Dissertations / Theses: 'Physicians'

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Swiatek-Kelley, Janice. "Physician Information Seeking Behaviors: Are Physicians Successful Searchers?" NSUWorks, 2010. http://nsuworks.nova.edu/gscis_etd/360.

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In the recent past, physicians found answers to questions by consulting colleagues, textbooks, and professional journals. Now, the availability of medical information through electronic resources has changed physician information-seeking behaviors. Evidence-based medicine is now the accepted decision-making paradigm, and a physician's ability to locate best practice guidelines through electronic information resources has become an essential skill. As physicians struggle to stay current in the wake of an ever-growing volume of medical information, several electronic resources claim to provide one-stop access to the most current information with correct and complete answers to problems encountered in the practice of health care. The complexity of medical information, however, prevents one resource from meeting all of a physician's information needs. The research described here sought to identify which resources physicians used to find answers for a particular area of inquiry, identify the appropriateness of their resource selection, and compare the choices with their satisfaction with their results. A questionnaire was e-mailed to a randomized group of family practice physicians asking them to indicate which resources they use to answer questions that arise within their professional practice. Physicians were also asked to rate the attributes of these resources. Their responses revealed that physicians do not always select the correct resource and are not necessarily confident even when they do select the correct resource. Physicians did not demonstrate a global overview of the strengths and weaknesses of information resources, but rather, consistently chose the same resources in approximately the same order regardless of the information they were seeking. The results of this study indicate that physicians do not understand the scope and capabilities of the resources they are using. This research has produced recommended guidelines to provide health information professionals with a course of action to restructure physician training. These guidelines cover such concepts as vetting a resource, selecting the correct resource for a topic of interest, when to partner with an information professional, an overview of the resources their patients may be using, and a synopsis of other features to support information literacy.

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Woods-Duvendack, Tammy Hines Edward R. "Customer satisfaction an integral component of hospital strategy /." Normal, Ill. : Illinois State University, 2003. http://wwwlib.umi.com/cr/ilstu/fullcit?p3115183.

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Thesis (Ph. D.)--Illinois State University, 2003.
Title from title page screen, viewed Oct. 15, 2004. Dissertation Committee: Edward R. Hines (chair), Kenneth H. Strand, Ross A. Hodel, Zeng Lin. Includes bibliographical references (leaves 92-99) and abstract. Also available in print.

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Santana-Cebollero, DeAnna. "Physician Well Being and Patient Satisfaction Among Employed Physicians." ScholarWorks, 2014. https://scholarworks.waldenu.edu/dissertations/167.

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Understanding physician well-being may help prevent physician burnout, improve the quality of care they provide to their patients, reduce medical errors, and improve patient satisfaction. Using the biopsychosocial-spiritual theory as the conceptual framework, this quantitative study examined the relationship between: (a) physician well-being and patient satisfaction, (b) physician gender and physician well-being, (c) primary care providers' and specialists' well-being, (d) patient satisfaction based on physician specialty, and (e) the duration of practice and physician well-being. All of the 87 employed physicians in a Florida regional hospital were invited to respond to a physician well-being questionnaire; a response rate of 58.4% was achieved. Patient satisfaction information was obtained through archived data of 4,500 patient surveys. Data were analyzed utilizing linear regression to examine the relationship between patient satisfaction and duration of physicians' practice, with the dependent variable, physician well-being. Two logistic regression analyses were utilized to examine (a) differences between physician well-being, gender, and specialty; and (b) differences between patient satisfaction and physician specialty. There were no significant relationships evident; however, it was speculated that the nonsignificance may be due to the small available sample of physicians. Future research on physician well-being may use the current findings to refine the conceptual framework and increase the understanding of how physician well-being can prevent physician burnout, improve the quality of care they provide to their patients, reduce medical errors, and improve patient satisfaction. Future research in this area will have the potential to increase the quality of patient care that will address positive social change.

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Gillen, Kristin. "Understanding attitudes toward nurse/physician collaboration in practicing nurses and physicians /." abstract and full text PDF (free order & download UNR users only), 2007. http://0-gateway.proquest.com.innopac.library.unr.edu/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1447815.

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Thesis (M.S.)--University of Nevada, Reno, 2007.
"May 2007." Includes bibliographical references (leaves 38-41). Online version available on the World Wide Web. Library also has microfilm. Ann Arbor, Mich. : ProQuest Information and Learning Company, [2007]. 1 microfilm reel ; 35 mm.

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Smith, Kimberly A. "Physicians in 21st century healthcare: developing physician leaders for the future." Diss., Kansas State University, 2014. http://hdl.handle.net/2097/17380.

