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Journal articles on the topic 'Procedures and Practice'

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Published: 10 December 2022

Last updated: 19 February 2023

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1

BUERGELT, C. D., and ANNALISA YOUNG. "Necropsy procedures in practice. II: Special procedures." Equine Veterinary Education 4, no. 6 (December 1992): 273–76. http://dx.doi.org/10.1111/j.2042-3292.1992.tb00964.x.

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2

Ben-Isaac, Eyal, Matthew Keefer, Michelle Thompson, and Vincent J. Wang. "Assessing the Utility of Procedural Training for Pediatrics Residents in General Pediatric Practice." Journal of Graduate Medical Education 5, no. 1 (March 1, 2013): 88–92. http://dx.doi.org/10.4300/jgme-d-11-00255.1.

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Abstract Background The Accreditation Council for Graduate Medical Education (ACGME) recommends that residents gain broad procedural competence in pediatrics training. There is little recent information regarding practice patterns after graduation. Objective We analyzed reported procedures performed in actual practice by graduates of a general pediatrics residency program. Methods We conducted an online survey from April 2007 to April 2011 of graduates of a single pediatrics program from a large children's hospital. Eligible participants completed general pediatrics residency training between 1992 and 2006. Graduates were asked about the adequacy of their training for each procedure, as well as the frequency of commonly performed procedures in their practice. As the primary analysis, procedures were divided into emergent and urgent procedures. Results Our response rate was 54% (209 of 387). General pediatricians rarely performed emergent procedures, such as endotracheal intubation, intraosseous line placement, thoracostomy, and thoracentesis. Instead, they more commonly performed urgent procedures, such as laceration repair, fracture or dislocation care, bladder catheterization, foreign body removal, and incision and drainage of simple abscesses. Statistically significant differences existed between emergent and urgent procedures (P < .001). Conclusions In a single, large, urban, pediatrics residency, 15 years of graduates who practiced general pediatrics after graduation reported they rarely performed emergent procedures, such as endotracheal intubation, but more often performed urgent procedures, such as laceration repair. These results may have implications for ACGME recommendations regarding the amount and type of procedural training required for general pediatrics residents.

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Nelligan, Ian, Tamara Montacute, Michael-Anne Browne, and Steven Lin. "Impact of a Family Medicine Minor Procedure Service on Cost of Care for a Health Plan." Family Medicine 52, no. 6 (June 5, 2020): 417–21. http://dx.doi.org/10.22454/fammed.2020.334308.

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Background and Objectives: Academic medical centers (AMC) are among some of the most expensive places to provide care. One way to cut costs is by decreasing unnecessary referrals to specialists for procedures that can be provided by well-trained primary care physicians. Our goal is to measure the financial impact of an office-based minor procedure service driven entirely by family physicians. Methods: We examined claims data for procedures performed on patients insured under our AMC’s home-grown accountable care organization-style health plan (Stanford Health Care Alliance [SHCA]). Descriptive statistics was used to compare the volume and cost of procedures performed by family medicine (FM) versus specialty care (SC). We preformed a subanalysis of SC procedures to explore the degree to which consultation and facility fees increased costs for SC. We used mathematical modeling to estimate the impact on cost of care if procedures were shifted from SC to FM and to calculate a return on investment (ROI). Results: Our data set examined 6,974 outpatient procedures performed on SHCA patients from 2016-2018 at a cost of $5,263,720 to SHCA. FM performed 6% of procedures at an average cost of $236 per procedure, while SC performed 94% of procedures at an average cost of $787 per procedure. FM saved money for all 12 types of skin, musculoskeletal, and reproductive procedures assessed; the average saved per procedure was $551. This represents a 70% cost savings. ROI was 2.33; for every $1 spent on FM procedures, SHCA saved $2.33. Conclusion: A family medicine minor procedure service significantly lowered health spending at our AMC.

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4

Caldicott, Catherine V. "Procedures in General Practice." Annals of Internal Medicine 128, no. 1 (January 1, 1998): 80. http://dx.doi.org/10.7326/0003-4819-128-1-199801010-00032.

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5

Lumbis, Rachel H. "Laboratory procedures in practice." Veterinary Record 177, no. 17 (October 29, 2015): 442.2–442. http://dx.doi.org/10.1136/vr.h5770.

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Mukund, Amar, Krishna Bhardwaj, and Chander Mohan. "Basic interventional procedures: Practice essentials." Indian Journal of Radiology and Imaging 29, no. 2 (2019): 182. http://dx.doi.org/10.4103/ijri.ijri_96_19.

