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Oprea AD, Keshock MC, O'Glasser AY, Cummings KC, Edwards AF, Hunderfund AL, Urman RD, Mauck KF. Preoperative Management of Medications for Neurologic Diseases: Society for Perioperative Assessment and Quality Improvement Consensus Statement. Mayo Clin Proc 2022; 97:375-396. [PMID: 35120701 DOI: 10.1016/j.mayocp.2021.11.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 10/14/2021] [Accepted: 11/09/2021] [Indexed: 10/19/2022]
Abstract
Neurologic diseases are prevalent in patients undergoing invasive procedures; yet, no societal guidelines exist as to best practice in management of perioperative medications prescribed to treat these disorders. The Society for Perioperative Assessment and Quality Improvement tasked experts in internal medicine, anesthesiology, perioperative medicine, and neurology to provide evidence-based recommendations for preoperative management of these medications. The aim of this review is not only to provide consensus recommendations for preoperative management of patients on medications for neurologic disorders, but also to serve as an educational guide to perioperative clinicians. While, in general, medications for neurologic disorders should be continued preoperatively, an individualized approach may be needed in certain situations (eg, holding anticonvulsants on day of surgery if electroencephalographic mapping is planned during epilepsy surgery). Pertinent interactions with commonly used drugs in anesthesia practice, as well as considerations for targeted laboratory testing or perioperative drug substitutions, are addressed as well.
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Affiliation(s)
- Adriana D Oprea
- Department of Anesthesiology, Yale School of Medicine, New Haven, CT.
| | - Maureen C Keshock
- Anesthesiology Institute, Cleveland Clinic Foundation, Cleveland, OH
| | - Avital Y O'Glasser
- Division of Hospital Medicine, Department of Medicine, Oregon Health & Science University, Portland, OR
| | | | - Angela F Edwards
- Department of Anesthesiology, Wake Forest School of Medicine, Winston Salem, NC
| | | | - Richard D Urman
- Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA
| | - Karen F Mauck
- Division of General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN
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Oprea AD, Keshock MC, O'Glasser AY, Cummings KC, Edwards AF, Zimbrean PC, Urman RD, Mauck KF. Preoperative Management of Medications for Psychiatric Diseases: Society for Perioperative Assessment and Quality Improvement Consensus Statement. Mayo Clin Proc 2022; 97:397-416. [PMID: 35120702 DOI: 10.1016/j.mayocp.2021.11.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Revised: 10/15/2021] [Accepted: 11/09/2021] [Indexed: 10/19/2022]
Abstract
There is a lack of guidelines for preoperative management of psychiatric medications leading to variation in care and the potential for perioperative complications and surgical procedure cancellations on the day of surgery. The Society for Perioperative Assessment and Quality Improvement identified preoperative psychiatric medication management as an area in which consensus could improve patient care. The aim of this consensus statement is to provide recommendations to clinicians regarding preoperative psychiatric medication management. Several categories of drugs were identified including antidepressants, mood stabilizers, anxiolytics, antipsychotics, and attention deficit hyperactivity disorder medications. Literature searches and review of primary and secondary data sources were performed for each medication/medication class. We used a modified Delphi process to develop consensus recommendations for preoperative management of individual medications in each of these drug categories. While most medications should be continued perioperatively to avoid risk of relapse of the psychiatric condition, adjustments may need to be made on a case-by-case basis for certain drugs.
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Affiliation(s)
- Adriana D Oprea
- Department of Anesthesiology, Yale School of Medicine, New Haven, CT.
| | - Maureen C Keshock
- Anesthesiology Institute, Cleveland Clinic Foundation, Cleveland, OH
| | - Avital Y O'Glasser
- Division of Hospital Medicine, Department of Medicine, Oregon Health & Science University, Portland, OR
| | | | - Angela F Edwards
- Department of Anesthesiology, Wake Forest School of Medicine, Winston Salem, NC
| | - Paula C Zimbrean
- Department of Psychiatry, Yale School of Medicine, New Haven, CT
| | - Richard D Urman
- Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA
| | - Karen F Mauck
- Division of General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN
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Abstract
BACKGROUND The Physician Payments Sunshine Act of 2010 mandated that all industry payments to physicians be publicly disclosed. To date, industry support of plastic surgeons has not been longitudinally characterized. The authors seek to evaluate payment trends from 2013 to 2018 and characteristics across plastic surgeon recipients of industry payments. METHODS The authors cross-referenced those in the 2019 American Society of Plastic Surgeons member database with Centers for Medicare & Medicaid Services Open Payments database physician profile identification number indicating industry funds received within the study period. We categorized surgeons by years since American Board of Plastic Surgery certification, practice region, and academic affiliation. RESULTS A sum of $89,436,100 (247,614 payments) was received by 3855 plastic surgeons. The top 1 percent of earners (n = 39) by dollar amount received 52 percent of industry dollars to plastic surgeons; of these, nine (23 percent) were academic. Overall, 428 surgeons (11 percent) were academic and received comparable dollar amounts from industry as their nonacademic counterparts. Neither geographic location nor years of experience were independent predictors of payments received. The majority of individual transactions were for food and beverage, whereas the majority of industry dollars were typically for royalties or license. CONCLUSIONS Over half of all industry dollars transferred went to just 1 percent of American Society of Plastic Surgeons members receiving payments between 2013 and 2018. Considerable heterogeneity exists when accounting for payment subcategories.
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Affiliation(s)
- Kyle W Singerman
- From the University of Cincinnati College of Medicine; and Dell Medical School, University of Texas at Austin
| | - Meredith G Moore
- From the University of Cincinnati College of Medicine; and Dell Medical School, University of Texas at Austin
| | - Joost T P Kortlever
- From the University of Cincinnati College of Medicine; and Dell Medical School, University of Texas at Austin
| | - Ryan M Gobble
- From the University of Cincinnati College of Medicine; and Dell Medical School, University of Texas at Austin
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Strangio A, Leo I, Spaccarotella CAM, Barillà F, Basso C, Calabrò MP, Curcio A, Filardi PP, Mancone M, Mercuro G, Muscoli S, Nodari S, Pedrinelli R, Romeo F, Sinagra G, Indolfi C. Effects of the COVID-19 pandemic on the formation of fellows in training in cardiology. J Cardiovasc Med (Hagerstown) 2021; 22:711-715. [PMID: 34009835 DOI: 10.2459/jcm.0000000000001185] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
CoronaVIrus Disease-19 (COVID-19) had a huge impact on human health and economy. However, to this date, the effects of the pandemic on the training of young cardiologists are only partially known. To assess the consequences of the pandemic on the education of the cardiologists in training, we performed a 23-item national survey that has been delivered to 1443 Italian cardiologists in training, registered in the database of the Italian Society of Cardiology (SIC). Six hundred and thirty-three cardiologists in training participated in the survey. Ninety-five percent of the respondents affirmed that the training programme has been somewhat stopped or greatly jeopardized by the pandemic. For 61% of the fellows in training (FITs), the pandemic had a negative effect on their education. Moreover, 59% of the respondents believe that they would not be able to fill the gap gained during that period over the rest of their training. A negative impact on the psycho-physical well being has been reported by 86% of the FITs. The COVID-19 pandemic had an unparalleled impact on the education, formation and mental state of the cardiologists in training. Regulatory agencies, universities and politicians should make a great effort in the organization and reorganization of the teaching programs of the cardiologists of tomorrow.
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Affiliation(s)
- Antonio Strangio
- Division of Cardiology, Department of Medical and Surgical Sciences, Magna Graecia University, Catanzaro
| | - Isabella Leo
- Division of Cardiology, Department of Medical and Surgical Sciences, Magna Graecia University, Catanzaro
| | | | - Francesco Barillà
- Italian Society of Cardiology (SIC)
- Department of Clinical, Internal, Anesthesiological, and Cardiovascular Sciences, University of Rome Sapienza, Rome
| | - Cristina Basso
- Italian Society of Cardiology (SIC)
- Cardiovascular Pathology Unit, University of Padua, Padua
| | - Maria Pia Calabrò
- Italian Society of Cardiology (SIC)
- Department of Human Pathology, University of Messina, Messina
| | - Antonio Curcio
- Division of Cardiology, Department of Medical and Surgical Sciences, Magna Graecia University, Catanzaro
- Italian Society of Cardiology (SIC)
- Cardiovascular Research Center, Magna Graecia University, Catanzaro
| | - Pasquale Perrone Filardi
- Italian Society of Cardiology (SIC)
- Department of Advanced Biomedical Sciences, Federico II University, Napoli
| | - Massimo Mancone
- Italian Society of Cardiology (SIC)
- Sapienza University of Rome, Rome
| | - Giuseppe Mercuro
- Italian Society of Cardiology (SIC)
- Department of Medical Sciences and Public Health, University of Cagliari, Cagliari
| | - Saverio Muscoli
- Italian Society of Cardiology (SIC)
- Department of Medicine, Tor Vergata University of Rome, Rome
| | - Savina Nodari
- Italian Society of Cardiology (SIC)
- Department of Cardiology, University of Brescia and ASST Spedali Civili di Brescia, Brescia
| | - Roberto Pedrinelli
- Italian Society of Cardiology (SIC)
- Cardiac, Thoracic and Vascular Department, University of Pisa, Pisa
| | - Francesco Romeo
- Italian Society of Cardiology (SIC)
- Department of Cardiovascular Disease, Tor Vergata University of Rome, Rome
| | - Gianfranco Sinagra
- Italian Society of Cardiology (SIC)
- Cardiovascular Department, University of Trieste, Trieste
| | - Ciro Indolfi
- Division of Cardiology, Department of Medical and Surgical Sciences, Magna Graecia University, Catanzaro
- Italian Society of Cardiology (SIC)
- Cardiovascular Research Center, Magna Graecia University, Catanzaro
- Mediterranea Cardiocentro, Naples, Italy
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Abstract
PURPOSE To identify female authorship trends in first author and last author positions in Cornea from 2007 to 2019. METHODS First and last authors of all Clinical Science and Basic Investigation publications in Cornea over 13 years were sorted by sex. Identification of sex was based on the author's institutional profile or a Google-based name identifier in cases of equivocal names. The proportion of female board-certified ophthalmologists between 2007 and 2019 was collected from the American Board of Ophthalmology total roster of certified diplomats. RESULTS First and last author sexes were collected from 2313 publications (1837 Clinical Science and 476 Basic Investigation). Between 2007 and 2019, the percentage of female first authors increased from 30.5% to 41.5%, although this change was not significant (P = 0.240). Female last author percentage increased significantly from 14.9% to 26.6% (P = 0.016). The percentage of female American Board of Ophthalmology-certified diplomats also increased significantly from 17.4% to 24.5% (P < 0.001). Similarly, when comparing 2007 and 2008 with 2018 and 2019, we noted a significant increase in the proportion of women in the last author (P < 0.001) but not in the first author (P = 0.208) position. We also identified a significantly higher proportion of female first authors than that of female board-certified ophthalmologists (P < 0.001). Finally, there was a strong association between first author sex and last author sex (P < 0.001) across manuscripts. CONCLUSIONS The proportion of women in last author positions increased over 13 years among manuscripts in Cornea. Despite these advances in academic female representation within the cornea subspecialty, a gender gap in authorship persists.
