A5081871306- Peripheral Nerve Disorders
- Diversity and Career in Medicine
- Orthopedic Surgery and Rehabilitation
- Cardiac, Anesthesia and Surgical Outcomes
- Aortic aneurysm repair treatments
- Nerve Injury and Rehabilitation
- Cerebrovascular and Carotid Artery Diseases
- Venous Thromboembolism Diagnosis and Management
- Vascular Procedures and Complications
- Peripheral Artery Disease Management
- Health and Medical Research Impacts
- Healthcare professionals’ stress and burnout
- Cardiovascular Health and Disease Prevention
- Shoulder Injury and Treatment
- Innovations in Medical Education
- Cardiac Ischemia and Reperfusion
- Central Venous Catheters and Hemodialysis
- Acute Ischemic Stroke Management
- Advances in Oncology and Radiotherapy
- Hospital Admissions and Outcomes
- Nitric Oxide and Endothelin Effects
- Medical Malpractice and Liability Issues
- Intracranial Aneurysms: Treatment and Complications
- Aortic Disease and Treatment Approaches
- Medical Education and Admissions
Perspectives Charter School
2020-2023
Atrium Health Wake Forest Baptist
2017-2023
Wake Forest University
2021-2023
Health Affairs
2023
Clinical Innovations (United States)
2023
Advocate Health Care
2023
University Medical Center Utrecht
2023
RELX Group (United States)
2023
Faculty of 1000 (United States)
2023
Faculty of Media
2020-2022
To evaluate the relationship between burnout and perceived major medical errors among American surgeons.Despite efforts to improve patient safety, by physicians remain a common cause of morbidity mortality.Members College Surgeons were sent an anonymous, cross-sectional survey in June 2008. The included self-assessment errors, validated depression screening tool, standardized assessments quality life (QOL).Of 7905 participating surgeons, 700 (8.9%) reported concern they had made error last 3...
To determine the incidence of burnout among American surgeons and evaluate personal professional characteristics associated with surgeon burnout.: Burnout is a syndrome emotional exhaustion depersonalization that leads to decreased effectiveness at work. A limited amount information exists about relationship between specific demographic practice surgeons.Members College Surgeons (ACS) were sent an anonymous, cross-sectional survey in June 2008. The evaluated variables, characteristics,...
Whether elective endovascular repair of abdominal aortic aneurysm reduces long-term morbidity and mortality, as compared with traditional open repair, remains uncertain.We randomly assigned 881 patients asymptomatic aneurysms who were candidates for both procedures to either (444) or (437) followed them up 9 years (mean, 5.2). Patients selected from 42 Veterans Affairs medical centers 49 age older at the time registration.More than 95% underwent repair. For primary outcome all-cause 146...
Objectives: To evaluate differences in burnout and career satisfaction between men women surgeons to determine the relationships among personal factors, professional characteristics, work-home conflicts.Design: Cross-sectional study, with data gathered through a survey.
Ultrasound-guided compression repair (UGCR) of catheterization-related femoral artery injuries was evaluated as a possible new imaging-guided interventional procedure. Thirty-nine (35 pseudoaneurysms, four arteriovenous fistulas) were detected with color Doppler flow imaging in patients enlarging groin hematomas and/or bruits 6 hours to 14 days after catheterization procedures. UGCR not performed 10 due spontaneous thrombosis (n = 4), infection 1) or skin ischemia 1), unsuitable anatomy 3),...
Elective endovascular repair of an abdominal aortic aneurysm results in lower perioperative mortality than traditional open repair, but after 4 years this survival advantage is not seen; addition, two European trials have shown worse long-term outcomes with repair. Long-term a study we conducted more decade ago to compare are unknown.We randomly assigned patients asymptomatic aneurysms either or the aneurysm. All were candidates for procedure. Patients followed up 14 years.A total 881...