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7

Fukui, Tsuguya. "I. Procedures for Practice Guidelines." Nihon Naika Gakkai Zasshi 99, no. 12 (2010): 2944–49. http://dx.doi.org/10.2169/naika.99.2944.

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8

Popov, S. V. Popov, R. G. Guseynov Guseynov, I. N. Orlov Orlov, T. M. Topuzov Topuzov, O. N. Skryabin Skryabin, V. V. Perepelitsa Perepelitsa, A. S. Katunin Katunin, S. Yu Yasheva Yasheva, and A. S. Zaycev Zaycev. "Simultaneous procedures in urological practice." Urologiia 3_2022 (July 8, 2022): 5–14. http://dx.doi.org/10.18565/urology.2022.3.5-14.

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9

Green, Richard. "Shortcomings in locum practice procedures." In Practice 34, no. 2 (February 2012): 110–11. http://dx.doi.org/10.1136/inp.e71.

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10

Nelms, Bobbie Crew. "Practice guidelines, protocols and procedures." Journal of Pediatric Health Care 8, no. 1 (January 1994): 1–2. http://dx.doi.org/10.1016/0891-5245(94)90094-9.

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11

MacLaine, James. "Tooth whitening: practice and procedures." Dental Nursing 8, no. 4 (April 2012): 214–16. http://dx.doi.org/10.12968/denn.2012.8.4.214.

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12

Momoh, Solomon Oseghale, Hanneke van Eijken, and Cedric Ryngaert. "Statelessness Determination Procedures: Towards a Bespoke Procedure for Nigeria." Statelessness & Citizenship Review 2, no. 1 (June 29, 2020): 86–111. http://dx.doi.org/10.35715/scr2001.116.

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Statelessness is a phenomenon that affects every region and almost every country of the world. However, not very many states have mechanisms in place to identify and prevent it, and protect stateless persons. This article ascertains international norms and best practices regarding the establishment and operation of a Statelessness Determination Procedure (‘SDP’), and to apply these to a future SDP in Nigeria. The requirements for an SDP are drawn from conventions, United Nations High Commissioner for Refugees instruments and state practice. In proposing an SDP for Nigeria, in this contribution we strive for the most extensive protection for stateless persons, while taking the particular legal and institutional framework of Nigeria into account. We conclude that Nigeria, and in fact any state, may want to devote particular attention to standards relating to the legality and ‘bindingness’ of the proposed SDP, to procedural access and to procedural guarantees.

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Lord, PA-C, Katharine, Sara Toth, APRN, FNP-C, AOCNP, AGN-BC, Jennifer Potter, PA-C, Katherine Sellers, PA-C, Monica White, APRN, CNS-AH, ACNP-BC, AOCNP, Anne Neugent, APRN, FNP-C, and Tracy Martin, APRN, ANP-C, AOCNP, BMTCN, NursEd. "Development of a Standardized Bone Marrow Procedure Training and Competency Toolkit for Advanced Practice Providers in a Large Community Oncology Practice." Journal of the Advanced Practitioner in Oncology 13, no. 7 (September 1, 2022): 713–16. http://dx.doi.org/10.6004/jadpro.2022.13.7.7.

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Bone marrow procedures are a common diagnostic tool utilized in hematology/oncology and can be completed in the office by trained clinicians. Currently, there are limited guidelines for appropriate training and competency for bone marrow procedures performed by advanced practice providers (APPs) in a community oncology practice setting. The need to create a standardized training and competency protocol for APPs in this setting was recognized. A comprehensive, standardized educational and procedural toolkit was created. The creation of a comprehensive training toolkit for APPs in the community oncology practice setting helps to ensure a high standard of procedural proficiency and consistency among individual providers and practices. The creation of such an extensive toolkit is time consuming. By adopting and standardizing toolkits such as this one, community hematology/oncology practices can ensure the delivery of high-quality patient care by highly trained and proficient APPs.

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Bakshi, Anant, Raeesa Khan, and Bilal Ahmed. "Private Practice Pricing in the Birmingham Region." Primary Dental Journal 8, no. 1 (March 2019): 34–37. http://dx.doi.org/10.1308/205016819826439547.

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This study was carried out to evaluate the difference in prices for dental treatments carried out privately in general dental practice within the Birmingham area. Ten different practices were chosen at random, which were spread across Birmingham, in order to get a better insight into the differences across the districts. Their prices for pre-determined dental procedures were procured off the practices’ respective websites or through telephoning. The findings of this study have shown a wide variation in prices for each dental procedure, with the greatest variation in prices between practices being £850 for dental implants. The procedures with the lowest average cost were fissure sealants at £23.14. The procedure with the highest average cost was dental implants at £2,261.11. This study also showed that as more dental treatment was required, the mean cost for the dental intervention increased, regardless of the tooth being treated.

