scholarly journals Qualitative Assessment of Rapid System Transformation to Primary Care Video Visits at an Academic Medical Center

2020 ◽  
Vol 173 (7) ◽  
pp. 527-535
Author(s):  
Malathi Srinivasan ◽  
Steven Asch ◽  
Stacie Vilendrer ◽  
Samuel Crandall Thomas ◽  
Rika Bajra ◽  
...  
Keyword(s):  
Primary Care ◽  
Medical Center ◽  
Academic Medical Center ◽  
Qualitative Assessment ◽  
System Transformation ◽  
Academic Medical

scholarly journals Family Medicine Patients Have Shorter Length of Stay When Cared for on a Family Medicine Inpatient Service

2019 ◽  
Vol 10 ◽  
pp. 215013271984051 ◽  
Author(s):  
Gregory M. Garrison ◽  
Rachel L. Keuseman ◽  
Christopher L. Boswell ◽  
Jennifer L. Horn ◽  
Nathaniel T. Nielsen ◽  
...  
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Length Of Stay ◽  
Medical Center ◽  
Academic Medical Center ◽  
General Medicine ◽  
Inpatient Service ◽  
Academic Medical ◽  
The Family ◽  
Hospital To Home

Introduction: Hospitalists have been shown to have shorter lengths of stays than physicians with concurrent outpatient practices. However, hospitalists at academic medical centers may be less aware of local resources that can support the hospital to home transition for local primary care patients. We hypothesized that local family medicine patients admitted to a family medicine inpatient service have shorter length of stay than those admitted to general hospitalist services which also care for tertiary patients at an academic medical center. Methods: A retrospective cohort study was conducted at an academic medical center with a department of family medicine providing primary care to over 80 000 local patients. A total of 3100 consecutive family medicine patients admitted to either the family medicine inpatient service or a general medicine inpatient service over 3 years were studied. The primary outcome was length of stay, which was adjusted using multivariate linear regression for demographics, prior utilization, diagnosis, and disease severity. Results: Adjusted length of stay was 33% longer (95% CI 24%-44%) for local family medicine patients admitted to general medicine inpatient services as compared with the family medicine inpatient service. Readmission rates within 30 days were not different (19% vs 16%, P = .14). Conclusions: Local primary care patients were safely discharged from the hospital sooner on the family medicine inpatient service than on general medicine inpatient services. This is likely because the family physicians staffing their inpatient service are more familiar with outpatient resources that can be effectively marshaled to help local patients with the transition from hospital to home.

Predictors of Primary Care Referral to Bariatric Surgery or Weight Loss Medicine at a Major Academic Medical Center

2020 ◽  
Vol 231 (4) ◽  
pp. S27-S28
Author(s):  
Jacob Nudel ◽  
Susanna W.L. de Geus ◽  
Jayakanth Srinivasan ◽  
Jonathan Woodson ◽  
Donald Thomas Hess
Keyword(s):  
Bariatric Surgery ◽  
Primary Care ◽  
Weight Loss ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical

scholarly journals 864. Adolescent Primary Care Provider Knowledge of HIV Pre-Exposure Prophylaxis (PrEP) and Universal Screening at a Midwest Academic Medical Center

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S523-S524
Author(s):  
Genevieve Allen ◽  
Jamie Riddell
Keyword(s):  
Internal Medicine ◽  
Primary Care ◽  
Family Medicine ◽  
Hiv Testing ◽  
Medical Center ◽  
Academic Medical Center ◽  
Primary Care Providers ◽  
Care Providers ◽  
Academic Medical ◽  
Exposure Prophylaxis

Abstract Background HIV remains a problem for adolescents with 21% of new infections in the United States in 2018 occurring in youth. In this study we attempted to assess the knowledge of and comfort with pre-exposure prophylaxis and universal HIV testing among adolescent primary care providers affiliated with one academic medical center. Methods We conducted a survey of internal medicine/pediatrics, pediatrics, and family medicine residents and attending physicians affiliated with an academic medical center. Data collected included provider prescribing and referring habits for PrEP and information on their universal HIV testing habits. A “test your knowledge” section followed the survey which asked participants to name PrEP medications and to correctly select laboratory monitoring required for PrEP. Correct answers and prescribing resources were provided on completion of the survey. Results 138 (76%) respondents were aware that PrEP is approved for adolescents. There was no significant difference across specialties or between residents and attendings. 44.8% of respondents felt uncomfortable prescribing PrEP and two thirds had never prescribed PrEP. Reasons for not prescribing PrEP included: not seeing adolescents who qualify (n=80), not having enough training (66), confidentiality concerns (22), forgetting to address PrEP (19), and concern incidence of HIV is too low to recommend PrEP (15). Pediatricians were the least likely to test for HIV with 11% of pediatrician, 32% of internal medicine/pediatric, and 38% of family medicine respondents reported universal HIV testing for patients 15 years and older (p < 0.05). Residents were more likely to test for HIV than attendings (33.3% versus 16%, p < 0.05). 111 participants completed the “test your knowledge” section. 31.5% correctly named two approved PrEP medications. There were 183 responses to the survey (49% response rate). Conclusion Adolescent primary care providers are aware that PrEP is FDA approved for adolescents but a gap in PrEP prescribing and HIV testing persists. There remain perceptions that HIV incidence is too low to discuss PrEP and that providers are not seeing patients who qualify. Next steps include developing an institutional PrEP guideline and creating an electronic medical record order set to facilitate PrEP prescribing. Disclosures All Authors: No reported disclosures

scholarly journals Integrating education into primary care quality and cost improvement at an academic medical center

