In this issue of Academic Medicine, Broderick and Nocella describe the creative use of an educational consortium model to bring community providers together to solve the fiscal crisis faced by the local family medicine residency program, which was sponsored by a single-program sponsoring (hospital) institution. The authors of this commentary explore the specific adaptation of the educational consortium model to the previously single-program-sponsor setting, provide current numbers of accredited residency programs sponsored by educational consortia and other institutions, and speculate on the consortium model's potential to enhance community engagement and support for graduate medical education (GME) in the various settings in which GME is conducted in the United States.
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http://dx.doi.org/10.1097/ACM.0b013e31825e6e9e | DOI Listing |
Pediatrics
January 2025
Complex Care, Division of General Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Pediatric home health care represents a vital system of care for children with disability and medical complexity, encompassing services provided by family caregivers and nonfamily home health care providers and the use of durable medical equipment and supplies. Home health care is medically necessary for the physiologic health of children with disability and medical complexity and for their participation and function within home, school, and community settings. While the study of pediatric home health care in the United States has increased in the last decade, its research remains primarily methodologically limited to observational studies.
View Article and Find Full Text PDFJ Nurs Adm
January 2025
Author Affiliations: Assistant Professor (Dr Brown), Rush University College of Nursing, Chicago, Illinois; Professor (Dr Pajarillo), Adelphi University, Garden City, New York; Instructor (Baker), Stephen F. Austin State University, Nacogdoches, Texas; Assistant Professor (Dr Kabigting), Adelphi University, Garden City, New York; Adjunct Assistant Professor (Dr Bajwa), MGH Institute of Health Professions, Boston, Massachusetts; Professor (Dr Dowling-Castronovo), Monmouth University, West Long Beach, New Jersey; Director/Chair (Dr Kaufman), Great Bay Community College, Portsmouth, New Hampshire; Dean (Dr Santee), RWJBarnabas Health/Trinitas School of Nursing, Elizabeth, New Jersey; Adjunct Faculty (Dr Seibold-Simpson), State University of New York Delhi School of Nursing; and Nursing Consultant/Mentor (Dr Lee), Ames, Iowa.
Background: The numbers of nursing school admissions and, thus, future nursing graduates are directly affected by the lack of qualified ANEs.
Methods: A consortium of diverse ANEs was formed to research these questions using the nominal group technique.
Results: Two central themes emerged from the consortium: support and collaboration.
Disaster Med Public Health Prep
January 2025
Robert Koch Institute, Berlin, Germany.
Objective: In the course of the EU funded Pandemic Preparedness and Response (PANDEM-2) project, a functional exercise (FX) was conducted to train the coordinated response to a large-scale pandemic event in Europe by using new IT solutions developed by the project. This report provides an overview of the steps involved in planning, conducting, and evaluating the FX.
Methods: The FX design was based on the European Centre for Disease Prevention and Control (ECDC) simulation exercise cycle for public health settings and was carried out over 2 days in the German and Dutch national public health institutes (PHI), with support from other consortium PHIs.
Nat Med
January 2025
Cancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London, UK.
Circulating tumor DNA (ctDNA) detection can predict clinical risk in early-stage tumors. However, clinical applications are constrained by the sensitivity of clinically validated ctDNA detection approaches. NeXT Personal is a whole-genome-based, tumor-informed platform that has been analytically validated for ultrasensitive ctDNA detection at 1-3 ppm of ctDNA with 99.
View Article and Find Full Text PDFNat Commun
January 2025
Department of Neurology and National Center for Neurological Disorders, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, China.
Brain glymphatic activity, as indicated by diffusion-tensor imaging analysis along the perivascular space (ALPS) index, is involved in developmental neuropsychiatric and neurodegenerative diseases, but its genetic architecture is poorly understood. Here, we identified 17 unique genome-wide significant loci and 161 candidate genes linked to the ALPS-indexes in a discovery sample of 31,021 individuals from the UK Biobank. Seven loci were replicated in two independent datasets.
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