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1
DAUBE, Jasper R. "Medical Education at Mayo Clinic (Mayo Medical School)." Journal of UOEH 13, no. 3 (1991): 207–15. http://dx.doi.org/10.7888/juoeh.13.207.
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Conte, Hope R., Robert Plutchik, Katherine V. Wild, and Peter Buckley. "Medical School Stressors and Emotional Disturbance." Psychological Reports 57, no. 3_suppl (December 1985): 1192–94. http://dx.doi.org/10.2466/pr0.1985.57.3f.1192.
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Responses of 21 medical students requesting psychiatric evaluation at a personnel clinic were compared on a 33-item measure of stress with those of 25 medical students who had never been involved in psychiatric treatment. Items distinguishing clinic and comparison groups related to general psychological problems such as anxiety and difficulty concentrating on work rather than to problems related to the medical school experience per se, such as dealing with very sick people or worry over having to make life and death decisions.
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De, Arun Kumar, Souvik Mitra, Kollol Das, Sebanti Goswami, and Sukanta Chatterjee. "Sensitization and its impact on Reproductive and sexual health issues of adolescents in clinics and schools - a comparative study." Asian Journal of Medical Sciences 2, no. 1 (May 14, 2011): 23–27. http://dx.doi.org/10.3126/ajms.v2i1.3537.
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Objective: Adolescent Reproductive and Sexual Health Issue is an important component of Youth Friendly Health Services. The objective of this study to compare the impact of sensitization on adolescent reproductive and sexual health issues of adolescent clients between clinic and school setting using the youth-friendly principles. Material & Methods: An urban–based prospective longitudinal study, conducted at adolescent health clinic and schools. The participants are adolescents in the age group of 14-18 years (both boys and girls). Intervention: Youth-friendly sensitization. Main outcome measures: Change in the knowledge on different ARSH issues among adolescent clients in both clinics and schools. Results: Statistically significant improvement (p values< 0.05) in knowledge on various aspects of ARSH issues among adolescent clients in both clinic and school setting. Conclusion: Youth-friendly sensitization makes positive change in the knowledge of adolescents on ARSH issues in both clinics and schools. Key Words: Adolescent; ARSH (adolescent reproductive and sexual health); Condom; Menstruation; Sensitization DOI: 10.3126/ajms.v2i1.3537 Asian Journal of Medical Sciences 2 (2011) 23-27
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Modi, Anita, Michele Fascelli, Zachary Daitch, and Mohammadreza Hojat. "Evaluating the Relationship Between Participation in Student-Run Free Clinics and Changes in Empathy in Medical Students." Journal of Primary Care & Community Health 8, no. 3 (December 29, 2016): 122–26. http://dx.doi.org/10.1177/2150131916685199.
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Purpose: We explored differences in changes in medical student empathy in the third year of medical school between volunteers at JeffHOPE, a multisite medical student–run free clinic of Sidney Kimmel Medical College (SKMC), and nonvolunteers. Method: Volunteerism and leadership experience at JeffHOPE were documented for medical students in the Class of 2015 (n = 272) across their medical educations. Students completed the Jefferson Scale of Empathy at the beginning of medical school and at the end of the third year. Students who reported participation in other Jefferson-affiliated clinics (n = 44) were excluded from this study. Complete data were available for 188 SKMC students. Results: Forty-five percent of students (n = 85) volunteered at JeffHOPE at least once during their medical educations. Fifteen percent of students (n = 48) were selected for leadership positions involving weekly clinic participation. Nonvolunteers demonstrated significant decline in empathy in medical school ( P = 0.009), while those who volunteered at JeffHOPE at least once over the course of their medical educations did not show any significant decline ( P = 0.07). Conclusions: These findings suggest that medical students may benefit from volunteering at student-run free clinics to care for underserved populations throughout medical school.
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Hixson-Wallace, Julie A., Beth Barham, Randell K. Miyahara, and Charles M. Epstein. "Pharmacist Involvement in a Seizure Clinic." Journal of Pharmacy Practice 6, no. 6 (December 1993): 278–82. http://dx.doi.org/10.1177/089719009300600604.
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The role of the clinical pharmacist in ambulatory care settings has expanded in the last several years. Various types of clinical pharmacy services in ambulatory clinics have been reported in the literature. This article seeks to describe the involvement of clinical pharmacists as primary-care givers in an outpatient neurology-seizure clinic of the Veterans Affairs Medical Center in Atlanta, GA. The Neurology-Seizure clinical pharmacy services are provided by faculty, residents, and students from Mercer University Southern School of Pharmacy. The faculty members have been granted clinical privileges to practice in the ambulatory clinics in order to function with authority to perform such duties as giving medication renewals, and writing in the medical chart. In the clinic itself, the pharmacist is responsible for providing a medication profile, an initial interview with the patient, a minor neurological examination, presentation of the patient to the attending neurologist, writing of a SOAP (subjective, objective, assessment and plan) note, an end-of-appointment consultation, completion of a clinic flow sheet, maintenance of the clinic record, follow-up phone calls relating the results of anti-epileptic drug levels, and monthly quality assurance summaries. Clinical pharmacist-supervised primary care outpatient clinics can be rewarding endeavors. Through close patient contact and interaction with attending physicians, pharmacists can greatly assist with pharmaceutical care and provide expert drug management of seizure patients.
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Nugraha, Enung, and Encep Syarifudin. "Improving Health Behavior Standard Through Modern Islamic Boarding School." Jurnal Kesehatan Masyarakat 16, no. 3 (March 17, 2021): 445–51. http://dx.doi.org/10.15294/kemas.v16i3.23112.
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The purpose of this study is to explain health behavior standard of modern Islamic boarding school. The sample was determined purposively in Modern Islamic Boarding School in Banten Province, of Indonesia and respondents were 90 people with simple random techniques. This research uses descriptive quantitative method and data from the questionnaires. The results of this research showed that health behavior residents of Islamic boarding schools can be improved by predisposing factors such as (category of fairly good education and good income category), enabling factors (facilities for clinic/poskestren included: room/place, the medical and non-medical equipment and medicines in the good category) and strengthening factors (cadres of Poskestren, management aspect of clinic/poskestren, aspect of observation on the health and from the aspect of healthy behavior in the good category). A dominant factor to improving health behavior residents of Islamic boarding schools is the reinforcing factor.
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Ordoñez, Dora, and Gustavo Sinisterra. "Characterization of patients who attend the Register, Diagnostic and Emergency Clinic at School of Dentistry, Universidad del Valle, Cali Colombia in 2011." Revista Estomatología 20, no. 2 (September 29, 2017): 24–28. http://dx.doi.org/10.25100/re.v20i2.5738.
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There is little information available regarding the characterization of patients who attend Dentistry public school Clinics in Colombia. The records of patients who attended a public Dental school clinic (CIDU) were analyzed. The characterization was developed using the following variables: origin, age, medical history, gender, medical treatment at the time of consultation, dental care treatment at the time of consultation, medication intake , marital status, affiliation to a health service, education level, and more frequent diagnoses using the International Code of diseases (ICD). The main goal of this research is the characterization of 612 patients who attend and register in the dental diagnostic and emergency clinic (CIDU) at Universidad del Valle, school of dentistry,in Cali Colombia. The fieldwork for this research was carried out between February 7 and December 16, 2011. The purpose is to have reliable information about the profiles of the patients and thus encourage proper planning from an infrastructural, teaching and health care perspective.
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Makadia, Frini, Priya P. Mehta, Clayton E. Wisely, Juan E. Santiago-Torres, Katherine Hartmann, and Mary J. Welker. "Creating and Completing Service-Learning within Medical School Curricula: From the Learner’s Perspective." International Journal of Medical Students 3, no. 2 (August 31, 2015): 88–91. http://dx.doi.org/10.5195/ijms.2015.123.
