Physician Education Research Articles

Antibiotic Stewardship and Intrapartum Fever

Dr. Marinelli is a Resident, Department of Obstetrics and Gynecology, UConn Health, 263 Farmington Ave, Farmington, CT 06030, E-mail: [email protected]; Dr. Benedetto is a Resident, Children's Hospital of Los Angeles, Los Angeles, California; and Dr. Ehasz is an Obstetrician/Gynecologist, Atrium Health, Davidson, North Carolina. All authors, faculty, and staff have no relevant financial relationships with any ineligible organizations regarding this educational activity. CME Accreditation Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation on the enclosed answer form, answering at least seven of the 10 quiz questions correctly. This CME activity expires on May 14, 2025. NCPD Accreditation Lippincott Professional Development is accredited as a provider of nursing continuing professional development (NCPD) by the American Nurses Credentialing Center's Commission on Accreditation. Lippincott Professional Development will award 2.0 contact hours for this NCPD activity. This activity has been assigned 2.0 pharmacology credits. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.0 contact hours. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, West Virginia, New Mexico, South Carolina, and Florida, CE Broker #50-1223. Your certificate is valid in all states. Instructions for earning ANCC contact hours are included on page 11 of the newsletter. This NCPD activity expires on March 6, 2026.

Effects of Non-physician Practitioners on Emergency Medicine Physician Resident Education.

The effects of non-physician practitioners (NPP) such as physician assistants and nurse practitioners on the education of emergency medicine (EM) residents have not previously been specifically evaluated. Emergency medicine societies have made policy statements regarding NPP presence in EM residencies without the benefit of empiric studies. A cross-sectional, mixed methods questionnaire with strong validity evidence was distributed to current EM residents who were members of a large national society, the American Academy of Emergency Medicine Resident and Student Association (AAEM/RSA), between June 4-July 5, 2021. We received 393 partial and complete responses, representing a 34% response rate. A majority of respondents (66.9%) reported that NPPs have a detracting or greatly detracting impact on their education overall. The workload in the emergency department was reported generally as lighter (45.2%) to no impact (40.1%), which was cited in narrative responses as an aspect of both enhancing and detracting from resident physician education. Non-physician practitioner postgraduate programs in EM were associated with a 14x increase in the median number of procedures forfeited over the course of the prior year (median = 7.0 vs 0.5, P<.001). Among respondents, 33.5% reported feeling "not confident at all" in their ability to report concerns about NPPs to local leadership without retribution, and 65.2% reported feeling "not confident at all" regarding confidence in the Accreditation Council for Graduate Medical Education to satisfactorily address concerns about NPPs raised in the end-of-year survey. Resident members of the AAEM/RSA reported having concerns about the effects of NPPs on their education and their confidence in being able to address the concerns.

Large-scale Implementation of Fascia Iliaca Compartment Blocks in an Emergency Department.

A robust body of literature supports the use of fascia iliaca compartment blocks (FICB) for improving outcomes in hip fractures, especially in the geriatric population. Our objective in this project was to implement consistent pre-surgical, emergency department (ED) FICB for hip fracture patients and to address barriers to implementation. With the support of a multidisciplinary team, including orthopedic surgery and anesthesia, a core team of emergency physicians developed and implemented a departmentwide FICB training and credentialing program. The goal was to have 80% of all emergency physicians credentialed to provide pre-surgical FICB to all hip fracture patients seen in the ED who met the criteria. Following implementation, we assessed approximately one year of data on hip fracture patients presenting to the ED. We evaluated whether or not they were eligible for FICB and, if so, whether or not they received it. Emergency physician education has resulted in 86% of clinicians credentialed to perform FICB. Of 486 patients presenting for hip fracture, 295 (61%) were considered eligible for a block. Of those eligible, (54%) consented and underwent a FICB in the ED. A collaborative, multidisciplinary effort is vital for success. The primary barrier to achieving a higher percentage of eligible patients receiving blocks was the deficit of emergency physicians initially credentialed. Continuing education is ongoing, including credentialing and early identification of patients eligible for the fascia iliaca compartment block.