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15

Feigin, Ralph D., Jan E. Drutz, E. O'Brian Smith, and Carol Ritter Collins. "Practice Variations by Population: Training Significance." Pediatrics 98, no. 2 (August 1, 1996): 186–90. http://dx.doi.org/10.1542/peds.98.2.186.

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Objective. This study sought to examine variations in the frequency of procedures performed and patterns of care of sick infants and older children by general pediatricians in different sized communities. The results of the study will be considered in developing relevant educational experiences for postgraduate trainees. Methodology. Questionnaires were sent to 1412 Texas pediatricians requesting frequency information for 29 procedures and whether they provided various levels of care to sick infants and older children. Responses were tabulated by the size of the community in which each pediatrician practiced. Results. Fifty-four percent of the questionnaires were returned. The proportion of pediatricians performing each procedure was significantly different for all but 8 of the 29 procedures between communities of less than 100 000 and more than 100 000 population. For all procedures with significant differences, the proportion of physicians performing the procedures was significantly greater for pediatricians practicing in communities of less than 100 000 population. No significant difference was found between the proportion of pediatricians providing newborn level II and III care; however, more than 65% of both groups provided level II care. Physicians in communities of less than 100 000 population were more likely to provide intermediate and intensive care beyond the newborn period. Conclusion. The general practice rotation in the community setting will not provide adequate training experiences for many of the procedures currently being performed by general pediatricians.

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Poulin, Eric A., Andrew W. Swartz, Jason S. O'Grady, Mclean Phillip M. Kersten, and Kurt B. Angstman. "Essential Office Procedures for Medicare Patients in Primary Care: Comparison With Family Medicine Residency Training." Family Medicine 51, no. 7 (July 5, 2019): 574–77. http://dx.doi.org/10.22454/fammed.2019.659478.

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Background and Objectives: Demographic trends show an increasing older adult population. Therefore, family medicine training programs may need to reevaluate how well their residents perform clinic procedures essential to older adults. Our objective was to compare the rates of the most frequently performed clinic procedures for Medicare patients in a large multiregional health care system (MRHCS) with those in a family medicine residency clinic. Methods: In this retrospective cohort study, Current Procedural Terminology coding data were queried from the billing systems of an MRHCS (the control group) and a family medicine residency clinic (the study group) for a 3-year period. The primary outcome was the procedural rate ratios per 1,000 office visits for the 10 most common clinic procedures in the MRHCS billed to Medicare. Results: The study group consisted of 19,099 office visits by Medicare patients to the residency clinic; the control group consisted of 2,034,188 visits to the MRHCS. Except for large joint injection, procedural rates were significantly different for the other nine procedures (destruction of benign skin lesions, nail care, punch or shave skin biopsy, removal of impacted cerumen, wound debridement of skin, Unna boot application, excision of skin lesion, paring of corn or callus, and insertion of bladder catheter). The rate of skin excision was higher in the residency clinic than in the MRHCS but lower for the other eight procedures. Conclusions: These data suggest that teaching programs may need to adapt to meet the current and future practice needs of this increasing patient population.

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Sathyanarayana Rao, TS, Rajiv Radhakrishnan, and Chittaranjan Andrade. "Standard operating procedures for clinical practice." Indian Journal of Psychiatry 53, no. 1 (2011): 1. http://dx.doi.org/10.4103/0019-5545.75542.

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18

Stubblefield, Carol. "Integrating Complementary Health Procedures Into Practice." Journal of Psychosocial Nursing and Mental Health Services 38, no. 6 (June 2000): 51. http://dx.doi.org/10.3928/0279-3695-20000601-15.

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19

Harrison, Philip V. "Practical skin procedures in general practice." Morecambe Bay Medical Journal 1, no. 8 (May 1, 2020): 213–17. http://dx.doi.org/10.48037/mbmj.v1i8.1181.

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My brief was to prepare an article on skin surgery. It is important that procedures are done correctly to ensure patient benefit, and the article describes practical skin procedures which can be performed in general practice. Thus the article goes beyond the brief of skin surgery and more comprehensively covers a range of techniques applicable to skin therapy.

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20

Moon, Sidney M., John F. Feldhusen, and Kay W. Kelly. "Identification Procedures: Bridging Theory and Practice." Gifted Child Today Magazine 14, no. 1 (January 1991): 30–36. http://dx.doi.org/10.1177/107621759101400110.