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Doctor of Philosophy
Department of Educational Leadership
Sarah Jane Fishback
This bounded case study explored ten purposefully selected physician participants’ perceptions of the effectiveness of an eight session, two year in-house physician leadership development program at a major Academic Medical Center (AMC) in the Midwest. While physicians are generally educated to care for patients in their specialty area, reforms necessitate the need for physician leadership involvement in metric tracking by healthcare organizations in order to provide a focus on quality patient care and safety. Participants indicated finding the course effective, especially the negotiations and finance modules. These modules provided new language, a better understanding of processes and an opportunity to develop skills through interactive class exercises such as case studies. Participants described an increased self-awareness of their interpersonal skills and expressed a desire for greater exposure to emotional intelligence principles. Participants experienced a transformational shift in how they constructed their identity as a physicians and leaders, and questioned assumptions about the physician’s role in healthcare. While effective in initiating a process of exploration, this course was not sufficient to meet the goals and objectives of the program. Therefore, recommendations for the advanced course included a focus on leadership competencies identified by Dye and Garman (2006) as cited by Dye and Sokolov (2013), emotional intelligence, and transformational leadership.

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Visser, Henriette. "An exploration of the nature of a private general medical practice as a social system : a case study." Thesis, Nelson Mandela Metropolitan University, 2009. http://hdl.handle.net/10948/884.

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This research study explores in general the nature of a private general medical practice [PGMP] and whether analysis of the PGMP as a social system can lead the Group Dynamics Practitioner towards developing interventions that will enhance group effectiveness in the PGMP support staff group. The main assumption is that, through the application of a framework of analysis based on that of G. C. Homans and the AGIL functional prerequisites developed by T. Parsons, a structured analysis of the external and internal variables that impact on the PGMP as a social system can be undertaken. The findings of the analysis would lead to the formulation of interventions that would improve the performance effectiveness of the PGMP as a social system. Following a two-questionnaire survey of 17 practices that provided demographic information as well as soft skills training needs, a single PGMP was identified for the case study. Data pertaining to the group as a social system were collected, and by using direct observation, content analysis and a sociometric test, the practice support staff sub-system, being the main focus of this research, could be analysed. By linking the findings to the elements of the framework of analysis, areas of ineffective group functioning could be identified and interventions suggested. This research indicates that the choice of soft skills is associated with the nature and size of the practice, as well as the dynamics of the sociometric patterns characteristic of the relations within the practice support staff subsystem; that while some practice support staff have preferences for sociometric task and socio-emotional relations outside their work clusters, these seem to serve as a buffer against clique forming, thus enhancing the function of integration within the social system as a whole; and that the physical practice layout, and the interaction dynamics that it creates, tend to hinder integration between the members of the practice support staff group, as a social subsystem.

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Сулим, Людмила Григорівна, Людмила Григорьевна Сулим, and Liudmyla Hryhorivna Sulym. "Ancient arabian physicians." Thesis, Видавництво СумДУ, 2011. http://essuir.sumdu.edu.ua/handle/123456789/15956.

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Ozaki(Utsugi), Makiko. "Physician Job Satisfaction and Quality of Care Among Hospital Employed Physicians in Japan." 京都大学 (Kyoto University), 2010. http://hdl.handle.net/2433/97939.

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Fleming, Wanda C. "Strategies for Recruiting and Retaining Rural Emergency Department Physicians." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3880.

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Recruiting and retaining physicians to work in rural emergency departments (EDs) have reached a crisis level, threatening the availability of services to rural residents. In this study, a case study design was used to explore strategies that rural ED administrators use to recruit and retain physicians to work in their facilities. The study population consisted of 5 rural hospital administrators operating EDs in central Mississippi. These administrators were charged with the responsibility to recruit and retain ED physicians. The on-going staffing of ED physicians, with no lapses in coverage, was evidence that these administrators successfully recruited and retained ED physicians at their facilities. The conceptual framework that grounded this study was strategic human resource management. Semistructured interviews were used to collect data from participants, and the modified van Kaam method of data analysis was used to create and cluster themes, validate data, and to construct and describe textural meaning. One of the dominate themes that emerged from the study was the challenge of maintaining rural ED physician coverage. Deterrents to maintaining ED coverage included insufficient pools of available physicians, changing technological demands, and financial constraints. A second dominate theme permeating the study was the insufficient focus on retention of rural ED physicians. Study findings may contribute to social change by providing a replicable recruitment and retention model for recruiting and retaining rural ED physicians. The most successful strategies to recruit and retain ED physicians, as identified in this study, were provision of financial incentives and development of a sense of family and community.

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Gillmore, Elizabeth Hardy Sprowls. "Improving patient satisfaction by training emergency department physicians to respond to patient behavior." Diss., This resource online, 1993. http://scholar.lib.vt.edu/theses/available/etd-06062008-171308/.

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Pantenburg, Birte, Melanie Luppa, Hans-Helmut König, and Steffi G. Riedel-Heller. "Burnout among young physicians and its association with physicians’ wishes to leave." Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-205160.

