Excellent Clinician Research Articles

Этапы жизненного пути Д.В. Никитина: от домашнего врача Льва Толстого, ссыльного по делу врачей до заведующего кафедрой АГМИ (к 150-летию со дня рождения)

The article is dedicated to the 150th anniversary of the birth of Dmitriy Vasilyevich Nikitin, whose life, as the first family doctor of Leo Tolstoy and the doctor of Maxim Gorky, became known at NSMU (Northern State Medical University) only in the 20th century after a publication «L.N. Tolstoy and medicine» by his student G.A. Kulizhnikov. D.V. Nikitin was not only an excellent clinician respected by his famous patients, but also served the common people for many years, working at Zvenigorod Zemstvo Hospital, hospitals in Moscow and Arkhangelsk. All his life, Dmitriy Vasilyevich studied and taught students at the Department of Infectious Diseases of ASMI (Arkhangelsk State Medical Institute), which he founded in 1936; he did scientific research from his student days, published articles and monographs. He never hid his views on what was happening in the country, defended the church and faith in God, which is why he got in Butyrka prison by the «Moscow region doctors’ case», and was then exiled to Arkhangelsk. In 1960 he was posthumously rehabilitated.

Academician A.N. Kryukov is one of the founders of Russian hematology (on the 145th anniversary of his birth)

The article presents the life and creative path of an outstanding Russian hematologist, an excellent clinician, a talented healthcare organizer, a well-known public figure, the founder of one of the largest hematology schools in our country, academician of the Academy of Medical Sciences of the USSR, Honored Scientist of the Uzbek SSR Professor Alexander Nikolaevich Kryukov.

N.M. Aleksandrov, maxillofacial surgeon, professor, major-general of medical service (to the 100th anniversary of his birth)

The aim of the investigation is to reveal scientific, clinical, pedagogical and social activity of the eminent maxillofacial surgeon Doctor of medical sciences, professor, major-general of the medical service N.M. Alexandrov and his merits in the sphere of the military dentistry.
 Material and methods. On the basis of analysis of the national literature, as well as life and professional activity and scientific labors of general, major-general of medical service N.M. Alexandrov to present his role in military dentistry development and maxillofacial surgery in Russia.
 Results. The analysis of the information about N. M. Alexandrov showed that he was one of pioneers in developing and implementing in the USSR the endotracheal anesthesia in surgical interventions on the organs and tissues of face and neck, the author of some methods of reconstructive surgeries: upper jaw resection with primary plasty; otoplasty with using the Philatov stalk and local tissue; lower lip plasty using two symmetrical upper lip flaps and others. Methods of treatment of purulent diseases of maxillofacial region and neck with the use of hyperbaric oxygenation, laser therapy and low-frequency ultrasound, laser therapy of temporomandibular joint diseases, as well as cryosurgery of new growths of face and mouth organs, a number of methods of microsurgery and electric anesthesia in dentistry, hemostatic drug "Kaprofer" were developed under his scientific guidance and introduced into the clinical practice.
 Conclusions. N.M. Alexandrov was an excellent clinician, a brilliant teacher and surgeon, a prominent scientist and organizer of military health care; his colleagues and pupils remember him today and honour his merits in the field of maxillofacial surgery and military health care.

Discussion Guide for the Rushton Article

Discussion Guide for the Rushton Article

Professor Daniel Catovsky 19 September 1937-2 December 2022.

