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The Influence of the COVID-19 Pandemic on Intensivists' Well-Being: A Qualitative Study.
Chest
August 2022
Division of Pulmonary, Critical Care, & Sleep Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY; Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.
Background: The COVID-19 pandemic has strained health care systems and has resulted in widespread critical care staffing shortages, negatively impacting the quality of care delivered.
Research Question: How have hospitals' emergency responses to the pandemic influenced the well-being of frontline intensivists, and do any potential strategies exist to improve their well-being and to help preserve the critical care workforce?
Study Design And Methods: We conducted semistructured interviews of intensivists at clusters of tertiary and community hospitals located in six regions across the United States between August and November 2020 using the "four S" framework of acute surge planning (ie, space, staff, stuff, and system) to organize the interview guide. We then used inductive thematic analysis to identify themes describing the influence of hospitals' emergency responses on intensivists' well-being.
The Influence of the COVID-19 Pandemic on ICU Organization, Care Processes, and Frontline Clinician Experiences: A Qualitative Study.
Chest
November 2021
Division of Pulmonary and Critical Care, Oregon Health & Science University, Portland, OR.
Background: The COVID-19 pandemic resulted in unprecedented adjustments to ICU organization and care processes globally.
Research Questions: Did hospital emergency responses to the COVID-19 pandemic differ depending on hospital setting? Which strategies worked well to mitigate strain as perceived by intensivists?
Study Design And Methods: Between August and November 2020, we carried out semistructured interviews of intensivists from tertiary and community hospitals across six regions in the United States that experienced early or large surges of COVID-19 patients, or both. We identified themes of hospital emergency responses using the four S framework of acute surge planning: space, staff, stuff, system.
For adenomas at colonoscopy, it's worth sweating the small stuff.
Gastrointest Endosc
March 2020
Minneapolis Veterans Affairs Medical Center, University of Minnesota School of Medicine, Minneapolis, Minnesota, USA; Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota School of Medicine, Minneapolis, Minnesota, USA.
Genomic Profiling of T-Cell Neoplasms Reveals Frequent and Mutations With Clonal Evasion From Targeted Therapies.
JCO Precis Oncol
February 2018
R.L. Roudebush Veterans Affairs Medical Center and Indiana University School of Medicine, Indianapolis, IN.
Purpose: The promise of precision oncology is that identification of genomic alterations will direct the rational use of molecularly targeted therapy. This approach is particularly applicable to neoplasms that are resistant to standard cytotoxic chemotherapy, like T-cell leukemias and lymphomas. In this study, we tested the feasibility of targeted next-generation sequencing in profiles of diverse T-cell neoplasms and focused on the therapeutic utility of targeting activated JAK1 and JAK3 in an index case.
View Article and Find Full Text PDFThe "Right Stuff" Revisited: What Have We Learned About the Determinants of Daily Functioning in Schizophrenia?
Schizophr Bull
July 2015
Desert Pacific Mental Illness Research, Education, and Clinical Center, Department of Veterans Affairs, Los Angels, CA; Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angels, CA.
It has been about 15 years since we published our article asking whether we are measuring the "Right Stuff" as we search for predictors and determinants of functional outcome in schizophrenia. At that time, we raised the question as to whether the neurocognitive assessments used to study outcome in schizophrenia were too narrow to capture the wide variability in factors that determine daily functioning. While the study of the determinants of functioning in schizophrenia has grown and matured, we are struck by 3 aspects of the article that evolved in different directions.
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