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Background: This article describes a service-learning project implemented at local free clinics by students at the Ohio State University College of Medicine and identifies key factors in their success. Methods: In response to a lack of longitudinal patient-physician relationships at free clinics, the students developed an initiative linking free clinic patients with diabetes to primary care homes for longitudinal care and counseled patients on the benefits of establishing a longitudinal relationship with a primary care physician. Results: All patients counseled were linked, compared to a historical 10% linkage rate, and 78% of patients scheduling initial appointments. Five factors were identified and listed by the students as key to the project’s process, success, and impact. Conclusion: Although all of these listed factors may prove difficult to replicate, this case-study serves as a model for other medical schools incorporating service-learning and exhibits that medical students can become integral portions of healthcare infrastructure.
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Alins Sahun, Yolanda, Kerry Camara, Kathryn Gething, Daniel Shenck, Jason Gane, and Yincent Tse. "Setting up school-based diabetes clinics to engage adolescents who frequently ‘were not brought to clinic’ and improve self-management." Archives of Disease in Childhood 105, no. 6 (April 20, 2019): 598–99. http://dx.doi.org/10.1136/archdischild-2018-315313.
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Optimising attendance rates in outpatient’s clinics is important to ensure good clinical care and to avoid waste of scarce medical resources. We identified a cohort of teenagers that frequently were not brought (WNB) to the paediatric diabetes multidisciplinary clinics, compromising patient care and reducing compliance with National Padiatric Diabetes Audit (NPDA) standards. As these teenagers attend five local secondary schools, we initiated a quality improvement project to test the benefit of taking clinics into schools. From January 2017, after extensive engagement with stakeholders, quarterly clinic at school with a diabetic nurse and physician were offered to all teenagers with type 1 diabetes mellitus in these five schools. A semistructured interview was administered to identify their concerns about diabetes. HbA1c was checked, and glucose meters were downloaded. Outcome data were compared with previous 9 months. 34 teenagers were targeted (17 initially identified as frequent non-attenders and 17 controls at same schools). The hospital WNB rate was reduced in the intervention group by 50%, and patients not seen at least once in 3 months reduced from 9/17 to 1/17. Teenage patients expressed an increased positive experience. Relevant knowledge gaps and emotional difficulties were additionally identified and addressed. Lifestyle issues not previously known to team were also unveiled, for example, poor school attendance, bullying or high-risk behaviours. School clinics improved contact in this difficult to reach group. It shows promise as a vehicle to enhance engagement of young people in self-care, actively preparing them for transition.
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Galowitz, Paula. "The Opportunities and Challenges of an Interdisciplinary Clinic." International Journal of Clinical Legal Education 18 (July 8, 2014): 165. http://dx.doi.org/10.19164/ijcle.v18i0.5.
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<p>Law school clinics in many countries increasingly provide the major opportunities that law students have to engage in interdisciplinary collaborations with other professionals. The collaboration may be with a wide range of professionals, such as: doctors and medical students; social workers and social work students; business school students; engineering faculty and students including biomedical engineering students; nursing students; and experts in public health, education, mental health or palliative care. It can occur in diverse contexts or targeted to specific populations, such as children, the elderly, victims of domestic violence or low-income business owners.</p><p>Some examples of these interdisciplinary clinics illustrate their variety. Clinical legal education initiatives in South Africa, Thailand and Ukraine promoted public health through programs that partnered with the Law and Health Initiative of the Open Society Institute’s Public Health Programs. In South Africa, palliative care was integrated with legal services; law students worked with staff at a hospice association to conduct workshops on wills, debts and family law for hospice caregivers. In Ukraine a Medical Law Clinic was started to advise and represent clients; in Thailand a law clinic wrote an HIV/AIDS Community Legal Education Manual, collaborated with organizations working on health and human rights issues to discuss harm reduction and incarceration, and implemented community education programs in prisons, detention centers and community centers. At Palacky University in the Czech Republic a new Patient’s Rights Legal Clinic, which prepares students to give legal advice, is taught by lecturers of the medical faculty and lawyers from a human rights non-profit. A clinic in the United States provides business planning and legal advice to small businesses; law and business students collaborate to assist with community economic development. Another United States clinic combines students in law, business, medicine, social work, biomedical engineering, and arts and sciences in a collaboration focused on intellectual property and business formation, with an emphasis on biodiversity and agricultural-biotechnology innovations.</p>
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Bliss, Lisa, Sylvia Caley, and Robert Pettignano. "A Model for Interdisciplinary Clinical Education: Medical and Legal Professionals Learning and Working Together to Promote Public Health." International Journal of Clinical Legal Education 18 (July 8, 2014): 149. http://dx.doi.org/10.19164/ijcle.v18i0.4.
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<p>Interdisciplinary training for professionals is becoming more common in higher education. Educators are beginning to understand the benefit of jointly training students in complex and interrelated skills that improve and complement the primary skills needed to succeed in a particular profession. Legal educators have recognized the value of encouraging flexible, collaborative thinkers who become better problem-solvers through interdisciplinary learning. Many of these are also coming to realize the importance of interdisciplinary training as a component of readiness for professional practice. For many law students, law school clinics are the first opportunity they have to learn legal skills and to engage in problem-solving for real clients. This experiential learning opportunity is often powerful and transformative, and can imprint skills, values, and practice habits that stay with students throughout their professional careers. Incorporating interdisciplinary learning opportunities into the law school clinic experience affords opportunities for co-learning, holistic problem-solving, and community building during young professionals’ formative years. Learning to be a lawyer in the context of an interdisciplinary law school clinic combines the experience of working with real clients and academic inquiry into the nature of the lawyering process itself and the ethical and fundamental practices of other professionals. Clinics serve as incubators for professional development. They provide opportunities for reflection on the practice of law, professionalism, social justice, and countless skills that help ready students for the profession of law. The HeLP Legal Services Clinic at Georgia State University College of Law aims to create an interdisciplinary dimension to such practice and inquiry, and thus influence the way in which the professional students from the law and medicine disciplines work together as learners and future professionals.</p>
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Cohen-Silver, Justine, Nazeefah Laher, Sloane Freeman, Niraj Mistry, and Michael Sgro. "Family fIRST, an Interactive Risk Screening Tool for Families in a School-Based Pediatric Clinic." Clinical Pediatrics 56, no. 3 (July 19, 2016): 217–25. http://dx.doi.org/10.1177/0009922816657152.
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The purpose of this study was to create a tablet-based, social history screening tool called Family fIRST and evaluate its feasibility and usability in a school-based medical clinic. A mixed methods study design was used to examine quantitative and qualitative outcomes of a survey and semi-structured interview completed by families and physicians. The majority (87%) found the survey easy to understand. Themes for improvement included more free-form space and increased sensitivity around question wording. Clinic physicians felt Family fIRST increased discussion around social history and suggested the tool should help link to suggested resources. Demographic results showed that 12 of 29 (43%) parents had income less than $15 000 and 19 of 29 (65%) were unemployed. Family fIRST was a well-received and feasible tool to implement at the school-based medical clinic. Preliminary results show that families attending the clinic have increased prevalence of negative determinants of health; social history should therefore represent a key area of focus at the medical visit in order to optimize clinic support of families.
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Lee, Kelly C., Estelle Kim, Jaye Kim, Benjamin Malcolm, Grace M. Kuo, Anne Bird, and David Feifel. "Development of an innovative adult attention-deficit hyperactivity disorder clinic." Mental Health Clinician 10, no. 5 (September 1, 2020): 296–300. http://dx.doi.org/10.9740/mhc.2020.09.296.
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Abstract Pharmacist-psychiatrist collaborative clinic models in specialty mental health clinics are limited, and there has been only 1 report of a clinic focused on adult attention-deficit hyperactivity disorder (ADHD). In this article, we describe the successful implementation of a pharmacist-psychiatrist collaborative practice agreement in an adult ADHD clinic at an academic medical center. Adult patients diagnosed with ADHD after a comprehensive assessment, including a full neuropsychological evaluation, were enrolled in the collaborative treatment clinic. The collaboration was a partnership between a psychiatry department and a school of pharmacy at a public university. We report the details of 58 patients and 774 patient encounters at the collaborative pharmacist-psychiatrist practice from March 2015 through June 2018. The visits were billed using traditional medical billing codes for follow-up visits. Pharmacist practice opportunities included psychiatric evaluation, medication management, counseling, and referral to auxiliary services. Challenges to the clinic's success included limited pharmacist time, prescriptive authority, and reimbursement for services from payors. A collaborative practice model targeted at adult ADHD patients may be a unique clinic setting for psychiatric pharmacists.
