scholarly journals Are Physician Associates Less-defined Force Multipliers? Comparative Role Definition of Physician Associates within the Hierarchy of Medical Professionals

Cureus ◽  
2019 ◽  
Author(s):  
Bilal Haider Malik ◽  
Ratna Krishnaswamy ◽  
Safeera Khan ◽  
Deepti Gupta ◽  
Ian Rutkofsky
Keyword(s):  
Medical Professionals ◽  
Role Definition ◽  
Definition Of

Attitudes of Medical Workers Toward Artificial Intelligence in Ophthalmology: A Comparative Survey (Preprint)

2020 ◽  
Author(s):  
Weihua Yang ◽  
Bo Zheng ◽  
Maonian Wu ◽  
Shaojun Zhu ◽  
Hongxia Zhou ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Medical Ethics ◽  
Online Survey ◽  
Medical Professionals ◽  
Medical Field ◽  
Acceptance Level ◽  
Professional Workers ◽  
Basic Understanding ◽  
Comparative Survey ◽  
Definition Of

BACKGROUND Artificial intelligence (AI) is widely applied in the medical field, especially in ophthalmology. In the development of ophthalmic artificial intelligence, some problems worthy of attention have gradually emerged, among which the ophthalmic AI-related recognition issues are particularly prominent. That is to say, currently, there is a lack of research into people's familiarity with and their attitudes toward ophthalmic AI. OBJECTIVE This survey aims to assess medical workers’ and other professional technicians’ familiarity with AI, as well as their attitudes toward and concerns of ophthalmic AI. METHODS An electronic questionnaire was designed through the Questionnaire Star APP, an online survey software and questionnaire tool, and was sent to relevant professional workers through Wechat, China’s version of Facebook or WhatsApp. The participation was based on a voluntary and anonymous principle. The questionnaire mainly consisted of four parts, namely the participant’s background, the participant's basic understanding of AI, the participant's attitude toward AI, and the participant's concerns about AI. A total of 562 participants were counted, with 562 valid questionnaires returned. The results of the questionnaires are displayed in an Excel 2003 form. RESULTS A total of 562 professional workers completed the questionnaire, of whom 291 were medical workers and 271 were other professional technicians. About 37.9% of the participants understood AI, and 31.67% understood ophthalmic AI. The percentages of people who understood ophthalmic AI among medical workers and other professional technicians were about 42.61% and 15.6%, respectively. About 66.01% of the participants thought that ophthalmic AI would partly replace doctors, with about 59.07% still having a relatively high acceptance level of ophthalmic AI. Meanwhile, among those with ophthalmic AI application experiences (30.6%), respectively about 84.25% of medical professionals and 73.33% of other professional technicians held a full acceptance attitude toward ophthalmic AI. The participants expressed concerns that ophthalmic AI might bring about issues such as the unclear definition of medical responsibilities, the difficulty of ensuring service quality, and the medical ethics risks. And among the medical workers and other professional technicians who understood ophthalmic AI, 98.39%, and 95.24%, respectively, said that there was a need to increase the study of medical ethics issues in the ophthalmic AI field. CONCLUSIONS Analysis of the questionnaire results shows that the medical workers have a higher understanding level of ophthalmic AI than other professional technicians, making it necessary to popularize ophthalmic AI education among other professional technicians. Most of the participants did not have any experience in ophthalmic AI, but generally had a relatively high acceptance level of ophthalmic AI, believing that doctors would partly be replaced by it and that there was a need to strengthen research into medical ethics issues of the field.

