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1

Provenzano, David Anthony, Samuel Ambrose Florentino, Jason S. Kilgore, et al. "Radiation safety and knowledge: an international survey of 708 interventional pain physicians." Regional Anesthesia & Pain Medicine 46, no. 6 (2021): 469–76. http://dx.doi.org/10.1136/rapm-2020-102002.

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IntroductionInterventional pain procedures have increased in complexity, often requiring longer radiation exposure times and subsequently higher doses. The practicing physician requires an in-depth knowledge and evidence-based knowledge of radiation safety to limit the health risks to themselves, patients and healthcare staff. The objective of this study was to examine current radiation safety practices and knowledge among interventional pain physicians and compare them to evidence-based recommendations.Materials and methodsA 49-question survey was developed based on an extensive review of nat
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McCalmont, DNP, FNP, Jean C., Kim D. Jones, PhD, FNP, FAAN, Robert M. Bennett, MD, FRCP, MACR, and Ronald Friend, PhD. "Does familiarity with CDC guidelines, continuing education, and provider characteristics influence adherence to chronic pain management practices and opioid prescribing?" Journal of Opioid Management 14, no. 2 (2018): 103. http://dx.doi.org/10.5055/jom.2018.0437.

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Objectives: (1) To assess providers’ experience and knowledge of chronic noncancer pain (CNCP) management. (2) To assess providers’ utilization of the Centers for Disease Control and Prevention (CDC) 2016 Guideline for Prescribing Opioids for Chronic Pain. (3) To assess the influence of the 2016 CDC guideline on provider confidence in managing CNCP and adherence to the CDC recommendations.Methods: A cross-sectional, web-based survey conducted with 417 Oregon prescribing providers, divided into three continuing medical education (CME) groups composed of minimal (0-3), moderate (4-10), and high
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Shefrin, Allan Evan, Afshin Khazei, Geoffrey Robert Hung, Lisa Teres Odendal, and Adam Cheng. "The TACTIC: development and validation of the Tool for Assessing Chest Tube Insertion Competency." CJEM 17, no. 2 (2015): 140–47. http://dx.doi.org/10.2310/8000.2014.141406.

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AbstractObjectives: Pediatric emergency medicine (PEM) physicians receive little opportunity to practice and perform chest tube insertion. We sought to develop and validate a scoring tool to assess chest tube insertion competency and identify areas where training is required for PEM physicians.Methods: We developed a 40-point, 20-item (scored 0, 1, or 2) assessment tool entitled the Tool for Assessing Chest Tube Insertion Competency (TACTIC) and studied how PEM physicians and fellows scored when inserting a chest tube into a pork rib model. Participants were scored at baseline and compared to
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Brod, Meryl, Amaury Basse, Marie Markert, and Kathryn M. Pfeiffer. "Post-Basal Insulin Intensification and Healthcare Resource Use in Type 2 Diabetes: A Web-Based Physician Survey in the United States and United Kingdom." Diabetes Therapy 10, no. 4 (2019): 1323–36. http://dx.doi.org/10.1007/s13300-019-0636-0.

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Lokker, Cynthia, Rita Jezrawi, Itzhak Gabizon, et al. "Feasibility of a Web-Based Platform (Trial My App) to Efficiently Conduct Randomized Controlled Trials of mHealth Apps For Patients With Cardiovascular Risk Factors: Protocol For Evaluating an mHealth App for Hypertension." JMIR Research Protocols 10, no. 2 (2021): e26155. http://dx.doi.org/10.2196/26155.

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Background Mobile health (mHealth) interventions can improve health by improving cardiovascular risk factors, but their adoption in care by physicians and patients is untapped. Few mHealth apps have been evaluated in clinical trials, and due to the fast pace of technological development, those previously evaluated are often outdated by the time trial results are available. Given the rapid pace of change in this field, it is not feasible to rigorously evaluate mHealth apps with current methodologies. Objective The overall aim of this pilot study was to test the feasibility of using a web resear
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Huang, Yuzhu, Wei Wang, Haijian Zhao, et al. "Quality assessment of interpretative commenting and competency comparison of comment providers in China." Clinical Chemistry and Laboratory Medicine (CCLM) 57, no. 6 (2019): 832–37. http://dx.doi.org/10.1515/cclm-2018-0877.

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Abstract Background This study aimed to evaluate the ability of comment providers who were responsible for interpreting results in clinical laboratories in China and to improve the quality of interpretative comments. Methods Basic information and interpretative comments for five cases of 1912 routine chemistry External Quality Assessment (EQA) participant laboratories were collected by web-based EQA system in May 2018. EQA organizers assigned scores to each key phrase of comments based on predetermined marking scale and calculated total scores for each participant’s answer. Final scores and ra
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Locke, Kenneth A., Barbara Duffey-Rosenstein, Giancarlo De Lio, Dante Morra, and Nicolas Hariton. "Beyond Paging: Building a Web-based Communication Tool for Nurses and Physicians." Journal of General Internal Medicine 24, no. 1 (2008): 105–10. http://dx.doi.org/10.1007/s11606-008-0827-2.