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IIZUMI, Yoko, Toshio KUSUNOKI, Hiroshi SAITO, and Seiichi HARADA. "Statistical survey of dermatomycoses at the Dermatology Clinic of Nippon Medical School." Nishi Nihon Hifuka 47, no. 1 (1985): 85–88. http://dx.doi.org/10.2336/nishinihonhifu.47.85.
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Guggenheimer, James, Elizabeth A. Bilodeau, and Steven J. Barket. "Medical conditions and medication use in a U.S. dental school clinic population." Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 119, no. 4 (April 2015): 379–84. http://dx.doi.org/10.1016/j.oooo.2014.12.016.
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Faizullina, Elena V., N. A. Fedorova, A. A. Novruzova, and R. V. Leukhin. "PAGES OF HISTORY OF THE KAZAN SCIENTIFIC SCHOOL OF DERMATOVENEREOLOGY: THE LIFE AND WORK OF V.F. BURGSDORF." Russian Journal of Skin and Venereal Diseases 20, no. 5 (December 15, 2017): 316–19. http://dx.doi.org/10.18821/1560-9588-2017-20-5-316-319.
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The main stages of life and activity of V.F. Burgsdorf (1864-1935), his scientific achievements and priorities as the founder of one of the largest scientific schools in Russia are described. The representatives of this school made a huge contribution to the development of national dermatovenereology. Special attention was paid to the contribution of V.F. Burgsdorf in the creation of the second Russia svetlichnoe (phototherapy) offices in the STI clinic (Skin and Venereologic clinic) of A.G. Gе in Kazan on the territory of which currently is the Republican dermatovenerologic Dispensary. The work of A.G. Gе (1889-1925) in the STI clinic became one of the most productive periods of life and activities of V.F. Burgsdorf. In November 1900 V.F. Burgsdorf opens svetlichnoe (phototherapy) office with the support of prof. A.G. GE. Due to his medical and public authority, V.F. Borgsdorf received a large donation from the Empress Maria Feodorovna for his further development. V.F. Burgsdorf devoted much of his life to the development of treatment and prevention of skin and venereal diseases, organization of scientific researches and improvement of medical education in Russia. V.F. Burgsdorf greatly improved the system of medical care for patients.
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Gu, Chris N., Jane A. McElroy, and Blake C. Corcoran. "Potential advantage of student-run clinics for diversifying a medical school class." Journal of Educational Evaluation for Health Professions 9 (May 25, 2012): 8. http://dx.doi.org/10.3352/jeehp.2012.9.8.
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The purpose of this study was to evaluate the influence of a student-run clinic on the diversification of a medical student class. We distributed a two-page, 20-item, paper survey to students of the University of Missouri School of Medicine (MU SOM) class of 2015 in July of 2011. The survey gathered information on general demographics, opinions on the importance of medical education opportunities, and opinions on the importance of medical school characteristics in applying to and attending MU SOM. A total of 104 students responded to the survey. A majority of the students identified the MedZou Community Health Clinic, a student-run, free health clinic affiliated with MU SOM, and simulated-patient encounters as important educational experiences (81% and 94%, respectively). More than half of the self-identified non-white??students reported MedZou as an important factor in their choice to apply to (60%; 95% confidence interval [CI], 32 to 88) and attend (71%; 95% CI, 44 to 98) MU SOM, over half of the females reported MedZou as important in their choice to apply (59%; 95% CI, 43 to 76) and attend (57%; 95% CI, 40 to 74), and over half of non-Missouri residents reported MedZou as important in their choice to apply (64%; 95% CI, 36 to 93) and attend (71%; 95% CI, 44 to 98). According to the above results, it can be said that students clearly value both MedZou and simulated-patient encounters as important educational experiences. Women, minorities, and non-Missouri residents value MedZou more highly than their peers who are First Year Medical Students who are Missouri residents, suggesting that MedZou may provide a promising opportunity to advance diversity within MU SOM. These results highlight the need for additional research to further explore MedZou?占퐏 potential to enhance the recruitment of a diverse medical student class.
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Honda, Kenji. "Emergency Medical Services Delivery Research In Japan." Prehospital and Disaster Medicine 1, S1 (1985): 38. http://dx.doi.org/10.1017/s1049023x00043715.
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The EMS delivery system in Japan is divided into three levels of medical care. One can request the first aid ambulance by dialing the emergency number 119. The ambulance service takes the patient to the first aid clinic (hospital), i.e., emergency department. Physicians and nurses of a city, town or village are being rotated for the first aid clinic once every month or two. A physician has to decide whether or not a certain patient needs further evaluation. When the physician of the first aid clinic (hospital) decides the patient needs hospital admission, he sends the patient to the second aid hospital. When a physician of the second aid hospital judges the patient needs special examinations or surgical treatment which requires the patient's admission to a more advanced facility, he sends the patient to the third aid hospital. At the present time, the third aid hospitals are medical school hospitals and national hospitals.
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Stoddard, Hugh A., and Justin M. Risma. "Relationship of Participation in an Optional Student-Run Clinic to Medical School Grades." Teaching and Learning in Medicine 23, no. 1 (January 12, 2011): 42–45. http://dx.doi.org/10.1080/10401334.2011.536890.
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Tabuchi, A., K. Yasuki, A. Hashiba, C. Tanaka, A. Morinaga, and A. Kikuiri. "The newly established ophthalmic rehabilitation clinic of the hospital of kawasaki medical school." JAPANESE ORTHOPTIC JOURNAL 24 (1996): 59–63. http://dx.doi.org/10.4263/jorthoptic.24.59.
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Becker, JH. "Curriculum at the Scholl College. Toward mainstream medical education." Journal of the American Podiatric Medical Association 82, no. 6 (June 1, 1992): 300–303. http://dx.doi.org/10.7547/87507315-82-6-300.
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The Dr. William M. Scholl College of Podiatric Medicine in Chicago recently affiliated with a teaching hospital, the Illinois Masonic Medical Center, and used this alliance as a catalyst to effect a change in the clinical curriculum. The affiliation set up a joint venture to operate two clinics, one on Scholl College's traditional campus and one at the teaching hospital. At the hospital site, Scholl College students rotate through clinical externships in areas such as internal medicine, emergency medicine, and podiatric elective; podiatric and general medical residents assist in the tutelage of the students. At the Scholl College campus, beginning clinical students learn basic skills in a teaching clinic, then refine and further their skills in a comprehensive clinic under the guidance of faculty members. The faculty and administration at Scholl College have embraced the concept of mainstream medical education, and are striving to prepare podiatric physicians to practice 21st century medicine.
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Chiengkriwate, Piyawan, Waranya Sripichian, and Sunisa Musem. "The Pre-Enrollment Medical Student Data Predictios of Pre-Clinic Failure." Songklanagarind Medical Journal 35, no. 2 (October 21, 2016): 25. http://dx.doi.org/10.31584/smj.2017.35.1.619.
