Publications by authors named "Julie L Welch"

Objective: Existing literature shows associations between patient demographics and reported experiences of care, but this relationship is poorly understood. Our objective was to use natural language processing of patient comments to gain insight into associations between patient demographics and experiences of care.

Methods: This is a cross-sectional study of 14,848 unique emergency department (ED) patient visits from 1/1/2020 to 12/31/2020.

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Introduction: Early-stage clinical and translational researchers who set and track career goals, milestones, and progress are successful in career development. We aimed to determine the effectiveness of the Customized Career Development Platform (CCDP), an online individual development plan (IDP), versus the traditional IDP template in improving research success and career satisfaction.

Methods: We conducted a pragmatic cluster-randomized controlled trial of 340 scholars and trainees at 27 US academic healthcare institutions.

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The COVID-19 pandemic had an immediate impact on the lives and work of early-career researchers. We leveraged a cluster-randomized trial and compared survey data collected over two timepoints to explore whether these impacts persisted. Although more than a year had passed, 74% of participants reported that their research was affected in multiple ways in 2020 and 2021.

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Flexible work-life policies for medical school faculty are necessary to support career progress, advancement, retention, and job satisfaction. Our objective was to perform a 10-year follow-up descriptive assessment of the availability of flexible work-life policies for faculty in medical schools in the Big Ten Conference. In this descriptive study, a modified objective scoring system was used to evaluate the flexibility of faculty work-life policies at 13 medical schools in the Big Ten Conference.

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Introduction Although clinical ultrasound (CUS) is a core skill that is a requirement for emergency medicine (EM) residency graduation, only a fraction of EM practitioners who trained prior to this requirement are certified in CUS. The objective of the study was to implement a CUS workshop for practicing EM physicians, identify barriers to utilization, and assess comfort with the machine, obtaining and interpreting images, and incorporating CUS into clinical practice. Methods This was a prospective descriptive cohort study of EM physician faculty who participated in an interactive 5-hour CUS workshop intervention that introduced four core CUS modalities via didactics and hands-on scanning stations.

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Objectives: Many physicians complete residency training during optimal childbearing years. The literature shows that working nights or on call can lead to pregnancy complications including miscarriage, preterm labor, and preeclampsia. In addition, infant-parent bonding in the postpartum period is crucial for breastfeeding, health, and well-being.

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Article Synopsis
  • A study was conducted to assess the well-being, resilience, and burnout of emergency medicine (EM) providers during the initial phase of the COVID-19 pandemic, involving 213 physicians and advanced practice providers across various emergency departments.
  • Respondents completed weekly anonymous questionnaires measuring wellness, burnout, and resilience, revealing a decline in concerns about personal safety and stress over the four weeks, though burnout levels remained relatively unchanged.
  • The study found that women were more likely to experience feelings of isolation compared to men, and working part-time increased the risk of burnout among the EM providers.
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Introduction: Time management is an essential skill set for physicians. The importance of time management is not routinely emphasized in undergraduate or graduate medical education curricula, often resulting in the development of poor time-management practices early in training. Improving time-management practices may lead to decreased stress, increased productivity, and improved well-being for physicians.

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Article Synopsis
  • Junior faculty in medical research often face tough challenges like finding mentors and getting funding, leading many to leave their jobs early.
  • The Independent Investigator Incubator (I) program was created to help new researchers by pairing them with experienced mentors for guidance and support.
  • After one year, the program showed positive results, with participants feeling more confident in their research skills and better able to navigate their careers.
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Introduction: Mentoring in academia is considered a fundamental element of career choice, satisfaction, and productivity. While there is an expectation that trainees and junior faculty will have a mentor, there is no standard practice for training or establishing mentoring relationships. This mentoring workshop is designed to help leaders in academic medicine train mentees.

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Background: Women in medicine report many gender-specific barriers to their career success and satisfaction, including a lack of mentors and role models. The literature calls for innovative strategies to enhance mentorship for women in medicine.

Objective: To describe the content, perceived value, and ongoing achievements of a mentoring program for women in emergency medicine.

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