A5049770175- Geriatric Care and Nursing Homes
- Innovations in Medical Education
- Frailty in Older Adults
- Chronic Disease Management Strategies
- Aging and Gerontology Research
- Health Systems, Economic Evaluations, Quality of Life
- Diversity and Career in Medicine
- Health and Medical Research Impacts
- Retirement, Disability, and Employment
- Global Health Care Issues
- Primary Care and Health Outcomes
- Health disparities and outcomes
- Diabetes Treatment and Management
- Health and Well-being Studies
- Empathy and Medical Education
- Clinical Reasoning and Diagnostic Skills
- Pharmaceutical Practices and Patient Outcomes
- Nutrition and Health in Aging
- Healthcare cost, quality, practices
- Diabetes Management and Research
- Diabetes Management and Education
- Bipolar Disorder and Treatment
- Emergency and Acute Care Studies
- Palliative Care and End-of-Life Issues
- Glaucoma and retinal disorders
Johns Hopkins Medicine
2013-2025
Johns Hopkins University
2014-2025
Johns Hopkins Bayview Medical Center
2007-2021
Duke University
2012
National Center for Geriatrics and Gerontology
2010
British Geriatrics Society
2009
University of Illinois Chicago
2007
SUNY Upstate Medical University
2005
American Geriatrics Society
2002
University of Baltimore
1998
Increasingly, adults are living to an advanced age. While many enjoy good health, nearly 50% of older than 65 years have 3 or more chronic medical conditions. Furthermore, within any age-sex cohort, exhibit widely heterogeneous health status--ranging from robust frail. This heterogeneity and individual complexity makes care for patients particularly challenging requires both careful judgment a clear understanding the patient's personal values goals. Most current guidelines disease-specific...
Older adults often receive suboptimal care during hospitalizations and transitions to postacute settings. Inpatient geriatric services have been shown increase quality but not improved patient outcomes consistently. Acute Care for the Elderly units improve are resource intensive. Transitional has reduce hospital readmissions healthcare costs. This article describes Geriatric Floating Interdisciplinary Transition Team (Geri‐FITT), a model that combines strengths of inpatient evaluation...
<h3>Importance</h3> The Johns Hopkins Community Health Partnership was created to improve care coordination across the continuum in East Baltimore, Maryland. <h3>Objective</h3> To determine whether (J-CHiP) associated with improved outcomes and lower spending. <h3>Design, Setting, Participants</h3> Nonrandomized acute intervention (ACI) community (CI) Medicare Medicaid participants were analyzed a quality improvement study using difference-in-differences designs propensity score–weighted...
Context: Recent clinical trials of im testosterone in eugonadal men suggest positive effects on verbal memory, but other studies find no effect.
Physician house calls are an important mode of healthcare delivery to frail homebound older adults and positively affect patient outcomes learner education, but most physicians receive scant training in home care medicine. A novel longitudinal curriculum call medicine for internal residents was implemented July 2006, educational were evaluated over the following 3 years. The 2‐year included didactic experiential components. Residents made with preceptors alone completed a series computer...
Academic health centers (AHCs) are committed to the tripartite missions of research, education, and patient care. Promotion decisions at many AHCs focus predominantly on research accomplishments, some members community remain concerned about how reward clinicians who excel in, spend a majority their time, caring for patients. Many clinically excellent physicians contribute substantively all aspects mission by collaborating with researchers (either through intellectual discourse or enrolling...
Samuel C. Durso, MD, MBA*, Colleen Christmas, MD*, Steven J. Kravet, MBA†, Gregory Parsons† and Scott M. Wright, MD† Divisions of Geriatrics General Internal Medicine, Johns Hopkins Bayview Medical Center, University School Baltimore, Maryland Corresponding Author: 5200 Eastern Avenue, Suite 2300, MD 21224 USA, Tel: 410-550-0817, Fax: 410-550-3403, Email: swright{at}jhmi.edu
The provision of high-quality clinical care is critical to the mission academic and nonacademic settings foremost importance physicians. Concern has been increasingly raised that rewards systems at most institutions may discourage those with a passion for over research or teaching from staying in academia. In addition advantages afforded by institutions, physicians perceive important challenges, disincentives, limitations providing excellent care. To better understand these views, we...
China has the world's largest and most rapidly growing older adult population. Recent dramatic socioeconomic changes, including a large number of migrating workers leaving their elderly parents grandparents behind 4:2:1 family structure caused by one-child policy, have greatly compromised traditional Chinese support for adults. These demographic factors, improved living standards, quest higher quality life are creating human economic pressures. The plight senior citizens is leading to an...
Role modeling is an integral component of medical education. The literature suggests that being a clinically excellent academic physician and serving as role model for trainees are integrally related.To explore the relationship between considered effective model.Two independent surveys were administered to active faculty (asked name colleagues) internal medicine residents models). We compared frequency counts mentioned models by respondents. Spearman correlations odds ratios with 95%...
Most U.S. medical schools and training programs lack sufficient faculty expertise in geriatrics to train future physicians care for the growing population of older adults. Thus, reach clinician-educators at institutions that have limited resources enhancing curricula, Donald W. Reynolds Foundation launched Faculty Development Advance Geriatrics Education (FD~AGE) program. This consortium four disseminates education through support clinician-educators. The authors conducted this study measure...
Geriatricians work within a continuum of health services designed to meet the diverse care needs older adults. They must develop expertise in these models and be able guide safe efficient transitions. This article describes 9‐week educational series review evidence base practical aspects implementing key that span for The sessions covered geriatric assessment, ambulatory care, acute hospital, house call, hospital‐at‐home, Program All‐Inclusive Care Elderly, assisted living, inpatient...
Physicians spend less time at the bedside in modern hospital setting which has contributed to a decline physical diagnosis, and particular, cardiopulmonary examination skills. This trend may be source of diagnostic error threatens erode patient-physician relationship. We created new diagnosis curriculum assessed its effects on post-graduate year-1 (PGY-1; interns) attitudes, confidence skill.One hundred five internal medicine interns large U.S. residency program participated Advancing...
The term "plastic surgeon" is oddly uninformative, although it seems likely that most people know what plastic surgeons do. How well can a sample of individuals encountered on the street describe geriatricians do? To answer this question, we strolled through downtown Baltimore's Inner Harbor, armed with video camera and picture identification cards to ask following question: "What geriatrician?" Two us (PA, JY), from Johns Hopkins Division Geriatric Medicine Gerontology, surveyed convenience...
Mayer RS, Shah A, DeLateur BJ, Durso SC: Proposal for a required advanced clerkship in chronic disease and disability medical students. Am J Phys Med Rehabil 2008;87:162–167.