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Objective: To identify potential pre-enrollment predictors of undergraduate medical students failure in pre-clinic class.Material and Method: A retrospective descriptive analytic study, medical students who had admitted in 2008-2012 to the Prince of Songkla University. The pre-enrollment data base was used to identify students background, high school Grade Point Average (GPA), Ordinary National Education Test (O-NET) score, and family background. The entry pathway and academic performance in the pre-clinic class were also collected and entered into analytic studies by using p-value<0.050 for each significant variable.Results: Nine hundred and fifty six medical students were enrolled, 418 (43.7%) was male, 274 (28.7%) had entered via the Collaborative Project to Increase Production of Rural Doctor (CPIRD) entry pathway, and 419 (43.8) had graduated from a high school in Songkhla province. Thirty nine (4.1%) students had failed in pre-clinic course. Comparing in achievement with the failure group revealed significant differences in GPA median (interquartile range) [3.8 (3.7, 3.9) vs 3.7 (3.5, 3.8)] and O-NET score [60 (51.4, 69.0) vs 53 (43.8, 60.0)], and proportion of CPIRD entry pathway (27.4% vs 59.0%) (p-value<0.001). However univariate conditional logistic regression analysis regression showed that the 10 (1%) with absent parent [odds ratio (OR)=42, 95% confidence interval (95% CI)=11.3 to 156 p-value<0.001), GPA less than 3.5 (OR=5.14, 95% CI=2.47 to 10.69, p-value<0.001), and O-NET score less than 50 compare with at least 60 (OR=4.34, 95% CI=1.81 to 10.40, p-value=0.001) were associated with pre-clinic failure.Conclusion: The GPA and O-NET scores, CPIRD entry pathway and absent parent were identified as significant pre-enrollment predictors of pre-clinic failure.
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Kerr, Jill, Marva Price, Jonathan Kotch, Stephanie Willis, Michael Fisher, and Susan Silva. "Does Contact by a Family Nurse Practitioner Decrease Early School Absence?" Journal of School Nursing 28, no. 1 (September 14, 2011): 38–46. http://dx.doi.org/10.1177/1059840511422818.
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Chronic early school absence (preschool through third grade) is associated with school failure. The presence of school nurses may lead to fewer absences, and nurse practitioners in school-based health centers (SBHCs) can facilitate a healthier population resulting in improved attendance. Efforts to get students back to school are unexplored in nursing literature. This article describes a nursing intervention to decrease early school absence in two elementary schools K–3 ( N = 449) and a Head Start program ( N = 130). The Head Start Family Nurse Practitioner (FNP) contacted families of chronically and excessively absent students by telephone, clinic visit at school, or home visit. The aggregate percentage attendance was evaluated by grades (preschool to third grade), schools (Head Start, Elementary Schools 1 and 2), and grades and schools and compared with publicly available school district aggregate data. There were statistically significant increases in attendance from Year 1 to Year 2 at p < .05 at the elementary level but not at the Head Start level. Student demographics, types of contacts, absence reasons (including sick child), and medical diagnoses are described.
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Tanbakuchi, Behrad, Masoud Amiri, and Sara Valizadeh. "Level of Satisfaction of Patients With Dental Care Services Provided by Dental Clinic of Shahrekord University." International Journal of Epidemiologic Research 5, no. 4 (December 25, 2018): 123–27. http://dx.doi.org/10.15171/ijer.2018.26.
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Background and aims: Level of satisfaction and opinion of patients are important factors that might be considered in assessing the quality of health care services. This study aimed to assess the level of satisfaction of patients who visited dental clinic of School of Dentistry, Shahrekord University of Medical Sciences, Shahrekord, Iran. Methods: This descriptive, analytical, cross-sectional study was conducted in 2015 on 400 randomlyselected patients visiting Endodontics, Periodontics and Implant, Pediatric Dentistry and Operative Dentistry Departments of Dental Clinic of School of Dentistry, Shahrekord University of Medical Sciences. A questionnaire encompassing demographic information and perspectives on dental care, some clinic-related factors, quality of received services, waiting time, and behavior of dental clinicians and personnel was filled out by the patients. Data were analyzed using SPSS version 22.0. Results: Of all the patients, 77% (n=310) reported improvement in their conditions and were completely satisfied with the received services; 12% reported worsening conditions and so they were dissatisfied with the treatments; and 19.5% (n=78) reported no change in their conditions. The highest level of satisfaction was related to quick presence of dental clinicians and their behavior. Patients were mainly dissatisfied with the treatment costs and welfare services. Conclusion: Satisfaction of patients with the services provided by the dental clinic of School of Dentistry, Shahrekord University of Medical Sciences was at an acceptable level. Items causing dissatisfaction in the patients should be properly addressed in order to maximize the satisfaction rate of patients with the services provided in this clinic.
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Lyapina, Irina, and Larisa Karaseva. "Role of nursing staff in organizing and giving ole of nursing staff in organizing and giving lessons for tuberculosis patients." Medsestra (Nurse), no. 6 (June 1, 2020): 22–29. http://dx.doi.org/10.33920/med-05-2006-07.
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The article emphasizes the importance and necessity of establishing a School for Tuberculosis Patients. The results of the questionnaire of medical nurses and patients of the anti-tuberculosis clinic are presented to the readers. The author shares the experience of organizing the School and draws attention to the fact that the best means of safety for the medical worker and the patient in the medical organization is competent actions of all participants of the process.
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Alsalmi, Latifa, and Robert Mayo. "An Overview of Facilities Providing Clinical Services for Persons Who Stutter in Kuwait." Perspectives of the ASHA Special Interest Groups 1, no. 4 (March 31, 2016): 79–95. http://dx.doi.org/10.1044/persp1.sig4.79.
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Presently, no clear picture is available about the facilities providing clinical services for persons who stutter (PWS) in Kuwait. This information is crucial for any awareness program to be established in the future. The purpose of this study was to identify clinical facilities and speech-language personnel that provide services for PWS in Kuwait. Participants consisted of 21 clinical directors of governmental medical centers, non-profit clinics, and private clinics as well as department heads of governmental school clinics where speech-language services were provided. Participants were interviewed regarding the availability of speech-language services within their centers and whether or not PWS receive services. The results revealed that four out of five governmental medical centers with a total of 32 speech-language pathologists (SLPs) provided services for PWS. Additionally, 12 schools of special education were found to have 62 SLPs on their staff providing fluency services for students. Finally, two stand-alone private clinics and one non-profit clinic provided services for PWS. Results indicated an overall shortage of SLPs in the country, especially in medical settings. This study sets the foundation for a series of future studies investigating the type and quality of stuttering services provided by the identified facilities in Kuwait.
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Kochorova, L. V., A. A. Potapchuk, and V. V. Afanasieva. "A BRIEF HISTORY OF UNIVERSITY CLINICS IN RUSSIA AND IN THE WORLD." Scientific Notes of the I. P. Pavlov St. Petersburg State Medical University 25, no. 4 (April 21, 2019): 26–30. http://dx.doi.org/10.24884/1607-4181-2018-25-4-26-30.
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The article discusses the importance of university clinics and historical aspects of their development both abroad and in Russia. The history of the development of university clinics goes side by side with the development of medical education in general. The concept of university clinics has been laid down since the time of the ancient East. The European stage of the formation of university clinics dates back to the Middle Ages and the Renaissance period. Nowadays, university clinics work according to the model of cooperation between the university and the clinic, or according to the model of integration of the clinic into the university. In Russia, in fact, Peter the First laid the notion of university clinics that facilitated the opening of hospital schools. The importance of combining the educational and therapeutic process is proved. Thus, this combination improves the quality of medical care.
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Vieira, JE, LF Silva, and EC Baracat. "Medical education at the University of São Paulo Medical School." Clinics 70, no. 4 (April 15, 2015): 229–30. http://dx.doi.org/10.6061/clinics/2015(04)01.
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Khanna, Sahil. "Fecal transplant clinical trials for Clostridioides difficile: an interview with Sahil Khanna." Future Microbiology 15, no. 9 (June 2020): 709–12. http://dx.doi.org/10.2217/fmb-2020-0102.
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This interview was conducted by Atiya Henry, Commissioning Editor of Future Microbiology. Sahil Khanna is an Associate Professor of Medicine in the Division of Gastroenterology and Hepatology at Mayo Clinic, Rochester (MN, USA). He currently directs the Comprehensive Gastroenterology Interest group, Clostridioides difficile clinic, Fecal Microbiota Transplantation program and C. difficile related clinical trials at Mayo Clinic. He completed Medical School at the All India Institute of Medical Sciences, New Delhi; followed by Post Doctoral Research at University of California, San Diego (CA, USA); residency in Internal Medicine and Fellowship in Gastroenterology and Hepatology at Mayo Clinic, before joining the Faculty. He also completed Masters in Clinical and Translational Sciences during his fellowship. His research and clinical interests include epidemiology, outcomes and emerging therapeutics for C. difficile infection, an arena in which he has had numerous publications and presentations. He has over 100 peer-reviewed publications, serves as reviewer, is on the editorial board of several journals and has won numerous awards.