'Selection into training will always be an inexact process': A survey of Directors of Physician Education on selection into Basic Physician Training in Australia and New Zealand.

Despite being one of the largest medical specialty training programmes in Australasia, there is no standardised method for selection into Basic Physician Training (BPT), and limited data exist regarding current practices. To address existing knowledge gaps, we aimed to create a 'snapshot' of current BPT selection practices and explore the perspectives of Directors of Physician Education (DPEs) regarding trainee selection. An electronic survey of DPEs from adult and paediatric medicine BPT sites in Australia and New Zealand was undertaken in January-February 2022. A combination of free text, multiple-choice and yes/no answers were analysed using descriptive statistics and qualitative content analysis. A total of 70 responses were received, achieving a response rate of 35% (70/198). Selection practices were found to be heterogenous across BPT sites. Respondents had varying opinions regarding the utility of selection tools and desirable candidate attributes. A heavy reliance upon interviews and the reported use of subjective assessments raise concerns for selection process bias. BPT sites should critically evaluate their selection methods, and more research in this field is needed to establish best practice.

Perceived Access and Appropriateness: Comparison of Teaching and Resident Family Physicians' Patients.

Teaching clinics aim to provide patients with care that is comprehensive, high quality, and timely. Since resident presence at the clinic is irregular, timely access to care and continuity remain challenging. The two main objectives of our study were to compare the experience of timely access by patients of family residents vs staff and to determine if there was a difference between resident and staff patients in reported appropriateness and patient-centeredness of the visit. This cross-sectional survey study was carried out in nine family medicine teaching clinics part of University of Montreal and McGill University Family Medicine Networks. Patients self-administered two anonymous questionnaires, before and after their consultation. We collected 1,979 preconsultation questionnaires. Teaching physician (staff) patients rated the usual wait time for an appointment as very good or excellent more frequently than resident patients (46% vs 35 %; P=.001). One out of five reported consulting another clinic in the last 12 months. Resident patients consulted elsewhere more often. In postconsultation questionnaires staff patients rated their visit experience better than resident physician patients and patients of second-year residents better than first-year residents. Although patients generally have a positive perception of access to care and adequacy of the consultations meet their needs, staff also face the challenge of providing better access to their patients. Finally, we found the patients' perceived visit-based patient centeredness was higher for visits of second-year than first-year resident physicians, supporting the impact of training efforts toward patient-centered best practices.

The perspective of allergy and immunology specialists on the innovations of metaverse: A survey study.

New technologies have resulted in dramatic shifts in the field of medicine, and it stands to reason that metaverse will also affect the practice of allergy and immunology. This study aimed to determine the attitudes of allergists and raise awareness about metaverse applications in allergy and immunology. A nationwide survey-based study was conducted in Turkey. First, a 28-item questionnaire was developed and sent to Turkish allergists. After completing the first questionnaire, the participants were asked to watch a 5-min informative video about the metaverse. Lastly, a second survey was conducted to evaluate the changes in the views of the participants. A total of 148 allergy doctors in Turkey participated in the survey. After watching a video containing updated information about the metaverse, there was a significant increase in the importance that participants attributed to the use of virtual reality and augmented reality applications in the field of immunology and allergy (P < 0.05). Additionally, there was a significant increase in the percentage of participants who thought that Metaverse applications could be integrated into the existing system and said that this possibility excited them (P < 0.05). There was also a significant increase in the percentage of participants who thought this innovative technology could be helpful in patient examination, student and physician education, allergy testing, and patient education (P < 0.05). Our results demonstrate that providing information to professionals working in the field can positively influence physicians' views on the potential of the metaverse, which is a valuable tool in the field of immunology and allergy.

