Email Distribution Lists Research Articles

Taking a Team Approach: Keep up with the EHR with a Training and Optimization Program.

This study aimed to describe the current landscape of electronic health record (EHR) training and optimization programs (ETOPs) and their impact on healthcare workers' (HCWs) experience with the EHR. A 72-question electronic survey was developed and distributed to healthcare organization (HCO) leaders in clinical informatics through various channels such as national informatics conferences, social media, and email distribution lists of vendors and informatics associations. The survey collected data on the characteristics, resourcing, approach, and outcomes of ETOPs. Descriptive statistics were applied to analyze the data. There were 193 responses from 147 distinct HCOs. Of these, 69% offer ongoing EHR training, and 52% offer some version of an ETOP. Offered ETOPs vary in their timing, modality, audience, team composition, duration, and EHR build strategy. The most commonly measured outcomes were EHR satisfaction, efficiency, and provider burnout, and most ETOPs reported improvement in these areas. The findings suggest that ETOPs are inconsistently implemented across HCOs, and while there are some commonalities, there is a wide variety of design and methods of evaluation for the programs. Though the problems to solve for (EHR efficiency, proficiency, and satisfaction) are the same, the organizational structure and culture of HCOs varies widely, which may partially explain the variability seen in reported ETOPs. When considering the measured outcomes, ETOPs may have direct and indirect effects on HCW burnout by improving EHR efficiency and satisfaction, as well as driving organizational culture towards teamwork and flexible problem solving. For this reason, ETOPs may also serve as a model for addressing other challenges in healthcare delivery. ETOPs are a promising intervention to enhance HCW experience with the EHR and reduce burnout. More research is needed to identify the optimal features, methods, and outcomes of ETOPs, and to disseminate them across HCOs.

Nonsteroidal anti-inflammatory drugs for analgesia in intensive care units: a survey of Canadian critical care physicians.

Opioids remain the mainstay of analgesia for critically ill patients, but its exposure is associated with negative effects including persistent use after discharge. Nonsteroidal anti-inflammatory drugs (NSAIDs) may be an effective alternative to opioids with fewer adverse effects. We aimed to describe beliefs and attitudes towards the use of NSAIDs in adult intensive care units (ICUs). Our survey of Canadian ICU physicians was conducted using a web-based platform and distributed through the Canadian Critical Care Society (CCCS) email distribution list. We used previously described survey development methodology including question generation and reduction, pretesting, and clinical sensibility and pilot testing. We received 115 completed surveys from 321 CCCS members (36%). Nonsteroidal anti-inflammatory drugs use was most described as "rarely" (59 respondents, 51%) with the primary concern being adverse events (acute kidney injury [108 respondents, 94%] and gastrointestinal bleeding [92 respondents, 80%]). The primary preferred analgesic was acetaminophen (75 respondents, 65%) followed by opioids (40 respondents, 35%). Most respondents (91 respondents, 80%) would be willing to participate in a randomized controlled trial examining NSAID use in critical care. In our survey, Canadian critical care physicians did not mention commonly using NSAIDs primarily because of concerns about adverse events. Nevertheless, respondents were interested in further studying ketorolac, a commonly used NSAID outside of the ICU, in critically ill patients.

Psychosocial burden of autoimmune blistering diseases: A comprehensive survey study.

Autoimmune blistering diseases (AIBDs) are severe dermatologic disorders known for their debilitating physical impact. Recent research has reported that AIBDs lead to psychosocial impairment, including depression and anxiety. Missing from the extant literature is an examination of the impact of AIBDs on body image and related psychological constructs. The current study seeks to characterize the psychological and social consequences of AIBD diagnosis, with particular attention to body image dissatisfaction. We conducted a survey study of adults with AIBDs. The survey was open from February 2023 to March 2023. Validated self-report questionnaires assessed depressive symptomatology, body image disturbance and quality of life. Demographic information and self-reported psychiatric history before and after AIBD diagnosis were collected via self-report. Participants were 451 adults with AIBDs, recruited through the International Pemphigus and Pemphigoid Foundation newsletters, email distribution lists and social media. Participants reported increased incidence of psychiatric disorders following AIBD diagnosis. Participants reported high levels of depressive symptomatology and impairments to quality of life compared to other patient groups. The sample reported extremely high levels of body image disturbance, more so than other patients with disfiguring diseases or injury. Correlation analyses revealed significant relationships between body image variables and quality of life, even after controlling for depression. Current treatment guidelines for AIBDs focus primarily on the management of disease flares and the consequences of immunosuppression, without consideration of the psychosocial consequences of the disease. The current study underscores the need for mental health support for patients with AIBDs.

