scholarly journals Practical Negotiation for Medical Professionals

2018 ◽  
Vol 32 (04) ◽  
pp. 166-171 ◽  
Author(s):  
Bradley Eisemann ◽  
Ryan Wagner ◽  
Edward Reece
Keyword(s):  
Clinical Medicine ◽  
Clinical Care ◽  
Medical Knowledge ◽  
Medical Innovation ◽  
Medical Field ◽  
Residency Programs ◽  
Clinical Patient ◽  
Negotiation Strategies ◽  
Business Acumen ◽  
Time And Energy

AbstractDespite incredible advances in medical innovation and education, many students finish medical school, and physicians finish residency, without sound business acumen regarding the financial realities of the modern profession. The curriculum in medical schools and residency programs too often neglects teaching the business of medicine. This overview addresses how physicians can utilize effective negotiation strategies to help develop a medical practice or add value to an existing practice or institution. The authors applied the six foundations of effective negotiating, detailed by Richard Shell in his Bargaining for Advantage, to the medical field to demonstrate the processes involved in effective negotiating. They then outlined a strategy for physicians to adopt when negotiating and showed how this strategy can be used to add value. The six foundations include: developing a personal bargaining style, setting realistic goals, determining authoritative standards, establishing relationships, exploring the other party's interests, and gaining leverage. As physicians complete training, the ability to solely focus on medical knowledge and clinical patient care disappears. It is crucial that physicians invest the time and energy into preparing for the business aspects of this profession in much the same way they prepare for the clinical care of patients. This overview seeks to define the basics of negotiation, characterize the application of negotiation principles toward clinical medicine, and lay the foundation for further discussion and investigation.

scholarly journals Lessons Learned From an Early Hotspot During the COVID-19 Pandemic

2021 ◽  
pp. 000313482199475
Author(s):  
Brett M. Chapman ◽  
George M. Fuhrman
Keyword(s):  
Decision Making ◽  
Surgical Education ◽  
Clinical Care ◽  
Well Being ◽  
Educational Environment ◽  
Lessons Learned ◽  
Residency Programs ◽  
Surgical Residency ◽  
The Impact

The Covid-19 pandemic has provided challenges for surgical residency programs demanding fluid decision making focused on providing care for our patients, maintaining an educational environment, and protecting the well-being of our residents. This brief report summarizes the impact of the impact on our residency programs clinical care and education. We have identified opportunities to improve our program using videoconferencing, managing recruitment, and maintaining a satisfactory caseload to ensure the highest possible quality of surgical education.

THE TERMS-VERBS IN CONTEMPORARY MEDICAL TEXT

2021 ◽  
pp. 102-107
Author(s):  
MARINA V. VEKLICH ◽  
Keyword(s):  
Medical Knowledge ◽  
Word Formation ◽  
Literary Language ◽  
Medical Field ◽  
Medical Text ◽  
Grammatical Categories ◽  
Medical Dictionary ◽  
Russian Medical

The article presents a fact-based study of the verbalization of medical knowledge, verbal nomination as one of the ways to create a Russian medical dictionary. The linguistic materials collected during the research indicate the ability of the verb to terminate concepts. Verb-terms, in contrast to noun-terms, nominate specific processes, phenomena. Verb terms are included in word-formation nests along with noun terms. Verb terms fall into two groups: 1) branch verbs and 2) common verbs. The first group unites verbs characteristic of the medical field of knowledge, the second group includes verbs, the terminological nature of which is manifested in the composition of a phrase with a dependent noun-term. In such verb-nominal phrases, the verb either expands the meaning, or concretizes the existing one. Verb terms are used mainly in those branches of medicine that are associated with a specif- ic action (for example, surgery). Verb terms have the same grammatical categories as verbs of the general literary language. The results obtained can be used for further research on the cognitive properties of verbs-terms based on new sources.

I nuovi scambi tra medici e pazienti: le parole della medicina

2021 ◽  
Vol 9788879169776 ◽  
pp. 35-45
Author(s):  
Antonio M. Carrassi
Keyword(s):  
Search Engines ◽  
Health Workers ◽  
Medical Knowledge ◽  
Medical Field ◽  
Average Life ◽  
Average Life Span ◽  
Research Activities ◽  
Field Information ◽  
The One ◽  
The Individual