Climbing the Ladder, Chasing the Dream: The History of Homer G. Phillips Hospital By Candace O’Connor

Reviewed by: Climbing the Ladder, Chasing the Dream: The History of Homer G. Phillips Hospital By Candace O’Connor Linda T. Wynn Climbing the Ladder, Chasing the Dream: The History of Homer G. Phillips Hospital. By Candace O’Connor. (Columbia: University of Missouri Press, 2021. Pp. xvi, 314. $40.00, ISBN 978-0-8262-2247-3.) Candace O’Connor’s Climbing the Ladder, Chasing the Dream: The History of Homer G. Phillips Hospital is one of several books written about African American hospitals that came into existence because of de facto or de jure practices that decreed the separation of African Americans and whites in spaces that delivered health care and social services. When St. Louis’s Homer G. Phillips Hospital opened in 1937, it joined the ranks of other hospitals for African Americans founded in the late nineteenth and early twentieth centuries such as Chicago’s Provident Hospital and Training School, established in 1891; Philadelphia’s Frederick Douglass Memorial Hospital and Training School, established in 1895; Baltimore’s Provident Hospital and Free Dispensary, established in 1894; and Nashville’s Millie E. Hale Hospital, established in 1916. The number of these institutions peaked in the 1920s and 1930s, during a period when ambitious stratagems were developed for creating segregated medical training and practice facilities. These hospitals delivered a higher standard of medical care to African American patients and provided education and training for African American physicians and nurses. Like many African American medical institutions, Homer G. Phillips held a special place within its community’s collective memory. O’Connor’s book was prompted by an association of retired nurses who trained at Homer G. Phillips Hospital over the course of its four-decade existence. Through interviews [End Page 380] excavating the memories of those who studied and worked at “Homer G.,” O’Connor brings the narrative of a successful hospital and its attendant auxiliaries to life (p. xiii). However, Climbing the Ladder, Chasing the Dream is more than a history of Homer G. It also provides significant perspectives on numerous themes including the Great Migration, the causes of systemic racism, the aftereffects of racial desegregation, and the overall spectrum of race relations in America from the late 1930s to the late 1970s. O’Connor has drawn on her extensive previous research into St. Louis’s medical institutions to explore the history of Homer G. Phillips Hospital. To bring its story to the printed page, she combed through “more than 40 years of stories from Black and white newspapers,” researched “stacks of scholarly books and articles,” and held “dozens of interviews” with former staff members and others associated directly or indirectly with the institution (p. xiii). To cover Homer G.’s impact on the community and beyond, O’Connor has divided the tome into chapters that chronicle the hospital’s forty-two-year history, tracing its events and vicissitudes through decades of operation. Yet Climbing the Ladder, Chasing the Dream is also thematic and broaches wide-ranging topics such as the “Ville,” the thriving African American community that was home to “more than a third of the city’s Black leadership” (p. 5). Like many African American communities, the population of the Ville included “school-teachers and janitors; doctors and meat packers; lawyers and railroad men; hospital staff and domestics” (p. 5). Other major themes include hospital units and nursing life. Consisting of thirteen chapters, Climbing the Ladder, Chasing the Dream begins with “The Mysterious Life and Death of Homer G. Phillips, 1878–1931” and ends with an account of the hospital’s closure on August 17, 1979. The chapter on the hospital’s namesake is one of the book’s more intriguing contributions. Homer G. Phillips was an influential Black attorney with a law degree from Howard University. During the 1920s, he passionately supported the establishment of a hospital for St. Louis’s African American community. But Phillips was murdered in 1931, six years before his dream came to fruition. O’Connor’s historical chronicle develops into a true-crime account as the author investigates Phillips’s mystifying murder in a tome already brimming with captivating local history and personal stories. For more than forty years, one of the country...