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21

Chambers, W. A. "Clinical Pain Management—Practice and Procedures." British Journal of Anaesthesia 103, no. 1 (July 2009): 141–42. http://dx.doi.org/10.1093/bja/aep146.

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22

Patel, Komal D., Ryan Crowley, and Aman Mahajan. "Cardiac Electrophysiology Procedures in Clinical Practice." International Anesthesiology Clinics 50, no. 2 (2012): 90–110. http://dx.doi.org/10.1097/aia.0b013e3182543160.

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23

Grant, J. A. "Book Review: Procedures in General Practice." Scottish Medical Journal 43, no. 1 (February 1998): 31. http://dx.doi.org/10.1177/003693309804300112.

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24

Hargrove, Patricia, Mona Griffer, and Bonnie Lund. "Procedures for Using Clinical Practice Guidelines." Language, Speech, and Hearing Services in Schools 39, no. 3 (July 2008): 289–302. http://dx.doi.org/10.1044/0161-1461(2008/028).

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25

Chmura, Louis G., and Robert A. Convissar. "Basic laser procedures in orthodontic practice." Seminars in Orthodontics 26, no. 2 (June 2020): 80–89. http://dx.doi.org/10.1053/j.sodo.2020.06.002.

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26

Gerrard, J. "Fair employment procedures in general practice." BMJ 320, no. 7228 (January 15, 2000): 2. http://dx.doi.org/10.1136/bmj.320.7228.s2-7228.

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Jevon, Phil. "Practical procedures: defibrillation in dental practice." Dental Nursing 9, no. 12 (December 2013): 692–96. http://dx.doi.org/10.12968/denn.2013.9.12.692.

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28

Wilson, Jo. "Best Practice Guidelines: Protocols and procedures." British Journal of Healthcare Management 5, no. 3 (March 1999): 116–17. http://dx.doi.org/10.12968/bjhc.1999.5.3.19382.

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Maryns, Katrijn. "Procedures without borders: The language-ideological anchorage of legal-administrative procedures in translocal institutional settings." Language in Society 42, no. 1 (January 24, 2013): 71–92. http://dx.doi.org/10.1017/s0047404512000905.

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AbstractTheoretical and applied research in the field of institutional discourse analysis calls for an increasing awareness of the constitutive nature of discourse in the representation and the assessment of social identities (Sarangi & Roberts 1999; Blommaert 2010; Eades 2010). The staunchly textualist accounts surviving institutional practice, however, tend to obscure complex multidiscursive and language ideologically anchored processes that mold procedural outcomes. On the basis of first-hand ethnographic data collected across legal-administrative procedures in Belgium, this article aims at revealing some meaningful contexts that have been erased in the case of an asylum seeker who became a murder victim and whose asylum file was used in the assize trial as a resource to sketch his social identity. The analysis explores the ideological functioning of textuality in the situated details of communicative practice, thereby aiming for a better understanding of the intricacies of multidiscursive identity construction in translocal procedural settings. (Institutional discourse analysis, multidiscursivity, language ideology and identity, sociolinguistic mobility, asylum procedure, assize court procedure)*

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Hooper, Ayisha, and Fin Wright. "Procedures for disclosing patients' medical records." Practice Management 30, no. 7 (July 2, 2020): 30–31. http://dx.doi.org/10.12968/prma.2020.30.7.30.

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Ayisha Hooper and Fin Wright, cases managers at Medical Protection, look at the reasons why practices can be approached by the police or solicitors to disclose medical records, and set out some guidance to practice managers

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Zalabardo, José L. "The Primacy of Practice." Royal Institute of Philosophy Supplement 86 (September 18, 2019): 181–99. http://dx.doi.org/10.1017/s1358246119000122.

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AbstractI argue that our procedures for determining whether ascriptions of a predicate represent things as being a certain way are ultimately pragmatic. Pragmatic procedures are not subject to validation by the referential procedure – determining whether there is a property playing the role of its referent. Predicates can represent even if we can't provide an independent identification of its referent. For these predicates, the speakers’ knowledge of how they represent objects as being would have to be construed in terms of the ascription practices they associate with the predicates. The same approach can be applied to semantic predicates, such as ‘is representational’ or ‘refers to’. They can be treated as representational even if we can't provide an independent identification of their referents. The availability of this position undermines accounts of the referents of semantic predicates in naturalistic terms.

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Wallis, Christopher, Sender Herschorn, Ying Liu, Lesley Carr, Ronald T. Kodama, Laurence Klotz, Refik Saskin, and Robert K. Nam. "Practice patterns of post-radical prostatectomy incontinence surgery in Ontario." Canadian Urological Association Journal 8, no. 9-10 (October 22, 2014): 670. http://dx.doi.org/10.5489/cuaj.1959.