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Background: Concerns about burnout, and its consequences, among German physicians are rising. However, data on burnout among German physicians are scarce. Also, a suspected association between burnout and German physicians’ wishes to leave remains to be studied. Therefore, the extent of burnout, and the association between burnout and wishes to leave clinical practice or to go abroad for clinical work was studied in a sample of young physicians in Saxony. Methods: In a cross-sectional survey, all physicians ≤40 years and registered with the State Chamber of Physicians of Saxony, Germany (n = 5956) received a paper-pencil questionnaire inquiring about socio-demographics, job satisfaction, and wishes to leave clinical practice or to go abroad for clinical work. Response rate was 40 % (n = 2357). Burnout was measured with the German version of the Maslach Burnout Inventory - Human Services Survey (MBI) consisting of the subscales emotional exhaustion (feeling emotionally drained), depersonalization (feelings of cynicsm) and personal accomplishment (feelings of personal achievement in job). Variables associated with burnout, and the association between burnout and wishes to leave were assessed in multivariate logistic regression analyses. Results: For emotional exhaustion participants reached a mean of 21.3 [standard deviation = 9.74], for depersonalization a mean of 9.9 [5.92], and for personal accomplishment a mean of 36.3 [6.77]. Men exhibited significantly higher depersonalization than women (11.3 [6.11] versus 9 [5.62], p < 0.001). Eleven percent of participants showed a high degree of burnout on all subscales, while 35 % did not show a high degree of burnout on any subscale. Confirming that one would become a physician again, and higher satisfaction with the components \"work environment\" and \"humaneness\", were associated with a lower chance for a high degree of burnout on all subscales. Higher emotional exhaustion and lower personal accomplishment were associated with an increased chance of wishing to leave clinical practice. Higher emotional exhaustion and higher depersonalization were associated with an increased chance of wishing to go abroad for clinical work. Conclusions: Preventing physician burnout may not only benefit the affected individual. It may also benefit the health care system by potentially preventing physicians from leaving clinical practice or from going abroad for clinical work.

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Anton, Björsell Anton Björsell. "Evaluating Supportive Formsfor Physicians." Thesis, Uppsala universitet, Institutionen för informationsteknologi, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-371454.

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In 2017, almost 1 out of 10 medical certificates regarding sick leave needed additional completion since the judging authority, Försäkringskassan, deemed that they lacked critical information. This is considered a big pain for both health care, Försäkringskassan and the patient, since it prolongs the process and claims additional resources. To help physicians write better medical certificates, the company Inera has investigated the possibility of supportive functionality in the issuing form. The idea is that when a physician writes the certificate, the web form will have one or more tools to help phrase the content in a more high-quality manner. In collaboration with Inera, Uppsala Region and EPJ (part of Uppsala Region), this study evaluated four different prototypes of said supportive functionalities for physicians. Both the perspectives of project stakeholders, end users (physicians) and Försäkringskassan were considered. The method included 12 usability evaluations and post-evaluation interviews, a usercentered workshop, and an expert review of the generated certificates (byFörsäkringskassan). Additionally, three stakeholder interviews were held with the representatives of the project, as well as a heuristic evaluation of the prototypes’design. The theoretical foundation was mainly based on the concept of UserExperience and how user interfaces should be designed in respect to perception and visual principles. Conclusively, the results indicate that physicians prefer supportive tools that are semi-automatic. A tool that is fully automated feels somewhat insecure, even if the time saving features are appreciated. One of the important findings is the need of user empowerment, meaning that the users prefer supportive web form functionalities where mundane tasks are automated and still gives the user roomfor being the expert.

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Nash, Louise (Louise Mary). "Medico-legal matters and Australian doctors : an investigation of doctors' experience of medico-legal matters, their mental health and their practice of medicine." Phd thesis, Faculty of Medicine, 2010. http://hdl.handle.net/2123/8385.

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DeAngelo, Christopher A. "Thomas Muffet & The College of Physicians a battle for power /." Diss., Connect to the thesis, 2008. http://hdl.handle.net/10066/1578.

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Edqvist, Samuel. "Scheduling Physicians using Constraint Programming." Thesis, Uppsala universitet, Avdelningen för datalogi, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-139606.

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Sandvick, Clinton. "Licensing American Physicians: 1870-1907." Thesis, University of Oregon, 2014. http://hdl.handle.net/1794/17881.

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In 1870, physicians in United States were not licensed by the state or federal governments, but by 1900 almost every state and territory passed some form of medical licensing. Regular physicians originally promoted licensing laws as way to marginalize competing Homeopathic and Eclectic physicians, but eventually, elite Regular physicians worked with organized, educated Homeopathic and Eclectic physicians to lobby for medical licensing laws. Physicians knew that medical licensing was not particularly appealing to state legislatures. Therefore, physicians successfully packaged licensing laws with broader public health reforms to convince state legislatures that they were necessary. By tying medical licensing laws with public health measures, physicians also provided a strong legal basis for courts to find these laws constitutional. While courts were somewhat skeptical of licensing, judges ultimately found that licensing laws were a constitutional use of state police powers. The quasi-governmental organizations created by licensing laws used their legal authority to expand the scope of the practice of medicine and slowly sought to force all medical specialists to obtain medical licenses. By expanding the scope of the practice of medicine, physicians successfully seized control of most aspects of healthcare. These organizations also sought to eliminate any unlicensed medical competition by requiring all medical specialists to attend medical schools approved by state licensing boards. Ultimately, licensing laws and a growing understanding of medical science gradually merged the three largest competing medical sects and unified the practice of medicine under physicians. This dissertation includes previously published material.
2016-06-17

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Wallace, Rick L. "PDA Training of Faculty Physicians." Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/8683.