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Inoue, Kazuo, Shun Matoba, Yoshihiro Sugita, and Masataka Okuno. "A Comparative Study of Rural Clinics in Remote Islands and Inland Areas." Asia Pacific Journal of Public Health 12, no. 1 (January 2000): 22–26. http://dx.doi.org/10.1177/101053950001200105.
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The social and professional isolation of physicians remains an important issue in rural areas. However, few studies have investigated the involvement of geographic factors in the isolation. This study investigates rural public clinics in inland and remote island locations and attempts to objectively compare the isolation of these physicians. A mailed questionnaire was sent to rural clinics where graduate physicians from Jichi Medical School were working in 1994 and 1995. Among the 198 clinics with one or more full-time physicians, 185 (93 percent) responded to the inquiry. Geographic and demographic factors of the communities were compared between 43 clinics located in remote islands and the other 142 rural inland clinics. Rural clinics in remote islands have smaller subject populations, fewer part-time physicians, a longer journey to the nearest city, and a longer distance and travel time to the base hospital than rural inland clinics. Physicians in remote island clinics had less medical training and are more isolated than other physicians. More than half of the clinic physicians in remote islands have no regular training schedule, in contrast to less than a quarter of the inland clinic physicians. Almost all clinics (97.7%) in remote islands do not have a part-time physician, whereas about 20 percent of the rural inland clinics do. Physicians in remote island clinics are more socially and professionally isolated than those in inland clinics. Strategies to reduce these problems should be given priority in rural health policy and measures tailored to rural clinics in remote islands. Asia Pac J Public Health 2000;12(1): 22-26
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Mohiuddin, AK. "The New Era of Pharmacists in Ambulatory Patient Care." INNOVATIONS in pharmacy 10, no. 1 (January 15, 2019): 4. http://dx.doi.org/10.24926/iip.v10i1.1622.
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Ambulatory care pharmacy practice is defined as the provision of integrated, accessible healthcare services by pharmacists who are accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. This is accomplished through direct patient care and medication management for ambulatory patients, long-term relationships, coordination of care, patient advocacy, wellness and health promotion, triage and referral, and patient education and self-management. The ambulatory care pharmacists may work in both an institutional and community-based clinic involved in direct care of a diverse patient population.
A variety of specialty clinics are available for allergy and immunology, pulmonology, endocrinology, cardiology, nephrology, neurology, behavioral health, and infectious disease. Such services for this population may exist as a primary care clinic or an independent specialty clinic, typically in a PCMH, which is instrumental in coordinating care between various providers. Once a practice site is identified, it is important to establish a strong, trusting, and mutually beneficial relationship with the various decision-makers (e.g., administrators, providers) involved with the clinic. If pharmacy services are currently in existence, the pharmacy director may be able to identify and initially contact the appropriate person. If another pharmacist is providing clinical services, this person would be a resource to help determine areas for expansion of patient care and to whom to direct the proposed business plan.
Additional individuals to consider as an initial point of contact include the clinic manager, clinic medical director, or administrative assistant to either of these persons. If the clinic setting is affiliated with a medical school, it may be necessary to contact the Department of Family Medicine head.
Article Type: Commentary
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Azis A., Abdul, Aliamran Rasjid, Sudijanto Sudijanto, and Rachmat Kurdi. "Optional Immunizations as Parameter of Parent’s Behavioral Change in Health Needs of Their Off-springs." Paediatrica Indonesiana 19, no. 11-12 (June 16, 2017): 265. http://dx.doi.org/10.14238/pi19.11-12.1979.265-75.
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Services provided by Utan Kayu M.C.H. Clinic, Medical School, University of Indonesia, were introduced to the surrounding community through individual as well as through group contacts. It is desirable to measure the degree of health education efforts of the clinic especially of parents behavioral change in health needs of their children. For the purpose of the study a stratified systematic record sampling of the active-files of patient in 1975 were undertaken.
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Argutina, Anastasia S., and S. Yu Kosyuga. "THE PROGRAM OF PROPHYLAXIS OF THE DENTOALVEOLAR ANOMALIES IN CHILDREN IN THE CHILDREN’S POLYCLINIC." Russian Pediatric Journal 20, no. 4 (April 30, 2019): 222–26. http://dx.doi.org/10.18821/1560-9561-2017-20-4-222-226.
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For the development a program for the prevention of dentoalveolar anomalies for children’s dental clinic, there were investigated features of the orthodontic status in children of primary school age and factors affecting its formation. The authors have been proposed preventive measures for two levels of the implementation: conjointly with teaching staff of the schools and involvement of the family (the so-called «school level»), as well as the treatment and prevention activity of children’s specialists from the dental polyclinic (polyclinic level). The mentioned measures have been structured and formulated by authors as «the preventive program». The implementation of the program for the prevention of dentoalveolar anomalies in basic medical practice showed it pronounced clinical and social effect
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Rooke, Jennifer. "Advancing Health Equity With Lifestyle Medicine." American Journal of Lifestyle Medicine 12, no. 6 (June 14, 2018): 472–75. http://dx.doi.org/10.1177/1559827618780680.
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The Optimal Health and Wellness Clinic of Morehouse Healthcare seeks to advance health equity by providing lifestyle medicine services to its predominantly African American patient population. Health equity means eliminating health disparities by providing services that meet the needs of the population served. African Americans have a higher burden of cardiovascular disease and diabetes than other American ethnic groups. Recent evidence indicates that eating a plant-based diet may eliminate disparities in cardiovascular disease and diabetes. The clinic provides lifestyle intervention services such as stress and sleep management, but the focus is on helping patients to adopt and maintain a plant-based diet. A range of encounter options that include shared medical appointments and cooking classes are offered. The clinic is an example of a lifestyle medicine specialty practice within the multispecialty practice arm of a medical school. The shared mission to promote health equity provides substantial resources to the clinic and allows for collaborative efforts to improve the health of the community.
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Wulandari, Irma, and Fitri Indahsari. "Tinjauan Kebutuhan Tenaga Kerja Petugas Rekam Medis Berdasarkan Metode Workload Indicator of Staffing Needs (WISN) di Klinik Rawat Inap Ramdani Husada." Jurnal Surya Medika 6, no. 2 (February 15, 2021): 201–9. http://dx.doi.org/10.33084/jsm.v6i2.2137.
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The medical record is one of the most important parts of a health service which must be supported by an adequate number of human resources, so it is necessary to calculate the exact workforce requirements. Medical record activities at Ramdani Husada Inpatient Clinic are not done by officers with medical record education qualifications but are carried out by officers with qualifications of high school education, midwifery diploma, and midwifery diploma. The research objective was to describe the need for medical record personnel based on the WISN (Workload Indicator of Staffing Need) method at the Ramdani Husada Inpatient Clinic. The research design used descriptive quantitative with a cross-sectional approach. The population and sample of the study were all officers who carried out medical record activities as many as 3 people including the clinic manager, head of administration, and administrative staff. The results showed that the available work time was 1,953 hours/year or equivalent to 117,180 minutes/year, the workload standard was not in accordance with the number of available officers, the allowance standard was 1.70 workers. So that the need for medical record officers based on the WISN method is 9 workers. Based on the research results, there is a gap between theory and practice, where the Ramdani Husada Inpatient Clinic does not use the WISN method or other methods for planning its workforce. It is suggested that the Ramdani Husada Inpatient Clinic do deeper planning related to the workforce, especially for medical record officers to increase work productivity and reduce the risk of fatigue in officers.