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Introduction: We assess the practice patterns of artificial urinary sphincter (AUS) and urethral sling insertion after radical prostatectomy (RP) from a large population-based cohort.Methods: We examined 25 346 men in Ontario, Canada who underwent RP between 1993 and 2006. Using hospital and cancer registry data, we identified patients who subsequently underwent an incontinence procedure. We characterized the practice patterns of post-prostatectomy incontinence procedures across Ontario during the study interval.Results: A total of 703 (2.8%) men underwent subsequent insertion of an AUS and 282 (1.1%) underwent a urethral sling procedure (985 total incontinence procedures, 3.9%) over the study period. During the study period, 121 hospitals performed RP. Among them, 32 (26%) hospitals performed both RP and AUS/sling procedures, and 89 (74%) performed RP only. Four hospitals performed AUS/sling procedures but not RP. Of the 36 institutions that performed AUS/sling procedures, the median annual case volume was 0.29 (interquartile range: 0.083-0.75). Of all incontinence procedures, 56% were performed at 3 academic institutions. When examining observed rates of AUS/sling procedures compared with expected rates from the overall cohort, 15 of 32 hospitals (47%) performed significantly fewer incontinence procedures than expected given their RP case volume (p range: <0.0001–0.0390) and 5 (16%) performed significantly more (p range: <0.0001–0.038).Conclusions: A small number of academic institutions provide most of the surgical care for men with incontinence following RP in Ontario. Many centres that perform RP refer out to other centres to surgically manage their patients’ incontinence.

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Mankowski, Peter, Abhiram Cherukupalli, Karen Slater, and Nick Carr. "Antibiotic Prophylaxis in Plastic Surgery Correlation Between Practice and Evidence." Plastic Surgery 29, no. 2 (March 2, 2021): 132–38. http://dx.doi.org/10.1177/2292550321997005.

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Background: The use of appropriate preoperative antibiotic prophylaxis decreases the risk of surgical site infections (SSI); however, the breadth of plastic surgery procedures makes it challenging to ensure appropriate use for each unique procedure type. Currently, plastic surgeons lack a cohesive and comprehensive set of evidence-based guidelines (EBG) for surgical prophylaxis. We sought to profile the perioperative antibiotic prescribing patterns for plastic surgeons in British Columbia to investigate if they are congruent with published recommendations. In doing so, we aim to determine risk factors for antibiotic overprescribing in the context of surgical prophylaxis. Methods: A literature review identifying EBG for antibiotic prophylaxis use during common plastic surgery procedures was performed. Concurrently, a provincial survey of plastic surgery residents, fellows, academic and community plastic surgeons was used to identify their antibiotic prophylaxis prescribing practices. These findings were then compared to recommendations identified from our review. The compliance of the provincial plastic surgery community with current EBG was determined for 38 surgical scenarios to identify which clinical factors and procedure types were associated with unsupported antibiotic use. Results: Within the literature, 31 of the 38 categories of surveyed plastic surgery operations have EBG for use of prophylactic antibiotics. When surgical procedures have EBG, 19.5% of plastic surgery trainees and 21.9% of practicing plastic surgeons followed recommended prophylaxis use. Average adherence to EBG was 59.1% for hand procedures, 24.1% for breast procedures, and 23.9% for craniofacial procedures. Breast reconstruction procedures and contaminated craniofacial procedures were associated with a significant reduction in adherence to EBG resulting in excessive antibiotic use. Conclusion: Even when evidence-based recommendations for antibiotic prophylaxis exist, plastic surgeons demonstrate variable compliance based on their reported prescribing practices. Surgical procedures with low EBG compliance may reflect risk avoidant behaviors in practicing surgeons and highlight the importance of improving education on the benefits of antibiotic prophylaxis in these clinical situations.

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Bogg, Jan. "From the Journals to your Practice." Assessment and Development Matters 3, no. 3 (2011): 22–23. http://dx.doi.org/10.53841/bpsadm.2011.3.3.22.

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Personnel selection procedures such as assessment centers, structured interviews, and personality inventories are useful predictors of candidates’ job performance. In addition to existing explanations for their criterion-related validity, we suggest that candidates’ ability to identify the criteria used to evaluate their performance during a selection procedure contributes to the criterion-related validity of these procedures. Conceptually, the ability to identify criteria can be framed in the broader literature on peoples’ ability to read situational cues. We draw on both theory and empirical research to outline the potential this ability has to account for selection results and job performance outcomes. Finally, implications for future research are presented.