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The PDA is an important technology in clinical medicine. Although PDAs are widely utilized by medical students and residents, older teaching faculty have not readily adopted them. The medical library can position itself as a leader in training patrons to use these devices. The East Tennessee State University (ETSU) Quillen College of Medicine Library (QCOML) staff trained older, experienced teaching faculty to use PDAs loaded with ePocrates and InfoRetriever databases. The training was rated highly and several faculty members became PDA users. The library is now considered the place to go on campus for PDA help.

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Wong, Wing-yee Victoria. "Patterns of doctor-shopping behaviour in non-attenders of specialist out-patient clinics in Hong Kong is it related to patients' health perception? /." Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B31971350.

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Callahan, Timothy C. "Challenging medicine's humiliations : the need to re-educate the practitioners /." Thesis, Connect to this title online; UW restricted, 2000. http://hdl.handle.net/1773/7738.

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Arawi, Thalia. "Medical schools and the virtuous physician : how to ensure that physicians will do the right thing." Thesis, Keele University, 2014. http://eprints.keele.ac.uk/3213/.

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The focus of this thesis is moral education. This study is important as it aims at solving a prevailing and increasing problem that is harming the medical profession of our times, namely, the fact that physicians are losing touch with the nature of their profession as a moral venture. This is evident from the numerous surveys done which report complaints from patients regarding physicians’ interpersonal and ethical skills. I argue in this thesis that modern day physicians experience moral erosion and that medicine is falling prey to deprofessionalization. This thesis focuses on the case of medicine in US-style universities in general and Lebanon in particular. Starting from the assumption of the ends of medicine as elaborated by Edmund Pellegrino, it asks what are the means that are most conducive to the attainment of these ends (or some of these ends)? The main conclusions are that curricular reforms must be made to ensure appropriate training of students of medicine and that the hidden curriculum is far too important to be ignored if changes are to take place and if moral erosion of physicians is to be avoided. In addition to curricular reforms, there is a need to work with veteran physicians who should serve as role models and mentors in an appropriate institutional culture, hence, there is a need for what I term a “post-flexnerian revolution”. In addition to teaching students the basic sciences and skills necessary for the making of a successful physician, medical schools ought to concentrate on attempting to produce graduates that are virtuous physicians, who will do the right thing even when no one is looking. If adequate training in virtue and goodness takes place, doing the right thing will become a second nature and the moral ends of medicine will be met.

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McEwen, Janet S. "Emergency Physician Communication Style and Career Satisfaction: Is There a Correlation?" Thesis, University of North Texas, 2002. https://digital.library.unt.edu/ark:/67531/metadc3330/.

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The correlation between social style and career satisfaction among emergency physicians was investigated. An e-mail survey was sent to a random sample of 1,000 members of the American College of Emergency Physicians in practice for at least three years; 707 had valid e-mail addresses. A twenty-item behavioral style survey instrument and a five-item career satisfaction scale were used. The study incorporated prenotification and reminder e-mails. Valid responses were obtained from 329 physicians (46.5%). No correlation was shown between social style and career satisfaction. Problems with both survey instruments were discovered. Survey respondents were unhappy with their careers, with an average satisfaction of 4.03, 1 being very satisfied, 5 very dissatisfied. Areas for future study include redoing the study using different survey instruments.

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Campion, Taylor. "The wage gap between male and female physicians do physicians differ from other white-collar workers? /." Diss., Connect to the thesis, 2008. http://hdl.handle.net/10066/1443.

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Schrader, Stuart. "A Relational Analysis of Patients' Perceptions of Physicians' Noverbal Immediacy & Patients' Satisfaction with Their Physicians." TopSCHOLAR®, 1988. https://digitalcommons.wku.edu/theses/2830.

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This study examines the relationship between patients' perception of physicians' nonverbal immediacy and patients' satisfaction with their physicians. Using a newly designed scale tor measuring nonverbal immediacy and patients' satisfaction with their physicians, the researcher tested one hundred and eighty-nine patients of six southern, male, caucasian doctors to determine if a significant correlation exists between composite scores. These doctors practice in Southern Kentucky, specializing as internists, general practitioners, and family practitioners. Both scales use a composite measure based on the summation of all twelve questions within the scale. Data analysis included reliability coefficients, factor analysis, multiple regression analysis, Pearson correlations, distributions of composite scores, responses to individual questions, Eta analysis, and analysis of variance.

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Sachidanandam, Sivanarulselvan. "Why Physicians Do Or Do not Use Computerized Physician Order Entry Systems: Applying the Technology Acceptance Model." Connect to this title online, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=bgsu1151258487.

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Crain, Nicholas Geoffrey. "Are Florida physicians substituting bankruptcy protection for private malpractice insurance?" Online access for everyone, 2007. http://www.dissertations.wsu.edu/Thesis/Spring2007/n_crain_042307.pdf.

