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The Role of Ombuds in Graduate Medical Education: Fostering Wellness and Psychological Safety.
J Educ Perioper Med
January 2025
Jennifer Danielsson is an Assistant Professor of Anesthesiology, Ombuds, Division of Regional Anesthesiology, Stephanie A. Chen is a Pediatric Anesthesiology Fellow, Naralys Batista is a Cardiothoracic Anesthesiology Fellow, and Teresa A. Mulaikal is an Associate Professor of Anesthesiology and Residency Program Director, Division of Cardiothoracic and Critical Care, in the Department of Anesthesiology, Columbia University Irving Medical Center, New York, NY. Caroline H. Jensen is a Critical Care Fellow in the Department of Anesthesiology, Critical Care, and Pain Medicine at Massachusetts General Hospital, Harvard, Boston, MA.
The authors propose an educational innovation in graduate medical education, the creation of an Education Ombudsperson. Although this role has been implemented for faculty and students within the medical field, it has not been described in residency programs. The Ombudsperson for house staff is distinct from institutional or programmatic leadership.
View Article and Find Full Text PDFGall Stone Ileus and Recurrence: Management Dilemma for the Operating Surgeon.
Cureus
December 2024
Department of Surgery, Royal Oldham Hospital, Northern Care Alliance NHS Trust, Manchester, GBR.
Gallstone ileus (GSI) is a rare complication of gallstone disease. It occurs as a result of the passage of a stone from the biliary tract into the gastrointestinal tract via an abnormal pathway (bilio-enteric fistula). Chronic inflammatory processes result in gall bladder adhering and subsequently eroding into the intestines, leading to a fistula.
View Article and Find Full Text PDFEnhancing Clinical Confidence: Effects of Medical Screening and Differential Diagnosis Training for Low Back Pain.
J Multidiscip Healthc
January 2025
The Neuromuscular & Human Performance Laboratory, Department of Physical Therapy, Faculty of Health Sciences, Ariel University, Ariel, Israel.
Purpose: Direct access to physical therapy (PT) requires PTs to act as primary care providers, making differential diagnosis a critical component of patient assessment. We investigated how participation in postgraduate training in differential diagnosis and medical screening influences PTs' confidence, self-efficacy, attitudes and beliefs about treating patients with low back pain (LBP).
Patients And Methods: This prospective, two-arm study involved 49 PTs in an intervention group and 70 in a control group.
Construction of a Novel Necroptosis-Related Signature in Rat DRG for Neuropathic Pain.
J Inflamm Res
January 2025
Department of Pharmacology, The Key Laboratory of Neural and Vascular Biology, Ministry of Education, The Key Laboratory of New Drug Pharmacology and Toxicology, Center of Innovative Drug Research and Evaluation, Hebei Medical University, Shijiazhuang, People's Republic of China.
Background: Recent studies have shown necroptosis may play a role in the development of inflammation-associated pain. However, research on the correlation between necroptosis-related genes and neuropathic pain in the dorsal root ganglia (DRG) is limited. This study aims to identify a gene signature related to necroptosis in DRG that can predict neuropathic pain.
View Article and Find Full Text PDFExploring the Analgesic Effect of Acupuncture on Knee Osteoarthritis Based on MLT/cAMP/PKA/CREB Signaling Pathway.
J Inflamm Res
January 2025
Orthopedics Department, The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, 300380, People's Republic of China.
Background: Acupuncture is an effective treatment for knee osteoarthritis (KOA), reducing pain and improving function. While melatonin (MLT) has notable pain relief benefits, the analgesic mechanism of acupuncture in KOA and its relationship with melatonin are still unknown. This study aims to explore this mechanism.
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