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Affiliation(s)
- Dilru C Amarasekera
- Wills Eye Hospital, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA
| | - Sophia S Lam
- Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA; and
| | - Christopher J Rapuano
- Cornea Service, Wills Eye Hospital, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA
| | - Zeba A Syed
- Cornea Service, Wills Eye Hospital, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA
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Lin JS, Weber KL, Samora JB. How Does Representation of Women on Editorial Boards Compare Among Orthopaedic, General Surgery, and Internal Medicine Journals? Clin Orthop Relat Res 2021; 479:1939-1946. [PMID: 33780400 PMCID: PMC8373552 DOI: 10.1097/corr.0000000000001735] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Accepted: 02/23/2021] [Indexed: 01/31/2023]
Abstract
BACKGROUND Women have historically been underrepresented as editors of peer-reviewed medical journals. Studies have demonstrated that there are differences in editorial board reviewer behavior based on gender, suggesting that greater representation by women on editorial boards may improve the quality and diversity of the review process. Therefore, the current representation of women on the editorial boards of orthopaedic journals, particularly compared with peer-reviewed surgical and medical journals, is of interest. QUESTIONS/PURPOSES (1) What is the representation of women as members of editorial boards of prominent orthopaedic surgery journals? (2) How does it compare with representation on the editorial boards of journals in general surgery and internal medicine? METHODS The top 15 journals with a strong clinical emphasis based on Impact Factor (Clarivate Analytics) calculated by the 2018 Journal Citation Reports were identified for orthopaedic surgery, general surgery (and all general surgical subspecialties), and internal medicine (with representative internal medicine subspecialties). Clinical publications with their primary editorial office located in the United States led predominantly by physicians or basic scientists were eligible for inclusion. The members of an editorial board were identified from the journals' websites. The gender of editors with gender-neutral names (and editors whose gender we considered uncertain) was identified by an internet search for gender-specific pronouns and/or pictures from an institutional profile. Fisher exact tests and t-tests were used to analyze categorical and continuous variables, respectively. Significance was set at p < 0.05. RESULTS Of the editors analyzed, women made up 9% (121 of 1383) of editorial boards in the orthopaedic journals with the highest Impact Factors, compared with 21% (342 of 1665) of general surgery journals (p < 0.001) and 35% (204 of 587) of internal medicine journals (p < 0.001). The overall mean composition of editorial boards of orthopaedic journals was 10% ± 8% women, compared with that of general surgery, which was 19% ± 6% women (p < 0.001), and that of internal medicine, which was 40% ± 19% women (p < 0.001). CONCLUSION Women make up a smaller proportion of editorial boards at orthopaedic surgery journals than they do at general surgery and internal medicine journals. However, their representation appears to be comparable to the proportion of women in orthopaedics overall (approximately 6%) and the proportion of women in academic orthopaedics (approximately 19%). Ways to improve the proportion of women on editorial boards might include structured mentorship programs at institutions and personal responsibility for championing mentorship and diversity on an individual level. CLINICAL RELEVANCE Increasing representation of women on editorial boards may improve the diversity of perspectives and quality of future published research, generate visible role models for young women considering orthopaedics as a career, and improve patient care through enriching the diversity of our specialty.
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Affiliation(s)
- James S. Lin
- The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Kristy L. Weber
- Department of Orthopaedics, University of Pennsylvania, Philadelphia, PA, USA
| | - Julie Balch Samora
- The Ohio State University Wexner Medical Center, Columbus, OH, USA
- Nationwide Children's Hospital, Columbus, OH, USA
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Nobles CJ, Lu YL, Andriessen VC, Bevan SS, Radoc JG, Alkhalaf Z, Schisterman EF. A Data-Based Approach to Evaluating Representation by Gender and Affiliation in Key Presentation Formats at the Annual Meeting of the Society for Epidemiologic Research. Am J Epidemiol 2021; 190:1710-1720. [PMID: 34467404 DOI: 10.1093/aje/kwab080] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2020] [Revised: 11/22/2020] [Accepted: 12/15/2020] [Indexed: 11/14/2022] Open
Abstract
The annual meeting of the Society for Epidemiologic Research (SER) is a major forum for sharing new research and promoting the career development of participants. Because of this, evaluating representation in key presentation formats is critical. For the 3,257 presentations identified at the 2015-2017 SER annual meetings, we evaluated presenter characteristics, including gender, affiliation, subject area, and h-index, and representation in 3 highlighted presentation formats: platform talks (n = 382), invited symposium talks (n = 273), and chairing a concurrent contributed session or symposium (n = 188). Data were abstracted from SER records, abstract booklets, and programs. Gender was assessed using GenderChecker software, and h-index was determined using the Scopus application programming interface. Log-binomial models were adjusted for participant characteristics and conference year. In adjusted models, women were less likely than men to present an invited symposium talk (relative risk = 0.60, 95% confidence interval: 0.45, 0.81) compared with all participants with accepted abstracts. Researchers from US public universities, US government institutions, and international institutions were less likely to present a symposium talk or to chair a concurrent contributed session or symposium than were researchers from US private institutions. The research areas that were most represented in platform talks were epidemiologic methods, social epidemiology, and cardiovascular epidemiology. Our findings suggest differences in representation by gender, affiliation, and subject area after accounting for h-index.
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Orr JE, Ayappa I, Eckert DJ, Feldman JL, Jackson CL, Javaheri S, Khayat RN, Martin JL, Mehra R, Naughton MT, Randerath WJ, Sands SA, Somers VK, Badr MS. Research Priorities for Patients with Heart Failure and Central Sleep Apnea. An Official American Thoracic Society Research Statement. Am J Respir Crit Care Med 2021; 203:e11-e24. [PMID: 33719931 PMCID: PMC7958519 DOI: 10.1164/rccm.202101-0190st] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Background: Central sleep apnea (CSA) is common among patients with heart failure and has been strongly linked to adverse outcomes. However, progress toward improving outcomes for such patients has been limited. The purpose of this official statement from the American Thoracic Society is to identify key areas to prioritize for future research regarding CSA in heart failure. Methods: An international multidisciplinary group with expertise in sleep medicine, pulmonary medicine, heart failure, clinical research, and health outcomes was convened. The group met at the American Thoracic Society 2019 International Conference to determine research priority areas. A statement summarizing the findings of the group was subsequently authored using input from all members. Results: The workgroup identified 11 specific research priorities in several key areas: 1) control of breathing and pathophysiology leading to CSA, 2) variability across individuals and over time, 3) techniques to examine CSA pathogenesis and outcomes, 4) impact of device and pharmacological treatment, and 5) implementing CSA treatment for all individuals Conclusions: Advancing care for patients with CSA in the context of heart failure will require progress in the arenas of translational (basic through clinical), epidemiological, and patient-centered outcome research. Given the increasing prevalence of heart failure and its associated substantial burden to individuals, society, and the healthcare system, targeted research to improve knowledge of CSA pathogenesis and treatment is a priority.
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Beltrán JQ, Ogando-Rivas E, Nettel-Rueda B, Velasco-Campos F, Navarro-Olvera JL, Aguado-Carrillo G, Soriano-Sánchez JA, Alpizar-Aguirre A, Carrillo-Ruiz JD. Women in Neurosurgery: First Neurosurgeon in Latin America and Current Mexican Leaders. World Neurosurg 2021; 150:114-120. [PMID: 33781943 DOI: 10.1016/j.wneu.2021.03.102] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Revised: 03/19/2021] [Accepted: 03/20/2021] [Indexed: 11/18/2022]
Abstract
BACKGROUND History has taught us that Mexican culture has been largely supported by women, despite gender prejudice from the society. Neurosurgery has not been the exception. Therefore, we investigated the challenges and influence of female neurosurgeons in Mexico. METHODS We conducted a review of the literature and an analysis of the internal database of the Mexican Society of Neurological Surgery focusing on 3 topics: 1) the historical presence of women and gender inequality in Mexico; 2) the life and legacy of the woman who became the first neurosurgeon in Mexico and in Latin America; and 3) the participation of women in neurosurgery in the past 3 decades. RESULTS In Latin America, the first woman in neurosurgery was María Cristina García-Sancho, who completed her neurosurgical training in 1951. Currently, women represent 6.2% of the total members of the Mexican Society of Neurological Surgery (MSNS). This percentage is still low, although data collected in this study suggest that it might increase in the next few years because 16.7% of Board Directors of the MSNS are women, the next elected president is a female neurosurgeon, and 14.5% of neurosurgery residents are women. CONCLUSIONS Although a steady increase has occurred of women in neurosurgery in Mexico, there is still work to do, especially to overcome the barriers related to the old assumptions of the cultural and social roles of women.