In Brief Objective(s): We compared distress parameters and career satisfaction from survey results of surgeons 14 specialties practicing in an academic versus private practice environment. Methods: The 2008 American College Surgeons evaluated demographic variables, characteristics, satisfaction, using validated instruments. Results: setting (academic vs. practice) was independently associated with burnout a multivariate (MV) analysis (odds ratio [OR] 1.172, P = 0.02). Academic were less...
Studies involving physicians suggest that unconscious bias may be related to clinical decision making and predict poor patient-physician interaction. The presence of race social class its association with assessments or among medical students is unknown.
In 2010, national payers announced they would begin using patient satisfaction scores to adjust reimbursements for surgical care.To determine whether is independent from process measures and hospital safety.We compared the performance of hospitals that participated in Patient Satisfaction Survey, Centers Medicare & Medicaid Services Surgical Care Improvement Program, employee Safety Attitudes Questionnaire.Thirty-one US hospitals. PARTICIPANTS Patients employees.There were no interventions...
Significant health inequities persist among minority and socially disadvantaged patients. Better understanding of how unconscious biases affect clinical decision making may help to illuminate clinicians' roles in propagating disparities.To determine whether race and/or social class correlate with patient management decisions.We conducted a web-based survey 230 physicians from surgery related specialties at an academic, level I trauma center December 1, 2011, through January 31, 2012.We...
Based on evidence of survival benefit when initiating hemodialysis (HD) via arteriovenous fistula (AVF) or graft (AVG) vs catheter (HC), the National Kidney Foundation-Kidney Disease Outcomes Quality Initiative published practice guidelines in 1997 recommending 50% greater AVF rates incident HD patients. A decade after, lapses exist and impact outcomes is uncertain.To assess achievement goals for vascular access effects outcomes.This retrospective cohort study was conducted using US Renal...
Improving patient safety is an increasing priority for surgeons and hospitals since sentinel events can be catastrophic patients, caregivers, institutions. Patient initiatives aimed at creating a safe operating room (OR) culture are increasingly being adopted, but reliable means of measuring their impact on front-line providers does not exist.We developed surgery-specific questionnaire (SAQ) administered it to 2769 eligible caregivers 60 hospitals. Survey questions included the...
Diverticular disease of the colon in patients under age 40 years is uncommon. Between 1975 and 1985, 58 (31 men 27 women) were admitted for pathologically or radiographically proven acute diverticulitis. Seventeen (29.3 percent) younger than years. Fifteen 17 (88.2 required urgent emergent surgery complications diverticular disease. This represents a significantly (P<0.02) larger proportion that group those older (17/41 41.5 percent). Twelve (70.6 had their symptoms 72 hours less, 13, was...
Inflammatory abdominal aortic aneurysm (AAA) accounts for 5% to 10% of all cases AAA and differs from typical atherosclerotic in many important ways. Although both inflammatory most commonly affect the infrarenal portion aorta, patients with variant are younger usually symptomatic, chiefly back or pain. Unlike AAA, have an elevated erythrocyte sedimentation rate abnormalities other serum markers. Computed tomography magnetic resonance imaging sensitive demonstrating cuff soft tissue...
Recent studies have found that unconscious biases may influence physicians' clinical decision making. The objective of our study was to determine, using vignettes, if race and class exist specifically among trauma/acute care surgeons and, so, whether those impact surgeons' making.A prospective Web-based survey administered active members the Eastern Association for Surgery Trauma. Participants completed nine each with three surgery management questions. Race Implicit Test (IAT) social IAT...
To evaluate factors associated with work-home conflicts (W-HCs) of US surgeons and their potential personal professional consequences.Cross-sectional study.Members the American College Surgeons.Burnout, depression, quality life, alcohol use, career satisfaction, decisions (ie, reduce work hours or leave current practice).Of 7197 participating surgeons, 3754 (52.5%) had experienced a W-HC in previous 3 weeks. On multivariate analysis, worked per week, having children, sex, location (Veterans...