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Hui, David, Allison De La Rosa, Zeena Shelal, et al. "The impact of a web-based prognostic intervention on physicians’ prognostic confidence." Journal of Clinical Oncology 39, no. 15_suppl (2021): 12106. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.12106.

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12106 Background: Clinicians often hesitate to discuss prognosis with patients because of prognostic uncertainty. The use of validated prognostic models may enhance prognostic confidence and/or prognostic accuracy. Prognostic confidence is a novel concept that has not been well studied and may support prognosis-based decision making. We examined the impact of a web-based prognostic intervention on physicians’ prognostic confidence. Methods: In this prospective study, palliative care specialists estimated the prognosis of patients with advanced cancer seen at an outpatient supportive care clini
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Fikar, CR, and OL Corral. "Wound-care resources on the Internet." Journal of the American Podiatric Medical Association 90, no. 2 (2000): 93–97. http://dx.doi.org/10.7547/87507315-90-2-93.

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The Internet offers many resources in the area of wound and ulcer care that are of potential interest to podiatric physicians and students. This article provides an overview of World Wide Web sites that contain factual information, management guidelines, and illustrations pertaining to various aspects of wound and ulcer care. Web sites that emphasize preventive care are also reviewed. Because the prudent use of antimicrobial therapy is an important part of wound care, a few sites that offer antibiotic information are described.
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Shinohara, Kiyomi, Takuya Aoki, Ryuhei So, et al. "Influence of overstated abstract conclusions on clinicians: a web-based randomised controlled trial." BMJ Open 7, no. 12 (2017): e018355. http://dx.doi.org/10.1136/bmjopen-2017-018355.

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ObjectivesTo investigate whether overstatements in abstract conclusions influence primary care physicians’ evaluations when they read reports of randomised controlled trials (RCTs)DesignRCT setting: This study was a parallel-group randomised controlled survey, conducted online while masking the study hypothesis.ParticipantsVolunteers were recruited from members of the Japan Primary Care Association in January 2017. We sent email invitations to 7040 primary care physicians. Among the 787 individuals who accessed the website, 622 were eligible and automatically randomised into ‘without overstate
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Ambrosio, Giuseppe, Peter Collins, Ralf Dechend, Jose Lopez-Sendon, Athanasios J. Manolis, and A. John Camm. "StaBle Angina: PeRceptIon of NeeDs, Quality of Life and ManaGemEnt of Patients (BRIDGE Study)—A Multinational European Physician Survey." Angiology 70, no. 5 (2018): 397–406. http://dx.doi.org/10.1177/0003319718796313.

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Stable angina (SA) is a chronic condition reducing physical activity and quality of life (QoL). Physicians treating patients with SA in Italy, Germany, Spain, and United Kingdom completed a web-based survey. The objective was to assess physician perceptions of patient needs, the impact of SA on QoL, and evaluate SA management. Overall, 659 physicians (cardiologists and general practitioners) entered data from 1965 eligible patients. The perceived importance of everyday activities for patients with a recent diagnosis (≤2 years) was higher than for patients with a longer diagnosis (>2 years),
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Pechmann, Astrid, Thorsten Langer, and Janbernd Kirschner. "Decision-Making Regarding Ventilator Support in Children with SMA Type 1—A Cross-Sectional Survey among Physicians." Neuropediatrics 50, no. 06 (2019): 359–66. http://dx.doi.org/10.1055/s-0039-1694986.

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AbstractSpinal muscular atrophy (SMA) is a neuromuscular disorder characterized by muscle atrophy and severe proximal muscle weakness. In the absence of curative treatment, it has been controversial whether critically ill infants with SMA type 1 should receive ventilator support. The aim of this study was to investigate the process of decision-making regarding ventilator support in children with SMA type 1 from the perspectives of physicians. A web-based survey with 17 questions and 2 case vignettes was conducted in 671 physicians in Germany and Switzerland from 12/2016 to 03/2017. The survey
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Koslowsky, Benjamin, Betty Mazuz, Ami Ben-Ya’acov, Aliza Neumark, Ariella Bar-Gil Shitrit, and Eran Goldin. "Gastroenterologists’ Attitude Regarding Medical Cannabis for Inflammatory Bowel Diseases in Israel." Digestive Diseases 39, no. 5 (2021): 502–7. http://dx.doi.org/10.1159/000514776.

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<b><i>Background:</i></b> The use of medical cannabis (MC) for inflammatory bowel diseases (IBDs) is expanding. Current evidence does not support the efficacy of MC for reducing inflammation in IBD patients. Even so, many gastroenterologists encounter the issue of recommending use of MC to IBD patients. <b><i>Methods:</i></b> A Web-based survey was completed by 84 (34%) gastroenterologists in Israel. <b><i>Results:</i></b> Out of 84 physicians whom completed the questionnaire, 59 (70%) were male, 34 (40%) were under age 50
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Freeman, S., M. Columbus, T. Nguyen, S. Mal, and J. Yan. "P049: Post-intubation sedation in the emergency department: a survey of national practice patterns." CJEM 21, S1 (2019): S80. http://dx.doi.org/10.1017/cem.2019.240.

