A5011403369- Innovations in Medical Education
- Patient-Provider Communication in Healthcare
- Healthcare Systems and Technology
- Antifungal resistance and susceptibility
- Infective Endocarditis Diagnosis and Management
- Fungal Infections and Studies
- Healthcare professionals’ stress and burnout
- Clinical Reasoning and Diagnostic Skills
- Hepatitis C virus research
- Liver Disease Diagnosis and Treatment
- Viral Infections and Vectors
- Hepatitis B Virus Studies
- Empathy and Medical Education
- COVID-19 epidemiological studies
- HIV, Drug Use, Sexual Risk
- Patient Satisfaction in Healthcare
- Antimicrobial Resistance in Staphylococcus
- Streptococcal Infections and Treatments
- Abdominal Trauma and Injuries
- Healthcare cost, quality, practices
- Central Venous Catheters and Hemodialysis
- Cardiac Structural Anomalies and Repair
- COVID-19 Pandemic Impacts
- Communication in Education and Healthcare
- Cerebrospinal fluid and hydrocephalus
University of Vermont Medical Center
2017-2024
University of Vermont
2018-2024
Vermont Oxford Network
2024
Health Net
2024
Oklahoma State University at Tulsa
2024
Oklahoma State University Medical Center
2019-2022
Beth Israel Deaconess Medical Center
2015-2021
Harvard University
2019-2021
ORCID
2021
Oklahoma State University Center for Health Sciences
2020
We provide an assessment of the impact government closure and containment measures on deaths from COVID-19 across sequential waves pandemic globally. Daily data was collected a range policies for 186 countries January 1, 2020 until March 11th, 2021. These were combined into aggregate stringency index (SI) score each country day (range: 0-100). Countries divided successive via mathematical algorithm to identify peaks troughs disease. Within our period analysis, 63 experienced at least one...
Burnout in graduate medical education is pervasive and has a deleterious impact on career satisfaction, personal well-being, patient outcomes. Interventions residency programs have often addressed isolated contributors to burnout; however, more comprehensive framework for conceptualizing wellness needed.In this article the authors propose Maslow's hierarchy of human needs (physiologic, safety, love/belonging, esteem, self-actualization) as potential addressing initiatives. There are numerous...
Abstract Objective To provide an early global assessment of the impact government stringency measures on rate growth in deaths from COVID-19. We hypothesized that overall a government’s interventions and speed implementation would affect level related to COVID-19 country. Design Observational study based original database governmental responses pandemic. Daily data was collected range containment closure policies for 170 countries January 1, 2020 until May 27, by team researchers at Oxford...
Abstract Background To end the HIV and hepatitis C virus (HCV) epidemics, people who use drugs (PWUD) need more opportunities for testing. While inpatient hospitalizations are an essential opportunity to test HCV, there is limited research on rates of testing HCV among PWUD. Methods Eleven hospital sites were included in study. Each site created a cohort encounters associated with injection drug use. From these cohorts, we collected data consent policies from 65 276 PWUD hospitalizations....
There remains diagnostic uncertainty regarding the sensitivity of reverse transcription polymerase chain reaction in detection SARS-CoV-2 from nasopharyngeal specimens. We present a case where two specimens were negative, followed by positive sputum sample. Serial testing for COVID-19 is indicated patients with high pretest probability disease.
Background: A significant proportion of human communication is nonverbal. Although the fields business and psychology have literature on effectively using body language in a variety situations, there limited effective for medical educators.Aim: To provide 12 tips to highlight strategies techniques educators.Method: The provided are based our experiences reflections as clinician-educators available literature.Results: presented offer specific engage learners, balance learner participation,...
Asplenic patients are at increased risk for sepsis and fulminant infection. Sepsis in these is typically secondary to encapsulated bacteria, with Streptococcus pneumoniae being the most frequent pathogen. Rare complications of severe include purpura fulminans bilateral adrenal hemorrhage (Waterhouse-Friderichsen syndrome). We present case a 36-year-old woman, healthy except splenectomy years prior idiopathic thrombocytopenic treatment, who presented fever. Upon presentation our hospital,...
Consultation amongst providers is a foundation of modern health care and one the most frequent means interdisciplinary communication. Accordingly, clear efficient communication between across medical specialties during consultation essential to patient collegial work environment. Traditionally, requests are felt require question that falls within purview consultant's expertise. However, this narrow constraint often lacking in real-world clinical environment may fact be detrimental physician...
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Although some US medical schools have incorporated high-value care into their preclinical curriculum, there is no standardized approach and major curricular overhaul can be prohibitively onerous. The objectives of this study were to develop a feasible effective integrate it an existing pre-clinical course, assess student faculty perceptions the educational value curriculum.Between 2019 2021, University Vermont students participating in Students & Trainees Advocating for Resource Stewardship...
Objectives: Incarcerated persons in the United States have a high burden of hepatitis C virus (HCV) infection. This study assessed impact statewide effort Vermont to treat HCV this group. Methods: We performed retrospective, observational cohort all HCV-infected who were imprisoned during 19-month period (December 2018–June 2020). The cascade care comprised opt-out screening, full access direct-acting antiviral treatment (without hepatic fibrosis-based restrictions), specialist involvement,...
The authors present the case of a bloodstream infection and sepsis due to Dietzia cinnamea in severely malnourished patient with small bowel obstruction pelvic abscess. organism was identified matrix-assisted laser desorption ionization-time-of-flight mass spectrometry. discuss characteristics, diagnosis, treatment, emerging scope clinical caused by species.
Invasive cardiac aspergillosis has been rarely described in immunocompromised patients. This disease is difficult to diagnose by conventional laboratory, microbiologic, and imaging techniques, often recognized only post-mortem. The authors present the case of a 60-year-old woman admitted with an exacerbation eosinophilic granulomatosis polyangitiis (EGPA) who subsequently died from
Whipple's disease (WD), caused by infection with the organism Tropheryma whipplei, is a rare that classically presents diarrhea, weight loss, and polyarthralgia. Less commonly, Disease can presentation endocarditis or neurologic infections. The authors report patient whose initial was acute lower extremity arterial occlusion, review current literature regarding epidemiology, diagnosis, treatment, prognosis of endocarditis.
Diabetic foot infections are a common cause of morbidity and mortality in the United States, successful treatment often requires an aggressive prolonged approach. Recent work has elucidated importance appropriate therapy for given severity diabetic infection, highlighted ongoing risk such patients have subsequent invasive life-threatening infection should ulcers fail to heal. The authors describe case man with diabetes who had prolonged, delayed healing ulcer. ulcer subsequently became...
Tropical botfly infection is well described, though endemic myiasis in humans rare temperate regions. Reported a case of from Cuterebra larvae man northern New York with no tropical travel. The authors discuss the epidemiology, life-cycle, and diagnosis non-tropical infection.
Summary Background Developing teaching skills is a fundamental part of physician postgraduate training. Although resident‐as‐teacher curricula are proliferating, there no clear consensus on how best to train resident physicians as clinical teachers. Peer observation has been shown be effective in other settings, including faculty development, and could adopted for skill development. Methods The authors developed 5‐day training programme, founded three principles: (i) focused seminars; (ii)...
Inspired by the ABIM Foundation's Choosing Wisely® campaign, “Things We Do for No Reason™” (TWDFNR) series reviews practices that have become common parts of hospital care but may provide little value to our patients. Practices reviewed in TWDFNR do not represent “black and white” conclusions or clinical practice standards are meant as a starting place research active discussions among hospitalists invite you be part discussion.