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Bray, Lucy, Bernie Carter, Karen Ford, Annette Dickinson, Tineke Water, and Lucy Blake. "Holding children for procedures: An international survey of health professionals." Journal of Child Health Care 22, no. 2 (January 21, 2018): 205–15. http://dx.doi.org/10.1177/1367493517752499.

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Children undergoing clinical procedures can experience pain and/or anxiety. This may result in them being unwilling to cooperate and being held still by parents or health professionals. This study aimed to capture an international perspective of health professionals’ reported practices of holding children still for clinical procedures. An online questionnaire was distributed through network sampling to health professionals working with children aged under 16 years of age. A total of 872 responses were obtained from Australia ( n = 477), New Zealand ( n = 237) and the United Kingdom ( n = 158). Responses were from nurses ( n = 651), doctors ( n = 159) and other professionals ( n = 53). Health professionals reported children as held still for clinical procedures quite often (48%) or very often (33%). Levels of holding varied significantly according to country of practice, profession, student status, length of time working within a clinical setting, training received and the availability of resources in the workplace. Health professionals who gained permissions (assent from children and/or consent from parents) before procedures were less likely to hold children still for a clinical procedure than those who did not. Holding children still for procedures is an international practice, which is influenced by training, access to guidance, country of practice and profession. Children's permission and parental consent is often not sought before a child is held for a procedure to be completed.

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Oliver, Thomas K., Diane W. Butzin, Robert O. Guerin, and Robert C. Brownlee. "Technical Skills Required in General Pediatric Practice." Pediatrics 88, no. 4 (October 1, 1991): 670–73. http://dx.doi.org/10.1542/peds.88.4.670.

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Several years ago the American Board of Pediatrics developed a list of 101 technical procedures, which was sent to directors of accredited pediatric programs (N = 231). There was a 70% response and 72 of 101 procedures were considered necessary for residents to develop competency by at least 80% of the program directors. The list of 72 procedures was then sent to 500 randomly selected general pediatricians from a pool size of 10 304. The response rate was 35%. Forty-nine of the 72 procedures were considered necessary by 80% of those responding and one third of the skills (24 of 72) could be classified as absolutely necessary because more than 95% of practitioners considered them to be. Only 7 procedural skills were considered unnecessary by more than 50% of practitioners. It is suggested that program directors consider the 24 skills as ones that should be taught and competence in performing them be verified and recorded.

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Raymond, Mark R., Janet Mee, Steven A. Haist, Aaron Young, Gerard F. Dillon, Peter J. Katsufrakis, Suzanne M. McEllhenney, and David Johnson. "Expectations for Physician Licensure: A National Survey of Practice." Journal of Medical Regulation 100, no. 1 (March 1, 2014): 15–23. http://dx.doi.org/10.30770/2572-1852-100.1.15.

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ABSTRACT To investigate the practice characteristics of newly licensed physicians for the purpose of identifying the knowledge and skills expected of those holding the general, unrestricted license to practice medicine, a questionnaire was mailed in May 2012 to 8,001 U.S. physicians who had been granted an unrestricted license to practice medicine between 2007 and 2011. The questionnaire requested information on stage of training, moonlighting, and practice setting; it also listed 58 clinical procedures and asked respondents to indicate whether they had ordered, performed, or interpreted the results of each procedure since obtaining their unrestricted license. A strategy was implemented to identify the relevance of each clinical activity for undifferentiated medical practice. The response rate was 37%. More than two-thirds of newly licensed physicians still practiced within a training environment; nearly one-half of those in training reported moonlighting, mostly in inpatient settings or emergency departments. Physicians who had completed training and entered independent practice spent most of their time in outpatient settings. Residents/fellows engaged in a broader range of clinical activities than physicians in independent practice. Several clinical procedures were identified that were specialty-specific and did not appear to be skills expected for general medical practice. The results may help residency programs and licensing authorities identify the knowledge and skills required of newly licensed physicians as they transition from supervised to unsupervised practice. The results are relevant to the topic of moonlighting by identifying the skills and procedures required of physicians who engage in this activity. While the study identified procedures that have limited utility for licensure decisions because they are not consistent with general medical practice, the inclusion of such procedures in residency may add value by promoting beneficial variation in training experiences.

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Barrow, E., ID Anderson, S. Varley, AC Pichel, CJ Peden, DI Saunders, and D. Murray. "Current UK practice in emergency laparotomy." Annals of The Royal College of Surgeons of England 95, no. 8 (November 2013): 599–603. http://dx.doi.org/10.1308/rcsann.2013.95.8.599.

