on them is associated with several problems and challenges. A key factor relates to their performance at a standard acceptable to the country. What does the paper add?This paper offers an examination of the issues that present to IMG specialists located at rural and remote areas of Australia. The global aim of this study is to understand the workforce education issues that present to IMG specialists as a basis for supporting this group, having migrated to Australia, to better prepare for assessment of their practice in this country. Results of a survey of IMG specialists in Anaesthesia are included to contribute to an overall view. It highlights their understanding of the issues that present when preparing for specialist assessments. What are the implications for practitioners?This information will be useful for policy practitioners who determine critical elements that influence workforce planning and education support. Decision makers will be able to make more informed decisions on the need to integrate education into planning for workforce efficiencies. There are currently no published data explaining why the pass rate for IMG specialist in anaesthesia is so different from local trainees and this paper also offers a viewpoint of present issues from those who are attempting these examinations.

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Kukushkin, S. K., A. A. Spassky, and E. M. Manoshkina. "Periodic accreditation of medical specialists." Academy of medicine and sports 1, no. 2 (December 18, 2020): 21–22. http://dx.doi.org/10.15829/2712-7567-2020-2-12.

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Accreditation of specialists in the medical education system began to be applied on January 1, 2016. Two types of accreditation (primary and primary specialized) have already been introduced into the educational practice of medical educational institutions and are successfully functioning. The third type of accreditation — periodic accreditation will start functioning from January 1, 2021.

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Airey, Nick, and Stuart McLaren. "Drug services in England and Wales: a survey of treatment providers and their medical leads." Psychiatric Bulletin 30, no. 4 (April 2006): 140–42. http://dx.doi.org/10.1192/pb.30.4.140.

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Aims and MethodWe undertook a postal questionnaire survey of drug action teams in England and Wales with the aim of clarifying the nature of statutory specialist drug services.ResultsOf 159 drug action teams, 110 (69%) responded; 64 (58%) reported that mental health trusts exclusively provided their specialist drug services. Other providers were primary care and acute trusts, the non-statutory sector and social services. The majority of medical leads were psychiatrists (123 senior posts with 20% vacant/occupied by a locum), then general practitioners (GPs) (42) and other specialists (4).Clinical ImplicationsSpecialist drug services are offered by a range of treatment providers, with the medical lead being taken by GPs and other specialists in some areas. In view of the current difficulty in recruiting psychiatrists, we propose that alternative training pathways are considered for addiction specialists.

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BURLIBAŞA, Mihai, Viorel PERIEANU, Radu COSTEA, Consuela GHIUŢĂ, Ioana GRIGORESCU, Mădălina Violeta PERIEANU, Mihai DAVID, et al. "Practical and theoretical implications of medical tourism on dental practitioners and technicians." Romanian Journal of Medical Practice 11, no. 2 (June 30, 2016): 177–86. http://dx.doi.org/10.37897/rjmp.2016.2.13.

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Objective. The purpose of this study is to draw attention of dental medicine specialist’s team on risks they are exposed to, by modifying treatment plans in order to fit medical tourism programs. Material and method. In this study a questionnaire was applied to a number of 173 dentists with different specializations, regarding the adaption of treatment options for patients from medical tourism programs and risks posed by changes they had applied. Results. The analysis of results shows that the treatment approach for medical tourists is mostly based on a multidisciplinary team. In terms of quality of the treatment it is distinguished the use of specialists focused on specific fields of dentistry, but we must not neglect the fact that the therapeutical act is adapted to a reduced treatment time. Conclusions. For most of professionals of dental tourism, the financial aspect comes first and not the ethical aspect of medical care.

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Kirby, Emma, Alex Broom, Phillip Good, Julia Wootton, and Jon Adams. "Medical specialists’ motivations for referral to specialist palliative care: a qualitative study." BMJ Supportive & Palliative Care 4, no. 3 (December 14, 2012): 277–84. http://dx.doi.org/10.1136/bmjspcare-2012-000376.