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Introduction: Endotracheal intubation (ETI) is a lifesaving procedure commonly performed by emergency department (ED) physicians that may lead to patient discomfort or adverse events (e.g., unintended extubation) if sedation is inadequate. No ED-based sedation guidelines currently exist, so individual practice varies widely. This study's objective was to describe the self-reported post-ETI sedation practice of Canadian adult ED physicians. Methods: An anonymous, cross-sectional, web-based survey featuring 7 common ED scenarios requiring ETI was distributed to adult ED physician members of the
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Lacroix, Lauren, Lisa Thurgur, Aaron M. Orkin, Jeffrey J. Perry, and Ian G. Stiell. "Emergency physicians’ attitudes and perceived barriers to the implementation of take-home naloxone programs in Canadian emergency departments." CJEM 20, no. 1 (2017): 46–52. http://dx.doi.org/10.1017/cem.2017.390.

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AbstractObjectivesRates of opioid-related deaths have reached the level of national public health crisis in Canada. Community-based opioid overdose education and naloxone distribution (OEND) programs distribute naloxone to people at risk, and the emergency department (ED) may be an underutilized setting to deliver naloxone to these people. The goal of this study was to identify Canadian emergency physicians’ attitudes and perceived barriers to the implementation of take-home naloxone programs.MethodsThis was an anonymous Web-based survey of members of the Canadian Association of Emergency Phys
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Noback, Peter C., David P. Trofa, Lucas K. Dziesinski, Evan P. Trupia, Samuel Galle, and Melvin P. Rosenwasser. "Kienböck Disease: Quality, Accuracy, and Readability of Online Information." HAND 15, no. 4 (2018): 563–72. http://dx.doi.org/10.1177/1558944718813631.

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Background: Patients with limited health literacy require online educational materials to be written below a sixth grade level for optimal understanding. We assessed the quality, accuracy, and readability of online materials for Kienböck disease (KD). Methods: “Kienbock’s Disease” and “Lunate Avacular Necrosis” were entered into 3 search engines. The first 25 Web sites from each search were collected. Quality was assessed via a custom grading rubric, accuracy by 2 residents and a fellow, and readability by Flesch-Kincaid grade level (FKGL) and New Dale-Chall test. Web sites were stratified acc
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Williams, P., C. Klersy, C. Karki, D. Bennett, A. M. Rodríguez, and R. Ciccocioppo. "P647 Awareness, knowledge and use of mesenchymal stem cells – a global survey among gastroenterologists and colorectal surgeons." Journal of Crohn's and Colitis 15, Supplement_1 (2021): S578—S579. http://dx.doi.org/10.1093/ecco-jcc/jjab076.767.

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Abstract Background This study aimed to understand awareness, knowledge, and perception of mesenchymal stem cells (MSCs) among physicians, with particular focus on the complex perianal fistula (CPF) in Crohn’s disease (CD) indication. Methods A cross-sectional, web-based survey of currently practicing and registered gastroenterologists (GIs) and colorectal surgeons (CRs) across 15 countries in North America, Europe and Asia Pacific was undertaken. Descriptive analyses of data on awareness, knowledge, and perception of MSCs, willingness to use them in clinical practice and potential concerns we
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Berthelot, Simon, Eddy S. Lang, Hude Quan, and Henry T. Stelfox. "What are emergency-sensitive conditions? A survey of Canadian emergency physicians and nurses." CJEM 17, no. 2 (2015): 154–60. http://dx.doi.org/10.2310/8000.2014.141466.

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AbstractObjective: In a previous study, we assembled a multidisciplinary Canadian panel and identified 37 International Classification of Diseases-10-Canada Diagnosis Groups (DGs) for which emergency department (ED) management may potentially reduce mortality (emergency-sensitive conditions). Before using these 37 DGs to calculate a hospital standardized mortality ratio (HSMR) specific to emergency care, we aimed to test their face validity with ED care providers.Methods: We conducted a self-administered web survey among Canadian emergency physicians and nurses between November 22 and December
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ROGG, LOTTE, PETER KJÆR GRAUGAARD, and JON HÅVARD LOGE. "Physicians' interpretation of the prognostic term “terminal”: A survey among Norwegian physicians." Palliative and Supportive Care 4, no. 3 (2006): 273–78. http://dx.doi.org/10.1017/s1478951506060342.

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Objective: Optimal clinical practice depends upon a precise language with common understanding of core terms. The aim of the present study was to examine how Norwegian physicians understand the commonly used but poorly defined term “terminal.”Methods: A questionnaire was mailed to 1605 Norwegian physicians, representative of the Norwegian medical community. Nine hundred and sixty-eight responded and defined “terminal” in expected weeks left to live. The effects of gender, age, specialty, and experience with prognostication toward end of life on the estimation of “terminal” were investigated.Re
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Huang, Elbert S., Aviva G. Nathan, Jennifer M. Cooper, et al. "Impact and Feasibility of Personalized Decision Support for Older Patients with Diabetes: A Pilot Randomized Trial." Medical Decision Making 37, no. 5 (2016): 611–17. http://dx.doi.org/10.1177/0272989x16654142.