Daniel Catovsky was trained in Argentina and graduated in Medicine in 1961. He emigrated to London in 1967 with his wife, Julia Pollack, and their daughter Mina. Subsequently they had two boys, Sebastian and Michael. Daniel joined the Hammersmith Hospital and Royal Postgraduate Medical School as a Research fellow in 1967 and in 1976, he became Honorary Consultant Physician/Senior Staff Member in the Medical Research Council Leukaemia Unit under Professor David Galton. Colleagues at that time included John Goldman and Sandy Spiers. From 1976 onwards he was a member of the French–American–British (FAB) cooperative group, which had a major impact on the diagnosis and classification of haematological neoplasms. In 1987 he was awarded a Personal Chair in Haematological Malignancies at the Royal Postgraduate Medical School, Hammersmith Hospital. The next year he moved to the Royal Marsden Hospital/Institute of Cancer Research where he established an Academic Haemato-Oncology Unit, continuing as Professor of Haematology until his retirement in 2003. Thereafter, he continued to be fully engaged in research at the Institute of Cancer Research as Professor Emeritus and Fellow, impacting all around him. Through all these years Daniel had an extraordinary active life encompassing research, teaching and diagnostic and clinical activities. He served as a member, chairman or leader in many boards such as the Central Institutional Review Board of Cancer Research UK (CRUK) (2003–2005); Leukaemia Research Fund Data Monitoring Committee (Chairman 2004–2006); Scientific Advisory Board of the CLL (chronic lymphocytic leukaemia) Global Research Foundation; Data Monitoring Committee UKCLL2006 trial, Arctic and Admire trials, CLL11 trial, and Parexel independent response review panel; Scientific Advisory Board of the Hairy Cell Leukaemia Consortium; National Cancer Research Institute CLL Trials Steering Committee; Scientific Advisory Committee of the CLL Genome Consortium (Spain); Data Safety Monitoring Board for the German CLL12 trial and CLL13 trial (chairman); and a variety of editorial boards of national and international journals. In addition, he also coordinated the UK CLL 1, 2, 3, 4 and 5 trials. Daniel was President of the British Society of Haematology (1996–1997) and of the European Research Initiative on CLL (ERIC) (2006–2009). He was awarded the BSH Medal for his contributions to British haematology (2000) and the IWCLL Binet–Rai medal for outstanding contributions to CLL research (2005). His work is clearly reflected in more than 850 peer-reviewed publications and he is the eighth most cited researcher in the field of oncology in clinical medical journals. Daniel had unique qualities, being a remarkable scientist and an excellent clinician. Most of his work was devoted to CLL and other chronic lymphoid leukaemias. He was a pioneer of studies of familial CLL and identified and described distinct lymphoid disorders, a relevant issue with implications in the correct diagnosis and management of these patients. His unit had wide appeal to many and was always open to visiting physicians and scientists who came from everywhere in the world, eager to learn from him. His valuable teaching had, and still has, a major impact in many units worldwide. Besides his scientific and medical skills, Daniel was a remarkable and unforgettable man with unique attributes and amazing appeal, full of humanity, well reflected in his empathy towards patients, fellows and colleagues. We have lost Daniel, but his imprint will remain. Life would not have been the same without him, nor will it be the same from now on. A sad loss to his family, to science and to the entire community.

The Patriarch of maxillofacial traumatology (on the 100th anniversary of Professor V.A. Malyshev, Colonel of Medical Service)

The prominent place in the cohort of famous Russian dentists of XX century belongs to the participant of Great Patriotic War 19411945, Doctor of Medicine, Professor, colonel of medical service Vasily Alekseevich Malyshev (19222006), whose 100-year anniversary is celebrated by Russian stomatological community in 2022.
 AIM: To present scientific, clinical, pedagogical and social activity of prominent maxillofacial surgeon Doctor of Medicine, Professor, colonel of medical service V.A. Malyshev, as well as his merits before the Motherland.
 To present the role of V.A. Malyshev in formation and development of the military stomatology, maxillofacial surgery and traumatology in Russia on the basis of analysis of the national literature, life and professional activity as well as scientific labors of the doctor of medical sciences, professor, colonel of the medical service.
 Scientific works of V.A. Malyshev are mainly devoted to the research of issues of clinic, diagnostics, treatment of fractures of the lower jaw and prevention of traumatism. Having become the master of maxillofacial traumatology, he has significantly improved the diagnostics of maxillofacial injuries and introduced in everyday clinical practice a great number of original methods and effective ways of treatment of the indicated pathology. His scientific and practical developments and suggestions regarding the treatment of patients with maxillofacial region injuries have been widely spread in our country, implemented in practice of many medical preventive institutions and included in many textbooks, manuals and teaching aids used in Russian higher educational institutions. His method of treatment of chronic fractures of mandibular articular process by means of its replantation with following osteosynthesis, which was developed in our country and abroad, gained recognition not only in our country but also abroad.
 V.A. Malyshev was one of the oldest military dentists of Russia, a brilliant teacher, an excellent scientist and clinician. His name was well known to the stomatological community of the USSR, and since 1991 in Russia and the former Soviet Union. His work for 50 years was connected with the department of maxillofacial surgery and dentistry of Military Medical Academy named after S.M. Kirov. In 19751988 V.A. Malyshev as an off-duty chief dentist did a lot to improve the organization and provision of dental care to the servicemen and sailors.