Risk Factors for Periprosthetic Joint Infection in Primary Total Hip Arthroplasty

Ms. Hoffmeister is a freelance medical writer in Camp Hill, Pennsylvania. To earn CME credit, you must read the CME articles and complete the quiz and evaluation assessment survey on the enclosed form, answering at least 70% of the quiz questions correctly. This continuing medical enduring material activity expires April 30, 2025. All authors, faculty, and staff have no relevant financial relationships with any ineligible organizations regarding this educational activity. Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Lippincott's Bone and Joint Newsletter is an independent publication solely owned and published by Wolters Kluwer and has no affiliation with the Journal of Bone & Joint Surgery.

Compounding Effects of Obesity and Depression on Progression of Knee Osteoarthritis

Ms. Hoffmeister is a freelance medical writer in Camp Hill, Pennsylvania. To earn CME credit, you must read the CME articles and complete the quiz and evaluation assessment survey on the enclosed form, answering at least 70% of the quiz questions correctly. This continuing medical enduring material activity expires April 30, 2025. All authors, faculty, and staff have no relevant financial relationships with any ineligible organizations regarding this educational activity. Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Lippincott's Bone and Joint Newsletter is an independent publication solely owned and published by Wolters Kluwer and has no affiliation with the Journal of Bone & Joint Surgery.

Preoperative Pain Control Discussion With EMR Documentation Prompt to Guide Opioid Prescriptions for Laparoscopic Sterilization Surgery [ID: 1377197

INTRODUCTION: Our objective was to evaluate whether implementing a standardized patient–physician counseling and documentation process about pain and opioid use after laparoscopic bilateral salpingectomy (LSC BS) decreased opioid prescribing. METHODS: In this study, we evaluated a quality improvement project aimed at decreasing opioid overprescribing and promoting patient–physician conversations and documentation surrounding pain control after surgery. An electronic medical record (EMR) standardized smart phrase was implemented in the Resident GYN Specialty Clinic at the Obstetrics and Gynecology Care Center in order to standardize patient–physician counseling and documentation about postoperative pain, opioid use, storage, and disposal, providing written and verbal education at the time of preoperative and postoperative appointments for Lap BS. We collected EMR data from patients who had a LSC BS preintervention (January 2019 to December 9, 2020) and postimplementation (March 2021 to October 2022). To have 90% power to detect a 25% reduction in morphine milligram equivalents (MMEs) from preimplementation to postimplementation, we needed 78 patients per group. RESULTS: A total of 78 patients met inclusion criteria for both groups. Patients postintervention were prescribed significantly fewer opioids (58.3 versus 31.35 MME, P&lt;.001, or 7.8 versus 4.2 oxycodone 5 mg tablets) compared to patients preintervention. Significant differences were also seen in secondary outcomes with increased documentation of discussion surrounding the addictive properties of opioids and expected pain postoperatively postintervention compared to preintervention. CONCLUSION: Implementation of physician education combined with EMR prompts decreased the amount of opioids prescribed and increased documentation of patient–physician communication about safe opioid use and pain control.

Provider Adherence to Edinburgh Postnatal Depression Screening [ID: 1375752

INTRODUCTION: As part of a quality improvement initiative at a high-volume, outpatient obstetric center, a preintervention performance metric was obtained that determined physician adherence to providing the Edinburgh Postnatal Depression Screen (EPDS), which identifies patients with perinatal mood and anxiety disorders. METHODS: This was a retrospective chart review conducted over a 6-month period at the outpatient offices of an academic faculty group practice in a large, urban area. Provider adherence to EPDS screening and documentation was identified as per the standard office protocol—at both 24–28 weeks of gestation and 6–8 weeks postpartum. Patient population was limited to those who presented to their postpartum visit at the designated offices from January 2021 to June 2021 and received antenatal care through this same location. RESULTS: Four hundred forty-five patients met the inclusion criteria for receiving both antenatal and postpartum care within the selected time frame. Antenatally, only 55% of patients received a properly scored EPDS, 12% of patients were screened but the scores were not documented, and 33% of encounters did not include depression screening. Postpartum, only 60% of patients received a properly scored EPDS, 16% of patients were screened but the scores were not documented, and 24% of postpartum encounters did not include depression screening. CONCLUSION: This study emphasizes the need for increased physician education and targeted changes to workflow with respect to prioritizing depression screens for patients in antenatal and postpartum periods. Further trends will highlight the need for targeted education interventions or specific patient populations that require more attention to ensure screening is performed.