LogMyScan: A pilot evaluation study of a mobile phone-based ultrasound logbook application.

We developed a mobile phone logbook application called LogMyScan. The study objectives were to evaluate a number of domains as per the technology acceptance model. A prospective pilot cohort study was conducted using a version of LogMyScan and reported according to Statement on Reporting of Evaluation studies in Health Informatics. Prospective participants were directed to a website which provided information and links. Participants were recruited via email distribution lists and social media. A task list was provided, which included entering simulated scan data and navigating the application, prior to completing a questionnaire. Questions were aligned to technology acceptance model domains, and Cronbach's alpha was calculated to assess reliability. There were 49 participants and 7 were unable to complete the image upload and editing step. Levels of agreement for usability, educational and governance/security aspects were generally good. The desirability of existing and proposed features was high for images and video clip handling, feedback and reflection and less for motivational notifications and benchmarking. Comments identified some limitations and issues on the Android platform. Cronbach's alpha demonstrated good to excellent reliability: 0.87 (95% confidence interval, 0.79-0.91) for usability, educational and governance/security and 0.86 (95% confidence interval, 0.78-0.91) for desirability of existing and proposed features. There was generally high perceived ease of use, usefulness, attitude towards use and behavioural intention to use LogMyScan. Further research is needed to evaluate LogMyScan for future iterations, allowing recruitment of a larger number of participants and evaluating user expectations prior to using, and at timed intervals after using.

Exploring the gap: attitudes, knowledge, and training needs in complementary and integrative medicine among healthcare professionals at German university hospitals.

The use of Complementary and Integrative Medicine (CIM) is very popular among the general population in Germany. However, international studies show that nurses, physicians, and other health care professionals (HCPs) at hospitals often do not feel sufficiently informed about different CIM approaches. Moreover, they do not feel trained enough to counsel their patients appropriately. In the German-speaking context, particularly within university hospitals, research on this subject is scarce. Therefore, the aim of this explorative study was to evaluate attitudes, subjective knowledge, and needs regarding CIM among HCPs with direct patient interaction across all four university hospitals in the federal state of Baden-Württemberg, Germany (Tübingen, Ulm, Freiburg, Heidelberg). The multicenter, cross-sectional, anonymous full survey was conducted online using a self-developed, semi-structured, web-based questionnaire. Recruitment took place via all-inclusive e-mail distribution lists of all four university hospitals. A total of n = 2,026 participants (response rate varied by location from about 5 to 14%) fully answered the questionnaire. Nurses constituted the largest professional group (n = 1,196; 59%), followed by physicians (n = 567; 28%), physiotherapists (n = 54), psychologists (n = 48), midwives (n = 37), and other professions (n = 124). More than two-thirds (71%, n = 1,437) of the participants were female and 14% (n = 286) reported additional training in CIM. The overall attitude toward CIM (10-point Likert scale, 10 = "very favorable") was clearly positive (M ± SD: 7.43 ± 2.33), with notable differences between professional groups: midwives (9.05 ± 1.18), physiotherapists (8.44 ± 1.74), and nurses (8.08 ± 1.95) expressed the highest support, whereas physicians (5.80 ± 2.39) the lowest. 42% of the participants incorporated CIM in patient care (from 33% of physicians to 86% of midwives). Overall, relaxation therapy (n = 1,951; 96%), external applications (n = 1,911; 94%), massage (n = 1,836; 91%), and meditation/mindfulness (n = 1,812; 89%) were rated as useful or rather useful for patients. The average self-assessed knowledge level about CIM was moderate (M ± SD: 5.83 ± 2.03). Most of the participants found CIM training at university hospitals important and saw research about CIM as one of the tasks of university hospitals. The participants expressed the highest interest in education for acupuncture/acupressure, relaxation therapies, and manual medicine. This comprehensive survey of health care professionals (HCPs) at university hospitals in Germany reveals a clearly positive disposition toward CIM, aligning with findings from other hospital-based surveys and highlighting differences among professional groups. While most therapies deemed beneficial for patient care are supported by positive evidence, further research is required for others. Given the average self-reported knowledge of CIM, targeted education is essential to meet the needs of both HCPs and patients and to ensure the provision of evidence-based information on the risks and benefits of CIM.

