A5013896749- Innovations in Medical Education
- Diversity and Career in Medicine
- Medical Education and Admissions
- Health and Medical Research Impacts
- Opioid Use Disorder Treatment
- Healthcare professionals’ stress and burnout
- Primary Care and Health Outcomes
- Homelessness and Social Issues
- Pharmaceutical Practices and Patient Outcomes
- Substance Abuse Treatment and Outcomes
- Emergency and Acute Care Studies
- Hospital Admissions and Outcomes
- Migration, Health and Trauma
- Mental Health Treatment and Access
- Nursing Education, Practice, and Leadership
- Digital Mental Health Interventions
- COVID-19 and Mental Health
- Participatory Visual Research Methods
- Interprofessional Education and Collaboration
- Patient Satisfaction in Healthcare
- HIV, Drug Use, Sexual Risk
- Cardiac, Anesthesia and Surgical Outcomes
- Clinical Reasoning and Diagnostic Skills
- Patient Safety and Medication Errors
- Clinical practice guidelines implementation
Casa Esperanza
2017-2024
University of Nottingham
2023-2024
Boston Medical Center
2024
Boston University
2016-2024
Institute of Mental Health
2024
University of Southern California
2021-2023
Utica College
2023
Johns Hopkins Hospital
2023
Thomas Jefferson University
2015-2022
Washington University in St. Louis
2022
The fourth year of medical school remains controversial, despite efforts to reform it. A committee from the Clerkship Directors in Internal Medicine and Association Program examined transitions internship with goal better academic advising for students. In 2013 2014, published literature Web sites 136 Liaison Committee on Medical Education–accredited schools information current course offerings school. authors summarized temporal trends outcomes when available. Subinternships were required...
<h3>Background</h3> In light of widespread undertreatment for glucocorticoid-induced osteoporosis (GIOP), we designed a group randomized controlled trial to increase bone mineral density (BMD) testing and medication prescribing among patients receiving long-term glucocorticoid therapy. <h3>Methods</h3> Using administrative databases large US health plan, identified physicians who prescribed therapy at least 3 patients. One hundred fifty-three participating were receive 3-module Web-based...
Objective: Addressing alcohol and other drug disorders mental among adult Hispanics/Latinos is of critical concern, as they are one the fastest-growing ethnic groups with a disproportionate rate disease, disorders, poverty. Although improvement in outcomes associated sustained participation ongoing treatment for co-occurring disorders/mental continuing care rare these chronic conditions, especially Latinos more limited access to culturally linguistically competent services. Methods: The...
As medical educators continue to redefine learning and assessment across the continuum, implementation of competency-based education in undergraduate setting has become a focus many schools. While standards competency have been defined for graduating student, there is no uniform approach defining expectations students during their core clerkship year. The authors describe process by which an Alliance Academic Internal Medicine task force developed paradigm inpatient internal medicine (IM)...
To examine internal medicine residency program directors' (PDs') screening practices and perceptions about current recruitment challenges.In March-May 2017, the Association of Program Directors in Internal Medicine Survey Committee sent a survey to 373 Alliance for Academic member programs. PDs rated importance 23 inclusion 11 exclusion criteria interview invitation decision making, provided United States Medical Licensing Examination (USMLE) cutoff scores U.S. medical school international...
Background: Hispanic/Latinx persons with alcohol and other drug disorders (AOD) have limited access to culturally competent continuity of care. To address this, the evidence-based smartphone recovery application Addiction-Comprehensive Health Enhancement Support System (A-CHESS) was translated adapted for Latinx Spanish-speakers AOD, developing CASA-CHESS. Objectives: This study examined AOD mental health outcomes Spanish-speaking clients using CASA-CHESS tool over a 6-month period,...
Abstract Background Medical students have reported facing unique challenges in their academic journey that can a significant impact on mental health and wellbeing; therefore, access to support services wellbeing resources has been deemed crucial for dealing effectively with the various they tend face. While previous research highlighted certain barriers affecting medical students’ help-seeking more generally, there is pressing need in-depth into factors may hinder or facilitate acceptability...
Importance Overdose is the leading cause of death among people experiencing homelessness (PEH), but engagement in medication treatment low this population. Shelter-based buprenorphine may be a strategy for increasing initiation and retention on lifesaving medications. Objective To estimate clinical outcomes conduct an economic analysis statewide shelter-based opioid Massachusetts. Design, Setting, Participants This evaluation study Massachusetts used cohort state-transition simulation model....
To examine whether resident communication skills evaluated through patient satisfaction surveys demonstrate evidence of decline the 3 years internal medicine residency.Data for this study were collected retrospectively from a database completed residents at different levels training. Patient was measured with Aggregated EVGFP (excellent, very good, fair, or poor) questionnaire recommended by American Board Internal Medicine.Over span 5 (2005-2009), total 768 rating forms 67 during their...
ABSTRACT Background Over the past decade, number of residency applications has increased substantially, causing many programs to change their recruitment practices. Objective We determined how internal medicine (IM) have responded by program type (community-based, community-based/university-affiliated, and university-based) characteristics (percentage international medical graduates, size, director [PD] tenure). Methods The Association Program Directors in Internal Medicine conducted a...
Abstract Background Photovoice is a form of visual ethnography intended to engage impacted communities in research followed by action ameliorate the injustices under study. has increased use, especially collaboration with Latinx addressing health inequities. The population comprises nearly 18% overall United States and according census projected reach just 30% 2060. This diverse panethnic community faces significant structural barriers accessing services. Racism resulting marginalization,...
Purpose: Few studies have examined the relationship between intersections of lesbian, gay, and bisexual (LGB) sexual orientation, Latine ethnicity, lifetime suicide attempts in individuals with substance use disorder. This study examines this intersection controls for social determinants health, mental health disorder symptoms, symptoms a sample adults entering treatment co-occurring disorders. Method: Bivariate statistics multivariate logistic regression were used to analyze assessment data...
This study aims to characterise and evaluate the largest 100 hospitals in USA that have adopted aggressive collection tactics pursue patients with unpaid medical bills, such as lawsuits, wage garnishments liens. Cross-sectional study. We examined state county court record systems measure magnitude prevalence of these practices at UA between 1 January 2018 31 July 2020. The main outcome this was number A secondary characterisation a hospital's safety, charitability, size financial practices....
This randomized clinical trial evaluates the effect of prescriber notifications a patient’s fatal overdose on opioid prescribing, including decreases in morphine milligram equivalents, new patients taking opioids, and high dose, at 4 to 12 months after notification.
We aimed to determine if not using residual neuromuscular blockade (RNB) analysis guide reversal administration in the postsurgical ICU resulted consequences related weakness. This single-center, prospective study evaluated 104 patients arriving a postcardiac surgical ICU. After demonstrating spontaneous movement and T > 35.5 °C, all underwent RNB evaluation, neostigmine/glycopyrrolate was then administered. When later demonstrated an adequate Rapid Shallow Breathing Index, negative...
Objectives This study aims to quantify the degree which an underserved, Hispanic population in Los Angeles is impacted by SARS-CoV-2, and determine factors associated with paediatric seropositivity. Design Cross-sectional. Setting AltaMed, a Federally Qualified Health Center Angeles. Participants A random sample of households who had received healthcare at AltaMed Medical Group was invited participate. Households least one adult participant between 5 17 years age were eligible Consented...