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Burlova, Natal'ya. "Nursing administrators' using the system approach in evaluation of ongoing professional education of nurses." Medsestra (Nurse), no. 7 (July 1, 2020): 45–51. http://dx.doi.org/10.33920/med-05-2007-08.

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Purpose of the study was the substantiation of using the model, personalised evaluation of the results of ongoing medical education of middle-level specialists for the subsequent planning of a specialist's educational paths based on multi-factorial analysis. Results. It has been established that using the model based on mathematical modelling allows monitoring the ongoing professional development of each specialist, drawing up a plan based on data on how to create an individual educational path according to the most significant factors improving the result of ongoing medical education. Conclusion. The further studying of using the method of the formalized evaluation into the evaluation of the results of ongoing medical education is necessary.

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13

Molleman, Eric, and Floor Rink. "Professional Identity Formation amongst Medical Specialists." Medical Teacher 35, no. 10 (April 22, 2013): 875–76. http://dx.doi.org/10.3109/0142159x.2013.786817.

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Wu, K., L. S. Schmelz, and S. M. Doshi. "Medical Information Specialists: Benchmarks in Practice." Therapeutic Innovation & Regulatory Science 47, no. 2 (March 1, 2013): 190–97. http://dx.doi.org/10.1177/0092861512461442.

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CASPARIE, ANTON F., DOEKE POST, WIM H. VAN HARTEN, and JAN W. GUBBELS. "Differences in production between medical specialists." European Journal of Public Health 3, no. 4 (1993): 292–95. http://dx.doi.org/10.1093/eurpub/3.4.292.

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by John S. Lloyd, Edited, Donald G. Langsley, and H. Bruce Williams. "Evaluating the Skills of Medical Specialists." Plastic and Reconstructive Surgery 78, no. 5 (November 1986): 690. http://dx.doi.org/10.1097/00006534-198611000-00028.

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KRAUSHAR, MARVIN F. "MEDICAL MALPRACTICE EXPERIENCES OF VITREORETINAL SPECIALISTS." RETINA 23, no. 4 (August 2003): 523–29. http://dx.doi.org/10.1097/00006982-200308000-00013.

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Wu, Kimberly, Laura Smith Schmelz, and Sara M. Doshi. "Medical Information Specialists: Benchmarks in Practice." Therapeutic Innovation & Regulatory Science 47, no. 2 (March 2013): 190–97. http://dx.doi.org/10.1177/2168479012461442.

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Midttun, Linda. "Medical specialists’ allocation of working time." Health Policy 83, no. 1 (September 2007): 114–27. http://dx.doi.org/10.1016/j.healthpol.2007.01.010.

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Hemmington, Amy, Nicola Dalbeth, Paul Jarrett, Alan G. Fraser, Reuben Broom, Peter Browett, and Keith J. Petrie. "Medical specialists' attitudes to prescribing biosimilars." Pharmacoepidemiology and Drug Safety 26, no. 5 (February 24, 2017): 570–77. http://dx.doi.org/10.1002/pds.4186.

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Haslerud, Torjan, Andreas Julius Tulipan, Robert M. Gray, and Martin Biermann. "E-learning for medical imaging specialists: introducing blended learning in a nuclear medicine specialist course." Acta Radiologica Open 6, no. 7 (July 2017): 205846011772085. http://dx.doi.org/10.1177/2058460117720858.

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Background While e-learning has become an important tool in teaching medical students, the training of specialists in medical imaging is still dominated by lecture-based courses. Purpose To assess the potential of e-learning in specialist education in medical imaging. Material and Methods An existing lecture-based five-day course in Clinical Nuclear Medicine (NM) was enhanced by e-learning resources and activities, including practical exercises. An anonymized survey was conducted after participants had completed and passed the multiple choice electronic course examination. Results Twelve out of 15 course participants (80%) responded. Overall satisfaction with the new course format was high, but 25% of the respondents wanted more interactive elements such as discussions and practical exercises. The importance of lecture handouts and supplementary online material such as selected original articles and professional guidelines was affirmed by all the respondents (92% fully, 8% partially), while 75% fully and 25% partially agreed that the lectures had been interesting and relevant. Conclusion E-learning represents a hitherto unrealized potential in the education of medical specialists. It may expedite training of medical specialists while at the same time containing costs.