Do orthopaedics surgeons have any idea what predatory journals are?:(cross-sectional study)

ObjectiveThe legitimacy of published research confronts a real challenge posed by predatory journals. These journals not only distribute inadequately written articles but also undermine the prospects of acknowledgment and citation for high-quality content. It is essential, nevertheless, to differentiate between predatory journals and reputable open-access ones. A worldwide anti-predatory movement seeks to enhance awareness about such journals. Hence, our objective was to assess the awareness, attitudes, and practices of Sudanese orthopedic surgeons concerning both predatory and open-access publishing. MethodsConducted between January and April 2023, this cross-sectional electronic survey involved Sudanese orthopedic surgeons. The survey, comprising five domains to gauge knowledge, attitudes, and practices related to predatory and open-access publishing, was shared via the Sudanese Orthopedic Surgeons Association email distribution list among the 561 registered surgeons. The targeted sample size was 286. Categorical variables were reported using frequencies, while continuous variables were presented as medians and interquartile ranges. Nonparametric tests and ordinal regression were employed for inferential statistics. ResultsOf the 561 surgeons, 104 participants completed the questionnaire, resulting in a response rate of 18.5 %. Approximately 49% exhibited poor knowledge, with 56% unfamiliar with the term "predatory journals," and 74% unaware of Beall's list. Overall attitudes toward publication in open-access and predatory journals were neutral for 60% of participants, and only 26% demonstrated good overall publication practices. Higher knowledge scores positively correlated with attitude and practice scores. Ordinal regression analysis identified variables such as employment in university hospitals, higher academic rank, publication experience, and working in well-resourced countries as factors increasing the likelihood of higher knowledge, attitude, and practice scores. ConclusionThe majority of the study participants reported very low knowledge of predatory journals and their possible detrimental consequences on the integrity and quality of scientific publications. Therefore, educational efforts on the negative impact of predatory publication practices in orthopedics are needed.

The use of Community/Public Health Nursing Competencies during the COVID-19 pandemic.

(1) Ascertain the use of the Quad Council Competencies for Community/Public Health Nursing (QCC-C/PHN) Competencies by community/public health nurses (C/PHNs) during the COVID-19 pandemic; (2) Inform from a systems-level the need to sustain the C/PHN workforce; (3) Assess the C/PHN infrastructure for response capacity. Cross-sectional. Statewide email distribution lists were used for dissemination. Convenience sample (n=169) obtained using emailed Qualtrics link with the eligibility criteria of self-identification as a C/PHN who works in the state of Missouri. Demographic questions included employment sector, nursing education level, years of nursing, and C/PHN experience. Two Likert-type questions and one optional open-text question were created for the eight domains. One hundred sixty-nine participants' data were analyzed. One hundred fifty-four were employed in a local public health agency. Total 63.2% held a bachelor's degree in nursing or higher. The average number of years of nurse experience was 20.84, and C/PHN experience was 9.84. The domain of Communication Skills scored highest and Cultural Competency was the lowest. Three themes emerged from the open-ended questions including vulnerabilities of the public health system. Understanding the experiences of C/PHNs in Missouri related to the utilization of QCC-C/PHN competencies informs efforts to strengthen public health infrastructure and target resources to equip Missouri's C/PHNs.

ATTACKED BY BOTS AND HACKED BY BAD APPLES: LESSONS LEARNED NAVIGATING RESEARCH PARTICIPANT FRAUD

Abstract In a time of emerging technologies for participant recruitment and data collection, researchers need proven and comprehensive strategies to protect research integrity. Incorporation of proactive, rather than reactive, methods to prevent fraudulence will mitigate additional stressors and headaches associated with fraud and fraud detection. This session presents a case which describes a researcher’s experience detecting, navigating, problem-solving, and then managing participant fraud that occurred twice in a multi-methods study. Participants were recruited from a senior center and two YMCA sites using social media platforms and email distribution lists which linked them with an online survey. After the initial study launch, a “bot attack” with “bot fast” deception within the study survey caused the study to shut down. The researcher worked with the study team, community sites, and IRB to detect potential causes of fraud and implement protective factors to ensure quality control and deter the bot system. Unfortunately, after the second study launch, the survey was once again successfully attacked. This time the researcher chose to work with the study team in order to create a step-wise rigorous approach to verifying accurate data and participants, while working to maintain trust of the community sites and real participants. Finally, to mitigate further fraud, the researcher pivoted to the use of ResearchMatch to ensure recruitment goals and trustworthy data. Within this presentation, the researcher will share lessons learned in survey fraud, proactive strategies to prevent fraudulence, communication methods interacting with IRB, study sites, and participants, and maneuvering perils involved in manuscript preparation.