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Background. Diabetes guidelines recommend individualizing glycemic goals (A1C) for older patients. The aim of this study was to assess a personalized Web-based decision support tool. Methods. We randomized physicians and their patients with type 2 diabetes (≥65 years of age) to a support tool or educational pamphlet (75:25 patients). Prior to a visit, intervention patients interacted with the tool, which provided personalized risk predictions and elicited treatment preferences. Main outcomes included 1) patient-doctor communication, 2) decisional conflict, 3) changes in goals, and 4) intervent
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Burstein, Brett, Emmanuelle Fauteux-Lamarre, Adam Cheng, Dominic Chalut, and Adam Bretholz. "Simulation and Web-based learning increases utilization of Bier block for forearm fracture reduction in the pediatric emergency department." CJEM 19, no. 06 (2016): 434–40. http://dx.doi.org/10.1017/cem.2016.392.

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Abstract Objectives Bier block (BB) is a safe and effective alternative to procedural sedation for analgesia during forearm fracture reductions, yet remains infrequently used in the pediatric emergency department (PED). No standardized methods of BB training have previously been described. The objective of this study was to determine whether a multimodal instructional course increases comfort with BB and translates to increased use of this technique. Methods A novel interdisciplinary simulation and Web-based training course was developed to teach the use of BB for forearm fracture reduction at
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Harris, Devin R., Philip Teal, Matthew Turton, Brian Lahiffe, and Simon Pulfrey. "Stroke Education in Canadian Emergency Medicine Residency Programs." CJEM 18, no. 4 (2015): 283–87. http://dx.doi.org/10.1017/cem.2015.111.

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AbstractObjectivesStroke and transient ischemic attack (TIA) are common disorders treated by Canadian emergency physicians. The diagnosis and management of these conditions is time-sensitive and complex, requiring that emergency physicians have adequate training. This study sought to determine the extent of stroke and TIA training in Canadian emergency medicine residency programs.MethodsA two-page survey was emailed to directors of all English-speaking emergency medicine residency programs in Canada. This included both the Fellow of the Royal College of Physicians of Canada (FRCPC) and the Col
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Rao, Allison J., Christopher J. Dy, Charles A. Goldfarb, Mark S. Cohen, and Robert W. Wysocki. "Patient Preferences and Utilization of Online Resources for Patients Treated in Hand Surgery Practices." HAND 14, no. 2 (2018): 277–83. http://dx.doi.org/10.1177/1558944717744340.

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Background: The Internet is a widely used resource by patients however, objective data on details such as frequency of usage and specific sites visited is lacking. We surveyed patients from hand surgery practices to describe patient preferences and utilization patterns for online resources. Methods: From October 2015 to June 2016, we enrolled patients presenting to 4 orthopedic hand surgeons at 2 academic institutions. Patients completed a survey, with questions related to their preference for learning about their diagnosis and Internet utilization both before and after the visit. Results: A t
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Burstein, B., E. Fauteux-Lamarre, A. Cheng, D. Chalut, and A. Bretholz. "LO055: Increased utilization of Bier block for pediatric forearm fracture reduction following simulation and web-based training." CJEM 18, S1 (2016): S49. http://dx.doi.org/10.1017/cem.2016.92.

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Introduction: Bier block (BB) regional intravenous anesthesia is a safe and effective alternative to procedural sedation for analgesia during forearm fracture reductions, yet BB remains infrequently utilized in the Pediatric Emergency Department (PED). No standardized methods of BB training have previously been described. The objectives of this study were to evaluate comfort and level of experience with BB in the PED, and to determine if a multimodal instructional course increases these from baseline and translates to increased utilization of this technique. Methods: A novel interdisciplinary
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Sousa, P. C., P. Ministro, A. Armuzzi, A. Dignass, M. L. Høivik, and F. Magro. "P407 Thiopurines: use them or lose them? Results of an international survey." Journal of Crohn's and Colitis 15, Supplement_1 (2021): S414—S415. http://dx.doi.org/10.1093/ecco-jcc/jjab076.531.

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Abstract Background With the development of new drugs for inflammatory bowel disease (IBD), the role of thiopurines in the therapeutic algorithm of Crohn’s disease (CD) and Ulcerative Colitis (UC) is questioned. We aimed to investigate the current practice and future perspective of IBD physicians regarding the efficacy, safety, and role of precision medicine of thiopurines in IBD. Methods A 29-question web-based survey was developed and distributed to IBD physicians internationally, via national IBD associations and word of mouth. The final survey form was reviewed and approved by the clinical
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Forcino, Rachel C., Renata West Yen, Maya Aboumrad, et al. "US-based cross-sectional survey of clinicians’ knowledge and attitudes about shared decision-making across healthcare professions and specialties." BMJ Open 8, no. 10 (2018): e022730. http://dx.doi.org/10.1136/bmjopen-2018-022730.