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Tyler, Susan P. "Academic Physicians' Readiness to Change in their Professional Practices: A Qualitative Study." University of Cincinnati / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1592170965675572.

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Habjan, Sonja. "Physicians' perceptions of elderly alcohol abuse." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0006/MQ33386.pdf.

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Huang, Hanmei, and 黄寒梅. "Evaluation of physicians as hospital managers." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B4842318X.

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BACKGROUND: It is indisputable that hospital administrators especially chief executive officers (CEOs) have been playing more and more significant roles in hospital management since they kind of determine the performance of hospitals as captains do on the ship. Unsurprisingly, the discussion of what excellent hospital managers look like and where they come from is becoming more heated in recent years. Although some countries such as US and UK started hiring non physicians as hospital senior managers last century, aiming to leverage their business skills in order to improve hospital financial performance such as revenue and margins and control operation cost, there is a lack of enough evidence to show they perform better comparing with traditional physician executives regarding successful execution and management. In addition, how to cultivate hospital top managers in a both effective and efficient way is still under the question. OBJECTIVES: To review the citations in order to evaluate physicians as hospital leaders in terms of clinical performance of hospitals, and try to figure out the factors which may be accountable for the manpower planning of hospital managers. METHODS: MEDLINE (OvidSP) and PUBMED were used for systematically selection for key words, and the reference list of the results was also further examined to identify relevant articles. SWOT (strengths, weaknesses, opportunities, threats) analysis on the basis of the data retrieved to illustrate the positive and negative, as well as internal and external factors relevant to physicians as hospital managers. RESULTS: 352 citations in total were searched at the first beginning and 16 articles were covered in this paper. It is agreed that leadership, business acumen, experience, the ability to manage up and down effectively and so on are consisted of the essential hospital CEO’s skill set, as same as CEO’ in other industries. Management education in health care appears to be generally considered crucial and necessary. There is, however, no clear consensus with regard to when in the medical education continuum, how, and for how long managerial education should be provided. MBA or MHA background is not as useful and helpful as we used to consider in terms of physician managers’ career development program. CONCLUSION: There is still a shortage of evidence indicating who is more suitable for the hospital administration position, physicians or non physicians because it is agreed that the standards of assessing hospital performance and accordingly evaluating hospital executives’ performance are still not clear and unified . However, it will be better if hospital managers have dual competencies in both clinical and business fields. Either medical-oriented or business-oriented is insufficient for extraordinary hospital leaders. In addition, the managerial capabilities of medical directors are the key to success. In responds to this consensus, when and how physicians are trained as business managers is critical because it is difficult for non physicians such as MBAs to be educated clinical skills. And thus the timing of education related to business knowledge and skill for physicians and the impacts are twofold. On one hand, “too early” cannot achieve the outcome as good as expected since physicians still lack of enough clinical experience. On the other hand, “too late” will cause the problem that senior clinicians hesitate to change into managers because they have already put a lot of energy and time into clinical work. As a result, role of policy makers in healthcare Human Resource is necessary and vital so as to balance the costs and benefits and to develop an appropriate pathway. These findings could give some hints for the government, to take into consideration whether to invest in better training programs or to enact regulations on manpower planning of hospital executives with aim to gain the further success of hospital management.
published_or_final_version
Public Health
Master
Master of Public Health

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Rochaix, Lise. "Adjustment mechanisms in physicians' services markets." Thesis, University of York, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.280448.

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McKinley, Sophia Kim. "The Emotional Intelligence of Resident Physicians." Thesis, Harvard University, 2014. http://etds.lib.harvard.edu/hms/admin/view/50.

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Since academic literature indicates that emotional intelligence (EI) is tied to work performance, there is increasing interest in understanding physician EI. We studied the EI of resident physicians in surgery, pediatric, and pathology residency programs at three academic centers to describe the EI profiles of residents in different specialties and determine whether gender differences in resident physician EI profiles mirror those in the general population. 325 residents were electronically invited to complete the validated Trait Emotional Intelligence Questionnaire (TEIQue), a tool comprised of 153 items that cluster to 15 independent facets, 4 composite factors, and 1 global EI score. The overall response rate was 42.8% (n=139, 84 women). Global EI of all residents (mean=101.0, SD=8.0) was comparable to the general population sample and was not statistically different between specialties or genders. EI profiling demonstrated distinct strengths and opportunities for development between specialty groups with an effect of specialty on sociability factor (p=0.005) and five TEIQue facets including optimism, stress management, emotion management, assertiveness, and social awareness (p=0.008-0.043). Women scored higher than men in emotionality factor (p=0.044) and the TEIQue facets impulse control, empathy, relationships, and self-motivation (p=0.004-0.049). Men scored higher than women in sociability factor (p=0.034) and 2 facets including stress management and emotion management (p=0.008-0.023). Linear regression demonstrated that age had a statistically significant predictive relationship with Global EI, though the effect was small (B=0.033, p=0.014). These findings suggest that similar to the general population, male and female residents may benefit from specific training of different EI domains to enhance well-rounded development. EI profiling may also inform future educational programming decisions for each specialty. Future research should focus on the functional relationship between educational interventions that promote targeted EI development and enhanced clinical performance.