Acute Cholecystitis, Chronic Cholecystitis, and Associated Complications: Findings on Imaging

Mr. Barr is a Radiology Resident, University of New Mexico School of Medicine, MSC10 5530, 1, University of New Mexico, Albuquerque, NM 87131, email: [email protected]; Dr. Arif-Tiwari is Professor and Chief of Abdominal Imaging, Department of Medical Imaging, University of Arizona College of Medicine, Tucson, Arizona; and Dr. Thompson is Professor, Department of Radiology, University of New Mexico School of Medicine, Albuquerque, New Mexico. After participating in this educational activity, the radiologist should be better able to identify acute and chronic calculous cholecystitis on imaging, and differentiate the many complications that may develop as a result of acute cholecystitis. All authors, faculty, and staff have no relevant financial relationships with any ineligible organizations regarding this educational activity. Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation on the enclosed answer form, answering at least seven of the 10 quiz questions correctly. This continuing medical education activity expires on April 29, 2025.

Cervical Ectopic and Cesarean Scar Pregnancies: Navigating the Differential of an Abnormal Lower Uterine Pregnancy

Dr. DiBiase is a Resident, Dr. Burrell is Assistant Professor, and Dr. Smith is Assistant Professor, Department of Obstetrics and Gynecology, Women & Infants Hospital of Rhode Island, 101 Dudley St, Providence, RI 02905; E-mail: [email protected]. All authors, faculty, and staff have no relevant financial relationships with any ineligible organizations regarding this educational activity. CME Accreditation Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation on the enclosed answer form, answering at least seven of the 10 quiz questions correctly. This CME activity expires on April 29, 2025. NCPD Accreditation Lippincott Professional Development is accredited as a provider of nursing continuing professional development (NCPD) by the American Nurses Credentialing Center's Commission on Accreditation. Lippincott Professional Development will award 3.0 contact hours for this NCPD activity. This activity has been assigned 1.5 pharmacology credits. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 3.0 contact hours. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, West Virginia, New Mexico, South Carolina, and Florida, CE Broker #50-1223. Your certificate is valid in all states. Instructions for earning ANCC contact hours are included on page 11 of the newsletter. This NCPD activity expires on March 6, 2026.

Reduced humoral immune response after mRNA vaccination correlates with breakthrough SARS-CoV-2 infection in ocrelizumab-treated multiple sclerosis patients (P12-3.005)

Reduced humoral immune response after mRNA vaccination correlates with breakthrough SARS-CoV-2 infection in ocrelizumab-treated multiple sclerosis patients (P12-3.005)

Expediting the TIA Workup (P6-5.024)

