A5054380017- Primary Care and Health Outcomes
- Innovations in Medical Education
- Healthcare Policy and Management
- BRCA gene mutations in cancer
- Healthcare professionals’ stress and burnout
- Patient Satisfaction in Healthcare
- Diversity and Career in Medicine
- Diabetes Management and Education
- Cardiac pacing and defibrillation studies
- Global Cancer Incidence and Screening
- Patient-Provider Communication in Healthcare
- Healthcare cost, quality, practices
- Nutritional Studies and Diet
- Health Policy Implementation Science
- Cardiac Arrhythmias and Treatments
- Healthcare Systems and Technology
- Medical Education and Admissions
- Clinical Reasoning and Diagnostic Skills
- Health Sciences Research and Education
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Family Support in Illness
- Electronic Health Records Systems
- Colorectal Cancer Screening and Detection
- Eosinophilic Esophagitis
- Helicobacter pylori-related gastroenterology studies
New York University
2015-2024
VA NY Harbor Healthcare System
2013-2023
George Mason University
2023
Weatherford College
2023
University of Virginia
2023
Central Michigan University
2023
NYU Langone Health
2021
ORCID
2020
Hinge Health
2020
University Medical Center of Princeton
2018-2019
Background: Adverse primary care work conditions could lead to a reduction in the workforce and lower-quality patient care. Objective: To assess relationship among adverse conditions, physician reactions (stress, burnout, intent leave), Design: Cross-sectional analysis. Setting: 119 ambulatory clinics New York, upper Midwest. Participants: 422 family practitioners general internists 1795 of their adult patients with diabetes, hypertension, or heart failure. Measurements: Physician perception...
Background Little has been written about physician stress that may be associated with electronic medical records (EMR).
Williams, Eric S.; Konrad, Thomas R.; Scheckler, William E.; Pathman, Donald Linzer, Mark; McMurray, Julia Gerrity, Martha; Schwartz, Mark Author Information
To assess the effect of COVID-19 on health care, this study compares admissions data from Veterans Affairs system for overall and 6 common emergencies immediately before weeks during pandemic.
Although guidelines recommend in-person counseling before BRCA1/BRCA2 gene testing, genetic is increasingly offered by telephone. As genomic testing becomes more common, evaluating alternative delivery approaches salient. We tested whether telephone of BRCA1/2 was noninferior to delivery.Participants (women age 21 85 years who did not have newly diagnosed or metastatic cancer and lived within a study site catchment area) were randomly assigned usual care (UC; n = 334) (TC; 335). UC...
Objective: To assess relationships between primary care work conditions, physician burnout, quality of care, and medical errors. Methods: Cross-sectional longitudinal analyses data from the MEMO (Minimizing Error, Maximizing Outcome) Study. Two surveys 422 family physicians general internists, administered 1 year apart, queried job satisfaction, stress organizational culture, intent to leave within 2 years. A chart audit 1795 their adult patients with diabetes and/or hypertension assessed...
Background. Physician job satisfaction has been linked to various patient care and health system outcomes. A survey instrument that concisely measures physicians' with facets can help diverse stakeholders better understand manage these Objective. To document the development validation of a multidimensional physician measure separate global measures. Design. Self-administered questionnaire: Worklife Survey (PWS). Subjects. pilot study employed national American Medical Association Masterfile...
Background. Reports of adolescent suicidal behaviour have generally derived from clinical settings but population-based studies are likely to provide a clearer epidemiological view.Methods. Non-fatal behaviours were studied in 1699 Australian 15- 16-year-old secondary school students at 44 schools the state Victoria, Australia. Self-reported episodes self-harm characterized using items Beck Suicide Intent Scale.Results. The 12 month weighted prevalence estimate for deliberate was 5·1%....
New applications of evolutionary biology in medicine are being discovered at an accelerating rate, but few physicians have sufficient educational background to use them fully. This article summarizes suggestions from several groups that considered how can be useful medicine, what should learn about it, and when they it. Our general conclusion is a crucial basic science for medicine. In addition looking established methods topics, such as population genetics pathogen evolution, we highlight...