2006 ◽  
Vol 26 (4) ◽  
pp. 268-284 ◽  
Author(s):  
R. Van Harrison ◽  
Connie J. Standiford ◽  
Lee A. Green ◽  
Steven J. Bernstein
Keyword(s):  
Primary Care ◽  
Medical Center ◽  
Academic Medical Center ◽  
Care Quality ◽  
Academic Medical ◽  
Primary Care Quality

Enhancing Pediatricians’ Behavioral Health Competencies Through Child Psychiatry Consultation and Education

2017 ◽  
Vol 57 (8) ◽  
pp. 958-969 ◽  
Author(s):  
Heather J. Walter ◽  
Gina Kackloudis ◽  
Emily K. Trudell ◽  
Louis Vernacchio ◽  
Jonas Bromberg ◽  
...  
Keyword(s):  
Primary Care ◽  
Learning Community ◽  
Behavioral Health ◽  
Self Efficacy ◽  
Large Scale ◽  
Medical Center ◽  
Academic Medical Center ◽  
Child And Adolescent Psychiatry ◽  
Academic Medical ◽  
Primary Care Practitioners

The objective of this study was to assess feasibility, utilization, perceived value, and targeted behavioral health (BH) treatment self-efficacy associated with a collaborative child and adolescent psychiatry (CAP) consultation and BH education program for pediatric primary care practitioners (PCPs). Eighty-one PCPs from 41 member practices of a statewide pediatric practice association affiliated with an academic medical center participated in a program comprising on-demand telephonic CAP consultation supported by an extensive BH learning community. Findings after 2 years of implementation suggest that the program was feasible for large-scale implementation, was highly utilized and valued by PCPs, and was attributed by PCPs with enhancing their BH treatment self-efficacy and the quality of their BH care. After participation in the program, nearly all PCPs believed that mild to moderate presentations of common BH problems can be effectively managed in the primary care setting, and PCP consultation utilization was congruent with that belief.

scholarly journals Analysis of Downstream Revenue to an Academic Medical Center from a Primary Care Network

2006 ◽  
Vol 81 (8) ◽  
pp. 702-707 ◽  
Author(s):  
Patrick Fahey ◽  
Donabelle Cruz-Huffmaster ◽  
Thomas Blincoe ◽  
Chris Welter ◽  
Mary Jo Welker
Keyword(s):  
Primary Care ◽  
Medical Center ◽  
Academic Medical Center ◽  
Care Network ◽  
Academic Medical

scholarly journals How Well Do Medical Students at the Regional Medical Campus Match?: A 6-year Analysis at a Single Medical School.

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Jeffrey G Wong ◽  
Michael P Flanagan ◽  
Kristen Horn
Keyword(s):  
Primary Care ◽  
Medical Students ◽  
Medical Center ◽  
Academic Medical Center ◽  
Faculty Members ◽  
Academic Medical ◽  
Regional Medical ◽  
Regional Campus ◽  
Penn State ◽  
Successful Match

ABSTRACT Introduction: Anecdotally, some students and faculty members alike have at times expressed concern that medical students who train at Regional Medical Campuses (RMC) will be disadvantaged in the National Residency Matching Program (NRMP), and may not achieve the same level of success as their peers at the main academic medical center.  This project was undertaken to examine the validity of these concerns at the RMC affiliated with the Penn State Hershey College of Medicine (PSCOM). Methods: Results from the annual NRMP process were analyzed over a 6-year period (2014-2019), for both the main Hershey Campus (HC) and University Park Regional Campus (UPRC).  Comparisons included the types of residencies selected, percent of students matching instate, percent matching in primary care specialties, and number having to participate in the supplemental offer and acceptance process (SOAP).  All results were expressed as simple percentages. Results: During the study period, 819 students graduated from PSCOM (723 - Hershey Campus, 96 - UPRC).  In total, 28 of the 723 Hershey Campus graduates (3.9%) and 1 of the 96 UPRC graduates (1%) went through the SOAP process. UPRC students were more likely to match into primary care specialties (44.8% (UPRC) vs 33.2% (Hershey Campus), defined as Medicine, Pediatrics, Family Medicine and Obstetrics-Gynecology, as well as stay within the state of Pennsylvania for their residency (34.4% - UPRC vs 31.7% - Hershey Campus).  While the UPRC students more frequently matched into primary care specialties, several matched into highly competitive specialties, including ophthalmology, orthopedic surgery, otolaryngology, diagnostic radiology, and neurosurgery.  Conclusions: Concerns frequently expressed regarding a successful match for students studying at regional medical campuses are not supported by our findings.  Compared to their main campus peers, the UPRC medical students have been equally successful in the NRMP match. 

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