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Changing or validating physician opioid prescribing behaviors through audit and feedback and academic detailing interventions in primary care.
Implement Res Pract
January 2025
Institute for Health System Solutions and Virtual Care, Women's College Research and Innovation Institute, Women's College Hospital, Toronto, ON, Canada.
Background: In Ontario, Canada, province-wide initiatives supporting safer opioid prescribing in primary care include voluntary audit and feedback reports and academic detailing. In this process evaluation, we aimed to determine the fidelity of delivery and receipt of the interventions, the observed change strategies used by physicians, potential mechanisms of action, and how complementary the initiatives can be to each other.
Method: Semi-structured interviews were conducted with academic detailers and with physicians who received both interventions.
[Barriers for including sufficient participants in multi-center drug research].
Tijdschr Psychiatr
January 2025
Background: The SPACe 2: STAR trial is a multicenter trial in children with an autism spectrum disorder, divided over nine centers in the Netherlands. However, it is challenging to include enough participants due to various factors, including the varying status of the disorder and willingness of parents and children.
Aim: To identify and overcome the bottlenecks for practitioners during the trial to prevent major delays.
Exploring Differences in Clinical Decisions Between Medical Students and Expert Clinicians.
Adv Med Educ Pract
December 2024
Graduate School of Education, Stanford University, Stanford, California, USA.
Background: Numerous challenges exist in effectively bridging theory and practice in the teaching and assessment of clinical reasoning, despite an abundance of theoretical models. This study compares clinical reasoning practices and decisions between medical students and expert clinicians using a problem-solving framework from the learning sciences, which identifies clinical reasoning as distinct, observable actions in clinical case solving. We examined students at various training stages against expert clinicians to address the research question: How do expert clinicians and medical students differ in their practices and decisions during the diagnostic process?.
View Article and Find Full Text PDF[Human Resources Development in Cancer Research].
Gan To Kagaku Ryoho
December 2024
Dept. of Early Clinical Development, Kyoto University Graduate School of Medicine.
There exist many issues concerning human resources development in cancer research. Not a single solution does not work, but correlative issues should be continuously and comprehensively considered. Board certification platform, timing of decisions to go to graduate school of medicine and to study abroad for young researchers: leading to the education for physician scientists, grants(Kakenhi)reduction, the Work System Reform for medical doctors, promotion women researchers for managerial posts, etc.
View Article and Find Full Text PDFComparative analysis of diagnostic accuracy in adult congenital heart disease: A study of three physician groups and ChatGPT.
Int J Cardiol Congenit Heart Dis
December 2024
Cardiology Department, Tel Aviv Sourasky Medical Center, Israel.
This research letter evaluates the diagnostic accuracy of three physician groups-pediatric cardiologists, adult congenital heart disease (ACHD) specialists, and general cardiologists-and compares it to the performance of an AI (Artificial Intelligence) LLM model. Based on eight targeted questions in adult congenital heart disease, the analysis highlights significant disparities in correct answer rates, with congenital specialists achieving the highest accuracy and the AI model - the lowest.
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