Medicine showed enormous progresses since the middle of the last century and, thanks to the overwhelming research activities, which characterized that period, the average life span of people has increased extraordinarily. Many diseases that once were considered incurable are now being successfully treated. However, the disease has often been placed at the core of the clinical process rather than the person, the individual, the patient. Even in recent years, the patient doesn’t always find in his doctor the appropriate degree of empathy, and the level of communication that would be desirable. Moreover, today we are living an extraordinary development and spreading use of digital resources and search engines. Patients exploit these tools to obtain any kind of information, included the one in the medical field. Information technology and search engines play an extremely important role in medicine, and they can be seen a pivotal communication instrument between clinicians and patients, although they can also provide inaccurate or incorrect feedback to laypeople looking for answers to health questions, who do not have enough medical knowledge to evaluate the reliability of the source. This problem has been raised by clinicians and, more generally, by health workers, who today operate with a view to greater psychological proximity to the patient, passing from a so-called Disease Centred Medicine to a clinical practice much more sensitive to the needs of the patient, to his experience, to the context in which he lives, thus achieving a Patient Centred Medicine. Listening, attention, empathy and the words that a clinician is required to use towards each patient, during the clinical routine, take on more and more value for a correct doctor-patient exchange and alliance.

Cybersecurity risks and gaps in hospital clinical care: Summary review (for the non-cyber professional) (Preprint)

2021 ◽  
Author(s):  
Liat Wasserman
Keyword(s):  
Medical Devices ◽  
Clinical Medicine ◽  
Clinical Care ◽  
Journal Articles ◽  
Policy Changes ◽  
Electronic Data ◽  
Pubmed Database ◽  
The Us ◽  
Security Incidents ◽  
Hospital Equipment

BACKGROUND Healthcare is facing a growing threat of cyberattacks. Myriad data sources illustrate the same trends that healthcare is one of the industries with the highest risk of cyber infiltration and is seeing the rate of security incidents surge within just a few years. The circumstances thus begged the question: are US hospitals prepared for the risks that accompany clinical medicine in cyberspace? OBJECTIVE This study aimed to identify the major topics and concerns present in today’s hospital cybersecurity field, intended for the non-cyber professionals audience in hospital settings. METHODS Via a structured literature search of the National Institutes of Health’s PubMed database (including the MEDLINE database) and Tel Aviv University’s DaTa database, 35 journal articles were identified to form the core of the study. 86 additional sources were examined to inform the study findings RESULTS The literature review revealed a basic landscape of hospital cybersecurity, including the top ten methods of attack, the primary reasons hospitals are frequent targets, and the consequences hospitals face following attacks. The cyber technologies common in clinical medicine, as well as their risks, were also examined, with the major categories highlighted being medical devices, telemedicine software, and electronic data. By infiltrating any of these three components of clinical care, cyber attackers can access a trove of valuable information and manipulate, steal, ransom, or otherwise compromise the records, or can use the access to catapult themselves to access other parts of a hospital’s network. Multiple secondary issues that can increase the cyber risks associated with devices, telemedicine, and electronic data were also identified. Finally, strategies that hospitals tend to employ to combat the cyber risks were explored and found to be subpar. There exist within hospitals’ cybersecurity measures serious vulnerabilities and gaps that many of today’s hospitals fail to address. The COVID-19 pandemic was used to further illustrate this issue. CONCLUSIONS Comparison of the risks, strategies, and gaps revealed that many hospitals in the US are unprepared for cybersecurity risks. The focus of their efforts are misdirected, with external - often governmental - efforts negligible. Policy changes, such as training employees in cyber protocols, adding advanced technical protections, and collaborating with a variety of experts, are necessary. Overall, hospitals must recognize that, in cyber incidents, the real victims are the patients. They are the ones at risk, physically and in information confidentiality, when medical devices, hospital equipment, or treatments are compromised.

scholarly journals The “Zing Factor”—How Do Faculty Describe the Best Pediatrics Residents?

2014 ◽  
Vol 6 (1) ◽  
pp. 106-111 ◽  
Author(s):  
Glenn Rosenbluth ◽  
Bridget O'Brien ◽  
Emily M. Asher ◽  
Christine S. Cho
Keyword(s):  
Medical Education ◽  
Graduate Medical Education ◽  
Knowledge Integration ◽  
Clinical Skills ◽  
Medical Knowledge ◽  
Residency Programs ◽  
Graduate Medical ◽  
Trained Interviewer ◽  
And Behaviors ◽  
Assessment Strategies