Academician V. N. Shamov – surgeon, innovator, patriot (for the 140th anniversary of his birth)

The article presents the facts about life and career of an outstanding Russian transfusiologist and neurosurgeon, an excellent clinician, a talented health offi cial, a well-known public character, the creator of an original scientifi c school of surgery, an academician of the USSR Academy of Medical Sciences, an honored science worker of the RSFSR, a Lenin Prize laureate, lieutenant general of the medical service, Professor Vladimir Nikolaevich Shamov.

Vladimir Nikitich Vinogradov — outstanding scientist, therapist and teacher (on the 140th anniversary of his birth)

Тhe article presents the facts concerning the career and creative development of an outstanding Russian therapist, an excellent clinician, a wonderful teacher, a well-known public figure and academician of the USSR Academy of Medical Sciences, Honored Scientist of the RSFSR, laureate of the USSR State Prize, Professor Vladimir Nikitich Vinogradov.

Attributes of excellent clinician teachers and barriers to recognizing and rewarding clinician teachers' performances and achievements: a narrative review.

BackgroundOver the last 31 years, there have been several institutional efforts to better recognize and reward clinician teachers. However, the perception of inadequate recognition and rewards by clinician teachers for their clinical teaching performance and achievements remains. The objective of this narrative review is two-fold: deepen understanding of the attributes of excellent clinician teachers considered for recognition and reward decisions and identify the barriers clinician teachers face in receiving recognition and rewards.MethodsWe searched OVID Medline, Embase, Education Source and Web of Science to identify relevant papers published between 1990 and 2020. After screening for eligibility, we conducted a content analysis of the findings from 43 relevant papers to identify key trends and issues in the literature.ResultsWe found the majority of relevant papers from the US context, a paucity of relevant papers from the Canadian context, and a declining international focus on the attributes of excellent clinician teachers and barriers to the recognition and rewarding of clinician teachers since 2010. ‘Provides feedback’, ‘excellent communication skills’, ‘good supervision’, and ‘organizational skills’ were common cognitive attributes considered for recognition and rewards. ‘Stimulates’, ‘passionate and enthusiastic’, and ‘creates supportive environment’, were common non-cognitive attributes considered for recognition and rewards. The devaluation of teaching, unclear criteria, and unreliable metrics were the main barriers to the recognition and rewarding of clinician teachers.ConclusionsThe findings of our narrative review highlight a need for local empirical research on recognition and reward issues to better inform local, context-specific reforms to policies and practices.

Editorial V1 N1

The birth of a new journal is usually a cause for singular rejoicing and anticipation. On this occasion, however, the moment is steeped in melancholy with the recent passing of Professor Avijit Lahiri, the journal’s founder. He lived life to the full. Avijit touched countless friends and colleagues with his support, kindness and mentorship. At the same time, he was a pioneer in cardiodiabetes, an excellent clinician and an outstanding academic mind. In short, he was a trailblazer. His accomplishments are too numerous to list but ranged from playing the key role in the development of nuclear cardiac imaging as well as being a Founder President of the International Congress of Nuclear Cardiology to the creation of the British Cardiac Research Trust. He introduced cardiac CT to the UK and contributed to practice-changing guideline committees on cardiac imaging in diabetes.

Pioneers in Dermatology and Venereology: An interview with Prof. Nikolay Tsankov.

Pioneers in Dermatology and Venereology: An interview with Prof. Nikolay Tsankov.

Leadership problems in the management of health institutions.

In health institutions, physicians or other health professionals frequently occupy senior management positions, usually without any administrative expertise. In such a way that an excellent clinician can become a lousy leader and administrator. In this article, the administrative and organizational consequences of a bad exercise of leadership are displayed, interpreting the phenomenon from the classical and contemporary theories of leadership and exposing the problems that top management in health frequently faces in hospitals. Leadership is not innate; it is a skill that can be developed. Leading and managing health institutions is a science and an art that should be learned from undergraduate and perfected in the postgraduate course. Unless the health professional has a solid administrative and political career, holding senior positions in the hospital is a fortuitous matter.

