Publications by authors named "Tera F Howard"

Introduction: Part of the difficulty in recruiting and retaining a diverse physician workforce, as well as within medical leadership, is due to racial disparities in medical education. We investigated whether self-identified race-ethnicity is associated with the likelihood of selection as chief resident (CR).

Materials And Methods: We performed a cross sectional analysis using de-identified person-level data from the GME Track, a national resident database and tracking system, from 2015 through 2018.

View Article and Find Full Text PDF

The recruitment of a diverse resident workforce is the immediate proximate step to growing a diverse physician workforce. This recruitment requires intentionality on the part of residency programs and institutional graduate medical education offices. This article describes evidence-based recruitment "best practices" and encourages programs to stay committed.

View Article and Find Full Text PDF

The Baby Friendly Hospital Initiative has had a positive impact on breastfeeding initiation; however, little is known about posthospital infant feeding practices among women who deliver at baby friendly hospitals. Therefore we sought to evaluate posthospital breastfeeding outcomes among women who deliver at a baby friendly hospital (BFH) by (1) estimating exclusive breastfeeding rates at the postpartum visit (PPV), (2) quantifying the exclusive breastfeeding discontinuation rate, and (3) identifying which factors are associated with breastfeeding discontinuation. This was a prospective cohort study of women aged 14 and over, who delivered at the University of Alabama at Birmingham.

View Article and Find Full Text PDF

The Baby-Friendly Hospital Initiative has had a positive impact on breastfeeding initiation; however, posthospital exclusive breastfeeding (EBF) rates remain low. We aimed to analyze thoughts and attitudes toward breastfeeding at the postpartum visit among women who deliver at a Baby-Friendly hospital. Women ≥14 years who delivered a live-born infant at our center were eligible.

View Article and Find Full Text PDF

Background: Black women have greater than a three-fold risk of pregnancy-associated death compared to White women; cardiomyopathy is a leading cause of maternal mortality.

Objectives: This study examined racial disparities in health outcomes among women with peripartum cardiomyopathy.

Study Design: Retrospective cohort of women with peripartum cardiomyopathy per the National Heart, Lung, and Blood Institute definition from January 2000 to November 2017 from a single referral center.

View Article and Find Full Text PDF

Objective: We sought to determine whether the timing of balloon tamponade (BT) and uterine artery embolization is associated with morbidity among women with postpartum hemorrhage (PPH).

Study Design: This is a cohort study of women with PPH at a single tertiary academic institution. Patient demographics, delivery outcomes (eg, labor augmentation, route of delivery), and PPH-specific data (eg, estimated blood loss at the time when PPH interventions were employed) were abstracted from the chart.

View Article and Find Full Text PDF

Background: Vaginal agglutination after spontaneous vaginal delivery has not been previously described in the medical literature.

Case: A healthy 35-year-old Gravida 2 Para 2002 had a normal, spontaneous vaginal delivery. At her 8-week postpartum visit, a speculum could not be inserted into her vagina secondary to significant foreshortening.

View Article and Find Full Text PDF