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Affiliation(s)
- Jesús Q Beltrán
- Unit for Stereotactic and Functional Neurosurgery, General Hospital of Mexico, Mexico City, Mexico; Direction of Research, General Hospital of Mexico, Mexico City, Mexico
| | - Elizabeth Ogando-Rivas
- Department of Neurosurgery, University of Florida, Gainesville, Florida, USA; Brain Tumor Immunotherapy Program, University of Florida, Gainesville, Florida, USA
| | - Barbara Nettel-Rueda
- Department of Neurosurgery, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Mexico City, Mexico
| | - Francisco Velasco-Campos
- Unit for Stereotactic and Functional Neurosurgery, General Hospital of Mexico, Mexico City, Mexico
| | - José L Navarro-Olvera
- Unit for Stereotactic and Functional Neurosurgery, General Hospital of Mexico, Mexico City, Mexico
| | - Gustavo Aguado-Carrillo
- Unit for Stereotactic and Functional Neurosurgery, General Hospital of Mexico, Mexico City, Mexico
| | - José A Soriano-Sánchez
- Spine Clinic, The American-British Cowdray Medical Center IAP, Campus Santa Fe, Mexico City, Mexico
| | | | - José D Carrillo-Ruiz
- Unit for Stereotactic and Functional Neurosurgery, General Hospital of Mexico, Mexico City, Mexico; Direction of Research, General Hospital of Mexico, Mexico City, Mexico; Direction of Faculty of Health Sciences, Anahuac University, Mexico City, Mexico.
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10
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Hougen HY, Goodstein FR, Bassale S, Chen Y, Seideman CA, Isharwal S. Gender Representation in American Urological Association Guidelines. Urology 2021; 156:47-51. [PMID: 33676953 DOI: 10.1016/j.urology.2021.02.027] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2020] [Revised: 02/16/2021] [Accepted: 02/23/2021] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To study patterns and factors associated with female representation in the American Urological Association (AUA) guidelines. METHODS We gathered publicly available information about the panelists, including the AUA section, practice setting, academic rank, fellowship training, years in practice, and H-index. The factors associated with the proportion of female panelists and trends were investigated. We also examined the proportion of female panelists in the European Association of Urology (EAU) and National Comprehensive Cancer Network (NCCN) urology guidelines. RESULTS There were 483 non-unique panelists in AUA guidelines, and 17% are female. Non-urologist female panelists in AUA guidelines represented a higher proportion than female urologists (30% vs 13%, P<0.0001). Compared with male panelists, females had lower H-indices (median 23 vs 35, P<0.001), and fewer were fellowship-trained (77.2% vs 86.8%; P=0.042). On multivariate analysis, non-urologists and panelists with lower H-indices were more likely to be female but there was no association between guideline specialties, academic ranking, geographic section, years in practice, and fellowship training with increased female authorship. Overtime, the proportion of female participation in guidelines remained stable. In the EAU and NCCN guideline panels, 12.2% and 10.7% were female, respectively. CONCLUSION Female representation among major urologic guidelines members is low and unchanged overtime. Female urologist participation was proportional to their representation in the urology workforce. Being a non-urologist and lower H-indices were associated with female membership in guideline panels.
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Affiliation(s)
- Helen Y Hougen
- Department of Urology, Oregon Health and Science University, Portland, OR.
| | | | - Solange Bassale
- Biostatistics Shared Resources, Knight Cancer Institute, Oregon Health and Science University, Portland, OR
| | - Yiyi Chen
- Biostatistics Shared Resources, Knight Cancer Institute, Oregon Health and Science University, Portland, OR
| | - Casey A Seideman
- Division of Pediatric Urology, Department of Urology, Oregon Health and Science University, Portland, OR
| | - Sudhir Isharwal
- Department of Urology, Oregon Health and Science University, Portland, OR
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11
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Scutchfield FD, Howard JD, Gouge KR, Malone PD, Wilson KN. Continued Counseling for the Relationship Between State-Level Medicine and Public Health. Am J Prev Med 2021; 60:e131-e138. [PMID: 33358275 DOI: 10.1016/j.amepre.2020.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Revised: 08/18/2020] [Accepted: 09/14/2020] [Indexed: 11/18/2022]
Abstract
INTRODUCTION Public health and organized medicine have operated somewhat independently of each other since the early 1900s. In the wake of the COVID-19 pandemic, the necessity of healing any divide between organized medicine and state and local health officials seems self-evident. Using the recommendations abstracted from a 2005 article by Dr. Ronald Davis, "Marriage Counseling for Medicine and Public Health," this cross-sectional study explores the formal relationships that existed between state-level public health and medical practice across the U.S. at the end of 2019. METHODS A questionnaire was distributed to every state's senior public health official and medical society executive (N=104) between August and December 2019 to examine the extent of these entities' partnerships. Analysis was completed in January 2020. RESULTS Among the respondents, 40%-63.1% (n=65) currently engage in the recommended activities, with 1 exception: state health departments infrequently invite medical society executives to speak at major conferences or meetings (26.2%). The majority of respondents (71.1%-85.9%) judged that each recommended activity would improve the practices of medicine and public health. CONCLUSIONS Survey results illustrate a desire for reconciliation, but poor implementation of recommended strategies aimed at building a healthy marriage between the 2 sectors. More formal efforts are needed among state medical and public health organizations to capitalize on the current climate of rapprochement. The burden of COVID-19 on the national health system could provide a worthy cause around which these efforts would coalesce.
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Affiliation(s)
- F Douglas Scutchfield
- Department of Health Management and Policy, College of Public Health, University of Kentucky, Lexington, Kentucky
| | - Jeffrey D Howard
- Department of Public Health; University of Louisville, Louisville, Kentucky
| | - Kaylee R Gouge
- Department of Health Management and Policy, College of Public Health, University of Kentucky, Lexington, Kentucky.
| | - Payton D Malone
- Department of Health Management and Policy, College of Public Health, University of Kentucky, Lexington, Kentucky
| | - Kaylee N Wilson
- Department of Health Management and Policy, College of Public Health, University of Kentucky, Lexington, Kentucky
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Fujii Y, Daijo H, Hirota K. Estimation of the Number of General Anesthesia Cases Based on a Series of Nationwide Surveys on Twitter during COVID-19 Pandemic in Japan: A Statistical Analysis. ACTA ACUST UNITED AC 2021; 57:medicina57020153. [PMID: 33567770 PMCID: PMC7915187 DOI: 10.3390/medicina57020153] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Revised: 02/03/2021] [Accepted: 02/05/2021] [Indexed: 01/08/2023]
Abstract
Background and objectives: Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spread to more than 200 countries. In light of this situation, the Japanese Government declared a state of emergency in seven regions of Japan on 7 April 2020 under the provisions of the law. The medical care delivery system has been under pressure. Although various surgical societies have published guidelines on which to base their surgical decisions, it is not clear how general anesthesia has been performed and will be performed in Japan. Materials and Methods: One of the services provided by the social network service Twitter is a voting function—Twitter Polls—through which anonymous surveys were conducted. We analyzed the results of a series of surveys 17 times over 22 weeks on Twitter on the status of operating restrictions using quadratic programming to solve the mathematical optimizing problem, and public data provided by the Japanese Government were used to estimate the current changes in the number of general anesthesia performed in Japan. Results: The minimum number of general anesthesia cases per week was estimated at 67.1% compared to 2015 on 27 April 2020. The timeseries trend was compatible with the results reported by the Japanese Society of Anesthesiologists (correlation coefficient r = 0.69, p < 0.001). Conclusions: The number of general anesthesia was reduced up to two-thirds during the pandemic of COVID-19 in Japan and was successfully quantitatively estimated using a quick questionnaire on Twitter.
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Affiliation(s)
- Yosuke Fujii
- Department of Human Stress Response Science, Institute of Biomedical Science, Kansai Medical University, Hirakata, Osaka 573-1010, Japan;
| | - Hiroki Daijo
- Department of Anesthesia, Takarazuka Daiichi Hospital, Takakazuka, Hyogo 665-0832, Japan;
| | - Kiichi Hirota
- Department of Human Stress Response Science, Institute of Biomedical Science, Kansai Medical University, Hirakata, Osaka 573-1010, Japan;
- Correspondence: ; Tel.: +81-72-804-2526
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Riccardi J, Farber NI, Ho V, Bonne SL. Uncovering Disparities in Scholarly Productivity among Junior Surgical Society Grant Recipients. J Surg Res 2021; 257:128-134. [PMID: 32823010 PMCID: PMC7759149 DOI: 10.1016/j.jss.2020.07.057] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Revised: 05/13/2020] [Accepted: 07/11/2020] [Indexed: 11/17/2022]
Abstract
BACKGROUND Despite increasing the number of women and ethnic minority groups in surgery, the academic advancement of such individuals within surgical fields lags behind Caucasian men. We sought to identify gender and ethnic inequalities in the receipt of surgical society research grants for young faculty investigators and compare the scholarly productivity of these groups. MATERIALS AND METHODS In this cross-sectional and retrospective study, the gender and race of surgical society grant recipients were determined from surgical society Web sites. Surgical society grants aimed at providing research grants for junior faculty investigators were analyzed. Using the Scopus database, each recipient's scholarly productivity was determined by means of h-index, a standardized measure of the quantity and impact of an individual's published articles. We generated descriptive statistics to compare the gender, race, and h-index of grant recipients in the years 2006-2008 and 2016-2018. RESULTS Between 2006 and 2008, there were 68 research grant recipients. Of these recipients, 79% were men and 21% were women. The racial breakdown was 54% Caucasian men, 22% Asian men, 1.4% African American men, 1.4% Hispanic men, 12% Caucasian women, 7% Asian Women, and 1.4% African American women. The average h-index of the male and female recipients is 25 (±14) and 24 (±14), respectively (P = 0.81). Between 2016 and 2018, there were 113 research grant recipients. Of these recipients, 66% were men and 34% were women. The racial breakdown was 47% Caucasian men, 16% Asian men, 3.5% African American men, 1% Hispanic men, 26% Caucasian women, 3.5% Asian women, and 3.5% African American women. The average h-index of the male and female recipients is 12 (±8) and 9 (±6), respectively (P = 0.046). Caucasian women had the only statistically significant change in the proportion of grant recipients from 2006-2008 to 2016-2018, with an increase from 12% to 26% (P = 0.02). CONCLUSIONS Most surgical society research grants for young investigators continue to be awarded to Caucasian men, with Caucasian women earning a distant second in the 2016-2018 cohort. Ethnic minorities continue to be awarded less research grants than Caucasian recipients. Overall, the average h-index of women was less than men. This study highlights the persistent need for surgical societies to consider gender and ethnic disparities when awarding junior investigator grants, including barriers minority groups may face in achieving the same h-index as Caucasian men.