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Shi, Yongbing, Michael J. A. Robb, and Elias M. Michaelides. "Medical Management of Tinnitus: Role of the Physician." Journal of the American Academy of Audiology 25, no. 01 (January 2014): 023–28. http://dx.doi.org/10.3766/jaaa.25.1.3.

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Tinnitus is a common auditory complaint that can be caused by many auditory as well as nonauditory systems diseases. Comorbidities including insomnia, anxiety, and depression are common in severe tinnitus. Other factors such as personality characteristics and socioeconomic difficulties can also contribute to tinnitus distress. Management of tinnitus therefore requires diagnosis and treatment expertise by physicians to adequately address existing etiologies and comorbidities, as well as relevant expertise by nonphysician specialists such as audiologists and psychologists. In assessing the efficacy of tinnitus treatments, nonspecific effects such as placebo effects must be taken into consideration. Management of complex tinnitus cases often requires a multidisciplinary team approach. Physicians and nonphysician specialists need to promptly refer patients to relevant specialist colleagues for adequate evaluation and treatment when such needs are present.

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Park, Kwihwa, and Young-Mee Lee. "Burnout among Medical Education Specialists in Korean Medical Colleges." Korean Medical Education Review 16, no. 2 (June 30, 2014): 92–98. http://dx.doi.org/10.17496/kmer.2014.16.2.092.

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WHITE, Peter. "Medical professionalism and continuing professional development for medical specialists." Australian and New Zealand Journal of Obstetrics and Gynaecology 44, no. 3 (June 2004): 186–90. http://dx.doi.org/10.1111/j.1479-828x.2004.00245.x.

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Midttun, Linda, and Terje P. Hagen. "The private–public mix of healthcare: evidence from a decentralised NHS country." Health Economics, Policy and Law 1, no. 3 (June 2, 2006): 277–98. http://dx.doi.org/10.1017/s1744133106003045.

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Privatizations of public services are often driven by economic scarcity and changes in political leadership, in particular election victories for conservative or neoliberal political parties. Data from Norwegian counties on numbers of medical specialists in secondary care over a period of 11 years (1991–2001) allow us to analyse effects of economic, socioeconomic, and political factors on supply of both public and private specialists and the private–public mix. We find striking variations between the main explanatory factors related to public and private supply. Supply of public specialists is explained by counties' revenue levels and demographic factors and is not affected by the party composition of councils. The supply of private specialist medical services is negatively related to the proportion of elderly patients. The scarcity hypothesis is confirmed as lower county revenue levels increase both the absolute and relative proportions of private supply. Political composition of councils affects the private proportion of medical specialists as increased representation of conservatives leads to privatization.

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Burlova, Natalya Gennadievna, and Natalya Nikolaevna Gerbel. "Assessment of the conditions for the introduction of modern nursing technologies on the example of the surgical department of the state budgetary healthcare institution of Samara region «Togliatti city clinical hospital NO. 1»." Medsestra (Nurse), no. 7 (June 20, 2021): 58–71. http://dx.doi.org/10.33920/med-05-2107-05.

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The purpose of the study was to substantiate a model for assessing the conditions for the introduction of modern nursing technologies in a medical organization. Results. It has been established that the criteria for assessing the conditions can be the theoretical and practical preparedness of the medical staff of the department, the presence of a system and the results of continuous professional development of specialists, the motivation of specialists to innovate. Mathematical modeling was used as a method for assessing conditions. Conclusion. A comprehensive assessment of the conditions, expressed as an integral value, made it possible to identify the strengths and weaknesses of the most important driving force behind the introduction of innovations — the staff of a medical organization. The developed model made it possible, at the stage of making a decision on the introduction of an innovation, to determine the level of knowledge and practical skills of working specialists, evaluate this component using relative values, and identify a shortcoming in the practical training of a specialist. To study the level of professional development of a specialist using the developed model for assessing CPD. Assess, using psychological techniques, the readiness of the team to innovate. As part of our study, it was revealed that the individual integral indicators of three specialists are above the boundary value and are the driving force, the indicators of ten people are within the limits between the boundary values. These specialists are almost ready to innovate. The values of the integral indicators of 6 specialists are in the negative zone, the indicators of three people from the entire group are located below the boundary values. Thus, in this team, 18 % of specialists can slow down the process of introducing innovations.