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Schembri, Sharon T. "Consumer understanding of professional service quality : a phenomenographic approach /." [St. Lucia, Qld.], 2005. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe18920.pdf.

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Jansson, von Vultée Pia. "Physicians’ Work Environment and Health : A Prospective Controlled Intervention Study of Management Development Programs Targeting Female Physicians." Doctoral thesis, Uppsala University, Department of Public Health and Caring Sciences, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4144.

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During the last decade, there has been a renewed interest in physicians´ working conditions at a time when health care is undergoing major structural and financial changes. Physicians report decreasing work satisfaction and at the same time increasingly contemplate on leaving their profession. Despite an increasing proportion of female physicians, they are underrepresented in management positions. Very often, female physicians also report worse personal health and less organisational influence than their male colleagues. Management programs have been viewed as an important vehicle to improve working conditions and career development for female physicians.

The aim of the present thesis was to evaluate the effects on individual health, professional development, perception of organisational structure and career development. Fifty-two female physicians participated in structured 1-year management programs. The control group consisted of 52 physicians not participating in any formal management education during the study period. The female physicians were compared with 157 male physicians in order to evaluate possible gender and manager-reported differences on individual and organisational well-being. The study also assessed occupational predictors of individual well-being, health and professional development for managers.

Participants in management programs reported a clearer organisational structure and improved professional development and influence. However, there were no significant effects with regard to health, sickness absenteeism, nor career development. Male and female physicians differed in several areas when assessed as a group, but stratifying for management level, most of the gender-related differences disappeared. When managers rated clearer organisational structure, this was associated with higher ratings on individual well-being and professional development.

Management programs for female physicians might have some beneficial effects but these programs need to be better defined and targeted to the most important issues at hand to recruit future managers. Furthermore, these programs must be better integrated with other processes to create efficient and able managers.

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Jansson, von Vultée Pia. "Physicians' work environment and health : a prospective controlled intervention study of management development programs targeting female physicians /." Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4144.

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Simkin, Sarah. "End-of-Career Practice Patterns of Primary Care Physicians in Ontario." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/35777.

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Incomplete understanding of attrition from the physician workforce has hampered policy-makers’ efforts to achieve optimal alignment of the supply of physicians with population demand for medical services. This longitudinal study of Ontario primary care physicians uses health administrative data to characterize changes in physicians’ practice patterns over time. We examined the workload and scopes of practice of 21,240 physicians between 1992 and 2013. We found that physicians reduce their workloads gradually as they age, retiring from clinical practice at an average age of 70.5. Furthermore, we found that 60% of family physicians who stop providing comprehensive primary care continue to provide clinical services for an average of three years, with reduced workloads, before retiring fully. Our findings clarify the process of physician attrition from the workforce and will help to improve estimates of attrition and make physician workforce planning more accurate and effective.

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Sandilands, Maureen Frances Kennedy. "Exercise counselling by family physicians in Canada." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ38609.pdf.

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Lotan, Gurit. "Physicians and cost containment : issues of disclosure." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0007/MQ44207.pdf.

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MacDonald, Jane A. T. "Physicians' perceptions of nurse practitioners and collaboration." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/MQ63829.pdf.

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Tsukamoto, Mikio Boonyong Keiwkarnka. "Job strain among physicians in Bangkok, Thailand /." Abstract, 2005. http://mulinet3.li.mahidol.ac.th/thesis/2548/cd375/4737950.pdf.

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Lawson, Deborah A. "Prostate cancer screening practices of Missouri physicians /." free to MU campus, to others for purchase, 1998. http://wwwlib.umi.com/cr/mo/fullcit?p9901254.

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Robinson, Erin. "E-health and the Internet factors that influence doctors' mediation behaviors with patients /." unrestricted, 2008. http://etd.gsu.edu/theses/available/etd-11212008-142202/.

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Thesis (M.A.)--Georgia State University, 2008.
Title from file title page. Yuki Fujioka, committee chair; Jaye Atkinson, Holley Wilkin, committee members. Description based on contents viewed Aug. 11, 2009. Includes bibliographical references (p. 64-69).

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Klein, Susan. "The effects of cancer patient participation in teaching communication skills to medical undergraduates a follow-up evaluation /." Thesis, Available from the University of Aberdeen Library and Historic Collections Digital Resources, 1996. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?application=DIGITOOL-3&owner=resourcediscovery&custom_att_2=simple_viewer&pid=59664.

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Weller, David P. "The pursuit of better health: what is the role of the general practitioner /." Title page, contents and synopsis only, 1990. http://web4.library.adelaide.edu.au/theses/09MPM/09mpmw448.pdf.

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Thesis (M.P.H.)--University of Adelaide, Dept. of Community Medicine, 1991.
Result of a research project undertaken within the Department of Primary Health Care, Flinders Medical Centre ... part of a larger study which has been funded by the Research Into Drug and Alcohol Advisory Committee of the Commonwealth Department of Health. Typescript (Photocopy). Includes bibliographical references.

