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Belonging, endurance, and resistance: Black placemaking theory in primary care.
Soc Sci Med
February 2024
Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, OR, USA. Electronic address:
Black-Americans continue to experience pervasive health disparities. Factors contributing to increased disease risk include a general mistrust of biomedical institutions among Black Americans. The purpose of this focus group study was to identify, among Black patients who regularly seek care from a primary provider, salient themes regarding barriers to 1) receiving quality primary care; and 2) adhering to medical recommendations.
View Article and Find Full Text PDFRapid suppression of bone formation marker in response to sleep restriction and circadian disruption in men.
Osteoporos Int
December 2019
Sleep Health Institute, Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, MA, USA.
Unlabelled: We describe the time course of bone formation marker (P1NP) decline in men exposed to ~ 3 weeks of sleep restriction with concurrent circadian disruption. P1NP declined within 10 days and remained lower with ongoing exposure. These data suggest even brief exposure to sleep and circadian disruptions may disrupt bone metabolism.
View Article and Find Full Text PDFUs, Too. Sexual Harassment Within Academic Medicine in the United States.
Am J Med
February 2020
Professor of Medicine, Weill Cornell Medical College, New York, NY.
Purpose: We report on the extent of sexual harassment among residents and examine its relationship to specialty and program year and effects.
Methods: Using the C-Change Resident Survey, we surveyed residents in 34 internal medicine, pediatrics, and general surgery programs in 14 academic medical centers (AMCs). A total of 1708 residents completed the survey (70% response-rate); 51% (n = 879) were women.
Assessment and treatment of pediatric behavioral sleep disorders in Canada.
Sleep Med
April 2019
University of Alberta, Edmonton, AB, Canada.
Objectives/background: This paper outlines the current state of Canadian training, clinical services, research, and advocacy initiatives related to non-respiratory sleep disorders, with a specific focus on insomnia, the most common sleep problem in children.
Methods: Information for this narrative review was collected from peer-reviewed publications, web-resources, and personal communications and experiences.
Results: It is estimated that approximately one-third of Canadian children and youth present with insomnia, and that this is impacting their physical and mental health, as well as learning in school.
Resident Vitality in 34 Programs at 14 Academic Health Systems: Insights for Educating Physicians and Surgeons for the Future.
J Surg Educ
November 2018
Harvard T. H. Chan School of Public Health, Harvard University, Boston, Massachusetts.
Objective: To clarify our understanding of how the culture of residency training influences the well-being of residents, this study reports on the vitality of residents at 34 programs across the United States and identifies characteristics of the programs, institutions and residents that are associated with high resident vitality.
Design: In 2014 to 2015, residents nationally were surveyed using the validated C - Change Resident Survey. The survey assessed residents' vitality and 12 other dimensions that characterize residents' perspectives of the culture of the residency training programs: Self-efficacy, Institutional/program support, Relationships/inclusion/trust, Values alignment, Ethical/moral distress, Respect, Leadership aspirations, Mentoring, Work-life integration, Gender equity, Racial/ethnic minority equity, and self-assessed Competencies.
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