Mystery

Toxic Shock ◽  
2018 ◽  
pp. 48-76
Author(s):  
Sharra L. Vostral
Keyword(s):  
Public Health ◽  
Great Degree ◽  
Toxic Shock Syndrome ◽  
Scientific Evidence ◽  
Family Physicians ◽  
Epidemiological Data ◽  
Medical Professionals ◽  
Toxic Shock ◽  
Convincing Case ◽  
Definition Of

How a set of symptoms was stabilized into a defined illness with correlative healthcare practices required a great degree of consensus. This chapter traces how medical professionals, including family physicians, pediatricians, nephrologists, and specialized epidemiologists at the state and national levels, encountered ill girls and women, and collaborated through their networks to create a definition of toxic shock syndrome (TSS) and identify emerging cases. It took careful epidemiology to link TSS with tampon use, in part due to the assumption that tampons were inert. Scientific evidence associating TSS with tampons was all the more crucial in order to create a convincing case that it was a threat to public health, and that women should be warned of their use. Challenges by corporations and corporate-sponsored scientists to the epidemiological data questioned the legitimacy and the conclusion that tampons were associated with TSS.

What do parents know about the malformations afflicting the hearts of their children?

2005 ◽  
Vol 15 (2) ◽  
pp. 125-129 ◽  
Author(s):  
Massimo Chessa ◽  
Gabriella De Rosa ◽  
Manuela Pardeo ◽  
Diana G. Negura ◽  
Gianfranco Butera ◽  
...  
Keyword(s):  
Cardiac Disease ◽  
Preventive Measures ◽  
Medical Professionals ◽  
Competitive Sports ◽  
Cardiac Defect ◽  
Disease Treatment ◽  
The Poor ◽  
Unexplained Fever ◽  
Definition Of ◽  
The Individual

Traditionally, medical professionals have entrusted the parents of children with chronic illness with the task of imparting knowledge about the illness to the children. This practice assumes that parents understand the illness, and that they pass on their knowledge in a manner appropriate for the individual child. The aim of our study was to assess the knowledge that parents of children with a cardiac defect have about the malformation in the heart of their child. We sent a modified version of the Leuven questionnaire to 350 families. The questionnaire was filled in and sent back to our centre by 148 families. Parents showed a good knowledge of the name and anatomical characteristics of the cardiac disease suffered by their child. Parents with a child taking drugs were not very knowledgeable about the regime, side effects, and interaction with other drugs or food. Only one-quarter of the parents knew the definition of endocarditis, although almost two-fifths were aware that unexplained fever for more than 5 days was the most typical symptom. Less than half of the parents knew that endocarditis could recur. About two-fifths of parents knew the real possibility of their child being involved in competitive sports; but almost half of parents were unable to answer this question. The poor knowledge about particular aspects of the disease, treatment, and preventive measures revealed by our parents may have major consequences. The results of our study are relevant to general daily clinical practice.

Medical Men, Negligent Mothers, and Malleable Children

2019 ◽  
pp. 25-54
Author(s):  
Mary Hatfield
Keyword(s):  
Nineteenth Century ◽  
Eighteenth Century ◽  
John Locke ◽  
Medical Intervention ◽  
Child Rearing ◽  
Medical Professionals ◽  
Male Body ◽  
Late Eighteenth Century ◽  
Late Eighteenth ◽  
Definition Of

This chapter considers the medicalization of childhood from the late eighteenth century into the 1840s. What we might now term a ‘biological’ definition of childhood is seen first in late eighteenth-century medical intervention into the care of infants. These texts are part of a wider ‘rationalization’ of childhood which emerged in scientific and child-rearing genres. The influence in Ireland of John Locke, William Buchan, and the Edgeworths’ contributed to a reformulation of childhood as a period of enormous intellectual and physical malleability. As the matter of children’s health shifted from the female domain to the business of men, medical professionals defined the child body in opposition to the adult male body. Elite women were criticized for coddling their children excessively, while the lower classes were characterized as neglectful and uncaring. By the mid-nineteenth century, objective standards of growth were deployed as mechanisms for governing parental as much as childhood behaviour.