<h3>Objective:</h3> Reduction of length of stay (LOS) for transient ischemic attack (TIA) admissions at a public safety net community hospital. <h3>Background:</h3> Transient focal neurologic deficits are a common chief complaint among patients presenting to Emergency Department (ED). Admitting these patients is costly and increases utilization of limited hospital resources. Thus, the current national trend is to avoid admitting “low risk” TIA patients. The purpose of this study is to design a “TIA pathway,” in a public safety net hospital setting to expedite evaluation of these patients. <h3>Design/Methods:</h3> We based our TIA pathway protocol on work done by Boyle et al. We tailored our protocol, based on the socioeconomic needs of our patients (27.2% uninsured, 5.2% undomiciled), to further improve access to stroke care for our community. With ED collaboration, physician training was performed, including utilization of an order set and understanding guidelines for the TIA pathway and inpatient admission. TIA pathway utilization data and data from admitted TIA patients was gathered from the medical record and AHA Get with the Guidelines registry. In addition, safety data including adverse events, 30 day follow up, readmission, and outcomes were monitored and reviewed monthly by stroke leadership. <h3>Results:</h3> A total of 247 TIA cases were recorded in February 2020 through August 2022. The average LOS of patients admitted to the TIA pathway was 1.58 days, while the average LOS for patients admitted inpatient for TIA workup was 2.92 days. Since the inauguration of TIA pathway, we decreased bed utilization by 130 hospital days. <h3>Conclusions:</h3> A dedicated TIA pathway with well-constructed guidelines, order-sets, and physician education resulted in a significant reduction in hospital LOS for the initial evaluation of TIA patients. Follow up outcome studies will be performed to assess the safety and efficacy of an expedited TIA workup. <b>Disclosure:</b> Dr. Wen has nothing to disclose.

What factors will influence patients when choosing plastic surgeons? A behaviour analysis of Chinese patients

To analyze the factors that patients consider when choosing plastic surgeons and investigate patients' attitudes toward physicians' aesthetic ability and their adherence toward same-gender physicians. A cross-sectional study was conducted. All patients who presented for evaluation and management between January and April 2022 were eligible for study enrolment. Data collected include demographical information and specific questions related to choosing plastic surgeons, including physician's education, surgical ability, research, title, appearance, dress, age, aesthetics, the patient's preference for physicians' gender, and the way of learning about physicians. 1006 valid respondents participated, and the average age was 46.44 ± 15.51 years old (participation rate 99.60%). 72.5% were female. Plastic surgery history (OR 3.242, 95%CI: 1.664-6.317, p = 0.001), education (OR 1.895, 95%CI: 1.064-3.375, p = 0.030), income (OR 1.340, 95%CI: 1.026-1.750, p = 0.032), sexual orientation (OR 1.662, 95%CI: 1.066-2.589, p = 0.025), and concern for the physicians' appearance (OR 1.564, 95%CI: 1.160-2.107, p = 0.003) were significantly associated with patients' tendency to value physicians' aesthetic ability. Marital status (OR 0.766, 95% CI: 0.616-0.951, p = 0.016), income (OR 0.896,95% CI: 0.811-0.990, p = 0.031), the attention to physicians' age (OR 1.191,95% CI: 1.031-1.375, p = 0.017), and the attention to physicians' aesthetic ability (OR 0.775,95% CI: 0.666-0.901, p = 0.001) were significantly associated with the respondents' same-gender adherence degree. These findings suggest that patients with plastic surgery history, higher income, higher education background, and more diverse sexual orientation paid more attention to physicians' aesthetic ability. Marriage and income would affect the same-gender adherence degree, which would further influence patients' attention to the doctor's age and aesthetic ability.

Diagnostic Imaging in Evaluation of Aortic Dissection

Dr. Omar is Chief Resident, Department of Radiology, Detroit Medical Center, 4201 St. Antoine, 3J-2, Detroit, MI 48201, E-mail: [email protected]; and Dr. Abidov is Professor, Department of Radiology, John D. Dingell VA Medical Center, Detroit, Michigan. After participating in this educational activity, the radiologist should be better able to identify risk factors, epidemiology, clinical presentation, imaging characteristics, and pathophysiology of aortic dissection and describe associated complications. Dr. Abidov is a recipient of grant/research funding from Astellas Pharma. Lippincott CME Institute has identified and mitigated all relevant financial relationships regarding this educational activity. The remaining author, faculty, and staff have no relevant financial relationships with any ineligible organizations. The FDA has not approved gadolinium contrast for use in DE-CMR as discussed in this article. Please consult the product labeling for approved information. Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation on the enclosed answer form, answering at least seven of the 10 quiz questions correctly. This continuing medical education activity expires on April 14, 2025.

