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The Value of Board Recertification Among Physicians.
Adv Med Educ Pract
June 2024
Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.
An ongoing challenge among healthcare certifying organizations is identifying an effective manner of evaluating a physician's competency. The medical field is constantly changing, with new technology, research and pharmacology available, and physicians must be kept up to date in order to properly care for their patients. Maintenance of certification and specifically, recertification exams, are used to verify that a high standard of care is consistently met across all medical specialties.
View Article and Find Full Text PDFNavigating Coronary Artery Disease in Aviation Cardiology in Australia and New Zealand.
Heart Lung Circ
September 2024
Civil Aviation Safety Authority, Aviation House, Phillip, ACT, Australia.
Background: Cardiologists will commonly assess patients who hold an aviation medical certificate and require unique assessments and communications with national civil aviation authorities (in Australia, the Civil Aviation Safety Authority [CASA] and in New Zealand, the Civil Aviation Authority of New Zealand [CAA NZ]). Cardiac conditions are the most common reason for disqualification from holding an aviation licence, and coronary artery disease is considered a high-risk condition for pilot incapacitation.
Aim: To provide a contemporary update on the aeromedical approach to the evaluation, detection, and management of coronary artery disease in an Australasian context.
Accreditation of stroke programs at the MENA + region; between aspiration and reality.
J Stroke Cerebrovasc Dis
June 2024
Director Stroke Program, University of Alberta, Edmonton, AB, Canada.
Introduction: Despite global progress in stroke care, challenges persist, especially in Low- and Middle-Income countries (LMIC). The Middle East and North Africa Stroke and Interventional Neurotherapies Organization (MENA-SINO) Stroke Program Accreditation Initiative aims to improve stroke care regionally.
Material & Method: A 2022 survey assessed stroke unit readiness in the Middle East and North Africa (MENA) + region, revealing significant regional disparities in stroke care between high-income and low-income countries.
Concurrent alcohol and opioid withdrawal syndrome is a common and challenging clinical scenario with little published evidence or guidance to inform pharmacotherapy strategies. Concurrent use of benzodiazepines and opioid agonists, which are considered first-line agents for management of each withdrawal syndrome independently, is controversial and often avoided in clinical practice. Strategies to provide effective, simultaneous medication treatment of alcohol and opioid withdrawal while optimizing patient safety are demonstrated through 3 patient cases.
View Article and Find Full Text PDFImproving Policy and Practices of Hospice Live Discharge: A Historical Exploration of the Medicare Hospice Benefit.
J Aging Soc Policy
December 2023
Social Work, Health & Human Services, Bowling Green State University, Bowling Green, Ohio, USA.
Hospice care in the US is heavily regulated to ensure access to the Medicare Hospice Benefit (MHB) for individuals with serious illness. Policy changes to the MHB, many of which intended to minimize potential fraud (e.g.
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