Healthcare Epidemiology Practicum Rotation for Postgraduate Physician Trainees in Medicine–Infectious Diseases

2013 ◽  
Vol 34 (10) ◽  
pp. 1114-1116
Author(s):  
Pranavi Sreeramoju ◽  
Maria Eva Fernandez-Rojas
Keyword(s):  
Infectious Diseases ◽  
Infection Control ◽  
Medical Center ◽  
Common Trunk ◽  
University Hospitals ◽  
Hospital System ◽  
University Of Texas ◽  
Core Rotation ◽  
The University ◽  
Healthcare Epidemiology

Practicum education in healthcare epidemiology and infection control (HEIC) for postgraduate physician trainees in infectious diseases is necessary to prepare them to be future participants and leaders in patient safety. Voss et al suggested that training in HEIC should be offered as a “common trunk” for physicians being trained in clinical microbiology or infectious diseases. A 1-month rotation has been recommended previously. A survey by Joiner et al indicated that only 50% of infectious diseases fellows found the infection control training adequate. The objective of this article is to report our 2-year experience with a 1-month practicum rotation we designed and implemented at our institution.The setting is the Adult Infectious Diseases fellowship program at the University of Texas Southwestern Medical Center (UTSW), Dallas, Texas. The fellows have clinical rotations at the Parkland Health and Hospital System, UTSW University hospitals, North Texas Veterans Affairs Health Care System, and Children's Medical Center Dallas. The 2-year program recruits 7 fellows every 2 years. The 1-month core rotation was established in July 2011 and is ongoing. Fellows who completed the rotation during the period July 2011 to April 2013 are included in this study.

NEWS AND ANNOUNCEMENTS

PEDIATRICS ◽  
1963 ◽  
Vol 31 (2) ◽  
pp. 347-351
Keyword(s):  
Infectious Diseases ◽  
Antimicrobial Agents ◽  
Medical Center ◽  
Fluorescent Antibody ◽  
Texas Medical ◽  
University Of Texas ◽  
Susceptibility To Infection ◽  
School Of Medicine ◽  
Antifungal Antibiotics ◽  
The University

The University of Texas Postgraduate School of Medicine is announcing a course on "Infectious Diseases—1963—Recent Contributions of Lasting Value", scheduled for February 28 and March 1, 1963. The course will be held in the Texas Medical Center, Houston, Texas. The program will include a number of outstanding guest speakers, who will discuss new concepts in immunology, bacterial hypersensitivity, applied pharmacology of antimicrobial agents, undue susceptibility to infection, present status of antifungal antibiotics, some bases for judgment in the use of antimicrobial agents, hypersensitivity and penicillin, fluorescent antibody techniques in the diagnosis of infectious diseases, progress in virology, adventures in the prevention of hepatitis, use of live and killed measles vaccine, prevention of viral diseases, and perspectives of infectious disease. For further information write to the Office of the Dean, The University of Texas Postgraduate School of Medicine, 102 Jesse Jones Libary Building, Texas Medical Center, Houston 25, Texas.

Abstract WMP94: Root Cause Analyses of Preventable Causes of Readmission after Stroke: The University Hospitals- Case Medical Center (UH-CMC) and University Hospitals System Stroke Program (UHSSP) Experience

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Benny S Kim ◽  
Julie Fussner ◽  
Cathy Sila
Keyword(s):  
Medical Center ◽  
Administrative Databases ◽  
Bleeding Complications ◽  
Case Review ◽  
University Hospitals ◽  
Stroke Subtype ◽  
Vascular Events ◽  
Hospital System ◽  
Root Cause ◽  
The University

