scholarly journals Does physician engagement affect satisfaction of patients or resident physicians?

2019 ◽  
Vol Volume 11 ◽  
pp. 75-80
Author(s):  
Eric Scher ◽  
Sarah Whitehouse ◽  
Meredith Van Harn ◽  
John Bollinger ◽  
Bret Stevens ◽  
...  
Keyword(s):  
Resident Physicians ◽  
Physician Engagement

scholarly journals Setting a Minimum Passing Standard for the Uncertainty Communication Checklist Through Patient and Physician Engagement

2020 ◽  
Vol 12 (1) ◽  
pp. 58-65
Author(s):  
David H. Salzman ◽  
Kristin L. Rising ◽  
Kenzie A. Cameron ◽  
Rhea E. Powell ◽  
Dimitri Papanagnou ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Confidence Intervals ◽  
Residency Program ◽  
Mastery Learning ◽  
Patient Centered ◽  
Angoff Method ◽  
Resident Physicians ◽  
Physician Engagement ◽  
Skill Mastery ◽  
Residency Program Directors

ABSTRACT Background Historically, medically trained experts have served as judges to establish a minimum passing standard (MPS) for mastery learning. As mastery learning expands from procedure-based skills to patient-centered domains, such as communication, there is an opportunity to incorporate patients as judges in setting the MPS. Objective We described our process of incorporating patients as judges to set the MPS and compared the MPS set by patients and emergency medicine residency program directors (PDs). Methods Patient and physician panels were convened to determine an MPS for a 21-item Uncertainty Communication Checklist. The MPS for both panels were independently calculated using the Mastery Angoff method. Mean scores on individual checklist items with corresponding 95% confidence intervals were also calculated for both panels and differences analyzed using a t test. Results Of 240 eligible patients and 42 eligible PDs, 25 patients and 13 PDs (26% and 65% cooperation rates, respectively) completed MPS-setting procedures. The patient-generated MPS was 84.0% (range 45.2–96.2, SD 10.2) and the physician-generated MPS was 88.2% (range 79.7–98.1, SD 5.5). The overall MPS, calculated as an average of these 2 results, was 86.1% (range 45.2–98.1, SD 9.0), or 19 of 21 checklist items. Conclusions Patients are able to serve as judges to establish an MPS using the Mastery Angoff method for a task performed by resident physicians. The patient-established MPS was nearly identical to that generated by a panel of residency PDs, indicating similar expectations of proficiency for residents to achieve skill “mastery.”

Faculty and Resident Physicians' Attitudes, Perceptions, and Knowledge about Antimicrobial Use and Resistance

2011 ◽  
Vol 32 (7) ◽  
pp. 714-718 ◽  
Author(s):  
Lilian Abbo ◽  
Ronda Sinkowitz-Cochran ◽  
Laura Smith ◽  
Ella Ariza-Heredia ◽  
Orlando Gómez-Marín ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Antimicrobial Use ◽  
Inappropriate Use ◽  
Resident Physicians

We surveyed faculty and residents to assess attitudes, perceptions, and knowledge about antimicrobial use and resistance. Most respondents were concerned about resistance when prescribing antibiotics and agreed that antibiotics are overused, that inappropriate use is professionally unethical, and that others, but not themselves, overprescribe antibiotics. Antimicrobial stewardship programs should capitalize on these perceptions.

A tailored mindfulness-based program for resident physicians: A qualitative study

2021 ◽  
Vol 43 ◽  
pp. 101333
Author(s):  
Vanessa M. Aeschbach ◽  
Johannes C. Fendel ◽  
Stefan Schmidt ◽  
Anja S. Göritz
Keyword(s):  
Qualitative Study ◽  
Resident Physicians

scholarly journals Burnout Syndrome during Residency Training in Jordan: Prevalence, Risk Factors, and Implications

2021 ◽  
Vol 18 (4) ◽  
pp. 1557
Author(s):  
Abdullah Nimer ◽  
Suzan Naser ◽  
Nesrin Sultan ◽  
Rawand Said Alasad ◽  
Alexander Rabadi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Working Hours ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Burnout Syndrome ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Factors Associated ◽  
Resident Physicians ◽  
Healthcare Professions

Burnout syndrome is common among healthcare professions, including resident physicians. We aimed to assess the prevalence of burnout among resident physicians in Jordan, and a secondary aim was to evaluate the risk factors associated with the development of burnout syndrome in those residents, including gender, working hours, psychological distress, training sector, and specialty. In this cross-sectional study, 481 residents were recruited utilizing multistage stratified sampling to represent the four major health sectors in Jordan. Data were collected using an online questionnaire, where the Copenhagen Burnout Inventory (CBI) was used to assess the prevalence of burnout. The prevalence, group differences, and predictors of burnout were statistically analyzed using STATA 15. Overall, 373 (77.5%) residents were found to have burnout. Factors associated with higher levels of burnout were psychological stress (β = 2.34, CI = [1.88–2.81]), longer working hours (β = 4.07, CI = [0.52–7.62], for 51–75 h a week, β = 7.27, CI = [2.86–11.69], for 76–100 h a week and β = 7.27, CI = [0.06–14.49], for >100 h a week), and obstetrics/gynecology residents (β = 9.66, CI = [3.59–15.73]). Conversely, medical sub-specialty residents, as well as private and university hospital residents, had lower burnout levels. We concluded that decreasing the workload on residents, offering psychological counseling, and promoting a safety culture for residents might help in mitigating burnout consequences.