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Affiliation(s)
- Julia Riccardi
- Division of Trauma and Surgical Critical Care, Department of Surgery, Rutgers-New Jersey Medical School, Newark, New Jersey
| | - Nicole I Farber
- Division of Trauma and Surgical Critical Care, Department of Surgery, Rutgers-New Jersey Medical School, Newark, New Jersey
| | - Vanessa Ho
- Department of Surgery, MetroHealth Medical Center and Case Western Reserve University School of Medicine, Cleveland, Ohio; Department of Population and Quantitative Health Sciences, Case Western Reserve University School of Medicine, Cleveland, Ohio
| | - Stephanie L Bonne
- Division of Trauma and Surgical Critical Care, Department of Surgery, Rutgers-New Jersey Medical School, Newark, New Jersey.
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Huang CC, Lapen K, Shah K, Kantor J, Tsai CJ, Knoll MA, Duma N, Gillespie EF, Chino F. Evaluating Bias in Speaker Introductions at the American Society for Radiation Oncology Annual Meeting. Int J Radiat Oncol Biol Phys 2020; 110:303-311. [PMID: 33373658 DOI: 10.1016/j.ijrobp.2020.12.027] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2020] [Revised: 12/15/2020] [Accepted: 12/17/2020] [Indexed: 12/27/2022]
Abstract
PURPOSE Introducing a physician without a professional title may reinforce bias in medicine by influencing perceived credibility. We evaluated differences in the use of professional titles in introductions of speakers at recent American Society for Radiation Oncology (ASTRO) Annual Meetings. METHODS AND MATERIALS We reviewed recordings from the 2017 to 2019 ASTRO Annual Meetings and included complete introductions of speakers with a doctoral degree. Professional introduction was defined as "Doctor" or "Professor" followed by the speaker's full or last name. We collected use of professional introduction, introducer gender, speaker gender, and speaker professional and demographic variables. Identified speakers were sent surveys to collect self-reported demographic data. Analysis was performed using χ2 tests and multivariable logistic regression (MVA). RESULTS Of 3267 presentations reviewed, 1226 (38%) met the inclusion criteria. Overall, 805 (66%) speakers and 710 (58%) introducers were men. Professional introductions were used in 74% (2017), 71% (2018), and 69% (2019) of the presentations. There was no difference in the use of professional introductions for male and female speakers (71% vs 73%; P = .550). On MVA, male introducers were associated with decreased use of professional address (odds ratio [OR], 0.36; 95% confidence interval [CI], 0.26-0.49; P < .001). At the 2019 conference, professional introduction was less likely to be used (2019 vs 2017: OR, 0.68; 95% CI, 0.49-0.96; P = 0.026). Those who self-identified as Asian/Pacific Islander were twice as likely to receive a professional introduction compared with those who identified as white (OR, 1.95; 95% CI, 1.07-3.64; P = .033). CONCLUSION Male introducers were significantly less likely to introduce any speaker, regardless of gender, by their professional title, and overall use of professional introductions decreased from 2017 to 2019. Furthermore, no difference in professional introduction use by speaker gender was identified at the recent ASTRO meetings. Implementing speaker guidelines could increase the use of professional introductions and raise awareness of unconscious bias at future ASTRO meetings.
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Affiliation(s)
| | - Kaitlyn Lapen
- Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Kanan Shah
- Grossman School of Medicine, New York University, New York, New York
| | - Jolie Kantor
- Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Chiaojung Jillian Tsai
- Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Miriam A Knoll
- Department of Radiation Oncology, Montefiore Nyack Hospital, Nyack, New York
| | - Narjust Duma
- Division of Hematology, Medical Oncology, and Palliative Care, Department of Medicine, University of Wisconsin, Madison, Wisconsin; University of Wisconsin Carbone Cancer Center, Madison, Wisconsin
| | - Erin F Gillespie
- Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Fumiko Chino
- Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York
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Abstract
Recent data suggest that students from population groups that have been underrepresented in medicine are disproportionately excluded from admission into the national medical honor society, Alpha Omega Alpha (AΩA). This finding, in combination with increasing concerns about bias in medical student assessment, has led some medical schools to reexamine their AΩA selection process and/or their relationship with the organization. The Pritzker School of Medicine at the University of Chicago formed a task force to study the schools process of choosing students for recognition and to make recommendations regarding this issue.
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Affiliation(s)
- Adam S Cifu
- A.S. Cifu is professor of medicine, Department of Medicine, The University of Chicago, Chicago, Illinois
| | - Chelsea Dorsey
- C. Dorsey is assistant professor, Department of Surgery, The University of Chicago, Chicago, Illinois
| | - Holly J Humphrey
- H.J. Humphrey is president, Josiah Macy Jr. Foundation, New York, New York
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Abstract
IMPORTANCE Women in medicine have been underrepresented at medical conferences; however, contributing factors have not been well studied. OBJECTIVE To examine the distribution of invited conference speakers by gender and factors associated with representation of women as speakers. DESIGN, SETTING, AND PARTICIPANTS This cross-sectional analysis used medical conference programs from March 2017 to November 2018 across 20 specialties in 5 regions (Australasia, Canada, Europe, the UK, and the US) that were obtained online or from conference conveners. EXPOSURES Gender of invited lecturers, panelists, and planning committee members for each conference based on name or picture and publicly available data on compositions of specialties by gender for included regions. MAIN OUTCOMES AND MEASURES Outcomes included the proportion of female speakers (invited lecturers and panelists), the number of single-gender panels, and the proportion of female speakers compared with the specialties' gender composition. Correlations between the gender composition of conference planning committees and the proportion of female speakers were assessed. Multivariable regression models were used to evaluate factors independently associated with the proportion of female speakers at conferences. RESULTS A total of 8535 sessions (panels and invited lectures) with 23 440 speakers across 98 conferences were identified. Women accounted for 7064 (30.1%) of speakers; 1981 of 5409 panels (36.6%) consisted of men only, and 363 (6.7%) consisted of women only. The proportion of women speakers varied by region and specialty from 5.8% to 74.5%. In general, specialties with low baseline proportions of women (<20%) had a ratio of female speakers to female specialists greater than 1, whereas specialties with high baseline proportions of women (>40%) had a ratio of female speakers to female specialists less that 1. There was a strong positive correlation between the proportion of women on planning committees and conference representation of female speakers (r = 0.67; P < .001). The association remained statistically significant after controlling for other variables, including the regional gender balance of the specialty (odds ratio, 1.10; 95% CI, 1.04-1.15; P < .001 for every 10% increase in the proportion of women on the planning committee). CONCLUSIONS AND RELEVANCE In this cross-sectional study, the proportion of female speakers at medical conferences was lower than that of male speakers, and more than one-third of panels were composed of men only. Increasing the number of women on planning committees may help address gender inequities.
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Affiliation(s)
- Anuj Arora
- Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
| | - Yuvreet Kaur
- Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
| | - Fahima Dossa
- Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
| | - Rosane Nisenbaum
- Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada
| | - Darby Little
- Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
| | - Nancy N Baxter
- Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
- Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada
- Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia
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Krecek RC, Avenant-Oldewage A, Fisher M, Penzhorn BL, Phiri IK, Prichard R, Sumption D, Werre SR. Model of Success: World Association for the Advancement of Veterinary Parasitology African Foundation (1997-2019). J S Afr Vet Assoc 2020; 91:e1-e6. [PMID: 32896136 PMCID: PMC7479360 DOI: 10.4102/jsava.v91i0.2019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2019] [Revised: 04/30/2020] [Accepted: 06/02/2020] [Indexed: 11/01/2022] Open
Abstract
No abstract available.
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Affiliation(s)
- Rosina C Krecek
- Private, College Station, Texas, United States; and, Department of Zoology, University of Johannesburg, Auckland Park,.
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Polenakovic M. Prof. Peter Ivanovich, MD, FRCP - A Friend of Doctors Nephrologists from North Macedonia. Pril (Makedon Akad Nauk Umet Odd Med Nauki) 2020; 41:101-104. [PMID: 32573472 DOI: 10.2478/prilozi-2020-0027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Prof. Peter Ivanovich was born in Tacoma, Washington, USA on November 9, 1928, and died in Chicago on November 16, 2019. After being educated by the father of chronic hemodialysis, Belding Scribner, in Seattle, P. Ivanovich devotes himself to the study of hemodialysis and its treatment in patients with chronic terminal renal failure. From 1971 he worked at the Northwestern University School of Medicine in Chicago where he created a hemodialysis unit at the Veteran Affairs Hospital. In the well-equipped hemodialysis unit, the latest hemodialysis techniques were studied and new drugs were tested. Numerous doctors from all over the world, as well as from Macedonia, visited and researched at the unit with P. Ivanovich. P. Ivanovich has frequently visited Macedonia and the former Yugoslavia, where he participated with his lectures. He helped in the development of nephrology in the Balkan Peninsula. Significant is his participation in the First Scientific Meeting of the Nephrologists of Yugoslavia, Struga, 26-28. IX 1977 and in the creation of BANTAO in Ohrid on 9. IX 1993 - during the First Congress of the Macedonian Society of Nephrology, Dialysis, Transplantation and Artificial Organs. Prof. P. Ivanovich is in the lasting memory of the nephrologists of North Macedonia as a renowned nephrologist, cosmopolitan and friend of patients and doctors.