William Ross Cattell

William Ross Cattell (“Bill”) was a pioneer in nephrology at St Bartholomew’s Hospital. He was an excellent clinician, much respected by his colleagues, and he undertook important research on urinary...

The complete clinician model

Historically, medical education has focused on acquiring knowledge of basic science and clinical medicine. Relationship management skills are an essential aspect of excellent clinicians that may have been overlooked in the educational curriculum and undervalued in practice. The complete clinician model is a theoretical model for clinician development that describes why knowledge acquisition and relationship management are both imperative skills to refine when progressing to be an excellent clinician. Four quadrants are described, with ideal progress going from the trainee quadrant to the golden quadrant, ultimately aiming for competence in both knowledge acquisition and relationship management. The pediatric resident milestones from the Accreditation Council for Graduate Medical Education were placed in the model to underscore the importance placed on both knowledge acquisition and relationship management skills. Relationship management training should be integrated into the medical curriculum. This model may be applicable to professional education in other health care disciplines.

Prof. Aleksandar Josifovich Ignjatovski, Founder and First Director of the Clinic for Internal Medicine and the First Head of the Department of Internal Medicine at the Faculty of Medicine in Skopje, R. Macedonia.

Aleksandar J. Ignjatovski was born in the Smolensk Region, Russia, on 18.03.1875. He graduated from the Faculty of Medicine in St. Petersburg in 1899 where he started specialization in internal medicine and continued in Berlin, Heidelberg, Munich and Paris. In 1905 he was elected assistant professor in St. Petersburg, continued as an associate professor in Odessa in 1908 and a full-time professor in 1912 in Warsaw. During the October Revolution, he was the Head of the Internal Clinic in Rostov, and in 1920 he emigrated to Belgrade. In 1922 he was appointed full professor and Director of the First Internal Clinic at the Faculty of Medicine in Belgrade, which he established, developed and managed until his retirement in 1946. In 1948 he moved to Skopje as a full professor and first Director of the Internal Clinic at the Faculty of Medicine in Skopje. He studied the pathogenesis of arteriosclerosis and first proved it experimentally, and published a paper in 1908, indicating that it was associated with higher blood cholesterol level. He also dealt with immunobiology and infectious diseases, in particular tuberculosis and tetanus. Prof. A. Ignjatovski was an excellent clinician, teacher and scientist, who published over 80 papers. His most important textbooks are "Clinical Semiotics and Symptomatic Therapy", in two editions, in Russian (1919) and in Serbian (1929-37), and "The Basics of Internal Propedeutics" in three volumes, published in Skopje in 1952, 1954 and 1963. The work of Prof. A. Ignjatovski, as a leading clinician and a great teacher and scientist, is embedded in the development of internal medicine, and medicine in general, in Russia, Serbia and Macedonia. The bright memorial of the founder and first director of the Internal Medicine Clinic and the first Head of the Department of Internal Medicine at the Faculty of Medicine in Skopje has been permanently incorporated in the history of medicine in R. Macedonia. Prof. A. Ignjatovski died on 18.08.1955.

Donald Steven McGregor

A caring, compassionate vet who showed the same dedication to all animals and their owners. As an excellent clinician and a skilled surgeon, his practice was built on values that...

PCV50 - Estimating Quality Of Life In Advanced Heart Failure: Can We Differentiate Excellent Expert Clinician Proxies?

PCV50 - Estimating Quality Of Life In Advanced Heart Failure: Can We Differentiate Excellent Expert Clinician Proxies?

Jean-Louis Petit (1674–1750): a pioneer anatomist and surgeon and his contribution to orthopaedic surgery and trauma surgery

The purpose of this review is to summarize the life and work of Jean-Louis Petit, his inventions, his discoveries, and his impact on the evolution of surgery of his era. A thorough search of the literature was undertaken in PubMed and Google Scholar as well as in physical books in libraries to summarize current and classic literature on Petit. Jean-Louis Petit (1674-1750) was an eminent anatomist and surgeon of his era with an invaluable contribution to clinical knowledge, surgical technique, and instrumentation as well as innovative therapeutic modalities and basic scientific discoveries. Jean-Louis Petit was an innovative anatomist and surgeon as well as an excellent clinician of his era. He revolutionized the surgical technique of his era with a significant contribution to what would later become orthopaedic surgery.