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Gaberson, Kathy. "Clinical Nurse Specialists." AORN Journal 72, no. 5 (November 2000): 774–76. http://dx.doi.org/10.1016/s0001-2092(06)62008-5.

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Robinson, James C., Stephen M. Shortell, Diane R. Rittenhouse, Sara Fernandes-Taylor, Robin R. Gillies, and Lawrence P. Casalino. "Quality-Based Payment for Medical Groups and Individual Physicians." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 46, no. 2 (May 2009): 172–81. http://dx.doi.org/10.5034/inquiryjrnl_46.02.172.

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This paper measures the extent to which medical groups experience external pay-for-performance incentives based on quality and patient satisfaction and the extent to which these groups pay their primary care and specialist physicians using similar criteria. Over half (52%) of large medical groups received bonus payments from health insurance plans in the period 2006–2007 based on measures of quality and patient satisfaction. Medical groups facing external pay-for-performance incentives are more likely to pay their primary care physicians (odds ratio [OR] 4.5; p<.001) and specialists (OR 2.5; p=.07) based on quality and satisfaction. Groups facing capitation payment incentives to control costs are more likely to pay member physicians on salary and less likely to pay based on productivity (p<.001 for primary care; p<.05 for specialists) than groups paid by insurers on a fee-for-service basis.

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Nilsen, Line Lundvoll, and Anne Moen. "Teleconsultation – collaborative work and opportunities for learning across organizational boundaries." Journal of Telemedicine and Telecare 14, no. 7 (October 2008): 377–80. http://dx.doi.org/10.1258/jtt.2008.007012.

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Over a period of five months we observed teleconsultations between general practitioners (GPs) in community care and specialists in hospitals in two Norwegian health regions (A and B). In total, 47 teleconsultations between GPs and specialists were recorded. In region A, teleconsultations were organized when needed to discuss specific medical problems. In region B, teleconsultations took place during the specialists' daily morning meeting. The teleconsultations lasted for 5–40 min. There were three categories of talk. In the first two there was information exchange for patient updates and practical organization of the service. The third category, consultation, was the communicative process in which the GP and the specialist engaged in collaborative work, primarily discussing medical problems related to decision-making in patient care. Regular use of teleconsultation opens access to different repertoires of knowledge and experience, and brings knowledge to the point of patient care and medical decision-making.

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Nikogosyan, Levon, and Yulia Aseyeyva. "AXIOLOGICAL APPROACH IN FUTURE MEDICAL SPECIALISTS’ TRAINING." Science and Education 30, no. 4 (April 2017): 33–38. http://dx.doi.org/10.24195/2414-4665-2017-4-6.

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Spiridonov, Stayko I. "CAUSES FOR INEFFECTIVE COMMUNICATION BETWEEN MEDICAL SPECIALISTS." Journal of IMAB - Annual Proceeding (Scientific Papers) 23, no. 3 (July 3, 2017): 1623–26. http://dx.doi.org/10.5272/jimab.2017233.1623.

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Yakovyshena, Liudmyla. "Professional Training of Medical Specialists: International Experience." Comparative Professional Pedagogy 8, no. 4 (December 1, 2018): 60–64. http://dx.doi.org/10.2478/rpp-2018-0055.