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Teherani A, Harleman E, Hauer KE, Lucey C. Toward Creating Equity in Awards Received During Medical School: Strategic Changes at One Institution. Acad Med 2020; 95:724-729. [PMID: 32079943 DOI: 10.1097/acm.0000000000003219] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Membership in the Alpha Omega Alpha Honor Medical Society (AΩA) is a widely recognized achievement valued by residency selection committees and employers. Yet research has shown selection favors students from racial/ethnic groups not underrepresented in medicine (not-UIM). The authors describe efforts to create equity in AΩA selection at the University of California, San Francisco, School of Medicine, through implementation of a holistic selection process, starting with the class of 2017, and present outcomes.Informed by the definition of holistic review, medical school leaders applied strategic changes grounded in evidence on inclusion, mitigating bias, and increasing opportunity throughout the AΩA selection process. These addressed increasing selection committee diversity, revising selection criteria and training committee members to review applications using a new instrument, broadening student eligibility and inviting applications, reviewing blinded applications, and making final selection decisions based on review and discussion of a rank-ordered list of students that equally weighted academic achievement and professional contributions.The authors compared AΩA eligibility and selection outcomes for 3 classes (2014-2016) during clerkship metric-driven selection, which prioritized academic achievement, and 3 classes (2017-2019) during holistic selection. During clerkship metric-driven selection, not-UIM students were 4 times more likely than UIM students to be eligible for AΩA (P = .001) and 3 times more likely to be selected (P = .001). During holistic selection, not-UIM students were 2 times more likely than UIM students to be eligible for AΩA (P = .001); not-UIM and UIM students were similarly likely to be selected (odds ratio = .7, P = .12)This new holistic selection process created equity in representation of UIM students among students selected for AΩA. Centered on equity pedagogy, which advocates dismantling structures that create inequity, this holistic selection process has implications for creating equity in awards selection during medical education.
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Affiliation(s)
- Arianne Teherani
- A. Teherani is professor, Department of Medicine, education scientist, Center for Faculty Educators, and director of program evaluation, University of California, San Francisco, School of Medicine, San Francisco, California; ORCID: http://orcid.org/0000-0003-2936-9832. E. Harleman is professor, Department of Medicine, University of California, San Francisco, School of Medicine, San Francisco, California. K.E. Hauer is professor, Department of Medicine, and associate dean for competency assessment and professional standards, University of California, San Francisco, School of Medicine, San Francisco, California; ORCID: https://orcid.org/0000-0002-8812-4045. C. Lucey is professor of medicine, executive dean, and vice dean for education, University of California, San Francisco, School of Medicine, San Francisco, California
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Grummer-Strawn LM, Holliday F, Jungo KT, Rollins N. Sponsorship of national and regional professional paediatrics associations by companies that make breast-milk substitutes: evidence from a review of official websites. BMJ Open 2019; 9:e029035. [PMID: 31401600 PMCID: PMC6701639 DOI: 10.1136/bmjopen-2019-029035] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
OBJECTIVES Professional paediatrics associations play an important role in promoting the highest standard of care for women and children. Education and guidelines must be made in the best interests of patients. Given the importance of breastfeeding for the health, development and survival of infants, children and mothers, paediatric associations have a particular responsibility to avoid conflicts of interest with companies that manufacture breast-milk substitutes (BMSs). The objective of this study was to investigate the extent to which national and regional paediatric associations are sponsored by BMS companies. METHODS Data were collected on national paediatric associations based on online searches of websites and Facebook pages. Sites were examined for evidence of financial sponsorship by the BMS industry, including funding of journals, newsletters or other publications, conferences and events, scholarships, fellowship, grants and awards. Payment for services, such as exhibitor space at conferences or events and paid advertisements in publications, was also noted. RESULTS Overall, 68 (60%) of the 114 paediatric associations with a website or Facebook account documented receiving financial support from BMS companies. Sponsorship, particularly of conferences or other events, was the most common type of financial support. The prevalence of conference sponsorship is highest in Europe and the Americas, where about half of the associations have BMS company-sponsored conferences. Thirty-one associations (27%) indicated that they received funding from BMS companies as payment for advertisements or exhibitor space. Only 18 associations (16%) have conflict of interest policies, guidelines, or criteria posted online. CONCLUSION Despite the well-documented importance of breastfeeding and the widespread recognition that commercial influences can shape the behaviours of healthcare professionals, national and regional paediatric associations commonly accept funding from companies that manufacture and distribute BMS. Paediatric associations should function without the influence of commercial interests.
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Affiliation(s)
| | - Faire Holliday
- Global Health & Health Disparities, Colorado School of Public Health, Ft. Collins, Colorado, USA
| | | | - Nigel Rollins
- Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland
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Ribeiro AS, Lee M, Oyen WJG. EANM commitment towards involvement and engagement of patients and the public: learning from the UK experience. Eur J Nucl Med Mol Imaging 2019; 46:2218-2219. [PMID: 31375856 DOI: 10.1007/s00259-019-04457-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2019] [Accepted: 07/22/2019] [Indexed: 11/26/2022]
Affiliation(s)
| | - Martin Lee
- The European Association of Nuclear Medicine, Vienna, Austria
| | - Wim J G Oyen
- The European Association of Nuclear Medicine, Vienna, Austria.
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Poon S, Abzug J, Caird M, Cho RH, Luong M, Weiss JM. A Five-year Review of the Designated Leadership Positions of Pediatric Orthopaedic Society of North America: Where Do Women Stand? Orthop Clin North Am 2019; 50:331-335. [PMID: 31084835 DOI: 10.1016/j.ocl.2019.03.008] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Despite the growing number of women entering medical school, female representation among orthopedic surgery is the lowest compared with all areas of medicine. In 2014, 47.7% of students entering medical school were women, but only 13.7% of orthopedic residents were women. Pediatric orthopedics have been successful in enrolling women compared with other orthopedic subspecialties. This is an investigation of female representation among the Pediatric Orthopaedic Society of North America membership roster, providing insight into the effect on the increased gender diversity in the membership of an organization and its correlation with leadership positions at different levels within the organization.
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Affiliation(s)
- Selina Poon
- Orthopaedic Surgery Department, Shriners for Children Medical Center, 909 South Fair Oaks Avenue, Pasadena, CA 91105, USA.
| | - Joshua Abzug
- Department of Orthopaedics and Pediatrics, University of Maryland School of Medicine, 1 Texas Station Court, Suite 300, Timonium, MD 21093, USA
| | - Michelle Caird
- Pediatric Orthopaedic Department, University of Michigan, 1540 East Hospital Drive, Ann Arbor, MI 48109, USA
| | - Robert H Cho
- Orthopaedic Surgery Department, Shriners for Children Medical Center, 909 South Fair Oaks Avenue, Pasadena, CA 91105, USA
| | - Marilan Luong
- Research Department, Shriners for Children Medical Center, 909 South Fair Oaks Avenue, Pasadena, CA 91105, USA
| | - Jennifer M Weiss
- Pediatric Orthopaedic Department, Kaiser Permanente, 4760 Sunset Boulevard, Los Angeles, CA 90027, USA
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Julián-Jiménez A. Presentations and presenters at the 30th Conference of SEMES in Toledo, 2018: comparison to the 29 previous conferences of 1988–2017. Emergencias 2019; 31:220-222. [PMID: 31210460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- Agustín Julián-Jiménez
- Complejo Hospitalario Universitario de Toledo, Toledo, España. En nombre del Comité Científico del XXX Congreso SEMES
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Mandai M. AOFOG survey for the status of minimally invasive gynecologic surgery in the Asia/Oceania region. J Obstet Gynaecol Res 2019; 45:1091-1095. [PMID: 30977214 DOI: 10.1111/jog.13954] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Accepted: 02/22/2019] [Indexed: 11/26/2022]
Abstract
AIM To clarify the status of minimally invasive gynecologic surgery (MIGS) in the Asia/Oceania region. METHODS Survey questionnaires were sent out to the representative of AOFOG countries. They consisted of questions on the general status of MIGS, the clinical indication of MIGS, cost coverage, company support, training and certification for MIGS, patient preference for MIGS and requirements for the AOFOG. RESULTS Developmental stage of MIGS in this region was roughly divided into three categories: fully developed countries, countries in the developmental stage and countries in the rudimentary stage. Clinical indication of MIGS and training opportunity of young doctors were correlated with the developmental stage. CONCLUSION Support by AOFOG should be considered according to the developmental stage of each country. Collecting updated information on MIGS in each member country is important to provide adequate support.
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Affiliation(s)
- Masaki Mandai
- Department of Gynecology and Obstetrics, Kyoto University Graduate School of Medicine, Kyoto, Japan
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Wijesekera TP, Kim M, Moore EZ, Sorenson O, Ross DA. All Other Things Being Equal: Exploring Racial and Gender Disparities in Medical School Honor Society Induction. Acad Med 2019; 94:562-569. [PMID: 30234509 DOI: 10.1097/acm.0000000000002463] [Citation(s) in RCA: 60] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
PURPOSE A large body of literature has demonstrated racial and gender disparities in the physician workforce, but limited data are available regarding the potential origins of these disparities. To that end, the authors evaluated the effects of race and gender on Alpha Omega Alpha Honor Medical Society (AOA) and Gold Humanism Honor Society (GHHS) induction. METHOD In this retrospective cohort study, the authors examined data from 11,781 Electronic Residency Application Service applications from 133 U.S. MD-granting medical schools to 12 residency programs in the 2014-2015 application cycle and to all 15 residency programs in the 2015-2016 cycle at Yale-New Haven Hospital. They estimated the odds of induction into AOA and GHHS using logistic regression models, adjusting for Step 1 score, research publications, citizenship status, training interruptions, and year of application. They used gender- and race-matched samples to account for differences in clerkship grades and to test for bias. RESULTS Women were more likely than men to be inducted into GHHS (odds ratio 1.84, P < .001) but did not differ in their likelihood of being inducted into AOA. Black medical students were less likely to be inducted into AOA (odds ratio 0.37, P < .05) but not into GHHS. CONCLUSIONS These findings demonstrate significant differences between groups in AOA and GHHS induction. Given the importance of honor society induction in residency applications and beyond, these differences must be explored further.
