Publications by authors named "Thomas Schwenk"

Article Synopsis
  • Researchers studied how to measure burnout in medical students using two different tests: one that’s obvious (MBI) and one that’s less direct (IRAP).
  • They had students take both tests at different times during their first two years of medical school, mostly online.
  • The results showed that although the two tests often gave different insights, both showed that burnout increased, especially during the first year, and that the IRAP noticed positive feelings about medical training that the other test didn’t pick up.
View Article and Find Full Text PDF

Background: This study assessed direct and indirect associations between problems with electronic health records (EHRs) and physician distress via problems encountered during the day-to-day practice of medicine and access to social support.

Methods: One-hundred and ninety physicians in the state of Nevada completed an online survey in spring of 2019 regarding problems with EHRs, their medical practice, social support, and mental health. A parallel mediator model was tested with 10,000 bias-corrected bootstrap samples to assess associations between EHRs and distress directly and indirectly via medical practice problems and social support.

View Article and Find Full Text PDF

Background: In the 1970s, the Federal Trade Commission declared that allowing medical providers to advertise directly to consumers would be "providing the public with truthful information about the price, quality or other aspects of their service." However, our understanding of the advertising content is highly limited.

Objective: To assess whether direct-to-consumer medical service advertisements provide relevant information on access, quality and cost of care, a content analysis was conducted.

View Article and Find Full Text PDF

Economic pressure has led the evolution of the role of the medical school dean from a clinician educator to a health care system executive. In addition, other dynamic requirements also have likely led to changes in their leadership characteristics. The most important relationship a dean has is with the chairs, yet in the context of the dean's changing role, little attention has been paid to this relationship.

View Article and Find Full Text PDF

Background And Objectives: State medical licensing boards are responsible for evaluating physician impairment. Given the stigma generated by mental health issues among physicians and in the medical training culture, we were interested in whether states asked about mental and physical health conditions differently and whether questions focused on current impairment.

Methods: Two authors reviewed physician medical licensing applications for US physicians seeking first-time licensing in 2013 in the 50 states and the District of Columbia.

View Article and Find Full Text PDF

Background: Previous studies have shown that adequate thickness or initial augmentation of soft tissue has a positive effect on the stability of peri-implant bone. This randomized, controlled trial aimed to evaluate the influence of augmenting soft tissue with platelet-rich fibrin (PRF) on crestal bone and soft tissue around implants.

Methods: After randomization, 31 fully threaded titanium implants were inserted in 31 patients (16 men and 15 women) in the lower mandible using a split-flap technique.

View Article and Find Full Text PDF

Background And Objectives: The Student Outreach Clinic (SOC) at the University of Nevada School of Medicine is one of several student-run free medical clinics associated with US medical schools. We report on the educational value of the SOC to medical students who volunteer at this clinic.

Methods: The records of all patients seen between August 1, 2012, and July 31, 2013, at the SOC were abstracted on a deidentified basis to collect key demographic and clinical components of the visit, including past medical history, components of the physical exam performed, clinical diagnoses recorded, patient disposition, and medications prescribed.

View Article and Find Full Text PDF

Objective: To describe the prevalence of and risk factors for depression in a high-risk population of mothers of ill newborns in Ghana.

Methods: Semi-structured interviews were conducted with women who had a hospitalized newborn at a tertiary teaching hospital in Kumasi, Ghana. Surveys included information on maternal demographics, pregnancy and delivery, interpersonal violence, and social support.

View Article and Find Full Text PDF