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Introduction Emergency laparotomy is a common procedure, with 30,000–50,000 performed annually in the UK. This large scale study reports the current spectrum of emergency laparotomies, and the influence of the surgical procedure, underlying pathology and subspecialty of the operating surgeon on mortality. Methods Anonymised data on consecutive patients undergoing an emergency laparotomy were submitted for a three-month period. The primary outcome measure was unadjusted 30-day mortality. Appendicectomy and cholecystectomy were among the procedures excluded. Results Data from 1,708 patients from 35 National Health Service hospitals were analysed. The overall 30-day mortality rate was 14.8%. ‘True’ emergency laparotomies (ie those classified by the National Confidential Enquiry into Patient Outcome and Death as immediate or urgent) comprised 86.5% of cases. The mortality rate rose from 8.0% among expedited cases to 14.3% among urgent cases and to 25.7% among laparotomies termed immediate. Among the most common index procedures, small bowel resection exhibited the highest 30-day mortality rate of 21.1%. The presence of abdominal sepsis was associated with raised 30-day mortality (17.5% in the presence of sepsis vs 12.6%, p=0.027). Colorectal procedures comprised 44.3% and within this group, data suggest that mortality from laparotomy may be influenced by surgical subspecialisation. Conclusions This report of a large number of patients undergoing emergency laparotomy in the UK confirms a remarkably high mortality by modern standards across the range. Very few pathologies or procedures can be considered anything other than high risk. The need for routine consultant involvement and critical care is evident, and the case distribution helps define the surgical skill set needed for a modern emergency laparotomy service. Preliminary data relating outcomes from emergency colonic surgery to surgical subspecialty require urgent further study.

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Madnani, Nina, Maya Vedmurthy, Anchala Parthasarthi, Sachin Dhawan, Rajat Kandhari, Rahul Pillai, and K. C. Nischal. "Expert opinion on pre and post procedure care in aesthetic dermatology." International Journal of Research in Medical Sciences 10, no. 4 (March 28, 2022): 991. http://dx.doi.org/10.18203/2320-6012.ijrms20220999.

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In clinical practice, the number of aesthetic dermatology procedures carried out in India is increasing. Nonsurgical or minimally invasive cosmetic dermatology encompasses a variety of procedures, such as chemical peels, laser therapies, dermal fillers, derma rollers and microneedling radiofrequency, which are known to be safe and effective. Despite enormous advances in the field of aesthetic dermatological procedures, many clinicians seem to have limited knowledge about the potential benefits and risks associated with aesthetic procedures. To ensure successful outcome of an aesthetic procedure and to minimise complications, one should be aware of the pre- and post-procedural care involved. This review summarized expert opinion on pre and post-procedural care needed with chemical peels, laser therapies, dermal fillers, derma rollers and microneedling radiofrequency.

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Sattelmayer, Martin, Roger Hilfiker, and Gillian Baer. "A systematic review of assessments for procedural skills in physiotherapy education / Assessment von prozeduralen Fähigkeiten in der physiotherapeutischen Ausbildung: Ein systematischer Review." International Journal of Health Professions 4, no. 1 (June 30, 2017): 53–65. http://dx.doi.org/10.1515/ijhp-2017-0008.

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Abstract Introduction Learning of procedural skills is important in the education of physiotherapists. It is the aim of physiotherapy degree programmes that graduates are able to practice selected procedures safely and efficiently. Procedural competency is threatened by an increasing and diverse amount of procedures that are incorporated in university curricula. As a consequence, less time is available for the learning of each specific procedure. Incorrectly performed procedures in physiotherapy might be ineffective and may result in injuries to patients and physiotherapists. The aim of this review was to synthesise relevant literature systematically to appraise current knowledge relating to assessments for procedural skills in physiotherapy education. Method A systematic search strategy was developed to screen five relevant databases (CINAHL, Cochrane Central, SportDISCUS, ERIC and MEDLINE) for eligible studies. The included assessments were evaluated for evidence of their reliability and validity. Results The search of electronic databases identified 560 potential records. Seven studies were included into this systematic review. The studies reported eight assessments of procedural skills. Six of the assessments were designed for a specific procedure and two assessments were considered for the evaluation of more than one procedure. Evidence to support the measurement properties of the assessment was not available for all categories. Discussion It was not possible to recommend a single assessment of procedural skills in physiotherapy education following this systematic review. There is a need for further development of new assessments to allow valid and reliable assessments of the broad spectrum of physiotherapeutic practice

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Mahnken, Andreas H., Esther Boullosa Seoane, Allesandro Cannavale, Michiel W. de Haan, Rok Dezman, Roman Kloeckner, Gerard O’Sullivan, Anthony Ryan, and Georgia Tsoumakidou. "CIRSE Clinical Practice Manual." CardioVascular and Interventional Radiology 44, no. 9 (July 6, 2021): 1323–53. http://dx.doi.org/10.1007/s00270-021-02904-3.