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Abstract The article deals with international experience in medical professional education and analyzes the modern trends in professional training of junior medical officers, specificity of their professional training in 1 and 2 accreditation levels institutions of higher medical education in the context of the European integration process. Subject Benchmark Statements of Ukrainian higher education were defined as a list of requirements for knowledge, abilities and skills in solving professional tasks. It is emphasized that targeted development of professional competecy is viewed as the most important practical objective of an educational institutions. It is specified that professional training of future nurses in Ukrainian medical colleges is characterized by certain advantages and disadvantages. Ukrainian and international experience in medical education was comparatively analyzed. The American, Canadian and European systems of professional training for medical specialists were considered. It is found that American colleges provide comprehensive and multilevel training for nursers. It is highlighted that integrated three-hour classes are the leading form of the education process organization in Canada. It combines theoretical and practical training. Considerable attention was paid to determining the current trends in the organization and functioning of nurse education in Europe, the USA and Canada. Based on the analysis of professional training junior medical officers in some European countries, the USA and Canada, it is concluded that it is esseintial to take into account positive aspects of European, American and Canadian experience in nure education while planning reforms in Ukraine.

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Moran, Mark. "AMA Backs 'Medical Home' Despite Specialists' Concerns." Psychiatric News 43, no. 24 (December 19, 2008): 4–5. http://dx.doi.org/10.1176/pn.43.24.0004.

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Swinkels, J. A. "Reregistration of medical specialists in the Netherlands." BMJ 319, no. 7218 (October 30, 1999): 1191–92. http://dx.doi.org/10.1136/bmj.319.7218.1191.

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Balestra, Dominic J. "Specialists or Generalists? The Medical Outcomes Study." JAMA: The Journal of the American Medical Association 268, no. 12 (September 23, 1992): 1537. http://dx.doi.org/10.1001/jama.1992.03490120051015.

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Lasker, Roz Diane. "Specialists or Generalists? The Medical Outcomes Study." JAMA: The Journal of the American Medical Association 268, no. 12 (September 23, 1992): 1537. http://dx.doi.org/10.1001/jama.1992.03490120051016.

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Balestra, D. J. "Specialists or generalists? The Medical Outcomes Study." JAMA: The Journal of the American Medical Association 268, no. 12 (September 23, 1992): 1537a—1537. http://dx.doi.org/10.1001/jama.268.12.1537a.

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Lasker, D. "Specialists or generalists? The Medical Outcomes Study." JAMA: The Journal of the American Medical Association 268, no. 12 (September 23, 1992): 1537b—1538. http://dx.doi.org/10.1001/jama.268.12.1537b.

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Lexa, Frank James, and Jonathan Berlin. "Strategic Marketing: An Introduction for Medical Specialists." Journal of the American College of Radiology 3, no. 3 (March 2006): 171–74. http://dx.doi.org/10.1016/j.jacr.2005.10.014.

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Owens, Brian. "Medical specialists break away from OMA at “worst possible time” warns Quebec specialist group." Canadian Medical Association Journal 191, no. 3 (January 20, 2019): E85—E86. http://dx.doi.org/10.1503/cmaj.109-5702.

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Gumenyuk, S. A., and D. V. Ivanchin. "Principles of Training of Medical Specialists of Air Medical Teams." Disaster Medicine, no. 1 (March 2020): 62–65. http://dx.doi.org/10.33266/2070-1004-2020-1-62-65.

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Scholten, G. R. M., and T. E. D. van der Grinten. "Integrating medical specialists and hospitals. The growing relevance of collective organisation of medical specialists for Dutch hospital governance." Health Policy 62, no. 2 (November 2002): 131–39. http://dx.doi.org/10.1016/s0168-8510(02)00008-8.

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Scholten, Gerard R. M., and TED van der Grinten. "The integration of medical specialists in hospitals. Dutch hospitals and medical specialists on the road to joint regulation." Health Policy 72, no. 2 (May 2005): 165–73. http://dx.doi.org/10.1016/j.healthpol.2004.07.002.

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-, Priya, Ambreen Munir, Nida Talpur, and Suneel Kumar Punjabi. "MEDICAL EMERGENCIES;." Professional Medical Journal 24, no. 05 (May 6, 2017): 665–69. http://dx.doi.org/10.29309/tpmj/2017.24.05.1287.