Determining which of the classic seven quality tools are in the quality practitioner’s RCA tool kit

The purpose of this study is to determine which of the classic seven quality tools are used by quality professionals during a Root Cause Analysis (RCA). The literature was assessed to determine which quality tools are considered to be part of the seven classic quality tools. The identified tools were then used in a survey of quality professionals in a manufacturing organization, who were asked to select the classic seven quality tools they use during an RCA. An email distribution list was used to send the survey to quality professionals at various locations around the world. The results were then analyzed statistically. The cause and effect diagram was the most commonly used quality tool during an RCA. This was distantly followed by the Pareto chart and then the control chart, followed by the Pareto chart, flow chart, histogram, scatter plot, and run chart. The classic seven quality tools have long been discussed in the literature; however, much of the literature consist of descriptions of their use and not an assessment of which tools are frequently used by quality professionals specifically for RCA. This study identified the seven main classic quality tools used by quality professionals during an RCA.

GEDEFO-SEFH management of antineoplastic extravasations survey results.

Extravasation is a potentially severe complication of intravenous administration of antineoplastic drugs. The limited data makes it difficult to develop an optimal management scheme. The objective of this study is to describe the clinical practice in the extravasation management of antineoplastic agents in Spanish centers. An online survey was distributed to oncology pharmacists using the email distribution list of the Spanish Society of Hospital Pharmacists. Respondents were surveyed on the standard operational protocol (SOP) of extravasation, tissue damage risk classification, and specific measures of extravasation management. A total of 68 surveys were completed. A specific extravasation SOP was available in 82.4% centers. The pharmacist participates in the authorship (100%) and actively collaborates in extravasation management (76.5%). A tissue damage risk classification based on the three categories was mostly adopted (48.2%) and 73.2% applied specific criteria based on concentration and/or extravasated volume. Extravasation management was mainly performed with the application of physical measures and/or antidotes (91.2%). High variability in the choices of pharmacological and/or physical measures recommended is outstanding. The results of this study highlight the involvement of Spanish pharmacists in extravasation management, the application of physical measures and/or pharmacological measures as the method of choice in extravasation management, as well as the existing discrepancies in tissue damage risk classification and management recommendations.

Milestones Next Steps: Results of a Feedback Questionnaire

Milestones Next Steps: Results of a Feedback Questionnaire

Online Survey of Consumer Preferences for Poinsettia Cultivars

New introductions necessitate ongoing studies to keep producers updated about current trends. Consumer preference study results for poinsettia cultivars may interest breeders, wholesale producers, and retail consumers. An online consumer preference survey, conducted from 15 December 2020 to 19 January 2021, was posted in the Qualtrics software platform. Email distribution lists and Facebook were both used to promote the online survey. The survey link was accompanied by a description introducing the project’s purpose and expressing gratitude for participation. Qualtrics automatically collected participants’ data. The survey was closed, and the data were collected on 19 January 2021 from 792 respondents. This study aimed to identify consumer preferences for traditional red, white, or pink poinsettia cultivars and novelty selections. The topmost preferred poinsettia cultivars are “Princettia Queen Pink”, “Winter Rose Dark Red”, “Ice Punch”, “Christmas Mouse”, “Princettia Pure White”, and “Princettia Hot Pink”. The color of poinsettia cultivars did not significantly affect the respondents’ willingness to pay. However, pot size substantially impacted their willingness to pay for poinsettias. Respondents were willing to pay USD 4.89, 8.13, 12.11, and 17.14 per pot for the 4-, 6-, 8-, and 10-inch potted poinsettias, respectively. Some of the socioeconomic characteristics of the respondents influenced their decisions on how much they were willing to pay for poinsettias.

Using the Neonatal Intensive Care Unit Wisely: A National Survey of Clinicians Regarding Practices for Lower-Acuity Care.