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Shahidullah, Jeffrey D., Gazi Azad, Katherine R. Mezher, Maryellen Brunson McClain, and Laura Lee McIntyre. "Linking the Medical and Educational Home to Support Children With Autism Spectrum Disorder: Practice Recommendations." Clinical Pediatrics 57, no. 13 (May 3, 2018): 1496–505. http://dx.doi.org/10.1177/0009922818774344.
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Children with autism spectrum disorder (ASD) present with complex medical problems that are often exacerbated by a range of other intellectual and psychiatric comorbidities. These children receive care for their physical and mental health from a range of providers within numerous child-serving systems, including their primary care clinic, school, and the home and community. Given the longitudinal nature in which care is provided for this chronic disorder, it is particularly necessary for services and providers to coordinate their care to ensure optimal efficiency and effectiveness. There are 2 primary venues that serve as a “home” for coordination of service provision for children with ASD and their families—the “medical home” and the “educational home.” Unfortunately, these venues often function independently from the other. Furthermore, there are limited guidelines demonstrating methods through which pediatricians and other primary care providers (PCPs) can coordinate care with schools and school-based providers. The purpose of this article is 2-fold: (1) we highlight the provision of evidence-based care within the medical home and educational home and (2) we offer practice recommendations for PCPs in integrating these systems to optimally address the complex medical, intellectual, and psychiatric symptomology affected by autism.
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Ogunbiyi, M. Olabisi, and Emma Obiri-Darko. "Medical Students’ Corner: Barriers to Communication During the COVID-19 Pandemic." JMIR Medical Education 6, no. 2 (November 27, 2020): e24989. http://dx.doi.org/10.2196/24989.
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The COVID-19 pandemic has inspired us, as medical students, to reflect upon the communication training we have received in medical school and the obstacles we have faced in the clinic due to COVID-19. We hold the view that our communication training is inadequate; this view is driven by our limited exposure to patients, a situation that is currently being exacerbated by the pandemic. The medical curriculum must be inclusive of all groups and take into account the new challenges arising during the COVID-19 pandemic.
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Doshi, J., and S. Carrie. "A survey of undergraduate otolaryngology experience at Newcastle University Medical School." Journal of Laryngology & Otology 120, no. 9 (July 19, 2006): 770–73. http://dx.doi.org/10.1017/s0022215106002131.
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Introduction: Due to the ‘modernizing medical careers’ changes, doctors with a firm career intention will be able to enter a speciality-specific training programme after their foundation years.Materials and methods: A questionnaire was emailed to all 204 final year medical students at Newcastle Medical School asking about their ENT undergraduate experience and if they felt it was sufficient to consider a career in otolaryngology.Results: One hundred and forty-four completed questionnaires (71 per cent) were returned, with respondents giving the following information: 54 per cent had had a formal ENT attachment (average seven and a half days); 24/144 (17 per cent) and 60/144 (42 per cent) respectively had not attended ENT clinic or theatre; less than 50 per cent had seen common ENT operations; 12/144 (8 per cent) had never heard of a septoplasty; two-thirds (24/36) of aspiring general practitioners had never seen a tonsillectomy or grommet insertion; and only 6/30 (20 per cent) of aspiring surgeons felt their ENT experience had been enough to consider the speciality as a career.Discussion: Alternative methods of delivering an otolaryngology curriculum should be considered. We must promote otolaryngology to medical students at every opportunity.
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Davids, Anna H., Kathryn J. Sommese, Meredith V. Roach, Samuel J. Lee, Chelsea E. Crose, Sarah B. Khan, and Alexandra P. Leader. "Clínica Comunitaria Esperanza: Strategy for Health Promotion and Engagement With Hispanic Communities." Health Promotion Practice 21, no. 1 (August 13, 2018): 91–96. http://dx.doi.org/10.1177/1524839918784942.
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A 2009 community needs assessment highlighted the health care gap facing Hispanic residents in Hampton, Virginia, one of the major cities served by Eastern Virginia Medical School (EVMS). Survey respondents indicated the following as health care barriers: language, lack of knowledge, and lack of a community health center. EVMS students worked to bridge the health care gap between existing needs and services by establishing and maintaining the Clínica Comunitaria Esperanza, a culturally and linguistically competent student-run free clinic serving uninsured Hispanics in the Hampton Roads area. This article provides a model for engaging effectively with a priority population through partnerships that facilitate understanding of the community concerns, values, culture, and existing local resources that serve as determinants of health. This article further illustrates how the integration of two preexisting EVMS programs, the HOPES (Health Outreach Partnership of EVMS Students) Clinic and the Medical Spanish program, has supported the development and sustainability of Clínica Comunitaria Esperanza. The HOPES Clinic is a student-run free clinic that provides both general and specialty care to uninsured patients. EVMS’ Medical Spanish program is a longitudinal service learning initiative composed of medical students, faculty, and staff dedicated to providing inclusive health care to meet the needs of the local Spanish-speaking community.
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Fialkow, Michael F., Carrie M. Snead, and Jay Schulkin. "Benefits and Barriers to Teaching Medical Students in an Ob-Gyn Clinic." Health Services Research and Managerial Epidemiology 5 (January 1, 2018): 233339281775351. http://dx.doi.org/10.1177/2333392817753518.
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Introduction: As the US health-care system has evolved over the past decade, access to obstetric care in rural communities has declined, and there has been a challenge in retaining obstetrics and gynecology (OB-GYN) providers to train the next generation of physicians. The current pilot study sought to identify the factors that influence faculty who train medical students within the field of OB-GYN with the hope of influencing recruitment and retention of providers for the future. Methods: Clinical OB-GYN faculty within the University of Washington School of Medicine regional medical education program were surveyed about practice patterns and beliefs regarding medical student training as part of a pilot study on provider recruitment and retention. Results: Fifty-seven eligible respondents completed the survey. Most (88.9%) reported their hospitals encourage student participation in patient care. Students in their practices participate in many aspects of patient care, including conducting exams (96.2%) and participating in the operating room (94.3%). The majority found the rewarding aspects of teaching medical students to be intellectual stimulation (90.9%), continuing the tradition of medical teaching (87.5%), and the intrinsic satisfaction of teaching (83.6%). Challenging aspects of teaching included reduced reimbursement (40%) and the student/workload (63.6%). Discussion: Medical student education continues to rely on a generation’s medical professionals to impart their knowledge to the next. We hope that with a better understanding of the benefits of participation and minimization of the challenges, we can perpetuate this tradition despite the uncertainty in our health-care system.
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Press, Annie, Robert Lucito, Ilene Friedman, and Samara Ginzburg. "A Clinic to Improve Care of Patients with Sickle Cell Disease and the Role of Medical Students in Quality Improvement." Blood 126, no. 23 (December 3, 2015): 5586. http://dx.doi.org/10.1182/blood.v126.23.5586.5586.