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Affiliation(s)
- Thilan P Wijesekera
- T.P. Wijesekera is instructor, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut. M. Kim is a doctoral student, Yale School of Management, New Haven, Connecticut. E.Z. Moore is associate professor, Department of Engineering, Central Connecticut State University, New Britain, Connecticut. O. Sorenson is professor, Yale School of Management, New Haven, Connecticut. D.A. Ross is associate professor, Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut
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Hill MK, Patel RR, Anand P, Dellavalle RP. Dermatology on Google. Dermatol Online J 2018; 24:13030/qt6cz3q82h. [PMID: 29906016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2018] [Accepted: 06/13/2018] [Indexed: 06/08/2023] Open
Abstract
Google+ sets itself apart from other social media platforms through a number of unique features, including search engine optimization services and high user satisfaction. The purpose of this study was to evaluate the presence of dermatological entities on Google+. Searches were conducted to locate any Google+ accounts associated with the most popular dermatology journals, dermatological patient-centered organizations, and professional dermatology-related organizations on social media. Additionally, "dermatology Google+" was searched via Google, and Google+ profiles retrieved in the first page of results were assessed. Four of the five active Google+ profiles identified in the first page of Google search results were run by private dermatology practices. Only one of the 13 searched journals was active on Google+. Twenty-six of the 34 patient-centered and professional organizations had Google+ accounts, but only seven of these accounts were active in the last year. Therefore, unlike some private practices, the majority of dermatology journals and organizations have yet to take advantage of the exclusive opportunities offered by Google+ to expand their audiences and bolster their overall online presence.
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Affiliation(s)
| | | | | | - Robert P Dellavalle
- Department of Dermatology, University of Anschutz Medical Campus Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado Dermatology Service, US Department of Veteran Affairs, Eastern Colorado Health Care System, Denver, Colorado.
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Patel RR, Hill MK, Smith MK, Seeker P, Dellavalle RP. An updated assessment of social media usage by dermatology journals and organizations. Dermatol Online J 2018; 24:13030/qt3jr646v0. [PMID: 29630149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2018] [Accepted: 03/05/2018] [Indexed: 06/08/2023] Open
Abstract
Despite the increasing prevalence of social media usage, the activity of dermatology journals and professional and patient-centered organizations on top social media platforms has not been investigated since 2012. We investigated a total of 124 dermatology journals, 242 professional organizations, and 78 patient-centered organizations to assess their presence and popularity on social media. Searches were conducted to identify journals and organizations on Facebook and Twitter. Similar searches were done for organizations on LinkedIn. The number of Facebook likes, Twitter followers, and LinkedIn followers of the dermatological entities were quantified. There were 22 (17.7%) dermatology journals active on Facebook and 21 (16.9%) on Twitter. Amongst the professional organizations, 114 (47.1%) were on Facebook, 69 (28.5%) on Twitter, and 50 (20.7%) on LinkedIn. In comparison, 68 (87.2%) patient-centered organizations were on Facebook, 56 (71.8%) on Twitter, and 56 (71.8%) on LinkedIn. Our results demonstrate that the popularity of dermatology journals and professional and patient-centered organizations on top social networking sites has grown markedly since 2012. Although the number of dermatology journals on social media has increased since 2012, their presence continues to trail behind professional and patient-centered dermatological organizations, suggesting underutilization of a valuable resource.
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Schmidt SM, Miot HA, Luz FB, Sousa MAJ, Palma SLL, Sanches Junior JA. Demographics and spatial distribution of the Brazilian dermatologists. An Bras Dermatol 2018; 93:99-103. [PMID: 29641706 PMCID: PMC5871371 DOI: 10.1590/abd1806-4841.20187395] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2017] [Accepted: 10/29/2017] [Indexed: 11/26/2022] Open
Abstract
The medical-dermatological demographics favors health planning and guides expansion of the specialty. We conducted an ecological study of dermatologists members of the Brazilian Society of Dermatology (SBD). We evaluated: gender, age, address; which were compared with population and human development index indicators of municipalities. We evaluated 8384 members, distributed in 527 (9.5%) municipalities throughout Brazil. The female sex represented 78.4% of the members and the median age was 43 (36-54) years. The median density of dermatologists was 0.35 (0.21-0.37) per 10,000 inhabitants. The correlation (Spearman's rho) between density of dermatologists and human development index was 0.39 (p <0.01). The Brazilian dermatologist is characterized as: female, age <50 years and presenting an heterogeneous distribution throught the country.
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Affiliation(s)
| | - Sílvia Maria Schmidt
- Board of Directors of the Brazilian Society of Dermatology -
Florianópolis (SC), Brazil
| | - Hélio Amante Miot
- Board of Directors of the Brazilian Society of Dermatology -
Florianópolis (SC), Brazil
| | - Flávio Barbosa Luz
- Board of Directors of the Brazilian Society of Dermatology -
Florianópolis (SC), Brazil
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Abstract
PURPOSE The purpose of this study is to assess surgical practice patterns among the American Glaucoma Society (AGS) membership. METHODS An anonymous online survey evaluating the use of glaucoma surgeries in various clinical settings was redistributed to AGS members. Survey responses were compared with prior results from 1996, 2002, and 2008 to determine shifts in surgical practice patterns. Questions were added to assess the preferred approach to primary incisional glaucoma surgery and phacoemulsification combined with glaucoma surgery. RESULTS A total of 252 of 1091 (23%) subscribers to the AGS-net participated in the survey. Percentage use (mean±SD) of trabeculectomy with mitomycin C (MMC), glaucoma drainage device (GDD), and minimally invasive glaucoma surgery (MIGS) as an initial surgery in patients with primary open angle glaucoma was 59%±30%, 23%±23%, and 14%±20%, respectively. Phacoemulsification cataract extraction alone was the preferred surgical approach in 44%±32% of patients with primary open angle glaucoma and visually significant cataract, and phacoemulsification cataract extraction was combined with trabeculectomy with MMC in 24%±23%, with MIGS in 22%±27%, and with GDD in 9%±14%. Although trabeculectomy was selected most frequently to surgically manage glaucoma in 8 of 8 clinical settings in 1996, GDD was preferred in 7 of 8 clinical settings in 2016. CONCLUSIONS The use of GDD has increased and that of trabeculectomy has concurrently decreased over the past 2 decades. Trabeculectomy with MMC is the most popular primary incisional surgery when performed alone or in combination with phacoemulsification cataract extraction. Surgeons frequently manage coexistent cataract and glaucoma with cataract extraction alone, rather than as a combined cataract and glaucoma procedure.
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Affiliation(s)
- Kateki Vinod
- Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, Icahn School of Medicine, New York, New York
| | - Steven J. Gedde
- Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, Florida
| | - William J. Feuer
- Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, Florida
| | - Joseph F. Panarelli
- Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, Icahn School of Medicine, New York, New York
| | - Ta C. Chang
- Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, Florida
| | - Philip P. Chen
- Department of Ophthalmology, University of Washington, Seattle, Washington
| | - Richard K. Parrish
- Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, Florida
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Trifan A, Chihaia CA, Tanase O, Lungu CM, Stanciu C. The Fate of Abstracts Presented at the 2013 and 2014 Annual Meetings of the Romanian Society of Gastroenterology and Hepatology. J Gastrointestin Liver Dis 2016; 25:533-536. [PMID: 27981310 DOI: 10.15403/jgld.2014.1121.254.chi] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
BACKGROUND Oral and poster presentations at annual national meetings of the Romanian Society of Gastroenterology and Hepatology (RSGH) provide a forum for education, communication and discussion of new research. However, for the wide-spread dissemination of the new research work, each presentation should be subsequently published as a full-text article in peer-reviewed, indexed journals. AIM to evaluate the publication rate of full-text articles in peer-reviewed journals after being first presented as abstracts at two consecutive RSGH annual meetings. METHODS A retrospective review of all abstracts presented at the annual meetings in 2013 and 2014 was performed. PubMed and Google Scholar were searched using abstract titles, first author's name and affiliation, and key words from the title to identify whether an abstract resulted in a peer-reviewed publication. Abstracts published in full-text were subsequently assessed for study type, study center, topics, publication year, journals and their impact factors (IFs). We chose the 2013 and 2014 meetings to ensure a minimum two-year follow-up period since the last meeting for the publication as full-length articles. RESULTS A total of 562 abstracts were presented (275 in 2013, 287 in 2014). There were 150 oral presentations (93 in 2013, 57 in 2014) and 412 poster presentations (182 in 2013, 230 in 2014). Fifty seven of them (10.1%) were published as full-text articles, among them 26 (17.3%) after oral presentations and 31 (7.5%) after poster presentations (P=0.001). University affiliation and original research work were most likely to be published. The average IFs of the journals which published the articles were 2.42 in 2013 and 1.87 in 2014. CONCLUSION The publication rate for the annual RSGH meetings abstracts as full-text articles in peer-reviewed journals is very low compared to the analyses performed in gastroenterology or other medical specialities from other countries. It is not clear yet what are the factors responsible for the failure of publication.
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Affiliation(s)
- Anca Trifan
- Gr. T. Popa University of Medicine and Pharmacy; St. Spiridon Emergency Hospital, Institute of Gastroenterology and Hepatology, Iasi, Romania
| | | | - Oana Tanase
- St. Spiridon Emergency Hospital, Institute of Gastroenterology and Hepatology, Iasi, Romania
| | - Cristina-Maria Lungu
- St. Spiridon Emergency Hospital, Institute of Gastroenterology and Hepatology, Iasi, Romania
| | - Carol Stanciu
- St. Spiridon Emergency Hospital, Institute of Gastroenterology and Hepatology, Iasi, Romania.
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Elmi M, Mahar A, Kagedan D, Law CH, Karanicolas PJ, Lin Y, Callum J, Coburn NG, Hallet J. The impact of blood transfusion on perioperative outcomes following gastric cancer resection: an analysis of the American College of Surgeons National Surgical Quality Improvement Program database. Can J Surg 2016; 59:322-9. [PMID: 27668330 PMCID: PMC5042719 DOI: 10.1503/cjs.004016] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/17/2016] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND Red blood cell transfusions (RBCT) carry risk of transfusion-related immunodulation that may impact postoperative recovery. This study examined the association between perioperative RBCT and short-term postoperative outcomes following gastrectomy for gastric cancer. METHODS Using the American College of Surgeons National Surgical Quality Improvement Program database, we compared outcomes of patients (transfused v. nontransfused) undergoing elective gastrectomy for gastric cancer (2007-2012). Outcomes were 30-day major morbidity, mortality and length of stay. The association between perioperative RBCT and outcomes was estimated using modified Poisson, logistic, or negative binomial regression. RESULTS Of the 3243 patients in the entire cohort, we included 2884 patients with nonmissing data, of whom 535 (18.6%) received RBCT. Overall 30-day major morbidity and mortality were 20% and 3.5%, respectively. After adjustment for baseline and clinical characteristics, RBCT was independently associated with increased 30-day mortality (relative risk [RR] 3.1, 95% confidence interval [CI] 1.9-5.0), major morbidity (RR 1.4, 95% CI 1.2-1.8), length of stay (RR 1.2, 95% CI 1.1-1.2), infections (RR 1.4, 95% CI 1.1-1.6), cardiac complications (RR 1.8, 95% CI 1.0-3.2) and respiratory failure (RR 2.3, 95% CI 1.6-3.3). CONCLUSION Red blood cell transfusions are associated with worse postoperative short-term outcomes in patients with gastric cancer. Blood management strategies are needed to reduce the use of RBCT after gastrectomy for gastric cancer.