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Objectives: To asses and manage medical emergencies in the dental setupsof Hyderabad city. Methodology: Study Design: Descriptive Cross Sectional study. Setting:General and Specialist dentists of Hyderabad city. Period: June 2015 to January 2016. Inthis study population of 187 dentists were enlisted practicing either in public or private setupof Hyderabad, Sindh. Questionnaire designed to obtain information about their experience.Results: (59.89%) of the graduate dentists having less than 5 years clinical experienceand (40%) have clinical experience of more than 5 years, qualification, 114 (60.63%) of thepractitioner had fundamental dental aptitude and 73 (39.0 %) were specialists with differentpostgraduate aptitude. Medical emergency workshops attended, (60.96%) General dentistsand Specialist had undertaken BLS course, commonly occurring emergency was vasovagalsyncope with the prevalence of 103(55.0%) and availability of drugs and equipment’s wereOral Glucose (90%), Aspirin (86%) and Sprit Ammonia (78%) usually available drugs kept bythe Clinical Setup to handle the emergency procedures. Conclusion: Dental practitioners ofcity Hyderabad are able to identify and handle medical crisis, however most of the doctorseither not properly trained to contract with these circumstances or they have poor assets todeal with medical emergencies. Improvement in knowledge of dentists through speculative anddemonstrable educational courses, availability of emergency drugs, equipment’s and advancegroundwork for the emergency management of the patients is required.

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Asmaryadi, Asmaryadi, Syahrir A. Pasinringi, Lalu M. Saleh, and Anwar Mallongi. "The Effects of Public Service Motivation to Medical Specialist’s Organizational Citizenship Behavior at Haji Makassar Hospital and Kota Makassar Hospital." Open Access Macedonian Journal of Medical Sciences 8, T2 (September 15, 2020): 168–71. http://dx.doi.org/10.3889/oamjms.2020.5221.

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BACKGROUND: Public service motivation (PSM) aims to underline the individual appreciation associated with public interest. If PSM is connected with organizational citizenship behavior (OCB), then the effectiveness is expected to be manifested in the increase of service quality. AIM: This study aimed to analyze the effect of PSM to the medical specialist’s OCB of Haji Makassar Regional Public Hospital and Makassar Regional Public Hospital. METHODS: This research is quantitative research using analytic observational design with cross-sectional approach. The population in this research are all medical specialists at Haji Makassar Regional Public Hospital and Makassar Regional Public Hospital with the total of 72 people. Meanwhile, the samples of medical specialists in this research are exhaustive sampling. This research uses questionnaires and the data are tested using logistic regression test. RESULTS: The logistic regression test shows that there is an effect of PSM on OCB (p = 0.000). This research is expected to be an input for hospital management to pay attention about the human resources, in this case medical specialist so that in the future, it will create good quality services. CONCLUSION: Based on the research conducted, it can be concluded that there is an effect between PSM and the doctor’s OCB at Haji Regional Public Hospital and Makassar Regional Public Hospital. The higher the doctor’s PSM is then the OCB will be higher too to doctors in Haji Regional Public Hospital and Makassar Regional Public Hospital.

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Heilmann, Rachel MF, Stephanie M. Campbell, Beverly A. Kroner, Jenel R. Proksel, Sarah J. Billups, Daniel M. Witt, and Dennis K. Helling. "Evolution, Current Structure, and Role of a Primary Care Clinical Pharmacy Service in an Integrated Managed Care Organization." Annals of Pharmacotherapy 47, no. 1 (January 2013): 124–31. http://dx.doi.org/10.1345/aph.1r495.