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Abstract Background: At Hofstra-North Shore LIJ School of Medicine, we have opportunities for our medical students to participate in experiential quality improvement projects. As part of this initiative, some students participate on health-care improvement teams using a Clinical Microsystems approach. This approach is a conceptual framework that has been applied to various departments in the North Shore-LIJ Health System in order to improve quality and patient safety. The basis of Clinical Microsystems is to identify a need in the hospital that may be targeted in order to improve the efficacy of healthcare quality and delivery. Once the objective for healthcare improvement is determined, a multidisciplinary team is created spanning one or more microsystems to target the specific barrier. One of the multidisciplinary teams focuses on the care of patients with sickle cell disease. LIJ Hospital admits between 150 and 200 patients with sickle cell disease a year primarily due to recurrent pain crises. The initial sickle cell multidisciplinary improvement team included physicians, patients, nurses, social workers and two medical students. The role of the students on this team included literature searches and survey administration. The team's initial analysis found that a lack of consistent outpatient follow up was resulting in frequent readmissions for this population to acute care facilities for pain control. To address this, the team was instrumental in establishing a primary care outpatient clinic focused exclusively on caring for patients with sickle cell disease, run by a primary care physician, in 2012. The current study was conducted by a medical student, and her mentor, who were original members of the sickle cell improvement team. The study tested the hypothesis that enrolling patients with sickle cell disease in an outpatient clinic with a dedicated physician focused on sickle cell disease management and pain control would decrease the number of admissions this population has for acute care at LIJ. The study also highlights the opportunity to involve medical students in a meaningful way in hands-on quality improvement projects in the early stages of training. Methods: This was a retrospective study of all adults with sickle cell disease, 21 years or older, who were seen at the primary care outpatient sickle cell clinic. We compared the rates of hospital admissions and length of stay in the one-year prior and one-year after their establishment of care at the clinic. All data was identified through manual and automated searches of the Electronic Health Record. Results: Since the opening of the clinic in 2012, 107 adults established care at the clinic. Within the first year that a patient began being cared for by the clinic, their admission rate dropped 27%, from an average of 3.775 to 2.75 admissions per year (p=0.0003). There were a total of 151 admissions one-year pre-intervention and 110 admissions one-year post-intervention. Conclusion: This project supports the value of a dedicated primary care outpatient sickle cell clinic on decreasing the admission rates for patients with sickle cell disease. Within one year of establishing care at the clinic, admissions rates decreased significantly, emphasizing the role of dedicated outpatient primary care in the management of patients with sickle cell disease. This study also highlights the importance and feasibility of integrating medical students into a quality improvement project early on during medical school. There are opportunities for students to have meaningful roles on hospital based improvement projects and learn quality improvement methodologies. An important component to this success is faculty mentoring to support a student's involvement in the project. The student involved in this study experientially participated in multidisciplinary team-based rapid cycles of change, process mapping, data collection and analysis. Similar projects could offer students an opportunity to participate during medical school in a longitudinal quality improvement project to develop skills they will need as physicians to identify, participate and measure the effects of improvement efforts. Disclosures No relevant conflicts of interest to declare.
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Van Horn, Anne, and Peggy B Smith. "Can social determinants of health influence the reproductive health of adolescents and young adult women." MOJ Women's Health 9, no. 3 (2020): 64–65. http://dx.doi.org/10.15406/mojwh.2020.09.00271.
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The purpose of this initiative (Ascend) was to determine if one could apply social determinants of health concepts that focus on employment through a primary preventive care clinic to influence the employment and medical outcome of women. Minority low-income post-secondary adolescents and young adult women (AYA) were recruited to participate in an allied health-training program from their medical home, a reproductive health care clinic. Twenty-nine sexually active high school graduate women enrolled in the program. As a result, the majority of the cohort completed the training and were eligible for employment. Participants continued to access care, including contraception in their medical home and there were no subsequent pregnancies among enrollees. This project concludes that social determinant linking access to employment via a medical home has both direct and indirect effect on the health and employment well-being of young women.
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Slark, Hollie. "Three Months in China." Acupuncture in Medicine 18, no. 1 (June 2000): 61–64. http://dx.doi.org/10.1136/aim.18.1.61.
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An eight week period of study was undertaken at Shanghai Medical University as a student elective from Manchester University Medical School. During this time the student was taught elements of the traditional theory of acupuncture and was given clinical training in acupuncture, electroacupuncture, moxibustion, cupping and herbal injection. A good variety of medical problems were seen being treated. The process of selecting a suitable venue for a student elective in China is discussed, as is the teaching routine in an acupuncture clinic.
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Atienza, Maria Isabel. "A comparison of four models of professionalism in medical education." Asia Pacific Scholar 6, no. 3 (July 13, 2021): 24–31. http://dx.doi.org/10.29060/taps.2021-6-3/ra2314.
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Introduction: The prevailing consensus is that medical professionalism must be formally included as a programme in the undergraduate medical curriculum. Methods: A literature search was conducted to identify institutions that can serve as models for incorporating professionalism in medical education. Differences and similarities were highlighted based on a framework for the comparison which included the following features: definition of professionalism, curricular design, student selection, teaching and learning innovations, role modelling and methods of assessment. Results: Four models for integrating professionalism in medical education were chosen: Vanderbilt University School of Medicine (VUSM), University of Washington School of Medicine (UWSOM), University of Queensland (UQ) School of Medicine, and Mayo Clinic and Mayo Medical School. The task of preparing a programme on medical professionalism requires a well-described definition to set the direction for planning, implementing, and institutionalizing professionalism. The programmes are best woven in all levels of medical education from the pre-clinical to the clinical years. The faculty physicians and the rest of the institution’s staff must also undergo a similar programme for professionalism. Conclusion: The development of all scopes of professionalism requires constant planning, feedback and remediation. The students’ ability to handle professionalism challenges are related to how much learning situations the students encounter during medical school. The learning situations must be adjusted according to the level of responsibilities given to students. The goal of learning is to enable students to grow from a novice to a competent level and afterwards to a proficient and expert level handling professionalism challenges in medicine.
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Childes, Jana, Alissa Acker, and Dana Collins. "Multiple Perspectives on the Barriers to Identification and Management of Pediatric Voice Disorders." Perspectives of the ASHA Special Interest Groups 2, no. 3 (January 2017): 49–56. http://dx.doi.org/10.1044/persp2.sig3.49.
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Pediatric voice disorders are typically a low-incidence population in the average caseload of clinicians working within school and general clinic settings. This occurs despite evidence of a fairly high prevalence of childhood voice disorders and the multiple impacts the voice disorder may have on a child's social development, the perception of the child by others, and the child's academic success. There are multiple barriers that affect the identification of children with abnormal vocal qualities and their access to services. These include: the reliance on school personnel, the ability of parents and caretakers to identify abnormal vocal qualities and signs of misuse, the access to specialized medical services for appropriate diagnosis, and treatment planning and issues related to the Speech-Language Pathologists' perception of their skills and competence regarding voice management for pediatric populations. These barriers and possible solutions to them are discussed with perspectives from the school, clinic and university settings.
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Gortakowski, Michele, and Chelsea C. Gordner. "Development of Repository From a Pediatric Gender Clinic." Journal of the Endocrine Society 5, Supplement_1 (May 1, 2021): A797. http://dx.doi.org/10.1210/jendso/bvab048.1621.
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Abstract Objectives: With the publication of updated guidelines for care of transgender and gender non-conforming individuals, there has been an increase in the presence of gender diversity in both mainstream media and medical literature. Several gaps currently exist in medical knowledge regarding long term effects of gender-affirming therapies. There is a lack of standardization in study design, patient sampling, and outcome measures, and most studies are retrospective. Here we describe the creation of both a retrospective and prospective repository of patients who presented to the Massachusetts Medical School-Baystate Medical Center (UMass-Baystate) pediatric gender program. Methods: Baystate Medical Center is located in western MA and is a tertiary referral center. A pediatric gender clinic was created in 2014. A repository containing both retrospective and prospective data was approved by the UMass-Baystate IRB to include patients ages 2 to 24 years of age who presented to our gender clinic. Retrospective data was obtained using the McKesson billing database. Sociodemographic, clinical and behavioral health data were collected. We are consenting individuals as they present to the clinic for the prospective component. Those that have consented fill out a survey at each visit. The repository has been approved to follow outcome data for 25 years. Results: To date, we have 218 individuals in the repository, 75 of which are in the prospective component. Age of presentation ranged from 6 yrs to 24 yrs with an average age of 15 yrs. 62% identified as transmale, 31% as transfemale and the remainder as gender fluid or other. 75% have been prescribed gender affirming hormone therapy (56% GnRH agonist therapy, 20% estrogen, 58% testosterone). Of those being followed prospectively, 76% identified as white, 19% Hispanic. 79% were satisfied or very satisfied with their care. Conclusions: Here we describe the demographic and clinical characteristics of patients that have presented to our gender clinic since 2014. The creation of our gender repository will allow us to assess sociodemographic, clinical and behavioral health outcomes of treatment, including metabolic parameters, bone health, and mental health outcomes in our pediatric population. Future projects include assessment of the change in cardiovascular risk in individuals on gender-affirming hormone therapy.