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ObjectiveIn this study, we aim to compare shared decision-making (SDM) knowledge and attitudes between US-based physician assistants (PAs), nurse practitioners (NPs) and physicians across surgical and family medicine specialties.SettingWe administered a cross-sectional, web-based survey between 20 September 2017 and 1 November 2017.Participants272 US-based NPs, PA and physicians completed the survey. 250 physicians were sent a generic email invitation to participate, of whom 100 completed the survey. 3300 NPs and PAs were invited, among whom 172 completed the survey. Individuals who met the fo
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Liepa, Astra M., Jacqueline Brown, Bela Bapat, and James A. Kaye. "Real-world treatment patterns of previously treated advanced gastric and gastroesophageal junction adenocarcinoma (GC) in the United Kingdom (UK)." Journal of Clinical Oncology 33, no. 3_suppl (2015): 184. http://dx.doi.org/10.1200/jco.2015.33.3_suppl.184.

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184 Background: With no licensed therapies for previously treated advanced GC, little is known on how patients (pts) are managed after 1st-line chemotherapy (CTx) has failed. We present real-world data on characteristics, treatments, and resource utilization (RU) for such pts in the UK. Methods: Physicians who treat pts with advanced GC completed a web-based chart review detailing clinical and RU data for 3-4 de-identified pts each. Eligible pts were ≥18 years old, diagnosed Jan 2007-Mar 2012 with advanced GC, received 1st-line fluoropyrimidine+platinum, and had ≥3 months of follow-up after 1s
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Keijzer-van Laarhoven, Angela JJM, Dorothea P. Touwen, Bram Tilburgs, et al. "Which moral barriers and facilitators do physicians encounter in advance care planning conversations about the end of life of persons with dementia? A meta-review of systematic reviews and primary studies." BMJ Open 10, no. 11 (2020): e038528. http://dx.doi.org/10.1136/bmjopen-2020-038528.

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Importance and objectiveConducting advance care planning (ACP) conversations with people with dementia and their relatives contributes to providing care according to their preferences. In this review, we identify moral considerations which may hinder or facilitate physicians in conducting ACP in dementia.DesignFor this meta-review of systematic reviews and primary studies, we searched the PubMed, Web of Science and PsycINFO databases between 2005 and 30 August 2019. We included empirical studies concerning physicians’ moral barriers and facilitators of conversations about end-of-life preferenc
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Alhowimel, Ahmed, Faris Alodaibi, Mazyad Alotaibi, Dalyah Alamam, and Julie Fritz. "The Patient-Reported Outcome Measures Used with Low Back Pain and the Attitude of Primary Healthcare Practitioners in Saudi Arabia toward Them." Medicina 57, no. 8 (2021): 812. http://dx.doi.org/10.3390/medicina57080812.

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Background and objectives: The use of appropriate outcome measures can help guide multidimensional low back pain (LBP) management, elucidate the efficacy/effectiveness of interventions, and inform clinicians when selected targets have been achieved and this can be used for educational or research purposes. Aim: This study aimed to explore and describe the use, attitudes, knowledge, and beliefs regarding patient-reported outcome measures used by healthcare practitioners practising in Saudi Arabia who are frequently involved in the healthcare of individuals with LBP. Materials and Methods: A cro
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Klaiman, M. Z., K. Bahinski, L. Costello, et al. "LO27: Improving emergency department management of acute opioid withdrawal." CJEM 20, S1 (2018): S16. http://dx.doi.org/10.1017/cem.2018.89.

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Introduction: With the current opioid crisis in Canada, presentations of acute opioid withdrawal (AOW) to emergency departments (ED) are increasing. Undertreated symptoms may result in relapse, overdose and death. Buprenorphine/naloxone (bup/nal) is a partial opioid agonist/antagonist used to mitigate symptoms of AOW, approved by Health Canad in 2007 for opioid use disorder. It is superior to clonidine, and increases follow up with addiction treatment programs when initiated in the ED. Nevertheless, in our inner-city ED in 2014, bup/nal was rarely prescribed. We aimed to increase ED physician
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Vanderhout, Shelley M., Clara Juando-Prats, Catherine S. Birken, Kevin E. Thorpe, and Jonathon L. Maguire. "A qualitative study to understand parent and physician perspectives about cow’s milk fat for children." Public Health Nutrition 22, no. 16 (2019): 3017–24. http://dx.doi.org/10.1017/s136898001900243x.

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AbstractObjective:Consensus guidelines recommend that children consume reduced-fat (0·1–2 %) cow’s milk at age 2 years to reduce the risk of obesity. Behaviours and perspectives of parents and physicians about cow’s milk fat for children are unknown. Objectives were to: (i) understand what cow’s milk fat recommendations physicians provide to 2-year-old children; (ii) assess the acceptability of reduced-fat v. whole cow’s milk in children’s diets by parents and physicians; and (iii) explore attitudes and perceptions about cow’s milk fat for children.Design:Online questionnaires and individual i
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Salehi, L., P. Phalpher, D. Levay, et al. "P113: Variability in utilization and diagnostic yield of computed tomography (CT) scans for pulmonary embolism among emergency physicians." CJEM 21, S1 (2019): S105. http://dx.doi.org/10.1017/cem.2019.304.