scholarly journals The contribution of resident physicians to hospital productivity

2021 ◽  
Author(s):  
Maria J. Perez-Villadóniga ◽  
Ana Rodriguez-Alvarez ◽  
David Roibas
Keyword(s):  
Production Functions ◽  
Weighted Sum ◽  
Main Hypothesis ◽  
Resident Physicians ◽  
Suitable Parameter ◽  
Functional Forms ◽  
The One ◽  
Definition Of ◽  
Hospital Productivity ◽  
Natural Hypothesis

AbstractResident physicians play a double role in hospital activity. They participate in medical practices and thus, on the one hand, they should be considered as an input. Also, they are medical staff in training and, on the other hand, must be considered as an output. The net effect on hospital activities should therefore be empirically determined. Additionally, when considering their role as active physicians, a natural hypothesis is that resident physicians are not more productive than senior ones. This is a property that standard logarithmic production functions (including Cobb–Douglas and Translog functional forms) cannot verify for the whole technology set. Our main contribution is the development of a Translog modification, which implies the definition of the input “doctors” as a weighted sum of senior and resident physicians, where the weights are estimated from the empirical application. This modification of the standard Translog is able, under suitable parameter restrictions, to verify our main hypothesis across the whole technology set while determining if the net effect of resident physicians in hospitals’ production should be associated to an output or to an input. We estimate the resulting output distance function frontier with a sample of Spanish hospitals. Our findings show that the overall contribution of resident physicians to hospitals’ production allows considering them as an input in most cases. In particular, their average productivity is around 37% of that corresponding to senior physicians.

scholarly journals Knowledge and Needs of Resident Physicians Regarding Osteoporosis: A Nationwide Survey of Residents

JBMR Plus ◽  
2021 ◽  
Author(s):  
Carolyn J. Crandall ◽  
Lucia Y. Chen ◽  
Tyler D. Rodriguez ◽  
David Elashoff ◽  
Stephanie S. Faubion ◽  
...  
Keyword(s):  
Nationwide Survey ◽  
Resident Physicians

Association between daily working hours and depressive symptoms in resident physicians in Peru

2021 ◽  
Author(s):  
Carlos Alva-Diaz ◽  
Wendy Nieto-Gutierrez ◽  
Alvaro Taype-Rondan ◽  
Raúl Timaná-Ruiz ◽  
Percy Herrera-Añazco ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Working Hours ◽  
Resident Physicians

scholarly journals 1289. Knowledge, Attitudes and Barriers of Pre-exposure Prophylaxis for HIV Infection Among Resident Physicians in Rural, Eastern North Carolina

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S394-S394
Author(s):  
Arianne Morrison ◽  
Ciarra Dortche ◽  
Nada Fadul
Keyword(s):  
Primary Care ◽  
North Carolina ◽  
Hiv Infection ◽  
Sexual Behaviors ◽  
Residency Program ◽  
Primary Care Physicians ◽  
Online Survey ◽  
Risky Sexual Behaviors ◽  
Resident Physicians ◽  
Exposure Prophylaxis

Abstract Background North Carolina bears a high burden of HIV and was ranked number 8 for the number of new infections in 2015. In 2014, the Centers for Disease Control and Prevention (CDC) published updated practice guidelines recommending the use of pre-exposure prophylaxis (PrEP) with daily oral dosing of tenofovir/emtricitabine to help prevent HIV infection in high-risk individuals. However, the use of PrEP in the primary care setting remains low and 1 in three primary care physicians is not aware of PrEP. The objective of our study was to evaluate PrEP knowledge among primary care resident physicians. Methods 149 resident physicians were surveyed at East Carolina University from the following specialties; Internal Medicine, Medicine-Pediatrics, Obstetrics Gynecology and Family Medicine. We collected participants’ age, biological sex, current residency program, and current year within the residency program. Results Sixty out 149 residents completed the online survey. 20% of residents had never heard of PrEP. 17% of residents did not feel comfortable discussing sexual preferences with their patients. 15% of residents thought prescribing would increase risky sexual behaviors and 12% would not prescribe PrEP to patients with multiple sexual partners. Only 3% of residents identified potential side effects of PrEP (e.g., an increase in creatinine levels or decrease in mineral bone density) as a reason to not prescribe PrEP. One resident had ever prescribed PrEP. 83% of residents wanted more information on PrEP and 95% of residents would be willing to prescribe PrEP if educational workshops were offered. Conclusion PrEP is an underutilized tool among resident physicians in Eastern, NC. We identified lack of knowledge of PrEP and concern for increased risky sexual behaviors as barriers to prescribing. Resident physicians require more education on PrEP in order to prescribe it to their patients. Disclosures All authors: No reported disclosures.

Physician Engagement in Malpractice Risk Reduction: A UPHS Case Study

2018 ◽  
Vol 44 (10) ◽  
pp. 605-612 ◽  
Author(s):  
Sushmitha P. Diraviam ◽  
Patricia G. Sullivan ◽  
John A. Sestito ◽  
Mary Ellen Nepps ◽  
Justin T. Clapp ◽  
...  
Keyword(s):  
Risk Reduction ◽  
Physician Engagement
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