The human immunodeficiency virus (HIV)/AIDS epidemic disproportionately affects African Americans and Latinos in the United States, but there are limited numbers of minority physicians providing primary medical care to these patients. An HIV Medicine Association (HIVMA) Minority Clinical fellowship began training the first cohort of minority physicians in July 2007 to help provide care in the face of these health disparities. This report chronicles the experience of Dr Loida Bonney as a fellow caring for people living with HIV/AIDS at the Grady Health System in urban Atlanta, Georgia, and demonstrates that such fellowships can be successful mechanisms to train physicians with expertise in HIV medicine. It is important to develop an expanded number of flexible, innovative programs for building the HIV medicine workforce.
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http://dx.doi.org/10.1016/s0027-9684(15)31144-5 | DOI Listing |
Emerg Med J
January 2025
Emergency Medicine, Queen's University, Kingston, Ontario, Canada.
A shortcut review of the literature was conducted to examine the sensitivity and specificity of point-of-care ultrasound (POCUS) in detecting paediatric skull fractures. A total of 162 publications were screened by title and abstract, 13 studies underwent full text review, and after review of bibliographies of meta-analyses and systematic reviews, a total of 6 articles were included. Details about the author, date of publication, country of publication, patient group studied, study type, relevant outcomes (skull fracture), results and study limitations were tabulated.
View Article and Find Full Text PDFInt J Comput Assist Radiol Surg
January 2025
Department of Radiology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan.
Purpose: Systems equipped with natural language (NLP) processing can reduce missed radiological findings by physicians, but the annotation costs are burden in the development. This study aimed to compare the effects of active learning (AL) algorithms in NLP for estimating the significance of head computed tomography (CT) reports using bidirectional encoder representations from transformers (BERT).
Methods: A total of 3728 head CT reports annotated with five categories of importance were used and UTH-BERT was adopted as the pre-trained BERT model.
Fam Med
December 2024
Department of Family and Community Medicine, UMass Chan Medical School, Worcester, MA.
Background And Objectives: Institutional racism causes worse health outcomes for patients of racial/ethnic minority groups via limited access to health care, disparities in quality of care delivered, and lack of physician diversity. Increased attention to racism in 2020 led many medical institutions to examine their diversity, equity, and inclusion (DEI) efforts. In the context of increased national attention to health equity, this study sought to investigate the current status of DEI infrastructure by evaluating leadership and support related to DEI in family medicine departments in 2020 and 2021.
View Article and Find Full Text PDFPLoS One
January 2025
Department of Medicine, University of Toronto, Toronto, ON, Canada.
Background And Aims: The expanded use of virtual care may worsen pre-existing disparities in use and delivery of end-of-life care among certain groups of people. We measured the use of virtual care in the last three months of life before and after the introduction of virtual care fee codes that funded care delivery at the start of COVID-19 on March 14, 2020, and identified changes in the characteristics of people using it.
Methods: We used linked clinical and administrative datasets to study use of virtual care in the last three months of life among 411,564 adults who died between January 25, 2018, and November 30, 2022.
BMC Cancer
January 2025
Mailman School of Public Health, Columbia University Irving Medical Center, 630 West 168th St, New York, NY, 10032, USA.
Background: Despite the association of pathogenic variants (PVs) in cancer predisposition genes with significantly increased risk of breast cancer (BC), uptake of genetic testing (GT) remains low, especially among ethnic minorities. Our prior study identified that a patient decision aid, RealRisks, improved patient-reported outcomes (including worry and perceived risk) relative to standard educational materials. This study examined patients' GT experience and its influence on subsequent actions.
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