Use of Social Media for Patient Education in Dermatology: Narrative Review.

Social media has rapidly become one of the main avenues for news and communication among those with access to technology. Nearly 60% or 4.7 billion people worldwide use social media. Different social media networks provide users with a barrage of posts, opinions, and transformations. With this noticeable uptick in physician and patient education usage of social media, exploration of the impacts of social media on patient education in dermatology is crucial. The goal of this narrative review was to evaluate existing peer-reviewed literature examining the use of social media for patient education in dermatology and to establish trends and implications. Additional attention was given to different social media sites, and potential differences in modalities of posts such as short-form videos on TikTok and Instagram Reels, long-form videos on YouTube, and infographics on Twitter, Instagram, and Facebook. PubMed, Access DermatologyDxRx, and Scopus searches of peer-reviewed publications were performed to discover articles with social media and patient education keywords in combination with other health care-relevant or dermatology-relevant keywords. Subsequently, the screening of these studies was performed by the author who has experience with education and research experience in health care, dermatology, social media, and telehealth. Ultimately, the selected articles were summarized through qualitative analysis of key points and presented for further discussion. Through this narrative review, the researcher was able to identify several publications focusing on dermatology and social media. Some common subject areas included the use of social media for the promotion of private dermatology practices, residency programs, and research journals. So long as providers, such as dermatologists, take ethical considerations into account, these platforms can provide patients with curated educational content. In addition, several publications emphasized the use of social media as a form of patient education on dermatologic conditions but also as a source of misinformation. This narrative review illuminated the use of social media as a form of patient education for dermatology, with its applications addressed across many demographics and situations. As social media platforms continue to update their algorithms, content filters, and posts, social media may become a reputable form of patient education in dermatology. Future studies and innovations should continue to explore innovations in this space, the efficacy of different modalities of posts, and longitudinal differences in patient outcomes and health literacy.

Perceptions of emergency department physicians regarding the management of traumatic dental injuries.

The purpose of this study was to investigate the self-reported confidence level and education of Atlantic Canada emergency department physicians in the management of traumatic dental injuries and to assess the need for further education surrounding the management of dental trauma. An 18-item survey was developed and distributed electronically to physicians by their respective provincial medical associations. Traumatic dental injuries were reported in the emergency department on a weekly basis (78%). Most respondents reported that they were somewhat confident (51%) or very confident (7%) in managing traumatic dental injuries. Physicians' years in practice correlated positively with self-reported confidence levels in managing dental trauma. Urban and rural emergency department physicians reported similar levels of access to general dentists (38% and 30%, respectively); however, urban emergency department physicians reported greater access to pediatric dental specialists (43%) and oral and maxillofacial surgeons (81%) than rural practicing colleagues (4% and 30%, respectively). Most emergency department physicians (85%) agreed that it was important to receive training on the management of traumatic dental injuries and reported that education on managing traumatic dental injuries during residency (37%) and access to a dental trauma decision-making pathway (30%) would be of most value. This study highlights the role of emergency department physicians as first responders and demonstrates opportunities for improvement in the initial management of traumatic dental injuries. These implications can be achieved through the incorporation of further training in emergency medicine residency programs and through the implementation of decision-making pathways in emergency departments.

MP54-13 A PRACTICE-BASED INTERVENTION TO IMPROVE THE CARE OF WOMEN WITH URINARY INCONTINENCE: PROTOCOL FOR A CLUSTER RANDOMIZED CONTROLLED TRIAL