Humility and its Practice in Nursing

2004 ◽  
Vol 11 (6) ◽  
pp. 577-586 ◽  
Author(s):  
Kay de Vries
Keyword(s):  
Exploratory Study ◽  
Personal Experience ◽  
Terminally Ill ◽  
Student Nurses ◽  
Duty Of Care ◽  
Role Definition ◽  
Definition Of

Following a personal experience of transformation as a result of washing the feet of a terminally ill patient, an exploratory study was undertaken to investigate nurses’ experience of washing patients’ feet. Seven postregistration student nurses participated in the study by washing the feet of as many patients as they could over a defined period of time. They were then interviewed about the experience. The transcribed interviews were analysed using the heuristic enquiry approach. Symbolically, washing feet is an act of humility. In washing feet in the manner required for this study I suggest that the nurses were practising beyond role definition of duty of care. As a result of this they experienced interconnectedness and changes in their relationship with the patients whose feet they had washed that could be interpreted as a response to humility.

scholarly journals What is clinician presence? A qualitative interview study comparing physician and non-physician insights about practices of human connection

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e030831 ◽  
Author(s):  
Cati Brown-Johnson ◽  
Rachel Schwartz ◽  
Amrapali Maitra ◽  
Marie C Haverfield ◽  
Aaron Tierney ◽  
...  
Keyword(s):  
Social Services ◽  
Health Centre ◽  
Medical Professionals ◽  
Protective Services ◽  
Academic Medical Centre ◽  
Proactive Management ◽  
Academic Medical ◽  
Management Of Technology ◽  
Qualitative Interview Study ◽  
Definition Of

ObjectiveWe sought to investigate the concept and practices of ‘clinician presence’, exploring how physicians and professionals create connection, engage in interpersonal interaction, and build trust with individuals across different circumstances and contexts.DesignIn 2017–2018, we conducted qualitative semistructured interviews with 10 physicians and 30 non-medical professionals from the fields of protective services, business, management, education, art/design/entertainment, social services, and legal/personal services.SettingPhysicians were recruited from primary care clinics in an academic medical centre, a Veterans Affairs clinic, and a federally qualified health centre.ParticipantsParticipants were 55% men and 45% women; 40% were non-white.ResultsQualitative analyses yielded a definition of presence as a purposeful practice of awareness, focus, and attention with the intent to understand and connect with individuals/patients. For both medical and non-medical professionals, creating presence requires managing and considering time and environmental factors; for physicians in particular, this includes managing and integrating technology. Listening was described as central to creating the state of being present. Within a clinic, presence might manifest as a physician listening without interrupting, focusing intentionally on the patient, taking brief re-centering breaks throughout a clinic day, and informing patients when attention must be redirected to administrative or technological demands.ConclusionsClinician presence involves learning to step back, pause, and be prepared to receive a patient’s story. Building on strategies from physicians and non-medical professionals, clinician presence is best enacted through purposeful intention to connect, conscious navigation of time, and proactive management of technology and the environment to focus attention on the patient. Everyday practice or ritual supporting these strategies could support physician self-care as well as physician-patient connection.

scholarly journals Considerations regarding a diagnosis of Alzheimer's Disease before dementia: a systematic review

2021 ◽  
Author(s):  
Jetske van der Schaar ◽  
Leonie N.C. Visser ◽  
Femke H. Bouwman ◽  
Philip Scheltens ◽  
Annelien L. Bredenoord ◽  
...  
Keyword(s):  
Systematic Review ◽  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Empirical Research ◽  
General Public ◽  
Medical Professionals ◽  
Societal Context ◽  
Clinical Considerations ◽  
Definition Of ◽  
The Right

Introduction: The NIA-AA research framework proposes a purely biological definition of Alzheimer's Disease (AD). This implies AD can be diagnosed based on biomarker abnormalities. While this brings opportunities, it also raises challenges. Methods: We conducted a systematic review by searching PubMed for publications on conveying AD biomarker results to individuals without dementia. Content was analyzed inductively. Results: We included 25 publications. From these we extracted 26 considerations, which we grouped according to their primary relevance to a clinical, personal, or societal context. Clinical considerations include (lack of) validity, utility, and disclosure protocols. Personal considerations cover psychological and behavioral implications, as well as the right to (not) know. Societal considerations comprise the risk of misconception, stigmatization, and discrimination. Overall, views were heterogeneous and often contradictory. Discussion: Perceptions on a diagnosis of AD before dementia vary widely. Empirical research is required, taking perspectives of medical professionals and the general public into account.

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