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Introduction: Current data on utilization of CT imaging point to a trend of increasing overutilization of CT Angiography for the diagnosis of pulmonary embolism (CTPA) over time. Multiple educational and institution-wide interventions addressing this overutilization have been proposed, implemented and evaluated, with mixed results in terms of long-term impact on physician ordering behaviour. The objective of this study is to examine the inter-physician variability in ordering rates and diagnostic yield of CTPA, under a working hypothesis that a small number of physicians are responsible for a
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Anderson, Jacob, Jason Leubner, and Steven R. Brown. "EHR Overtime: An Analysis of Time Spent After Hours by Family Physicians." Family Medicine 52, no. 2 (2020): 135–37. http://dx.doi.org/10.22454/fammed.2020.942762.

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Background and Objectives: Time spent in the electronic health record (EHR), away from direct patient care, is associated with physician burnout. Yet there is a lack of evidence quantifying EHR use among family physicians. The purpose of the study was to describe a method for quantifying habits and duration of use within the electronic health record in family medicine residents and faculty with particular attention paid to time spent after hours. Methods: We audited EHR time for family medicine residents and faculty using an EHR vendor-provided, web-based tracking system. We collected and anal
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Dowling, S. K., L. Rivera, D. Wang, K. Lonergan, T. Rich, and E. S. Lang. "P034: Audit and feedback for emergency physicians - perceptions and opportunities for optimization." CJEM 20, S1 (2018): S68—S69. http://dx.doi.org/10.1017/cem.2018.232.

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Introduction: There is a growing interest in providing clinicians with performance reports via audit and feedback (A&F). Despite significant evidence exists to support A&F as a tool for self-reflection and identifying unperceived learning needs, there are many questions that remain such as the optimal content of the A&F reports, the method of dissemination for emergency physicians (EP) and the perceived benefit. The goal of the project was to 1. evaluate EP perceptions regarding satisfaction with A&F reports and its’ ability to stimulate physicians to identify opportunities for
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Nagar, Saurabh P., Daniel S. Mytelka, Sean D. Candrilli, et al. "Treatment Patterns and Survival among Adult Patients with Advanced Soft Tissue Sarcoma: A Retrospective Medical Record Review in the United Kingdom, Spain, Germany, and France." Sarcoma 2018 (2018): 1–12. http://dx.doi.org/10.1155/2018/5467057.

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Objective. To describe real-world treatment patterns and outcomes for patients with advanced soft tissue sarcoma (STS) not amenable to surgery or radiotherapy in the United Kingdom, Spain, Germany, and France. Methods. Physicians completed a web-based medical record abstraction for adult patients with advanced STS (other than Kaposi’s sarcoma or gastrointestinal stromal tumor) who received ≥1 line of systemic therapy. Clinical characteristics, treatments, tumor responses, and mortality data were recorded. Results. A total of 130 physicians provided data for 807 patients. Patients’ mean age at
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Fernandes, J., A. Chakraborty, F. Scheuermeyer, S. Barbic, and D. Barbic. "P104: What are the current practices and barriers to screening for suicidal thoughts in Canadian emergency departments?" CJEM 22, S1 (2020): S102. http://dx.doi.org/10.1017/cem.2020.310.

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Introduction: Suicide is the 9th leading cause of death in Canada, and a common reason for patients to present to Canadian emergency departments (ED). Little knowledge exists around Canadian emergency physicians (EPs) current practices and barriers to screening for suicidal thoughts (ST). Methods: We developed a web-based survey on suicide knowledge, which was pilot tested by two emergency physicians and one psychiatrist for clarity and content. The survey was distributed via email to attending physician members of the Canadian Association of Emergency Physicians. Data were described using cou
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Wusu, Maria Harsha, Suki Tepperberg, Janice M. Weinberg, and Robert B. Saper. "Matching Our Mission: A Strategic Plan to Create a Diverse Family Medicine Residency." Family Medicine 51, no. 1 (2019): 31–36. http://dx.doi.org/10.22454/fammed.2019.955445.

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Background and Objectives: Increasing the number of underrepresented minority (URM) physicians improves access and quality of care. URMs are more likely to practice primary care and work in underserved communities. The racial and ethnic diversity of family physicians lags behind the general population. To create a more diverse residency, the Boston Medical Center Family Medicine Residency Program (BMCFMRP) developed, implemented, and evaluated a strategic plan for diversity recruitment. Methods: In academic year (AY) 2014-2015, we set goals to increase the number of URM applicants and the perc
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Okuyama, Toru, Chiharu Endo, Takashi Seto, et al. "Cancer patients' reluctance to discuss psychological distress with their physicians was not associated with underrecognition of depression by physicians: A preliminary study." Palliative and Supportive Care 7, no. 2 (2009): 229–33. http://dx.doi.org/10.1017/s1478951509000297.

