scholarly journals Resident Physician Knowledge of Urine Testing and Treatment Over Four Years

2018 ◽  
Vol 39 (5) ◽  
pp. 616-618
Author(s):  
Shannon L. Andrews ◽  
Lilian M. Abbo ◽  
James R. Johnson ◽  
Michael A. Kuskowski ◽  
Bhavarth S. Shukla ◽  
...  
Keyword(s):  
Resident Physician ◽  
Clinical Vignette ◽  
Infect Control Hosp ◽  
Academic Medical Centers ◽  
Physician Knowledge ◽  
Medical Centers ◽  
Resident Physicians ◽  
Academic Medical ◽  
Urine Testing

We surveyed resident physicians at 2 academic medical centers regarding urinary testing and treatment as they progressed through training. Demographics and self-reported confidence were compared to overall knowledge using clinical vignette-based questions. Overall knowledge was 40% in 2011 and increased to 48%, 55%, and 63% in subsequent years (P<.001).Infect Control Hosp Epidemiol 2018;39:616–618

scholarly journals Evaluation of a Yoga-Based Mind-Body Intervention for Resident Physicians: A Randomized Clinical Trial

2021 ◽  
Vol 10 ◽  
pp. 216495612110010
Author(s):  
Julia Loewenthal ◽  
Natalie L Dyer ◽  
Marla Lipsyc-Sharf ◽  
Sara Borden ◽  
Darshan H Mehta ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Psychological Health ◽  
Well Being ◽  
Academic Medical Centers ◽  
Controlled Study ◽  
Medical Centers ◽  
Resident Physicians ◽  
Academic Medical

Background and Objective Mind-body interventions (MBIs) have been shown to be effective individual-level interventions for mitigating physician burnout, but there are no controlled studies of yoga-based MBIs in resident physicians. We assessed the feasibility of a yoga-based MBI called RISE (resilience, integration, self-awareness, engagement) for residents among multiple specialties and academic medical centers. Methods We conducted a waitlist controlled randomized clinical trial of the RISE program with residents from multiple specialty departments at three academic medical centers. The RISE program consisted of six weekly sessions with suggested home practice. Feasibility was assessed across six domains: demand, implementation, practicality, acceptability, adaptation, and integration. Self-reported measures of psychological health were collected at baseline, post-program, and two-month follow-up. Results Among 2,000 residents contacted, 75 were assessed for eligibility and 56 were enrolled. Forty-four participants completed the study and were included in analysis. On average, participants attended two of six sessions. Feasibility of in-person attendance was rated as 28.9 (SD 25.6) on a 100-point visual analogue scale. Participants rated feasibility as 69.2 (SD 26.0) if the program was offered virtually. Those who received RISE reported improvements in mindfulness, stress, burnout, and physician well-being from baseline to post-program, which were sustained at two-month follow-up. Conclusion This is the first controlled study of a yoga-based MBI in residents. While the program was not feasible as delivered in this pilot study, initial analyses showed improvement in multiple measures of psychological health. Residents reported that virtual delivery would increase feasibility.

Performance of a Novel Antipseudomonal Antibiotic Consumption Metric Among Academic Medical Centers in the United States

2018 ◽  
Vol 39 (2) ◽  
pp. 229-232 ◽  
Author(s):  
John Daniel Markley ◽  
Amy L. Pakyz ◽  
Roy T. Sabo ◽  
Gonzalo Bearman ◽  
Samuel F. Hohmann ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Antibiotic Consumption ◽  
Census Bureau ◽  
Infect Control Hosp ◽  
Academic Medical Centers ◽  
Medical Centers ◽  
Academic Medical ◽  
Patient Mix

A metric was developed to identify hospital proportion of carbapenem consumption (PoCC) among antipseudomonal antibiotics. The PoCC varied significantly among academic medical centers by Census Bureau geographic division after adjusting for patient mix. This metric may be useful in identifying disproportionate carbapenem use and potential carbapenem overuse.Infect Control Hosp Epidemiol 2018;39:229–232

Unplanned Reoperation and Implant Revision After Total Wrist Arthroplasty

Hand ◽  
2020 ◽  
pp. 155894471989881 ◽  
Author(s):  
Taylor M. Pong ◽  
Wouter F. van Leeuwen ◽  
Kamil Oflazoglu ◽  
Philip E. Blazar ◽  
Neal Chen
Keyword(s):  
Risk Factors ◽  
Implant Removal ◽  
Academic Medical Centers ◽  
Implant Design ◽  
Factors Associated ◽  
Medical Centers ◽  
Total Wrist Arthroplasty ◽  
Academic Medical ◽  
Related Risk ◽  
Wrist Arthroplasty

Background: Total wrist arthroplasty (TWA) is a treatment option for many debilitating wrist conditions. With recent improvements in implant design, indications for TWA have broadened. However, despite these improvements, there are still complications associated with TWA, such as unplanned reoperation and eventual implant removal. The goal of this study was to identify risk factors for an unplanned reoperation or implant revision after a TWA at 2 academic medical centers between 2002 and 2015. Methods: In this retrospective study, 24 consecutive TWAs were identified using CPT codes. Medical records were manually reviewed to identify demographic, patient- or disease-related, and surgery-related risk factors for reoperation and implant removal after a primary TWA. Results: Forty-six percent of wrists (11 of 24 TWAs performed) had a reoperation after a median of 3.4 years, while 29% (7 of 24) underwent implant revision after a median of 5 years. Two patients had wrist surgery prior to their TWA, both eventually had their implant removed ( P = .08). There were no risk factors associated with reoperation or implant removal. Conclusion: Unplanned reoperation and implant removal after a primary TWA are common. Approximately 1 in 3 wrists are likely to undergo revision surgery. We found no factors associated with reoperation or implant removal; however, prior wrist surgery showed a trend toward risk of implant removal after TWA.

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