Training physicians in systems-based practice is a well-recognized need, yet achieving this objective has been slower than would be expected. Our continuing medical education (CME) efforts have a great influence on how physicians learn and what they learn. Merging the need to provide ongoing education with the need to help physicians become more system minded and more proficient systems managers provides great opportunities for the CME community. This paper explores the role of CME in training physicians in systems-based practice.
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http://dx.doi.org/10.1002/chp.202 | DOI Listing |
Clin Dermatol
December 2024
Department of Dermatology, University of Connecticut School of Medicine, Farmington, CT, USA; Department of Dermatology, University of Florida College of Medicine, Gainesville, FL, USA. Electronic address:
The evolution of healthcare payment models has profoundly influenced clinical practices and physician decision-making. While fee-for-service (FFS) models incentivize procedural volume, systems based on Relative Value Units (RVUs) have introduced standardized metrics to compensate physicians based on care complexity and workload. As corporations increasingly own healthcare, financial incentives such as RVUs and procedural quotas raise ethical concerns.
View Article and Find Full Text PDFAnn Glob Health
December 2024
Professor of Family Medicine and of Internal Medicine, Division of Hospital Medicine, Oregon Health & Science University, School of Medicine, Portland, OR, USA.
Global health education is important for addressing health inequities nationally and internationally. Physician shortages in underserved areas suggest more exposure during training is needed. To study the impact of a global health training program on residents' perceived preparedness and intention to care for underserved populations.
View Article and Find Full Text PDFJ Ultrasound
November 2024
Department of Medical Informatics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Purpose: The thyroid imaging reporting and data system (TIRADS) was developed as a standard global term to describe thyroid nodule risk features, aiming to address issues such as variability and low reproducibility in nodule feature detection and interpretation by different physicians. The objective of this study is to comprehensively study articles that utilize AI techniques to design and develop decision support systems for classifying thyroid nodule risk on the basis of various TIRADS guidelines from ultrasound images.
Methods: This protocol includes five steps: identification of key research questions of the review, descriptions of the systematic literature search strategies, criteria for study inclusion and exclusion, study quality measures, and the data extraction process.
JDR Clin Trans Res
October 2024
Department of Community Dentistry, Case Western Reserve University School of Dental Medicine, Cleveland, OH, USA.
Introduction: There are minimal evidence-based outcomes from clinical trials for medical-dental integration. This formative work and pilot study is a precursor to a larger cluster-randomized clinical trial in adult primary care practices to test an electronic health record (EHR) structured workflow for primary care providers (physicians/nurse practitioners [NPs]) and medical staff (medical assistants [MAs] and nurses) with oral health (OH) screening and referral for Medicaid-enrolled adults ≥55 years.
Methods: This study was conducted in 2 practices with providers, medical staff, and older adults.
JAMIA Open
December 2024
Oncology, Medstar Georgetown Cancer Center, Washington, DC 20007, United States.
Background And Introduction: Over the last decade, treatment of patients with advanced non-small cell lung cancer (NSCLC) has become dependent on tissue and/or blood biomarkers to guide treatment decisions. Timely access to comprehensive biomarker and tumor signature information is crucial for diagnostic testing. With the rapid development and implementation of complex biomarker testing, comprehensive molecular profiling with in-depth analysis of DNA, RNA, and proteins can be easily performed.
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