Among 37 internal-medicine resident physicians assigned to our outpatient clinic at Minneapolis Veterans' Affairs Health Care System (MVAHCS) on July 1, 2017, we designed a pre- and postintervention observational study. Our results show that in-person academic detailing around outpatient antimicrobial selection was associated with a decrease in outpatient antimicrobial prescriptions in a group of high-prescribing resident physicians.
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http://dx.doi.org/10.1017/ash.2022.259 | DOI Listing |
Ann Fam Med
January 2025
Department of General Pediatrics, Boston Children's Hospital, Boston, MassachusettsHarvard Medical School, Boston, MassachusettsLongwood Pediatrics, Boston, Massachusetts
As a primary care pediatrician trained before work hour restrictions were enacted, I spent hours mastering procedures that trainees today rarely perform. The changing landscape of health care clinician roles, technology, and work hour restrictions have all contributed to a remarkable decline in trainees' procedural competence which has significant negative effects for patients, health care systems, and physicians themselves. I suggest simulation, live training, mentoring, and scheduled opportunities as ways to reemphasize the importance of learning these technical skills.
View Article and Find Full Text PDFLinacre Q
January 2025
Vanderbilt University Medical Center, Nashville, TN, USA.
Unlabelled: or "first, do no harm" is perhaps the most well-known aphorism in the culture of medical education. While its application to patients is well known, the injunction can also be read with medical trainees in mind. Teaching physicians have an obligation to recognize their role as moral teachers and coaches, who must consider "first, do no harm" not only when considering their patients but also when weighing the moral formation of their trainees, especially in a season in which medical educators are attempting to clarify the "harms" of medical training.
View Article and Find Full Text PDFJ Community Hosp Intern Med Perspect
January 2025
Internal Medicine Residency Program, Luminis Health Anne Arundel Medical Center, Annapolis, MD, USA.
Nitrous oxide (NO) has been increasingly used for recreational purposes due to its dissociative and euphoric properties. Exposure to NO results in the deactivation of in vivo vitamin B, leading to subsequent neurological sequelae due to vitamin B deficiency.7 Current management focuses on cessation of exposure and replacement therapy, yet patients may continue to suffer from permanent neurological damage.
View Article and Find Full Text PDFCureus
December 2024
Internal Medicine, Luminis Health Anne Arundel Medical Center, Annapolis, USA.
Background Daily interdisciplinary rounds in hospitals are becoming standardized to maximize the multidisciplinary approach to hospitalized patient care. We hypothesize that structured Interdisciplinary Bedside Rounds (IDRs) increase the satisfaction, education, and experience of medical staff and thus detail actionable recommendations for IDR implementation or delineate measurable long-term impacts. Methods This observational study was performed in a 300-bed community hospital.
View Article and Find Full Text PDFShoulder Elbow
January 2025
Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL, USA.
Background: Women continue to make up a minority of orthopedic surgeons, especially shoulder and elbow surgeons. There exists no study that investigates the effect of gender on one's academic career as a shoulder and elbow orthopedic surgeon, which was the purpose of this cross-sectional study.
Methods: The American Shoulder and Elbow Surgeons website was used to identify surgeons.
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