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The impact of the declining number of primary care physicians is exacerbated by a growing elderly population in need of chronic disease management. Primary care clinical pharmacy specialists, with their unique knowledge and skill set, are well suited to address this gap. At Kaiser Permanente of Colorado (KPCO), primary care clinical pharmacy specialists have a long history of integration with medical practices and are located in close proximity to physicians, nurses, and other members of the health care team. Since 1992, Primary Care Clinical Pharmacy Services (PCCPS) has expanded from 4 to 30 full-time equivalents (FTEs) to provide services in all KPCO medical office buildings. With this growth in size, PCCPS has evolved to play a vital role in working with primary care medical teams to ensure that drug therapy is effective, safe, and affordable. In addition, PCCPS specialists provide ambulatory teaching sites for pharmacy students and pharmacy residents. There is approximately 1 specialist FTE for every 13,000 adult KPCO members and every 9 clinical FTEs of internal medicine and family medicine physicians. All clinical pharmacy specialists in the pharmacy department are required to have a PharmD degree, to complete postgraduate year 2 residencies, and, as a condition of employment, to become board certified in an applicable specialty. The evolution, current structure, and role of PCCPS at KPCO, including factors facilitating successful integration within the medical team, are highlighted. Patient and nonpatient care responsibilities are described.

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Fastivetz, Anna V., Pavlo V. Khomenko, Valentyna V. Onipko, Anatoliy V. Emetc, and Yevheniia O. Skrinnik. "MEDICAL ASPECTS OF SPECIALIST TRAINING IN PHYSICAL THERAPY AND ERGOTHERAPY IN THE SYSTEM OF HIGHER EDUCATION OF UKRAINE." Wiadomości Lekarskie 72, no. 5 (2019): 1098–102. http://dx.doi.org/10.36740/wlek201905228.

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Introduction: In today’s conditions, the aggravation of health and demographic problems in Ukraine arose the urgent need for physical rehabilitation and restoration of the health of our citizens by means of a non-medical nature. Under such conditions, specialists in physical therapy and ergotherapy become subjects of medical, social and psychological assistance, associates of the improvement of physical qualities, psycho-emotional stability and adaptation reserves. The aim of the study is to develop and substantiate the medical aspects of training a specialist in physical therapy and ergotherapy in the system of higher education in Ukraine. Materials and methods: To achieve the goal, a set of research methods, in particular theoretical ones, is used: historical-comparative and logical, terminological, quantitativequalitative (bibliometry), generalization, abstraction, analysis and synthesis, modeling, studying documents; empirical: observation, survey, analysis of products of activity, complex pre-nasol diagnostics. Conclusions: The theoretical synthesis of domestic and foreign experience is carried out and the author’s approach to solving an important and actual scientific problem of forming the medical competence of future specialists in physiotherapy and ergotherapy is proposed. An analysis of the international experience of training physical rehabilitation specialists has made it possible to identify the most promising American and European models that have a number of significant differences in the principles of organization and financing of pedagogical processes, professional etiquette and self-discipline of specialists.

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May, Jennifer, Judi Walker, Mathew McGrail, and Fran Rolley. "It’s more than money: policy options to secure medical specialist workforce for regional centres." Australian Health Review 41, no. 6 (2017): 698. http://dx.doi.org/10.1071/ah16159.

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Objectives Regional centres and their rural hinterlands support significant populations of non-metropolitan Australians. Despite their importance in the settlement hierarchy and the key medical services provided from these centres, little research has focused on their issues of workforce supply and long-term service requirements. In addition, they are a critical component of the recent growth of ‘regional’ hub-and-spoke specialist models of service delivery. Methods The present study interviewed 62 resident specialists in four regional centres, seeking to explore recruitment and retention factors important to their location decision making. The findings were used to develop a framework of possible evidence-informed policies. Results This article identifies key professional, social and locational factors, several of which are modifiable and amenable to policy redesign, including work variety, workplace culture, sense of community and spousal employment; these factors that can be targeted through initiatives in selection, training and incentives. Conclusions Commonwealth, state and local governments in collaboration with communities and specialist colleges can work synergistically, with a multiplicity of interdigitating strategies, to ensure a positive approach to the maintenance of a critical mass of long-term rural specialists. What is known about the topic? Rural origin increases likelihood of long-term retention to rural locations, with rural clinical school training associated with increased rural intent. Recruitment and retention policy has been directed at general practitioners in rural communities, with little focus on regional centres or medical specialists. What does this study add? Rural origin is associated with regional centre recruitment. Professional, social and locational factors are all moderately important in both recruitment and retention. Specialist medical training for regional centres ideally requires both generalist and subspecialist skills sets. Workforce policy needs to address modifiable factors with four groups, namely commonwealth and state governments, specialist medical colleges and local communities, all needing to align their activities for achievement of long-term medical workforce outcomes. What are the implications for practitioners? Modifiable factors affecting recruitment and retention must be addressed to support specialist models of care in regional centres. Modifiable factors relate to maintenance of a critical mass of practitioners, training a fit-for-purpose workforce and coordinated effort between stakeholders. Although remuneration is important, the decision to stay relates primarily to non-financial factors.