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ABSTRACTObjective:To investigate the association between cancer patients' reluctance for emotional disclosure to their physician and underrecognition of depression by physicians.Methods:Randomly selected ambulatory patients with lung cancer were evaluated by the Hospital Depression and Anxiety Scale (HADS), and those with scores over the validated cutoff value for adjustment disorder or major depressive disorder were included in this analysis. The data set included the responses to the 13-item questionnaire to assess four possible concerns of patients in relation to emotional disclosure to the
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Boggan, Joel C., Aparna Swaminathan, Samantha Thomas, David L. Simel, Aimee K. Zaas, and Jonathan G. Bae. "Improving Timely Resident Follow-Up and Communication of Results in Ambulatory Clinics Utilizing a Web-Based Audit and Feedback Module." Journal of Graduate Medical Education 9, no. 2 (2017): 195–200. http://dx.doi.org/10.4300/jgme-d-16-00460.1.

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ABSTRACT Background Failure to follow up and communicate test results to patients in outpatient settings may lead to diagnostic and therapeutic delays. Residents are less likely than attending physicians to report results to patients, and may face additional barriers to reporting, given competing clinical responsibilities. Objective This study aimed to improve the rates of communicating test results to patients in resident ambulatory clinics. Methods We performed an internal medicine, residency-wide, pre- and postintervention, quality improvement project using audit and feedback. Residents per
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Wardle, Andrew J., Ahmed Osman, Robert Tulloh, and Karen Luyt. "Patent ductus arteriosus: an analysis of management." Cardiology in the Young 24, no. 5 (2013): 941–43. http://dx.doi.org/10.1017/s1047951113001583.

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AbstractTo compare differences in the management of the neonatal patent ductus arteriosus between neonatologists and paediatric cardiologists, physicians throughout the South-West were contacted. In treatment-refractory cases, neonatologists considered ligation less frequently than paediatric cardiologists (0% versus 40%; p<0.05) and held haemodynamic effects more important for ligation decisions [median: 5 (range 2–5) versus median: 4 (range 2–5); p<0.05]. Furthermore, 81% felt the current guidelines were insufficient.
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Guerrero, Lourdes R., Susan Baillie, Paul Wimmers, and Neil Parker. "Educational Experiences Residents Perceive As Most Helpful for the Acquisition of the ACGME Competencies." Journal of Graduate Medical Education 4, no. 2 (2012): 176–83. http://dx.doi.org/10.4300/jgme-d-11-00058.1.

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Abstract Background The Accreditation Council for Graduate Medical Education (ACGME) requires physicians in training to be educated in 6 competencies considered important for independent medical practice. There is little information about the experiences that residents feel contribute most to the acquisition of the competencies. Objective To understand how residents perceive their learning of the ACGME competencies and to determine which educational activities were most helpful in acquiring these competencies. Method A web-based survey created by the graduate medical education office for insti
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McLaren, J., A. Taher, and L. Chartier. "LO33: Sharing and teaching electrocardiograms to minimize infarction." CJEM 22, S1 (2020): S19. http://dx.doi.org/10.1017/cem.2020.89.

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Background: Every 30-minute delay to ST-Elevation Myocardial Infarction (STEMI) reperfusion increases one-year mortality by 7.5%. A local audit found that the third of patient electrocardiograms (ECGs) not initially meeting classic STEMI criteria had an ECG-to-Activation (ETA) time of over 90 minutes, more than five times that of classic STEMIs. However, three quarters of “STEMI negative” ECGs met STEMI-equivalent patterns or rules for subtle occlusion, uncovering an opportunity for improvement. Aim Statement: We aimed to reduce ETA time, from initial emergency department (ED) ECG to activatio
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Stang, A., S. Law, I. Gjata, K. Burak, and S. Dowling. "P145: The role of audit and feedback in the ED setting: are physicians able to accurately predict their own practice?" CJEM 20, S1 (2018): S108—S109. http://dx.doi.org/10.1017/cem.2018.343.

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Introduction: Prior research has shown that audit and feedback (A &F) can be an effective tool for practice change. However, questions remain about how to optimize A&F. The objectives of this project were to determine if: 1) there are differences in practice between physicians who do, and do not, consent to receive a confidential report on their practice and; 2) if there is a relationship between consenting physicians self-predicted and actual practice. Methods: This was a prospective, cross-sectional study embedded in a larger quality improvement (QI) initiative to align physician pra
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Schmuck, Jonas, Nina Hiebel, Milena Rabe, et al. "Sense of coherence, social support and religiosity as resources for medical personnel during the COVID-19 pandemic: A web-based survey among 4324 health care workers within the German Network University Medicine." PLOS ONE 16, no. 7 (2021): e0255211. http://dx.doi.org/10.1371/journal.pone.0255211.