Abstract Background Faculty in graduate medical education programs may not have uniform approaches to differentiating the quality of residents, and reviews of evaluations suggest that faculty use different standards when assessing residents. Standards for assessing residents also do not consistently map to items on evaluation forms. One way to improve assessment is to reach consensus on the traits and behaviors that are (or should be) present in the best residents. Methods A trained interviewer conducted semistructured interviews with faculty affiliated with 2 pediatrics residency programs until content saturation was achieved. Interviewees were asked to describe specific traits present in residents they identify as the best. Interviews were recorded and transcribed. We used an iterative, inductive approach to generate a coding scheme and identify common themes. Results From 23 interviews, we identified 7 thematic categories of traits and behaviors: personality, energy, professionalism, team behaviors, self-improvement behaviors, patient-interaction behaviors, and medical knowledge and clinical skills (including a subcategory, knowledge integration). Most faculty interviewees focused on traits like passion, enthusiasm, maturity, and reliability. Examination score or intelligence was mentioned less frequently than traits and behaviors categorized under personality and professionalism. Conclusions Faculty identified many traits and behaviors in the residents they define as the best. The thematic categories had incomplete overlap with Accreditation Council for Graduate Medical Education (ACGME) and CanMEDS competencies. This research highlights the ongoing need to review our assessment strategies, and may have implications for the ACGME Milestone Project.

scholarly journals Residency Programs' Evaluations of the Competencies: Data Provided to the ACGME About Types of Assessments Used by Programs

2010 ◽  
Vol 2 (4) ◽  
pp. 649-655 ◽  
Author(s):  
Kathleen D. Holt ◽  
Rebecca S. Miller ◽  
Thomas J. Nasca
Keyword(s):  
Medical Education ◽  
Interpersonal Communication ◽  
Graduate Medical Education ◽  
Medical Knowledge ◽  
Residency Programs ◽  
The Public ◽  
Graduate Medical ◽  
Resident Assessment ◽  
Using Data ◽  
Almost All

Abstract Background In 1999, the Accreditation Council for Graduate Medical Education (ACGME) Outcome Project began to focus on resident performance in the 6 competencies of patient care, medical knowledge, professionalism, practice-based learning and improvement, interpersonal communication skills, and professionalism. Beginning in 2007, the ACGME began collecting information on how programs assess these competencies. This report provides information on the nature and extent of those assessments. Methods Using data collected by the ACGME for site visits, we use descriptive statistics and percentages to describe the number and type of methods and assessors accredited programs (n  =  4417) report using to assess the competencies. Observed differences among specialties, methodologies, and assessors are tested with analysis of variance procedures. Results Almost all (>97%) of programs report assessing all of the competencies and using multiple methods and multiple assessors. Similar assessment methods and evaluator types were consistently used across the 6 competencies. However, there were some differences in the use of patient and family as assessors: Primary care and ambulatory specialties used these to a greater extent than other specialties. Conclusion Residency programs are emphasizing the competencies in their evaluation of residents. Understanding the scope of evaluation methodologies that programs use in resident assessment is important for both the profession and the public, so that together we may monitor continuing improvement in US graduate medical education.

Towards Clinical Bioinformatics: Advancing Genomic Medicine with Informatics Methods and Tools

2004 ◽  
Vol 43 (03) ◽  
pp. 302-307 ◽  
Author(s):  
E. Ammenwerth ◽  
R. Brandner ◽  
B. Brigl ◽  
G. Fischer ◽  
S. Garde ◽  
...  
Keyword(s):  
Medical Informatics ◽  
Clinical Medicine ◽  
Special Section ◽  
Clinical Care ◽  
Genomic Medicine ◽  
International Health ◽  
Knowledge Resources ◽  
Clinical Bioinformatics ◽  
Recent Developments ◽  
Key Issues

Summary Objectives: To summarize the challenges facing clinical applications in the light of growing research results in genomic medicine and bioinformatics. Methods: Analysis of the contents of the Yearbook of Medical Informatics 2004 of the International Medical Informatics Association (IMIA). Results: The Yearbook of Medical Informatics 2004 includes 32 articles selected from 22 peer-reviewed scientific journals. A special section on clinical bio-informatics highlights recent developments in this field. Several guest editors review the promises and limitations of available methods and resources from biomedical informatics that are relevant to clinical medicine. Integrated data and knowledge resources are generally regarded to be central and key issues for clinical bioinformatics. Further review papers deal with public health implications of bioinformatics, knowledge management and trends in health care education. The Yearbook includes for the first time a section on the history of medical informatics, where the significant impact of the Reisensburg protocol 1973 on international health and medical informatics education is examined. Conclusions: Close collaboration between bio-informatics and medical informatics researchers can contribute to new insights in genomic medicine and contribute towards the more efficient and effective use of genomic data to advance clinical care.