The objective of this study was to document the practices and preferences of neonatal care stakeholders regarding location and duration of care for newborns with low illness acuity. We developed a survey instrument that comprised 14 questions across 2 global scenarios and 7 specific clinical conditions. The latter included apnea of prematurity, gestational age for neonatal intensive care unit admission, jaundice, neonatal opioid withdrawal, thermoregulation, and sepsis evaluation. Respondents reported their current practice and preferences for an alternative approach. We administered the survey to individuals in the membership email distribution lists of the American Academy of Pediatrics Section on Neonatal-Perinatal Medicine, the National Association of Neonatal Nurses, and the Vermont Oxford Network. Of 2284 respondents, 53% believed that infants were, in general, admitted to a higher level of care than was required, and only 13% reported that the level of care was too low. Length of stay was perceived to be generally too long by 46% of respondents and too short by 21%. Across 10 specific clinical questions, there was substantial variability in current practice and up to 35% of respondents reported discordance between current and preferred practice. These respondents preferred a lower level of care in 8 of 10 scenarios. A multidisciplinary sample of US clinicians reported significant variation in the level and duration of care for infants with low illness acuity. Among individuals reporting discordance between current and preferred practice, a majority believed that current management could be accomplished in a lower level of care location.

Effective maNagement of depression among patients witH cANCEr (ENHANCE): A protocol for a qualtiative study on stakeholder perspectives of Network Meta-Analysis findings on the most effective treatments for depression

Depression is very common among patients with cancer, yet many patients with depression do not receive treatments for depression that may help them. The best available evidence for the management of depression among patients with cancer comes from systematic reviews of randomised controlled trials (RCTs) that use network-meta analysis (NMA) to compare different treatment approaches and rank these in terms of effectiveness. However, patient and healthcare provider stakeholders should be involved in interpreting this evidence and determining how it can best be put into practice to meet patients’ needs. The aim of the current study is to explore stakeholders’ views of the best available evidence on the management of depression among patients with cancer, and their views on the implementation of this evidence in Ireland. We will hold 8 online focus group discussions (FGDs; n = 4 - 8) with patients who have experience of cancer and depression and healthcare providers (i.e., doctors and nurses who specialise in the delivery of cancer care, psychologists, psychiatrists, physiotherapists, and healthcare professionals working in charities that support patients with cancer). Participants will be recruited through advertisements in newsletters, e-mail distribution lists and the social media accounts of various cancer-related groups and healthcare professional bodies. FGDs will be video-recorded and will involve a brief presentation of findings from an NMA, followed by a discussion using a semi-structured topic guide. Digital recordings will be transcribed and analysed using thematic analysis. This study will help to inform psycho-oncology guidelines and policy in Ireland by identifying key factors likely to affect the application of the findings on the effectiveness of depression interventions among patients with cancer.

Augmenting Career Longevity: An Analysis of Ergonomics Training Among 134 Neurological Surgeons

Work-related pain among neurosurgeons remains understudied, yet can have long-term consequences which affect operative efficiency and efficacy, career longevity, and life outside of work. This study provides insight into the extent of pain experienced by neurosurgeons and the effect of ergonomics training on pain. An online survey pertaining to ergonomics and pain was sent to all neurosurgeons on the Council of State Neurosurgical Societies (CSNS) email distribution list. Statistical comparisons of age groups against pain levels and ergonomics training against pain levels, as well as multivariate linear regression of demographics, training, and operating factors against pain levels were performed. One hundred and thirty-four neurosurgeons responded to the survey. The mean average severity of pain across respondents was 3.3/10 and the mean peak severity of pain was 5.1/10. Among the reported peak pain severity scores, neurosurgeons with 21-30years of operating experience had significantly higher pain scores than those with 11-20years of experience (mean 6.2 vs. 4.2; P<0.05), while neurosurgeons with more than 30years of experience had significantly less pain than those with 21-30years of experience (mean 4.4 vs. 6.2, P=0.005). Training in ergonomics did not significantly improve respondents' reported peak or mean pain severities (17.9% reported having ergonomics training). Ergonomics training did not appear to make a difference in neurosurgeons' pain severities. This may signify a need to optimize ergonomics pedagogy to achieve observable benefits.