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Johnson, Kalin L., Kevin T. Fuji, Joseph V. Franco, Shana Castillo, Karen O'Brien, and Kimberley J. Begley. "A Pharmacist’s Role in a Dental Clinic: Establishing a Collaborative and Interprofessional Education Site." INNOVATIONS in pharmacy 9, no. 4 (December 13, 2018): 13. http://dx.doi.org/10.24926/iip.v9i4.1382.
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Background: Dental patients often have comorbidities and take multiple medications, some of which could impact their dental health and treatment. A pharmacist in a dental clinic can assist with the gathering, documentation and evaluation of a dental patient’s medication history as it pertains to their dental visit and overall health.
Purpose: To develop and implement a collaborative and interprofessional education program with a pharmacist providing services in a dental school clinic.
Summary: Creighton University School of Dentistry, a student-operated dental clinic located in Omaha, Nebraska, provides dental care by student dentists, faculty and staff to the surrounding community in a learning-focused environment. A pharmacist was incorporated into the dental clinic to create and establish an interprofessional relationship with both dental students and faculty beginning August 2014. Pharmacy students on an ambulatory care advanced pharmacy practice experience rotation were eventually added to the team. The pharmacy team provided medication therapy management services including disease state and medication counseling, medication reconciliation, identifying drug-related problems and dental implications of medications, and recommendations for prescribed medications.
Conclusion: The pharmacy team’s presence was largely accepted by dental faculty, staff, dental students, and patients. Pharmacists can play an important role in a dental clinic by performing thorough health and medication histories and communicating with dental and medical providers involved in a patient’s care.
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Hofacer, Rylon D., Andrew Panatopoulos, Jared Vineyard, Rick Tivis, Elaine Nguyen, Niu Jingjing, and Ryan P. Lindsay. "Clinical Care Coordination in Medically Complex Pediatric Cases: Results From the National Survey of Children With Special Health Care Needs." Global Pediatric Health 6 (January 2019): 2333794X1984791. http://dx.doi.org/10.1177/2333794x19847911.
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This study uses a secondary analysis of the 2009-2010 National Survey of Children with Special Health Care Needs (NS-CSHCN) to describe care coordination (CC) for children with medical complexity (CMC). Chi-square test, t test, and multivariate logistic regression statistical tests are used to determine the relationships and differences between sources of CC and factors associated with receiving clinic-based CC for CMC and their family. Among CMC, 66.47% received no CC support and 25.73% received clinic-based CC. In multivariate models, families reporting dissatisfaction with communication between health care providers or reporting family-centered care were less likely to receive clinic-based CC. Families were more likely to receive clinic-based CC if they had younger children, lower household income, and greater school absenteeism. Clinic-based CC is associated with improved communication between health providers but must become more family-centered and minimize student absenteeism for the CMC population.
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N Tanyi, William, Onesmus Gachuno, Theresa Odero, Carey Farquhar, David Kimosop, and Allan Mayi. "Factors affecting adherence to antiretroviral therapy among children and adolescents living with HIV in the Mbita Sub County Hospital, Homa Bay- Kenya." African Health Sciences 21, no. 1 (May 23, 2021): 18–24. http://dx.doi.org/10.4314/ahs.v21i1.4s.
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Background: Adequate adherence to antiretroviral therapy (ART) is key to the successful treatment of children and adoles- cents living with HIV. Continuous ART Adherence is the key factor for virologic suppression and stability of the immune system and prevents the occurrence of opportunistic infections. Children and adolescents struggle with adherence to ART for various reasons, including a poor psychosocial support system and clinic attendance.
Objectives: To describe the uptake of HIV treatment services among children and adolescents in the Mbita Sub-County Hospital, Homa Bay and determine how schooling, clinic attendance, and type of pill/regimen affect adherence to ART and viral suppression.
Methods: This retrospective study was conducted at the Mbita Sub-County Hospital. Medical chart data was abstracted from the hospital files of children and adolescents between the ages of 0-19 years on antiretroviral therapy, between the periods of October 2016 and September, 2017. Data was analyzed using measures of central tendency, and cross-tabulations were done to compare schooling, clinic attendance, type of pill/regimen and viral suppression. Univariate and multivariate logistic regression analyses were conducted to determine associations between groups.
Results: According to patient files reviewed, majority of patients, 244(91.4%) were enrolled into care within 2 weeks of HIV diagnosis according to guidelines, and 193(73.1 %) remained enrolled in care at end of study period. An overall viral suppression of 74.2 %( 132) was recorded. Of all the files reviewed, 121(74.7%) of patients attending school suppressed against 11(68.8 %) out of school, p=0.280. Suppression among Day and boarding reported at 78.6 %( 11) and 74.8 %( 113) of those out of school, respectively, p=0.533. Participants in primary school, 17(85.0%) suppressed better than those in secondary school, 102(73.4%), p=0.263. Keeping clinic appointments among eligible patient files reviewed decreased from 83.1% at 3 months, p=0.016, to 76.6%, p=0.526 at 6 months and to 52.9% at 12 months, p=0.278. Only 3- month clinic appointment return rates and Enhanced Adherence Counseling (EAC) were significant predictors of viral supression χ2 (2) = 0.280, p = 0.869 (> 0.05).
Conclusion: The clinic attendance rate within the first 3 months, and Enhanced Adherence Counseling (EAC) were signif- icant predictors of viral suppression, and therefore adherence to antiretroviral therapy.
Keywords: Adherence; clinic attendance; antiretroviral therapy; HIV; virologic suppression.
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N Tanyi, William, Onesmus Gachuno, Theresa Odero, Carey Farquhar, David Kimosop, and Allan Mayi. "Factors affecting adherence to antiretroviral therapy among children and adolescents living with HIV in the Mbita Sub County Hospital, Homa Bay- Kenya." African Health Sciences 21 (May 23, 2021): 18–24. http://dx.doi.org/10.4314/ahs.v21i.4s.
Full textAbstract:
Background: Adequate adherence to antiretroviral therapy (ART) is key to the successful treatment of children and adoles- cents living with HIV. Continuous ART Adherence is the key factor for virologic suppression and stability of the immune system and prevents the occurrence of opportunistic infections. Children and adolescents struggle with adherence to ART for various reasons, including a poor psychosocial support system and clinic attendance.
Objectives: To describe the uptake of HIV treatment services among children and adolescents in the Mbita Sub-County Hospital, Homa Bay and determine how schooling, clinic attendance, and type of pill/regimen affect adherence to ART and viral suppression.
Methods: This retrospective study was conducted at the Mbita Sub-County Hospital. Medical chart data was abstracted from the hospital files of children and adolescents between the ages of 0-19 years on antiretroviral therapy, between the periods of October 2016 and September, 2017. Data was analyzed using measures of central tendency, and cross-tabulations were done to compare schooling, clinic attendance, type of pill/regimen and viral suppression. Univariate and multivariate logistic regression analyses were conducted to determine associations between groups.
Results: According to patient files reviewed, majority of patients, 244(91.4%) were enrolled into care within 2 weeks of HIV diagnosis according to guidelines, and 193(73.1 %) remained enrolled in care at end of study period. An overall viral suppression of 74.2 %( 132) was recorded. Of all the files reviewed, 121(74.7%) of patients attending school suppressed against 11(68.8 %) out of school, p=0.280. Suppression among Day and boarding reported at 78.6 %( 11) and 74.8 %( 113) of those out of school, respectively, p=0.533. Participants in primary school, 17(85.0%) suppressed better than those in secondary school, 102(73.4%), p=0.263. Keeping clinic appointments among eligible patient files reviewed decreased from 83.1% at 3 months, p=0.016, to 76.6%, p=0.526 at 6 months and to 52.9% at 12 months, p=0.278. Only 3- month clinic appointment return rates and Enhanced Adherence Counseling (EAC) were significant predictors of viral supression χ2 (2) = 0.280, p = 0.869 (> 0.05).
Conclusion: The clinic attendance rate within the first 3 months, and Enhanced Adherence Counseling (EAC) were signif- icant predictors of viral suppression, and therefore adherence to antiretroviral therapy.
Keywords: Adherence; clinic attendance; antiretroviral therapy; HIV; virologic suppression.