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Affiliation(s)
- Maryam Elmi
- From the Department of Surgery, University of Toronto, Toronto, Ont. (Elmi, Kagedan, Law, Karanicolas, Coburn, Hallet); the Department of Public Health Sciences, Queen’s University, Kingston, Ont. (Mahar); the Division of General Surgery, Sunnybrook Health Sciences Centre – Odette Cancer Centre, Toronto, Ont. (Law, Karanicolas, Coburn, Hallet); the Division of Clinical Pathology, Sunnybrook Health Sciences Centre, Toronto, Ont. (Lin, Callum); and the Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ont. (Lin, Callum)
| | - Alyson Mahar
- From the Department of Surgery, University of Toronto, Toronto, Ont. (Elmi, Kagedan, Law, Karanicolas, Coburn, Hallet); the Department of Public Health Sciences, Queen’s University, Kingston, Ont. (Mahar); the Division of General Surgery, Sunnybrook Health Sciences Centre – Odette Cancer Centre, Toronto, Ont. (Law, Karanicolas, Coburn, Hallet); the Division of Clinical Pathology, Sunnybrook Health Sciences Centre, Toronto, Ont. (Lin, Callum); and the Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ont. (Lin, Callum)
| | - Daniel Kagedan
- From the Department of Surgery, University of Toronto, Toronto, Ont. (Elmi, Kagedan, Law, Karanicolas, Coburn, Hallet); the Department of Public Health Sciences, Queen’s University, Kingston, Ont. (Mahar); the Division of General Surgery, Sunnybrook Health Sciences Centre – Odette Cancer Centre, Toronto, Ont. (Law, Karanicolas, Coburn, Hallet); the Division of Clinical Pathology, Sunnybrook Health Sciences Centre, Toronto, Ont. (Lin, Callum); and the Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ont. (Lin, Callum)
| | - Calvin H.L. Law
- From the Department of Surgery, University of Toronto, Toronto, Ont. (Elmi, Kagedan, Law, Karanicolas, Coburn, Hallet); the Department of Public Health Sciences, Queen’s University, Kingston, Ont. (Mahar); the Division of General Surgery, Sunnybrook Health Sciences Centre – Odette Cancer Centre, Toronto, Ont. (Law, Karanicolas, Coburn, Hallet); the Division of Clinical Pathology, Sunnybrook Health Sciences Centre, Toronto, Ont. (Lin, Callum); and the Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ont. (Lin, Callum)
| | - Paul J. Karanicolas
- From the Department of Surgery, University of Toronto, Toronto, Ont. (Elmi, Kagedan, Law, Karanicolas, Coburn, Hallet); the Department of Public Health Sciences, Queen’s University, Kingston, Ont. (Mahar); the Division of General Surgery, Sunnybrook Health Sciences Centre – Odette Cancer Centre, Toronto, Ont. (Law, Karanicolas, Coburn, Hallet); the Division of Clinical Pathology, Sunnybrook Health Sciences Centre, Toronto, Ont. (Lin, Callum); and the Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ont. (Lin, Callum)
| | - Yulia Lin
- From the Department of Surgery, University of Toronto, Toronto, Ont. (Elmi, Kagedan, Law, Karanicolas, Coburn, Hallet); the Department of Public Health Sciences, Queen’s University, Kingston, Ont. (Mahar); the Division of General Surgery, Sunnybrook Health Sciences Centre – Odette Cancer Centre, Toronto, Ont. (Law, Karanicolas, Coburn, Hallet); the Division of Clinical Pathology, Sunnybrook Health Sciences Centre, Toronto, Ont. (Lin, Callum); and the Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ont. (Lin, Callum)
| | - Jeannie Callum
- From the Department of Surgery, University of Toronto, Toronto, Ont. (Elmi, Kagedan, Law, Karanicolas, Coburn, Hallet); the Department of Public Health Sciences, Queen’s University, Kingston, Ont. (Mahar); the Division of General Surgery, Sunnybrook Health Sciences Centre – Odette Cancer Centre, Toronto, Ont. (Law, Karanicolas, Coburn, Hallet); the Division of Clinical Pathology, Sunnybrook Health Sciences Centre, Toronto, Ont. (Lin, Callum); and the Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ont. (Lin, Callum)
| | - Natalie G. Coburn
- From the Department of Surgery, University of Toronto, Toronto, Ont. (Elmi, Kagedan, Law, Karanicolas, Coburn, Hallet); the Department of Public Health Sciences, Queen’s University, Kingston, Ont. (Mahar); the Division of General Surgery, Sunnybrook Health Sciences Centre – Odette Cancer Centre, Toronto, Ont. (Law, Karanicolas, Coburn, Hallet); the Division of Clinical Pathology, Sunnybrook Health Sciences Centre, Toronto, Ont. (Lin, Callum); and the Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ont. (Lin, Callum)
| | - Julie Hallet
- From the Department of Surgery, University of Toronto, Toronto, Ont. (Elmi, Kagedan, Law, Karanicolas, Coburn, Hallet); the Department of Public Health Sciences, Queen’s University, Kingston, Ont. (Mahar); the Division of General Surgery, Sunnybrook Health Sciences Centre – Odette Cancer Centre, Toronto, Ont. (Law, Karanicolas, Coburn, Hallet); the Division of Clinical Pathology, Sunnybrook Health Sciences Centre, Toronto, Ont. (Lin, Callum); and the Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ont. (Lin, Callum)
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Abstract
Headache diagnosis and treatment is the most important focus or concentration area for practising neurologists in America. The American Headache Society, formerly the American Association for the Study of Headache, is made up predominantly of neurologists. Recognition of the importance of the teaching and practice of headache medicine, especially migraine, is still incomplete at many academic teaching institutions. Suggestions that this results from inadequate academic hierarchies and education at graduate and post-graduate levels have been made. We therefore undertook a survey of academic practitioners of headache medicine in departments of neurology with membership of the American Headache Society. Subjects and addresses were identified using the 1999-2000 membership directory of the American Headache Society. Practice characteristics and time distribution were assessed. Teaching in undergraduate and resident programmes was also assessed. Fifty-five surveys from 46 institutions in 25 states were judged as adequate for this report. Academic neurologists with interest in headache medicine spent most of their time in clinic, with less than 25% spent doing either research or teaching. Medical schools had an average of 1 h of preclinical and 2 h of clinical teaching in headache. Neurology residents received an average of 3 h of didactic instruction in headache. This report is the first of its kind to review the practice characteristics and culture of headache medicine in the setting of academic departments of neurology. It describes a clinical practice similar to those of other non-academic American neurologists.
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Affiliation(s)
- A G Finkel
- Department of Neurology, University of North Carolina, Chapel Hill 27599-7025, USA.
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Lokuge K, Verputten M, Ajakali M, Tolboom B, Joshy G, Thurber KA, Plana D, Howes S, Wakon A, Banks E. Health Services for Gender-Based Violence: Médecins Sans Frontières Experience Caring for Survivors in Urban Papua New Guinea. PLoS One 2016; 11:e0156813. [PMID: 27285845 PMCID: PMC4902258 DOI: 10.1371/journal.pone.0156813] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2015] [Accepted: 05/19/2016] [Indexed: 11/18/2022] Open
Abstract
Background Levels of gender-based violence in Papua New Guinea (PNG) are high; health services for survivors are limited. Evidence from the few existing health services for survivors can inform improvements in care in this and similar settings. Methods Médecins Sans Frontières supported health services for survivors in Lae, PNG from 2008–2013. Routine monitoring data from August 2010-April 2013 were used to describe patient and service characteristics. Results 5,892 individuals received care over 6,860 presentations, the majority self-referred or referred by friends and family. Presentations were attributed to intimate partner violence(62%), non-partner sexual violence(15%), other forms of violence(3%), and past (but not current) violence(21%). 97% were female; an estimated 4.9% (95%CI:4.8–5.0%) of females resident in the catchment area presented to the programme during the 2.8years analysed. Of presentations for non-partner sexual violence, 79% knew their abuser and 50% were children <16 years. 92% of presentations reporting current violence received medical treatment for injuries. The majority of patients who received multiple counselling sessions reported improved functioning and decreased severity of psycho-social complaints. Conclusions Community awareness of the availability of free, best-practice, accessible, confidential medical and counselling services for sexual and gender-based violence in Lae, PNG resulted in many survivors presenting for care. High levels of ongoing intimate partner violence and child sexual abuse by known abusers indicates that alongside comprehensive medical care, access to effective services in non-health sectors such as policing, protection and legal services are needed if survivors are to escape the cycle of violence.