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Abstract Background Interventional radiology (IR) has come a long way to a nowadays UEMS-CESMA endorsed clinical specialty. Over the last decades IR became an essential part of modern medicine, delivering minimally invasive patient-focused care. Purpose To provide principles for delivering high quality of care in IR. Methods Systematic description of clinical skills, principles of practice, organizational standards and infrastructure needed for the provision of professional IR services. Results There are IR procedures for almost all body parts and organs, covering a broad range of medical conditions. In many cases IR procedures are the mainstay of therapy, e.g. in the treatment of hepatocellular carcinoma. In parallel the specialty moved from the delivery of a procedure towards taking care for a patient’s condition with the interventional radiologists taking ultimate responsibility for the patient’s outcomes. Conclusions The evolution from a technical specialty to a clinical specialty goes along with changing demands on how clinical care in IR is provided. The CIRSE Clinical Practice Manual provides interventional radiologist with a starting point for developing his or her IR practice as a clinician.

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Hunt, Jennifer. "Catheter procedures expose variations in nurse practice." Nursing Standard 30, no. 23 (February 3, 2016): 32–33. http://dx.doi.org/10.7748/ns.30.23.32.s40.

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Švedienė, Saulė, and Juozas Ivaškevičius. "Good medical practice for regional block’s procedures." Acta medica Lituanica 19, no. 3 (October 1, 2012): 187–90. http://dx.doi.org/10.6001/actamedica.v19i3.2446.

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Scientific and technological advances, changes in the social environment of doctor’s activities have caused a lot of changes in medicine during recent years. The perioperative period is emotionally stressful for patients because of their fears about anesthesia. The anesthesist‘s duty is to guide the patient through this period by managing his fears, establishing the confidence. The patient also has to be aware of the possible risks related to anesthesia. According to the consent process, the patient should be supplied with comprehensive information before the invasive procedures: risks and benefits, all possible alternatives. This enables the patient to make a conscious choice and increases the participation in his own care. Information about postoperative pain treatment would be helpful as the pain relief is influenced by patient’s knowledge and beliefs. In this regard, regional anesthesia can provide a safer alternative to general anesthesia and prolonged postoperative analgesia. Continuous infusion, which is the actual clinical standard, allows to adjust the rate of infusion and concentration of drugs according to patient’s response and to maintain a constant drug level over time. New techniques of the needle tip guidance under ultrasound imaging reduce the fears about the nerve damage as a smaller volume of local anesthetic can be placed at very precise points of the targeted nerve. Continuing professional education is obligatory for good medical practice and professional standards. It includes the development of theoretical knowledge and practical skills in the techniques, communication, teaching, management and clinical responsibilities.

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McDonald, Clement J., and Clement J. McDonald. "Reminders increased preventive procedures in family practice." ACP Journal Club 116, no. 2 (March 1, 1992): 63. http://dx.doi.org/10.7326/acpjc-1992-116-2-063.

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Day, Albert T. "General practice and the New Complaints Procedures." AVMA Medical & Legal Journal 3, no. 4 (July 1997): 132–34. http://dx.doi.org/10.1177/135626229700300409.

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Schauvliege, S. "Opioids for field procedures in equine practice." Veterinary Record 175, no. 24 (December 18, 2014): 621–22. http://dx.doi.org/10.1136/vr.g7571.

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Morley, K. D. "Book Review: Procedures in Practice Third Edition." Scottish Medical Journal 40, no. 3 (June 1995): 95. http://dx.doi.org/10.1177/003693309504000312.

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Priest, George, and Judy Priest. "Promoting Esthetic Procedures in the Prosthodontic Practice." Journal of Prosthodontics 13, no. 2 (May 28, 2004): 111–17. http://dx.doi.org/10.1111/j.1532-849x.2004.04017.x.

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ROSS, ISOBEL A. "PRACTICE GUIDELINES, PATIENT INTERESTS, AND RISKY PROCEDURES." Bioethics 10, no. 4 (October 1996): 310–22. http://dx.doi.org/10.1111/j.1467-8519.1996.tb00131.x.

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Chmura, Louis G. "Advanced esthetic laser procedures in orthodontic practice." Seminars in Orthodontics 26, no. 2 (June 2020): 90–95. http://dx.doi.org/10.1053/j.sodo.2020.06.003.

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