Gender differences in GPs’ strategies for coping with the stress of the COVID-19 pandemic in Catalonia: A cross-sectional study

Background The Covid-19 pandemic has increased stress levels in GPs, who have resorted to different coping strategies to deal with this crisis. Gender differences in coping styles may be contributing factors in the development of psychological distress. Objectives To identify differences by gender and by stress level in coping strategies of GPs during the Covid-19 pandemic. Methods A cross-sectional, web-based survey conducted with GPs in Catalonia (Spain), in June–July 2021. via the institution’s email distribution list, all GPs members of the Catalan Society of Family and Community Medicine were invited to complete a survey assessing sociodemographic, health and work-related characteristics, experienced stress (Stress scale of the Depression, Anxiety and Stress Scales-DASS 21) and the frequency of use of a range of coping strategies (Brief-COPE) classified as problem-focused, emotion-focused and avoidant strategies, some of which are adaptive and others maladaptive. We compared the scores of each strategy by gender and stress level using Student’s t-test. Results Of 4739 members, 522 GPs participated in the study (response rate 11%; 79.1% women; mean age = 46.9 years, SD = 10.5). Of these, 41.9% reported moderate-severe stress levels. The most common coping strategies were acceptance, active coping, planning, positive reframing and venting. More frequently than men, women resorted to emotional and instrumental support, venting, distraction and self-blame, whereas men used acceptance and humour more commonly than women. Moderate-severe stress levels were associated with non-adaptive coping, with increased use of avoidance strategies, self-blame, religion and venting, and decreased use of positive reframing and acceptance. Conclusion The most common coping strategies were adaptive and differed by gender. However, highly stressful situations caused maladaptive strategies to emerge.

Criteria for the prioritization of hypotheses in root cause analysis

AbstractExplanatory hypotheses are formed and evaluated in root cause analysis. However, prior to investigation, the hypotheses must be prioritized. Often, methods such as nominal group technique, multi‐voting, and simple voting are used to decide which to investigate first. This research seeks to provide concrete criteria for the prioritization of hypotheses using three levels of prioritization based on the strength of the available evidence. A quality leadership email distribution list was used to distribute a survey to quality departments. Respondents were asked to rate various scenarios as confirmed, strong, moderate, and weak evidence towards supporting a hypothesis. Only 2 of 13 scenarios did not have statistically significant results and these results can be used by quality departments to prioritize hypotheses to investigate during root cause analysis.

War in Ukraine: a neurosurgical perspective

BackgroundThe ongoing war in Ukraine leads to the destruction of critical infrastructure and the displacement of millions of civilians while the necessity for neurosurgical care has increased tremendously. The consequences of this armed conflict on the practice of neurosurgery are uncertain to date.MethodsA cloud-based questionnaire including 10 single- and multiple-choice questions was sent through the email distribution list of the Ukrainian Neurosurgical Society and the Association of Neurosurgeons of Ukraine.ResultsBetween June 2022 and July 2022, a link to the online survey was distributed to a total of 134 (100%) departments of neurosurgery across Ukraine. After 21 days of being available, a total of 96 questionnaires (72%) returned.ConclusionsThe survey highlights the field of activity as well as the severe impact on professional and personal life of Ukrainian neurosurgeons during the ongoing war.

Analysis of the impact of increasing feminization in the healthcare system on urology