Background. Changes in the demographic, specialty, and employment sector composition of medicine have altered physicians' jobs, limiting autonomy reducing morale. Because physician job satisfaction has been linked to clinical variables, better measurement might help ameliorate conditions medical disaffection, possibly improving health care. Objective. To document conceptual development, item construction, use content experts designing multidimensional measures global scales for assessing...
Williams, Eric S.; Konrad, Thomas R.; Scheckler, William E.; Pathman, Donald Linzer, Mark; McMurray, Julia Gerrity, Martha; Schwartz, Mark* Author Information
To study the impact that physician, practice, and patient characteristics have on physician stress, satisfaction, mental, physical health.Based a survey of over 5,000 physicians nationwide. Four waves surveys resulted in 2,325 complete responses. Elimination ineligibles yielded 52 percent response rate; 1,411 responses from primary care were used.A conceptual model was tested by structural equation modeling. Physician job satisfaction stress mediated relationship between as independent...
The authors performed a review of 30 Accelerating Change in Medical Education full grant submissions and an analysis the health systems science (HSS)-related curricula at 11 recipient schools to develop potential comprehensive HSS curricular framework with domains subcategories.In phase 1, identify domains, were analyzed coded using constant comparative analysis. In 2, detailed all existing planned syllabi curriculum documents grantee was performed, content core into subcategories. lead...
BackgroundThe growing demand for cancer genetic services underscores the need to consider approaches that enhance access and efficiency of counseling. Telephone delivery may improve these individuals experiencing geographic (rural areas) structural (travel time, transportation, childcare) barriers access.
AbstractObjectives. To examine the associations between racial/ethnic concordance and blood pressure (BP) control, to determine whether patient trust medication adherence mediate these associations.Design. Cross-sectional study of 723 hypertensive African-American white patients receiving care from 205 providers at 119 primary clinics, 2001 2005. Racial/ethnic was characterized as dyads where both physician were same race/ethnicity; discordance occurred in white. Patient perceptions assessed...
Purpose The ongoing integration of cancer genomic testing into routine clinical care has led to increased demand for genetic services. To meet this demand, there is an urgent need enhance the accessibility and reach such services, while ensuring comparable delivery outcomes. This randomized trial compared 1-year outcomes telephone counseling with in-person among women at risk hereditary breast and/or ovarian living in geographically diverse areas. Patients Methods Using population-based...
<h3>Importance</h3> Racial and ethnic diversity among study participants is associated with improved generalizability of clinical trial results may address inequities in evidence that informs public health strategies. Novel strategies are needed for equitable access recruitment diverse populations. <h3>Objective</h3> To investigate demographic geographical location data 2 remote COVID-19 trials online compare those a contemporaneous clinic-based study. <h3>Design, Setting, Participants</h3>...
The recent identification of BRCA1, a breast cancer susceptibility gene, offers an unprecedented opportunity for high-risk individuals to learn whether they are genetically predisposed develop or ovarian cancer. This study examined the relationships between psychological distress and use BRCA1 testing by 149 from hereditary families. After baseline assessment demographics, objective risk, cancer-specific distress, global (depressive symptoms), participants were offered receive genetic...
The purpose of the present study was two-fold: (a) to characterize psychological status women with a family history breast or ovarian cancer who self-refer for genetic counseling and BRCA1 testing; (b) identify specific demographic, personality, appraisal factors that contribute cancer-specific distress general in this group women. Participants were 256 ages 18 older had at least one first-degree relative (FDR) and/or cancer. recruited through clinics obstetrics/gynecology departments two...
Sixty consecutive patients with spinal injuries and encroachment upon the canal of greater than 20% were assessed for neurological outcome. The divided into two groups, those undergoing posterior surgery alone, anterior formal decompression or without instrumentation. In surgery, an improvement rate in function 83% was noted incomplete lesions, whereas 88% found procedure. There no statistical difference outcome between these groups. Positive correlations level injury Frankel grades. cord...