scholarly journals The Application of Intelligent Control in Clinical Medicine

2019 ◽  
Vol 267 ◽  
pp. 02006
Author(s):  
Na Wang ◽  
Jinguo Wang ◽  
Yuanyuan Wang
Keyword(s):  
Information Technology ◽  
Intelligent Control ◽  
New Technologies ◽  
Clinical Medicine ◽  
Clinical Work ◽  
New Wave ◽  
Medical Field ◽  
Clinical Departments

Since the emergence of intelligent control, it has continuously developed and been applied to various fields, which has also greatly promoted the progress of clinical medicine and solved some difficult problems in clinical work. The development of intelligent control pushes the emergence and development of new technologies and new industries. It promotes a new wave of information technology, which continuously penetrates medicine. Intelligent control plays an increasingly important role, and its application in medical field is an inevitable trend. This article mainly gives examples of intelligent control in some clinical departments.

Reconstructing Medical Problem Solving Competence: MACCORD

1993 ◽  
Vol 32 (04) ◽  
pp. 326-338
Author(s):  
B. Petkoff ◽  
H. Mannebach ◽  
S. Kirkby ◽  
D. Kraus
Keyword(s):  
Problem Solving ◽  
Clinical Medicine ◽  
Medical Knowledge ◽  
Medical Problem ◽  
Knowledge Based Systems ◽  
Levels Of Abstraction ◽  
Knowledge Based ◽  
Methodological Principles ◽  
Problem Solving Behavior ◽  
Medical Reasoning

AbstractThe building of medical knowledge-based systems involves the reconstruction of methodological principles and structures within the various subdomains of medicine. ACCORD is a general methodology of knowledge-based systems, and MACCORD its application to medicine. MACCORD represents the problem solving behavior of the medical expert in terms of various types of medical reasoning and at various levels of abstraction. With MACCORD the epistemic and cognitive processes in clinical medicine can be described in formal terminology, covering the entire diversity of medical reasoning. MACCORD is close enough to formalization to make a significant contribution to the fields of medical knowledge acquisition, medical didactics and the analysis and application of medical problem solving methods.

scholarly journals Advantages and Challenges of Working as a Clinician in an Academic Department of Medicine: Academic Clinicians' Perspectives

2010 ◽  
Vol 2 (3) ◽  
pp. 478-484 ◽  
Author(s):  
Colleen Christmas ◽  
Samuel C. Durso ◽  
Steven J. Kravet ◽  
Scott M. Wright
Keyword(s):  
Internal Medicine ◽  
Clinical Medicine ◽  
Clinical Care ◽  
Clinical Work ◽  
Academic Institutions ◽  
Academic Setting ◽  
Academic Leaders ◽  
Wide Range ◽  
Academic Settings ◽  
Excellent Care

Abstract Background The provision of high-quality clinical care is critical to the mission of academic and nonacademic clinical settings and is of foremost importance to academic and nonacademic physicians. Concern has been increasingly raised that the rewards systems at most academic institutions may discourage those with a passion for clinical care over research or teaching from staying in academia. In addition to the advantages afforded by academic institutions, academic physicians may perceive important challenges, disincentives, and limitations to providing excellent clinical care. To better understand these views, we conducted a qualitative study to explore the perspectives of clinical faculty in prominent departments of medicine. Methods Between March and May 2007, 2 investigators conducted in-depth, semistructured interviews with 24 clinically excellent internal medicine physicians at 8 academic institutions across the nation. Transcripts were independently coded by 2 investigators and compared for agreement. Content analysis was performed to identify emerging themes. Results Twenty interviewees (83%) were associate professors or professors, 33% were women, and participants represented a wide range of internal medicine subspecialties. Mean time currently spent in clinical care by the physicians was 48%. Domains that emerged related to faculty's perception of clinical care in the academic setting included competing obligations, teamwork and collaboration, types of patients and productivity expectations, resources for clinical services, emphasis on discovery, and bureaucratic challenges. Conclusions Expert clinicians at academic medical centers perceive barriers to providing excellent patient care related to competing demands on their time, competing academic missions, and bureaucratic challenges. They also believe there are differences in the types of patients seen in academic settings compared with those in the private sector, that there is a “public” nature in their clinical work, that productivity expectations are likely different from those of private practitioners, and that resource allocation both facilitates and limits excellent care in the academic setting. These findings have important implications for patients, learners, and faculty and academic leaders, and suggest challenges as well as opportunities in fostering clinical medicine at academic institutions.

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