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Introduction The COVID-19 pandemic resulted in severe detrimental effects on the mental well-being of health care workers (HCW). Consequently, there has been a need to identify health-promoting resources in order to mitigate the psychological impact of the pandemic on HCW. Objective Our objective was to investigate the association of sense of coherence (SOC), social support and religiosity with self-reported mental symptoms and increase of subjective burden during the COVID-19 pandemic in HCW. Methods Our sample comprised 4324 HCW of four professions (physicians, nurses, medical technical assi
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Pinter-Brown, Lauren, Tami Wisniewski, Bozena Katic, Sheenu Chandwani, and Ya-Ting Chen. "Systemic Therapy Utilization Patterns among US Dermatologists and Oncologists Treating Cutaneous T-Cell Lymphoma." Blood 112, no. 11 (2008): 2370. http://dx.doi.org/10.1182/blood.v112.11.2370.2370.

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Abstract Background: Several systemic therapies are available for patients with cutaneous T-cell lymphoma (CTCL). However, little is known about physicians’ familiarity with and utilization of these therapies. To address this issue, we conducted a web-based survey among physicians treating CTCL with systemic therapies in the United States. Methods: We surveyed a geographically representative panel of dermatologists and oncologists in September 2007. Physicians had to have treated at least one CTCL patient systemically over the past two years and been practicing medicine for >2 years. In
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Frith, Lucy, Lauren Hepworth, Victoria Lowers, Frank Joseph, Elizabeth Davies, and Mark Gabbay. "Role of public involvement in the Royal College of Physicians’ Future Hospitals healthcare improvement programme: an evaluation." BMJ Open 9, no. 9 (2019): e027680. http://dx.doi.org/10.1136/bmjopen-2018-027680.

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ObjectivesThe Royal College of Physician’s (RCP) Future Hospital Programme (FHP) set out a blueprint for a radical new model of care that put patient experience centre stage. This paper reports on the results of an independent evaluation of the FHP and focuses on the role public patient involvement (PPI) played in these projects. The paper explores the perceptions and experiences of those involved in the FHP of how PPI was operationalised in this context, and develops an ‘ex-post’ programme theory of PPI in the FHP. We conclude by assessing the benefits and challenges of this work.SettingSecon
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Bowman, J. Patrick, Michael P. Nedley, Kimberly A. Jenkins, and Charles R. Fahncke. "Pilot Study Comparing Nasal vs Oral Intubation for Dental Surgery by Physicians, Nurse Anesthetists, and Trainees." Anesthesia Progress 65, no. 2 (2018): 89–93. http://dx.doi.org/10.2344/anpr-65-02-07.

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The purpose of this article was to determine if pediatric dental treatment under general anesthesia utilizing orotracheal intubation takes longer than using nasotracheal intubation techniques. Twenty-six American Society of Anesthesiologists Physical Status Classification I and II pediatric dental patients, ages 2–8 years treated under general anesthesia, were assigned to 1 of 2 groups: (a) nasotracheal intubation (control, n = 13), (b) orotracheal intubation (experimental, n = 13). Times for intubation, radiographic imaging, and dental procedures, as well as total case time were quantified. D
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Haussen, Diogo C., Jonathan A. Grossberg, Sebastian Koch, et al. "Multicenter Experience with Stenting for Symptomatic Carotid Web." Interventional Neurology 7, no. 6 (2018): 413–18. http://dx.doi.org/10.1159/000489710.

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Background: A carotid web (CaW) is a shelf-like lesion in the posterior aspect of the internal carotid bulb and represents an intimal variant of fibromuscular dysplasia. CaW has been associated with recurrent strokes and conventionally treated with surgical excision. We report a multicenter experience of stenting in patients with symptomatic CaWs. Methods: Retrospective review of consecutive patients admitted to 5 comprehensive stroke centers who were identified to have a symptomatic CaW and treated with carotid stenting. A symptomatic CaW was defined by the presence of a shelf-like/linear, sm
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Wiercigroch, David, Maxim Ben-Yakov, Danielle Porplycia, and Steven Marc Friedman. "Regional anesthesia in Canadian emergency departments: Emergency physician practices, perspectives, and barriers to use." CJEM 22, no. 4 (2020): 499–503. http://dx.doi.org/10.1017/cem.2020.51.

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ABSTRACTObjectivesRegional anesthesia has many applications in the emergency department (ED). It has been shown to reduce general anesthetic dose, requirement for post-procedural opioids, and recovery time. We sought to characterize the use of regional anesthesia by Canadian emergency physicians, including practices, perspectives and barriers to use in the ED.MethodsA cross-sectional survey was administered to members of the Canadian Association of Emergency Physicians (CAEP), consisting of sixteen multiple choice and numerical response questions. Responses were summarized descriptively as per
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Imai, Kota, Hiroki Murayama, and Takahisa Hirose. "Choice of Treatment Regimen as Add-On to Insulin in Japanese Patients with Type 2 Diabetes Mellitus: Physicians’ Perspective in a Real-World Setting, Insight from a Web Survey." Diabetes Therapy 9, no. 5 (2018): 1869–81. http://dx.doi.org/10.1007/s13300-018-0476-3.

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