An interview with Steven J. Lindauer.

There are so many compliments to Dr. Steven Lindauer that is hard for one to figure where to start from… Well, travelling backwards in time, all the way to the year 2000, I went to Virginia to study English at Virginia Commonwealth University (VCU), in Richmond, Virginia, USA. During my daily walks to the English school, I used to pass by the School of Dentistry, where the Department of Orthodontics was. That was the place where my very first “contact” with the VCU happened. In 2015, 15 years later, I had the pleasure to go back to the VCU and spend two days with Dr. Steven Lindauer. I have to confess that I was anxious and nervous to get to know not only the Chair of the Department, but also the Editor-in-chief of “The Angle Orthodontist”. Since the very first moment I could experience how incredibly positive and pro-active the environment within the Department was. Staff members, Residents and Faculty members used to work very gladly and in perfect synergy. After a quick chat with the residents, I heard from them: “Dr. Lindauer is an unprecedented human being! Besides a brilliant Professor, Researcher and Administrator, he is like a father to all of us!” Besides this touching testimony, I also heard flattering compliments from workmates to the great friend, leader and partner Dr. Lindauer was. Here goes some food for thought, though. Unfortunately, the leader is often compelled to resort to unpopular measures in order to enforce compliance. Dr Lindauer is the living proof that a boss, a leader, can be a light, humble, friendly and highly charismatic human being. In 2016, I was given a second chance to enjoy Dr. Lindauer’s company when he visited Brazil as a guest lecturer in Salvador, at the Federal University of Bahia and the Brazilian Association of Orthodontics (Bahia Chapter). I noticed, once again, that besides an excellent lecturer and careful clinician, he mastered orthodontic mechanics very proficiently. And needless to say at length about his brilliance ahead of “The Angle Orthodontist”... It didn’t take me long to realize that his virtues by far exceeded the boundaries of the professional domain. Despite his utterly busy schedule, he is still able to dedicate time to his parents, taking them to trips around the world. Interestingly, at every international trip, he always remembers his puppies (Memphis, Baxter and Kingston - in memoriam), taking sightseeing pictures to immediately Photoshop them into. Having done the well deserved introductions to our distinguished interviewee, I would like to offer righteous acknowledgements to the colleagues Jorge Faber, David Turpin, Bhavna Shroff and David Normando, for having accepted the invitation to take part in this interview. I also would like to offer my heartfelt thanks to Dental Press for having entrusted me with the honor to conduct this project. I wish all readers as delightful and rich of an experience when going through this interview as it’s been the scientific path that brought us all here in the first place. No doubts, you stand in face of a life dedicated to Orthodontics. (Andre Wilson Machado, interview coordinator)

Bounce back: Effectiveness of an elementary school-based intervention for multicultural children exposed to traumatic events.

To evaluate the feasibility and acceptability of a school-based intervention for diverse children exposed to a range of traumatic events, and to examine its effectiveness in improving symptoms of posttraumatic stress, depression, and anxiety. Participants were 74 schoolchildren (Grades 1-5) and their primary caregivers. All participating students endorsed clinically significant posttraumatic stress symptoms. School clinicians were trained to deliver Bounce Back, a 10-session cognitive-behavioral group intervention. Children were randomized to immediate or delayed (3-month waitlist) intervention. Parent- and child-report of posttraumatic stress and depression, and child report of anxiety symptoms, were assessed at baseline, 3 months, and 6 months. Bounce Back was implemented with excellent clinician fidelity. Compared with children in the delayed condition, children who received Bounce Back immediately demonstrated significantly greater improvements in parent- and child-reported posttraumatic stress and child-reported anxiety symptoms over the 3-month intervention. Upon receipt of the intervention, the delayed intervention group demonstrated significant improvements in parent- and child-reported posttraumatic stress, depression, and anxiety symptoms. The immediate treatment group maintained or showed continued gains in all symptom domains over the 3-month follow-up period (6-month assessment). Findings support the feasibility, acceptability, and effectiveness of the Bounce Back intervention as delivered by school-based clinicians for children with traumatic stress. Implications are discussed.