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Affiliation(s)
- Kamalini Lokuge
- National Centre for Epidemiology and Population Health, Research School of Population Health, the Australian National University, Acton, Australia
- Médecins Sans Frontières (MSF)-UK, London, United Kingdom
- Femili PNG, Lae, Papua New Guinea
- * E-mail:
| | - Meggy Verputten
- MSF-Operational Centre Amsterdam, Amsterdam, the Netherlands
| | - Maryanne Ajakali
- Angau Hospital, National Department of Health, Lae, Papua New Guinea
| | - Bianca Tolboom
- MSF-Operational Centre Papua New Guinea Programme, Port Moresby, Papua New Guinea
| | - Grace Joshy
- National Centre for Epidemiology and Population Health, Research School of Population Health, the Australian National University, Acton, Australia
| | - Katherine A. Thurber
- National Centre for Epidemiology and Population Health, Research School of Population Health, the Australian National University, Acton, Australia
| | - Daisy Plana
- Femili PNG, Lae, Papua New Guinea
- Angau Hospital, National Department of Health, Lae, Papua New Guinea
| | - Steven Howes
- Femili PNG, Lae, Papua New Guinea
- Development Policy Centre, Crawford School of Public Policy, the Australian National University, Acton, Australia
| | - Anastasia Wakon
- Angau Hospital, National Department of Health, Lae, Papua New Guinea
| | - Emily Banks
- National Centre for Epidemiology and Population Health, Research School of Population Health, the Australian National University, Acton, Australia
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Kashiwagi K, Tsukahara S. Examination and Treatment of Patients with Angle-Closure Glaucoma in Japan: Results of a Nationwide Survey. Jpn J Ophthalmol 2016; 48:133-40. [PMID: 15060792 DOI: 10.1007/s10384-003-0023-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2003] [Accepted: 09/30/2003] [Indexed: 11/24/2022]
Abstract
PURPOSE To assess the present state of examination procedures and treatments for angle-closure glaucoma (ACG) in Japan. METHODS A nationwide questionnaire survey was conducted, targeting 1237 registered facilities to Japanese Ophthalmological Society. RESULTS Valid replies were obtained from 754 of 1232 facilities (61.2%). Primary ACG comprised a small percentage of the glaucoma types diagnosed in outpatient examinations. More than 50% of the laser iridotomy (LI) procedures were prophylactic at 52.9% of the facilities. Gonioscopy was most frequently used for determining indications for prophylactic LI. Specular microscopy was always performed prior to LI in 7.8% of the facilities. Prophylactic LI resulted in complications at 20.5% of the surveyed facilities, although the incidence was low. The following residual complications were reported at 82.9% of the facilities when treating ACG attacks: cataract, persistent elevation of intraocular pressure, and bullous keratopathy. One-third of the facilities experienced inadequate treatment of an ACG attack by physicians other than ophthalmologists. CONCLUSIONS The incidence of LI-induced complications was higher in ACG eyes than in narrow-angle eyes. However, prophylactic LI sometimes results in persistent ocular complications.
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Affiliation(s)
- Kenji Kashiwagi
- Department of Ophthalmology, University of Yamanashi Faculty of Medicine, Tamaho, Japan.
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Kmietowicz Z. Hunt summons royal colleges for talks on preparing for industrial action. BMJ 2015; 351:h6042. [PMID: 26560126 DOI: 10.1136/bmj.h6042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Jacobs JP, Shahian DM, He X, O'Brien SM, Badhwar V, Cleveland JC, Furnary AP, Magee MJ, Kurlansky PA, Rankin JS, Welke KF, Filardo G, Dokholyan RS, Peterson ED, Brennan JM, Han JM, McDonald D, Schmitz D, Edwards FH, Prager RL, Grover FL. Penetration, Completeness, and Representativeness of The Society of Thoracic Surgeons Adult Cardiac Surgery Database. Ann Thorac Surg 2015; 101:33-41; discussion 41. [PMID: 26542437 DOI: 10.1016/j.athoracsur.2015.08.055] [Citation(s) in RCA: 68] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2015] [Revised: 05/17/2015] [Accepted: 08/24/2015] [Indexed: 11/18/2022]
Abstract
BACKGROUND The Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database (ACSD) has been successfully linked to the Centers for Medicare and Medicaid (CMS) Medicare database, thereby facilitating comparative effectiveness research and providing information about long-term follow-up and cost. The present study uses this link to determine contemporary completeness, penetration, and representativeness of the STS ACSD. METHODS Using variables common to both STS and CMS databases, STS operations were linked to CMS data for all CMS coronary artery bypass graft (CABG) surgery hospitalizations discharged between 2000 and 2012, inclusive. For each CMS CABG hospitalization, it was determined whether a matching STS record existed. RESULTS Center-level penetration (number of CMS sites with at least one matched STS participant divided by the total number of CMS CABG sites) increased from 45% in 2000 to 90% in 2012. In 2012, 973 of 1,081 CMS CABG sites (90%) were linked to an STS site. Patient-level penetration (number of CMS CABG hospitalizations done at STS sites divided by the total number of CMS CABG hospitalizations) increased from 51% in 2000 to 94% in 2012. In 2012, 71,634 of 76,072 CMS CABG hospitalizations (94%) occurred at an STS site. Completeness of case inclusion at STS sites (number of CMS CABG cases at STS sites linked to STS records divided by the total number of CMS CABG cases at STS sites) increased from 88% in 2000 to 98% in 2012. In 2012, 69,213 of 70,932 CMS CABG hospitalizations at STS sites (98%) were linked to an STS record. CONCLUSIONS Linkage of STS and CMS databases demonstrates high and increasing penetration and completeness of the STS database. Linking STS and CMS data facilitates studying long-term outcomes and costs of cardiothoracic surgery.
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Affiliation(s)
- Jeffrey P Jacobs
- Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland; Division of Cardiovascular Surgery, Department of Surgery, Johns Hopkins All Children's Heart Institute, All Children's Hospital and Florida Hospital for Children, Saint Petersburg, Tampa, and Orlando, Florida.
| | - David M Shahian
- Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
| | - Xia He
- Duke Clinical Research Institute (DCRI), Duke University, Durham, North Carolina
| | - Sean M O'Brien
- Duke Clinical Research Institute (DCRI), Duke University, Durham, North Carolina
| | - Vinay Badhwar
- University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
| | | | | | - Mitchell J Magee
- Medical City Dallas Hospital, Baylor University Medical Center Dallas, Dallas, Texas
| | | | | | - Karl F Welke
- Section of Congenital Cardiovascular Surgery, University of Illinois College of Medicine at Peoria, Children's Hospital of Illinois, Peoria, Illinois
| | - Giovanni Filardo
- Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas
| | - Rachel S Dokholyan
- Duke Clinical Research Institute (DCRI), Duke University, Durham, North Carolina
| | - Eric D Peterson
- Duke Clinical Research Institute (DCRI), Duke University, Durham, North Carolina
| | - J Matthew Brennan
- Duke Clinical Research Institute (DCRI), Duke University, Durham, North Carolina
| | - Jane M Han
- The Society of Thoracic Surgeons (STS), Chicago, Illinois
| | - Donna McDonald
- The Society of Thoracic Surgeons (STS), Chicago, Illinois
| | | | - Fred H Edwards
- University of Florida College of Medicine, Jacksonville, Florida
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Crawford FA. Don't miss the plenary sessions. J Thorac Cardiovasc Surg 2015; 151:35-6. [PMID: 26478242 DOI: 10.1016/j.jtcvs.2015.09.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2015] [Accepted: 09/09/2015] [Indexed: 11/19/2022]
Affiliation(s)
- Fred A Crawford
- Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, SC.
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Cerdena EA. AHRA Member Survey Results: 2015. Radiol Manage 2015; 37:9-10. [PMID: 26571967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Chamberlain MC. A selected review of abstracts from the 19th annual meeting of the Society for Neuro-Oncology. CNS Oncol 2015; 4:125-9. [PMID: 25906288 PMCID: PMC6088335 DOI: 10.2217/cns.15.6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
The Society for Neuro-Oncology is the largest neuro-oncology meeting in the USA that meets annually and provides a multiday venue presenting new brain cancer clinical trials and basic research data primarily pertaining to gliomas. The Society for Neuro-Oncology 2014 meeting comprising one education day, 3 days of presentation, over 200 oral presentations and 600 abstracts provides a comprehensive overview of neuro-oncology that includes metastatic diseases of the CNS as well as primary brain tumors. This summary attempts to highlight select abstracts presented at this year's meeting in a short review that provides a synopsis of a large and multifaceted meeting.
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Affiliation(s)
- Marc C Chamberlain
- University of Washington, Department of Neurology/Division of Neuro-Oncology, Fred Hutchinson Cancer Research Center, Seattle Cancer Care Alliance, 825 Eastlake Avenue E, POB 19023, MS G4940, Seattle, WA 98109–1023, USA
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Reid J. Demographics of the profession. Radiol Technol 2015; 86:449-451. [PMID: 26020071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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Milroy MJ. Maintaining relevance: a key question facing associations today. S D Med 2014; 67:299. [PMID: 25163221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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Weaver SP, Lastrapes E. Increasing family medicine scholarly presentations and the incidence of duplicate research abstracts. Fam Med 2014; 46:467-469. [PMID: 24911304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
BACKGROUND AND OBJECTIVES Scholarly activity in the form of original research presentations is valuable to the discipline of family medicine. Two major venues for family medicine researchers to present their work are the Society of Teachers of Family Medicine (STFM) Annual Spring Conference and the North American Primary Care Research Group (NAPCRG) Annual Meeting. Both of these organizations have seen increasing numbers of submissions and subsequent presentations in recent years. The purpose of this project was to analyze the trend in increasing presentations and document the incidence of duplicate research presentations across these two meetings. METHODS Numbers of primary authors and coauthors were assessed and compared across meetings from 2009 to 2012. Abstracts from the same author(s) presenting at consecutive meetings were compared for originality. RESULTS STFM has had a nearly 50% increase in numbers of presentations from 2009 to 2012, and NAPCRG has seen a 17.6% increase. There has been an 88.2% increase in the number of presentation authors and coauthors who present at consecutive meetings during the same time frame. Four duplicate research presentations were found from 2009 through spring of 2012. CONCLUSIONS Numbers of author and coauthor presenters at STFM and NAPCRG annual meetings have increased greatly since 2009. Very little duplication of research presentations was found. It appears that, for the most part, presenters at both STFM and NAPCRG are not presenting duplicate research projects. This is even more important now with limited space at meetings due to record numbers of presentations.
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Affiliation(s)
- Sally P Weaver
- McLennan County Medical Education and Research Foundation, Waco, TX
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Affiliation(s)
- Mark H Wilson
- Health Research Associates, Guelp, ON, Canada N1G 3S4
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Peck SR, Bolger G. A registry of doctors' competing interests should include all payments by private hospitals. BMJ 2014; 348:g1708. [PMID: 24568880 DOI: 10.1136/bmj.g1708] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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