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43

Cullum, Princess M. "Physician Leadership and Self Efficacy: A Case Study Using Grounded Theory." Thesis, University of North Texas, 2016. https://digital.library.unt.edu/ark:/67531/metadc849695/.

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Bombarded by constant and rapid change, healthcare organizations feel a sense of urgency to meet their needs for leaders. They rely on physicians to lead at all levels in their healthcare organizations. For them to successfully navigate today's healthcare environment, they require more than a medical education. To address this need, healthcare organizations are developing in-house leadership development programs.In this paper, I conduct a case study of physicians transitioning into leadership and their self-efficacy facilitated through an in-house leadership development program. Documentation, semi-structured interviews, and observations are examined to explore how physicians think about their leadership experiences following their participation in a six-month leadership development program.The study also explores at a high-level how these experiences influenced physician's self-efficacy as a first step in developing a theory of physician leadership and self-efficacy.

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Cooper, Carolyn Ellen May. "Death is something to be avoided the psychodynamics of end-of-life planning for the general practitioner /." [Hawthorn, Vic.] : Swinburne University of Technology, 2008. http://hdl.handle.net/1959.3/36677.

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Thesis (PhD) - Australian Graduate School of Entrepreneurship, Swinburne University of Technology - 2008.
Submitted as partial fulfilment of the requirements for the degree of Doctor of Philosophy, Australian Graduate School of Entrepreneurship, Swinburne University of Technology, 2008. Bibliography: p. 357-371.

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Le, Poire Beth Ann 1964. "Communication strategies to restore or preserve informational and psychological privacy; the effects of privacy invasive questions in the health care context." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276798.

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This investigation explored the role of informational and psychological privacy in the health context by examining the relationship between type of relationship (physician versus acquaintance), type of observation (self-report versus observation), and communication strategies used to restore or preserve privacy (interaction control, dyadic strategies, expressions of negative arousal, blocking and avoidance, distancing, and confrontation). It was hypothesized and confirmed that individuals report exhibiting more behaviors to restore or preserve informational privacy in response to an informationally privacy-invasive question posed by an acquaintance than by a physician. The hypothesis that presentation of an informationally privacy invasive question by the physician causes patients to exhibit more communication strategies after the privacy invasive question than before, was unsupported. Finally, the hypothesis that individuals actually exhibit more privacy restoration behaviors than they report using in a similar situation with their physician was also unsupported. Patients reported using more communication strategies than they actually exhibited. One confound to the self reports was that videotaped participants reported the use of fewer direct privacy restoring communication strategies than non-videotaped.

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Cheru, Tesfaye Gudeta. "Assessment of job satisfaction amongst physicians working in Public hospitals in Addis Ababa, Ethiopia." University of the Western Cape, 2014. http://hdl.handle.net/11394/8220.

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Magister Public Health - MPH
Introduction The Human Resource Strategic Plan of the Ethiopian Ministry of Health lists current health workforce problems as a high attrition rate among public service physicians, poor human resource management, non-conducive working conditions and high workloads. In Addis Ababa's public hospitals, the turnover of physicians is high and - as repeatedly and informally reported by hospital managers - the presence of the contributory factors listed above are also anecdotally thought to be present. These factors present a serious challenge to the delivery of high quality health care services and their presence indicates that the job satisfaction of physicians is likely to be low. However, factors responsible for job dissatisfaction among physicians and their implications for staff turnover have not been studied or documented in the context of Ethiopia's health system. It was this scenario that motivated the researcher to conduct this study in order to assist policy makers in taking appropriate actions, if and as required. Aim: The aim of the study was to assess the level of job satisfaction, the factors influencing job satisfaction and the consequences of job satisfaction among physicians in public hospitals in Addis Ababa, Ethiopia. Objectives: • To describe the job satisfaction levels of physicians in public hospitals in Addis Ababa, Ethiopia • To identify factors affecting the job satisfaction levels of physicians • To assess possible consequences linked to physicians' job satisfaction levels. A self-administered questionnaire was used to measure job satisfaction, composed of 65 individual variables grouped within 13 dimensions and adapted to the Ethiopian context from the Job Descriptive Index and the Minnesota Satisfaction Questionnaire. An additional questionnaire was used to assess socio-demographic variables and the possible consequences of low job satisfaction. Analysis: A composite job satisfaction score was obtained by summing the individual answers for each of the variables to assess overall job satisfaction. Bivariate analysis was undertaken, using 2X2 tables (with 95% confidence intervals) to calculate the prevalence ratio for each of the potential causes and consequences of low job satisfaction, using the composite score cut-off levels of job satisfaction. Multivariate analysis was undertaken to obtain the adjusted prevalence odds ratios for both the potential causes and consequences of low job satisfaction, using multiple logistic regression analysis.

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Buhler, Patricia Lynn. "Prenatal care : a comparative evaluation of nurse-midwives and general practitioners." Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/24489.