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Marr, I., and S. Sabesan. "Video linked medical oncology clinics: A novel way to improve patients’ access to medical oncology services in rural Australia." Journal of Clinical Oncology 27, no. 15_suppl (May 20, 2009): e17573-e17573. http://dx.doi.org/10.1200/jco.2009.27.15_suppl.e17573.

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e17573 Background: To improve the access of Mt Isa patients to medical oncologists, Townsville Cancer Centre runs weekly medical oncology clinics via videolink. Aim of this study was to assess patient satisfaction, safety of chemotherapy delivery, and cost effectiveness of such technology. Methods: Between 2006 and 2008, 42 patients were seen. A questionnaire based survey was conducted by telephone to assess patient's level of satisfaction and quality of communication. Safety of chemotherapy delivery was evaluated by retrospective chart audit. Results: 25 patients completed the questionnaire. Six were new patients and the rest were for review leading to more than 90 encounters. Satisfaction: 100% of those interviewed were satisfied with the care given by the Townsville Cancer Centre. Of these 88% felt they developed a friendly relationship with the specialist. 90% felt medication could be taken without any concerns after videolink. 27% of patients interviewed felt examination was needed by the specialist, but 92% of the patients would rather see the specialist via videolink than travel to Townsville. Overall 96% felt it saved time, money and was convenient. Responses, apart from the question about the need for physical examination by the specialist, were more than 80% in agreement. Safety: 32 patients received active therapy. 60% were treated with palliative intent and the rest adjuvant. The median number of cycles was 5 (1–8). A total of 4 patients were admitted for complications- 2 for febrile neutropenia and 2 for emesis.There were no treatment related deaths. Cost effectiveness: Factors for consideration were cost of patient and specialist travel and accommodation,cost of interruption of routine clinics at specialists’ home, cost of video link apparatus and maintenance and cost of disturbance of quality of life for patients and doctors resulting from travel. Conclusions: Satisfaction with video linked clinics is high. It saves travel time for the patients and specialists and seems to be cost effective. It is safe to supervise chemotherapy administration using this technology. Therefore, this method of service delivery could be adopted by medical oncology departments to improve services to the rural and remote areas. No significant financial relationships to disclose.

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Abrams, Dominic J. "How to develop a clinic for sudden cardiac arrest survivors and families of non-survivors." Cardiology in the Young 27, S1 (January 2017): S3—S9. http://dx.doi.org/10.1017/s104795111600216x.

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AbstractThe investigation of the aetiology of sudden cardiac arrest or death in a young person combines features of a traditional clinical medical examination with those of forensic medicine. Nuances of the immediate peri-event history, when available, can be paramount. New genetic tools have greatly improved the yield of such investigations, but they must be carefully interpreted by genetic specialists. The approach to surviving patients, their family members, and to family members of non-survivors is best achieved in a structured programme that includes all appropriate specialists and support personnel. As an example, this may include all appropriate paediatric and internal medicine specialists, a geneticist, a genetic counsellor, a clinical psychologist, nurse specialist(s), and a programme coordinator. This family-centred strategy affords the patient, if surviving, and all family members the necessary emotional and medical support while at the same time providing the necessary diagnostic and therapeutic approaches.

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