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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10668034 | PMC |
| http://dx.doi.org/10.3325/cmj.2023.64.374 | DOI Listing |
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Healthcare worker attitudes on routine non-urological preoperative urine cultures: a qualitative assessment.
Infect Control Hosp Epidemiol
September 2024
Center for Comprehensive Access and Delivery Research and Evaluation (CADRE), Iowa City VA Healthcare System, Iowa City, IA, USA.
Article Synopsis
- - The study examines the value and potential harms of ordering preoperative urine cultures, particularly in non-urological surgeries, by interviewing a diverse group of medical professionals at Veterans Affairs hospitals.
- - Key findings show that surgeons are anxious about missing signs of infection and perceive risks associated with not conducting urine cultures, which complicates the potential for changing these practices.
- - Suggestions for improving acceptance of de-implementing urine cultures include leadership support and engagement from peers to counteract concerns about perceived risks.
Practice Makes Perfect: Objective Structured Clinical Examinations Across the UME-to-GME Continuum Improve Care of Transgender Simulated Patients.
J Grad Med Educ
April 2024
is Professor, Department of Medicine, Associate Director, Primary Care Internal Medicine Residency Program, Director, Health Equity Education, and Director, LGBTQ+ Health Services, NYU Grossman School of Medicine, New York, New York, USA.
Residents lack confidence in caring for transgender individuals. More exposure and practice throughout training is needed. To explore whether and how prior exposure to transgender health skills during medical school impacted competency with these skills during residency.
View Article and Find Full Text PDFCritical Care: What You May Have Missed in 2023.
Ann Intern Med
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Thomas Jefferson University, Korman Respiratory Institute, Philadelphia, Pennsylvania (M.U.).
Critical care medicine is a specialty that brings together a truly wide spectrum of patient populations, disease states, and treatment methods. This article highlights 10 important pieces of research from 2023 (and 1 from 2022) in critical care. The literature was screened for new evidence relevant to internal medicine physicians and hospitalists whose focus of practice is not critical care but who may be taking care of seriously ill patients.
View Article and Find Full Text PDF"Postponing it Any Later Would not be so Great": A Cognitive Interview Study of How Physicians Decide to Initiate Goals of Care Discussions in the Hospital.
Am J Hosp Palliat Care
November 2024
The Dartmouth Institute, Lebanon, NH, USA.
Background: There are missed opportunities to discuss goals and preferences for care with seriously ill patients in the acute care setting. It is unknown which factors most influence clinician decision-making about communication at the point of care.
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Is hospitalization a missed opportunity to intervene on tobacco cessation?
Am J Med Sci
February 2024
Department of Medicine, Medical University of South Carolina, Charleston, SC, United States.
Background: Although tobacco use is associated with elevated morbidity and mortality, its use remains widespread among adults within the United States. Nicotine Replacement Therapy (NRT) products are effective aids that improve rates of tobacco cessation. Many smokers interact with the medical system, such as during hospitalization, without their tobacco use addressed.
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