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The practice of midwifery by those other than physicians is illegal in Canada and despite recommendations of nursing, medical and consumer groups, no trials evaluating the effectiveness of the nurse-midwife as a member of the modern obstetrical team have occurred here. To demonstrate a nurse-midwifery model, four nurse-midwives provided primary care to forty-seven childbearing women and their families over a twenty-two month period in a maternity teaching hospital. This clinic presented a unique opportunity for comparing the prenatal care provided by nurse-midwives with that of general practitioners who attended deliveries in the same setting. Utilizing a retrospective chart audit, case control study design, the nurse-midwife cases (NM cases) were each matched to two general practitioner controls (GP controls) through the use of the hospital's prenatal data base. The matching characteristics included low risk status, date of delivery, age, parity, gravidity, previous pregnancy losses and census tract income. Prenatal criteria that had been developed and tested in "The Burlington Randomized Clinical Trial of the Nurse Practitioner" for assessing the quality of care were reviewed and updated for this study. With these criteria two blinded abstractors audited the prenatal record forms of all the subjects and scored them as either "superior", "adequate" or "inadequate". Seventy-seven percent of the records of the NM cases received a "superior" score, where as 60% of the GP controls' records received an "inadequate" score [mathematical formula omitted] Overall, the general practitioners' records indicated more erratic care than those of the nurse-midwives. Although the physicians met most of the initial assessment criteria, they failed to meet the criteria that evaluated the ongoing routine assessment process by recording an inadequate number of prenatal visits (36%), or by omitting urine test results (38$) and blood pressure readings (21%). No differences were found in variables relating to labour and delivery with the exception of the incidence of episiotomies. The results indicate that nurse-midwives as part of an obstetrical team are able to provide safe prenatal care to a low risk population in a Canadian urban context, and that their records are thorough and more consistent than those of general practitioners.
Medicine, Faculty of
Population and Public Health (SPPH), School of
Graduate

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48

Borum, Marie L. "The Effect of Patient Race upon Physicians' Colorectal Cancer Screening: A Retrospective Medical Record Review and Physician Pattern Variable Analysis." Diss., Counseling, Human and Organizational Studies, George Washington University, 2003. http://hdl.handle.net/1961/124.

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Degree awarded (2003): EdDHRD, Counseling, Human and Organizational Studies, George Washington University
ABSTRACT OF DISSERTATION

The Effect of Patient Race upon Physicians Colorectal Cancer Screening: A Retrospective Medical Record Review and Physician Pattern Variable Analysis

There is a significant disparity in the health status of African-Americans and whites in the United States. Studies have revealed that African-Americans have higher mortality rates from colorectal cancer than whites. Differences in colorectal cancer screening of African-Americans compared to whites may account for a proportion of the excess mortality. This study evaluated internal medicine resident physicians colorectal cancer screening practices in African-American and white patients. Additionally, an analysis of physicians pattern variable orientation was performed to determine if there was a relationship between physicians orientation and adherence to colorectal cancer screening guidelines.

A retrospective review of medical records from January 2002 through March 2002 was conducted to assess internal medicine resident physicians performance of colorectal cancer screening. Univariate analysis revealed that there were statistically significant differences in the rate at which physicians performed rectal examinations (p=0.0039), fecal occult blood testing (p=0.0006) and colonic examinations (p<0.0001) in African-American compared to white patients. Multivariate analysis, evaluating patient race, patient gender, patient age and physician gender, demonstrated that patient race was the only factor significant for not performing colorectal cancer screening tests.

Physicians perspectives about the medical profession and the delivery of medical services were assessed by evaluating pattern variable orientations. Integrative, value and motivational orientations of the physicians were determined by using semi-structured interviews. All of the physicians had a self-orientation (integrative pattern variable), a universalistic-achievement orientation (value pattern variables) and a specificity orientation (motivational pattern variable). However, the physicians differed in their affectivity-affective neutrality orientation (motivational pattern variable). All of the physicians who had an affective orientation toward their patients adhered to colorectal cancer screening recommendations. The physicians who expressed affective neutrality toward their patients did not adhere to colorectal cancer screening recommendations.

This study revealed significant differences in the performance of colorectal cancer screening in African-American compared to white patients. Additionally, physicians pattern variable orientations correlated with adherence to practice guidelines. This study is important because it provides information about physician practice patterns. The results of this study can serve as the basis for the development of educational interventions for physicians that can improve health care delivery.
Advisory Committee: Dr. John Williams, Dr. David Schwandt (Chair), Dr. Andrea Casey, Dr. Jeffrey Lenn, Dr. Victor Scott

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Awad, Scrocco Diana Lin. "An Examination of the Literate Practices of Resident Physicians and Attending Physician Preceptors in a Resident-Run Internal Medicine Clinic." Kent State University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=kent1334240629.

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Jowi, Doreen M. S. "A communication-based predictive model of physician job dissatisfaction /." 2005. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&res_dat=xri:pqdiss&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&rft_dat=xri:pqdiss:3175379.

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Dissertations / Theses on the topic 'Physicians'

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