A5005051544- Maternal Mental Health During Pregnancy and Postpartum
- Prenatal Substance Exposure Effects
- Innovations in Medical Education
- Maternal and Perinatal Health Interventions
- Primary Care and Health Outcomes
- Gestational Diabetes Research and Management
- Pharmaceutical Practices and Patient Outcomes
- Diversity and Career in Medicine
- Hospital Admissions and Outcomes
- Surgical Simulation and Training
- Human-Animal Interaction Studies
- Opioid Use Disorder Treatment
- Global Health Workforce Issues
- Prenatal Screening and Diagnostics
- Infant Development and Preterm Care
- Reproductive Health and Contraception
- Maternal and fetal healthcare
- Child and Adolescent Health
- Psychology of Moral and Emotional Judgment
- Geographies of human-animal interactions
- Health Policy Implementation Science
- Anorectal Disease Treatments and Outcomes
- Cancer survivorship and care
- BRCA gene mutations in cancer
- Patient-Provider Communication in Healthcare
Mountain Area Health Education Center
2015-2024
University of North Carolina at Chapel Hill
2003-2023
Australia and New Zealand Banking Group
2023
University of North Carolina Health Care
2019-2022
University of North Carolina at Asheville
2018-2022
Indiana University School of Medicine
2022
SwissLitho (Switzerland)
2019
University of Alabama
2018
University of Chicago
2018
University of Pittsburgh Medical Center
2018
Wearable sensors and other smart technology may be especially beneficial in providing remote monitoring of sub-clinical changes pregnancy health status. Yet, limited research has examined perceptions among pregnant patients providers incorporating into their daily routine clinical practice.The purpose this study was to examine the women at a rural clinic on use wearable monitor environmental exposures during pregnancy.An anonymous 21-item e-survey administered family medicine or obstetrics...
In two studies, we used the Ethics Position Questionnaire (EPQ) to investigate relationship between individual differences in moral philosophy, involvement animal rights movement, and attitudes toward treatment of animals. first, 600 activists attending a national demonstration 266 nonactivist college students were given EPQ. Analysis returns from 157 198 indicated that more likely than hold an "absolutist" orientation (high idealism, low relativism). second study, 169 EPQ with scale...
In Brief PURPOSE: We examined the evaluations given by nurses to obstetrics and gynecology residents estimate whether gender bias was evident. BACKGROUND: Women receive more negative feedback than men—from both sexes. Some suggest that, be successful in traditionally male roles such as surgeon, women must manifest a warmth-related (communal) rather competence-related (agentic) demeanor. Compared with residents, female experience interpersonal difficulties less help from nurses. provided...
The authors explored affordances that contribute to participants' successful learning in longitudinal integrated clerkships (LICs).This dual-institutional, mixed-methods study included electronic surveys and semistructured interviews of LIC graduates who completed their core clinical (third) year medical school. These took part LICs at Harvard Medical School from 2004 2013 the University North Carolina Medicine-Asheville campus 2009 2013. survey questions asked rate components they perceived...
Transitions of care from the hospital to outpatient setting often fail meet Triple Aim improving quality, health populations, and decreasing cost care. A major push improve quality transitions reduce readmissions is under way.We implemented a team-based, transition-of-care model assessed impact on 30-day readmission rates. The 3 components intervention were contact with nurse manager, medication reconciliation, follow-up physician. We compared rates for period before versus after...
Objective: To compare maternal and fetal outcomes among dyads prescribed buprenorphine naloxone or during pregnancy. Methods: Retrospective cohort study of patients with opioid use disorder obtaining care in a comprehensive, perinatal program. Patients utilized medication for disorder: combination product monotherapy. The primary outcome was neonatal abstinence syndrome requiring treatment. Maternal secondary included: negative urine drug screen at delivery, obstetrical attendance, cesarean...
The effectiveness and financial benefit of pharmacist-led annual wellness visits (AWVs) in conjunction with comprehensive medication management (CMM) for older, high-risk patients were examined.Eligible 65 years age or older three more chronic medical conditions, taking five long-term prescription nonprescription medications receiving primary care a retirement community clinic. intervention involved two components, an AWV CMM. included all Medicare-required components. All participants saw...
Psychological safety and accountability are frameworks to describe relationships in the workplace. is a shared belief by members of team that it safe take interpersonal risks. Accountability refers being challenged expected meet expectations goals. supported relational trust. Relational continuity educational construct underpinning longitudinal integrated clerkships. The workplace constructs psychological may offer lenses understand students' experiences clerkships.We performed qualitative...
This paper characterizes the portrayal of animals and human-animal relations in one genre American popular culture—the "supermarket" tabloid press. A total 789 animal-related stories photographs 82 issues four magazines were analyzed according to theme. The items fell into nine categories which portrayed as objects affection, saviors, threats, victims, things be used, sex objects, imaginary mythological beings, surrogate humans, wonder. It is argued that these themes represent archetypes...
Abstract Background The Accreditation Council for Graduate Medical Education states that education needs to have priority over service. There is a potential residents negative perception of activities termed Objective To understand how one obstetrics and gynecology program conceptualize service clinical in their daily training experiences. Methods We conducted qualitative survey using semistructured interviews with 9 gynecology. Verbatim transcripts underwent phenomenologic analysis themes...
Ensuring residents develop operative skills requires application of the principles guided learning, deliberate practice, and directed feedback.We sought to create implement a tool promote procedural "key" step review immediate feedback on surgical skills, examined faculty resident satisfaction with created (SurF) cards for 8 gynecologic procedures. Faculty/fellows completed prestudy surveys querying frequency preoperative key skill feedback, SurF card each time 1 procedures was performed,...
To describe how effectively we provided adequate prenatal care and postpartum contraception to prevent repeat, unintended pregnancies women using opiates or medication maintenance therapy (MMT) during pregnancy.We conducted a retrospective chart review of 94 MMT 96 while receiving in the regional high-risk maternity clinic between July 2010 June 2012. We examined usage, birth outcomes, χ(2), Kruskal-Wallis, binary logistic regression modeling.Patients were predominately white (93.6%),...
Background and Objectives: Rural health disparities are growing, medical schools residency programs need new approaches to encourage learners enter stay in rural practice. Top correlates of practice upbringing rurally located training, yet preparation for plays a role. The authors sought explore how selected develop learners’ competencies associated with placement retention: life, community engagement, leadership. Methods: Qualitative, semistructured phone interviews (n=20) were conducted...
<b>BACKGROUND</b> The Annual Wellness Visit was designed to enhance preventive services utilization among Medicare beneficiaries; Visits are underutilized with sparse documented effectiveness. Patients of 3 community-based and 2 retirement community outpatient clinics in western North Carolina had team-based over a 20-month program, the goal improving uptake delivery Visit. A clinical pharmacist saw high-complexity patients (≥5 medications) licensed practical nurse low-complexity patients....