Hintergrund und FragestellungZiel dieser wissenschaftlichen Arbeit war es, Genderaspekte und Trends in Klinik, Forschung und Niederlassung in der Urologie zu analysieren. Dabei lag der Fokus auf der Objektivierung des genderspezifischen Wandels im Fachgebiet „Urologie“ zum aktuellen Zeitpunkt und in der Zukunft.Material und MethodenEs erfolgte eine digitale Umfrage bei urologischen Ärzt:innen in Deutschland über das Portal SurveyMonkey©, welche über den E‑Mail-Verteiler der Deutschen Gesellschaft für Urologie e. V. (DGU) und des Berufsverbands der Deutschen Urologen e. V. (BvDU) an alle eingetragenen Mitglieder verschickt wurde. Es wurden Basisdaten im ambulanten und stationären Sektor erhoben, sowie geschlechtsspezifische Daten in Bezug auf Arbeitsplatzverteilung, Ziele, Zufriedenheit und Gründe für berufliche Entscheidungen.ErgebnisseDie Auswertung von 398 Antworten ergab, dass urologische Kolleg:innen in der Niederlassung seltener weiblich (23,6 %) und deutlich älter (mittleres Alter 53 Jahre) waren als im stationären Sektor (Frauenanteil 47,2 %, mittleres Alter 43 Jahre). Niedergelassene Vertragsärzt:innen waren mehr Männer (49,4 %) als Frauen (29,9 %) und die Niederlassung wurde von mehr Männern als Berufswunsch angegeben (28,1 % vs. 22,8 %). Die Gründe für die Niederlassung lagen bei Frauen häufiger im familiären Bereich als bei den Männern (Hauptgründe gute Gelegenheit oder Berufswunsch). Frauen arbeiteten häufiger Teilzeit (27,0 % vs. 11,5 %) und strebten häufiger eine Karriere als Oberärztin an (29,1 % der Frauen, 9,4 % der Männer). Entsprechend war der Wunsch nach einer Habilitation oder Professur bei den Frauen häufiger als bei den Männern (20,5 % vs. 15 %). Signifikant mehr Urologinnen sahen eine Ungleichheit bei den beruflichen Aufstiegschancen (59,7 % vs. 17,5 %, p < 0,001) und 73,3 % (vs. 18,5 % der Männer, p < 0,001) empfanden ihr Geschlecht als Ursache einer Benachteiligung. Dies führte zu einer signifikant geringeren Zufriedenheit von Frauen mit ihrem beruflichen Status (p = 0,008), sowie einem geringeren Gefühl der Wertschätzung (p < 0,001).SchlussfolgerungUm die Urologie zukunftsfähig zu machen ist es essenziell, Genderaspekte noch stärker zu berücksichtigen. Der eingeschlagene Weg, der nächsten Generation von Urolog:innen ein modernes Fachgebiet zu bieten, in dem alle Ärzt:innen unabhängig von ihrem Geschlecht gerne arbeiten, wertgeschätzt werden und Chancengleichheit herrscht, sollte unbedingt weiter verfolgt und intensiviert werden, um die Urologie für die Zukunft gut aufzustellen.Zusatzmaterial onlineDie Online-Version dieses Beitrags (10.1007/s00120-022-01931-3) enthält eine Tabellarische Darstellung der vollständigen Umfrageergebnisse „Genderaspekte in Klinik und Niederlassung“.

Development of Climate Health and Oncology-Based Curricula: Understanding Climate Change's Impact on Cancer Care and a Physicians' Role

<h3>Background</h3> Climate change has well-documented impacts across the cancer care continuum, from increased carcinogenic exposures to disruption of health care systems required for cancer prevention, screening, diagnosis, treatment, and follow-up care. Incorporating the impact of climate change into oncology training will be essential for future physicians. When surveyed, only 13% of U.S. medical students felt they were receiving adequate climate change and health (CCH) education. Yet there is no standard climate curriculum in medical education in part due to an abundance of essential topics that must be covered. In collaboration with a Climate Health Resources Education (CRHE) pilot, we present the development of climate health and oncology educational resources aimed at providing succinct, accessible, and evidence-based resources for educators to incorporate CCH into medical curricula. <h3>Methods</h3> In partnership with CRHE, oncology topics with associated evidence-based learning objectives were established. Recruitment of content creators took place via email distribution lists, professional societies (e.g., Healthcare Without Harm, Medical Students for a Sustainable Future), social media (i.e. Twitter), and word of mouth. Working groups with medical students, residents/fellows, faculty advisors, and an expert advisor were established. Using standardized CRHE templates, medical students wrote and designed practice-based learning cases, while residents created associated PowerPoint slide decks. Faculty mentors and expert advisors were responsible for content review and ensuring accuracy. <h3>Results</h3> For the oncology lectures, a collaborative working group of eight healthcare professionals was formed (4 medical students, 4 residents/fellows, 3 faculty advisors, and 1 expert advisor). Over the course of four weeks, two lectures with associated practice-based problems and slides were developed on the topics of, 1) particulate matter pollution and lung cancer; 2) climate change impacts across the cancer control continuum. The oncology CCH educational resources were incorporated into CRHE's topic-based longitudinal curriculum and will be made publicly available for online, open-access distribution across health training programs nationwide. <h3>Discussion</h3> It is essential for physicians-in-training to be educated on the topics of CCH, the impact on cancer control, and the effect on our communities. Future physicians will need to be prepared to adopt and advocate for climate-smart, sustainable, and resilient care to meet the shifting needs of a vulnerable population affected by a changing climate. This initiative exemplifies the collaborative effort that will be required to integrate climate health topics into medical education, including oncology-specific topics. We look forward to reporting further results on the adoption and implementation of the curriculum.