You have accessJournal of UrologyCME1 Apr 2023MP54-13 A PRACTICE-BASED INTERVENTION TO IMPROVE THE CARE OF WOMEN WITH URINARY INCONTINENCE: PROTOCOL FOR A CLUSTER RANDOMIZED CONTROLLED TRIAL Kyle Okamuro, Catherine Bresee, Isabella Dolendo, Karyn Eilber, Ramy Eskander, Tamara Grisales, Jejo Koola, Allison Mays, Carmen Mendez, Marlene Millen, Teryl Nuckols, Joshua Pevnick, David Reuben, Jennifer Singer, Ming Tai-Seale, Florin Vaida, Katherine Ward, Neil Wenger, Tajnoos Yazdany, Xi Zhu, and Jennifer Anger Kyle OkamuroKyle Okamuro More articles by this author , Catherine BreseeCatherine Bresee More articles by this author , Isabella DolendoIsabella Dolendo More articles by this author , Karyn EilberKaryn Eilber More articles by this author , Ramy EskanderRamy Eskander More articles by this author , Tamara GrisalesTamara Grisales More articles by this author , Jejo KoolaJejo Koola More articles by this author , Allison MaysAllison Mays More articles by this author , Carmen MendezCarmen Mendez More articles by this author , Marlene MillenMarlene Millen More articles by this author , Teryl NuckolsTeryl Nuckols More articles by this author , Joshua PevnickJoshua Pevnick More articles by this author , David ReubenDavid Reuben More articles by this author , Jennifer SingerJennifer Singer More articles by this author , Ming Tai-SealeMing Tai-Seale More articles by this author , Florin VaidaFlorin Vaida More articles by this author , Katherine WardKatherine Ward More articles by this author , Neil WengerNeil Wenger More articles by this author , Tajnoos YazdanyTajnoos Yazdany More articles by this author , Xi ZhuXi Zhu More articles by this author , and Jennifer AngerJennifer Anger More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003307.13AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Urinary incontinence (UI) presents an immense human and financial burden to American women. The impact of this condition will only continue to rise as the population ages, yet primary care for UI has been inadequate to date. The primary objective of this study is to improve the quality of UI care provided to women through a controlled practice-based intervention for primary care providers. Secondary objectives include evaluating the effect of the intervention on referral rates to specialists, improving patient-centered outcomes, reducing disparities in care, and disseminating findings to a diverse population of patients and providers. METHODS: Sixty offices across 4 Southern California medical institutions will be randomized to receive a four-pronged practice-based incontinence intervention vs. routine care. The intervention involves academic detailing (physician education and individual performance feedback), clinical decision support (note templates, order sets, and best practice advisory), co-management with a dedicated advanced practice provider, and implementation of an electronic consult referral service in which inappropriate referrals are returned with recommendations. RESULTS: The quality of care, as measured by compliance with a set of 12 quality indicators, will be measured across the arms after implementation of the intervention. Patient-reported outcomes and utilization of specialists will also be compared. After the initial intervention phase, there will be a validation phase in which the control group will cross over and receive the intervention. CONCLUSIONS: The potential reach of this pragmatic practice-based trial in Southern California is vast—with 900 patients, 225 providers, 60 offices, and 4 medical institutions directly impacted. The results of the study will also contribute to the translation of patient-centered outcomes research into clinical practice, impacting women locally and nationally. Source of Funding: Funded by the Agency for Healthcare Research and Quality. Project 1U18HS028740 © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e758 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Kyle Okamuro More articles by this author Catherine Bresee More articles by this author Isabella Dolendo More articles by this author Karyn Eilber More articles by this author Ramy Eskander More articles by this author Tamara Grisales More articles by this author Jejo Koola More articles by this author Allison Mays More articles by this author Carmen Mendez More articles by this author Marlene Millen More articles by this author Teryl Nuckols More articles by this author Joshua Pevnick More articles by this author David Reuben More articles by this author Jennifer Singer More articles by this author Ming Tai-Seale More articles by this author Florin Vaida More articles by this author Katherine Ward More articles by this author Neil Wenger More articles by this author Tajnoos Yazdany More articles by this author Xi Zhu More articles by this author Jennifer Anger More articles by this author Expand All Advertisement PDF downloadLoading ...