Root Cause Analyses of Preventable Causes of Readmission after Stroke: The University Hospitals- Case Medical Center (UH-CMC) and University Hospitals System Stroke Program (UHSSP) Experience Objective: Metrics, such as the 30 day readmission rate after stroke, are increasingly used by consumers and payors to reflect hospital quality of care. Benchmarks determined by large administrative databases lack detailed root cause analyses which are crucial in determining preventable causes. Methods: In 2010, the UHSSP Quality Initiative developed a MIDAS™ report alerting the Stroke Coordinator of all inpatient encounters to any UH hospital within 30 days of a stroke discharge from UH-CMC. A focus study guided a detailed case review including demographics, index admission stroke subtype, discharge treatment and disposition, follow up appointments, medical compliance, readmission diagnosis and location, and Root Cause Analysis of preventable causes. Results: Of 1093 stroke discharges from January 2011 - June 2012, 84 (7.7%) were readmitted within 30 days; 5.7% to UH-CMC and 2% to other UH hospitals. During this period, compliance with evidence-based guidelines for stroke exceeded benchmarks. Readmitted patients were 54% female, 30% aged ≥ 80 years and 45% were transferred from facilities. Stroke subtypes reflected total discharges with 78% ischemic stroke, 9.6% TIA, 8% intracranial hemorrhage and 3.6% subarachnoid hemorrhage. Of the various causes of readmission, the most common were recurrent vascular events in 22% (TIA, stroke 14%, myocardial 8%) and infection in 20% (pneumonia 11%, urinary tract 7%). Bleeding complications of anti-thrombotic therapy occurred in 8% (hemorrhagic transformation 6%, GI 2%). Other frequent events included new onset seizure (7%) or cardiac arrhythmia (5%). Scheduled, elective readmissions accounted for 6% and medically unnecessary transfers from facilities an additional 6%. Conclusions: Single center data would have missed 26% of the readmissions that went to hospital system community hospitals. Root Cause Analyses of readmitted patients discovered evidence relevant to the readmitting diagnosis prior to index hospital discharge in 7% but only 6% of all readmissions were preventable by the discharging team.

Pulmonary Hypertension Roundtable: COPD, IPF, and Pulmonary Hypertension: A Clinician's Dilemma

2013 ◽  
Vol 12 (3) ◽  
pp. 145-151
Keyword(s):  
Pulmonary Hypertension ◽  
Rhode Island ◽  
Medical Center ◽  
Puget Sound ◽  
Health Science ◽  
Pulmonary Vascular Disease ◽  
University Hospitals ◽  
Science Center ◽  
University Of Texas ◽  
Transplant Program

On October 9, 2013, a group of experts met by telephone to discuss PH in the setting of COPD and IPF. The group consisting of guest editor of this issue Jeffrey Edelman, MD, Head, Lung Transplant Program VA Puget Sound Health System, University of Washington; Deborah J. Levine, MD, Director, Pulmonary Hypertension Center, University of Texas Health Science Center at San Antonio; James Klinger, MD, Director, Rhode Island Hospital Pulmonary Hypertension Center; and Robert Schilz, DO, PhD, Director of Pulmonary Vascular Disease and Lung Transplantation, University Hospitals, Case Medical Center; provided perspective and insight into how clinicians can approach these patients most effectively.

scholarly journals SYNTHESIS OF THE ORGANIZATION OF TREATMENT, RESEARCH AND TEACHING (CASE STUDY AT THE UNIVERSITY HOSPITAL IN AACHEN)

2021 ◽  
pp. 349-358
Author(s):  
Maryna Lienkova ◽  
Irina Bulakh
Keyword(s):  
Medical Center ◽  
Multidisciplinary Treatment ◽  
University Hospital ◽  
Survey Analysis ◽  
University Hospitals ◽  
Medical Institutions ◽  
Hospital Patients ◽  
Student Training ◽  
Treatment Research ◽  
The University

The article considers and analyzes the existing in the world, but new for Ukraine, type of healthcare institutions - a university hospital, which today is an example of one of the largest and best university hospitals in Germany - the Medical Center of the University of Aachen. The planning and functional structure of the university hospital and special design approaches that contributed to its design and development are analyzed. The purpose of the article is to illustrate an innovative approach for our state to the organization of medical institutions and to emphasize the importance of their implementation in the domestic healthcare system. The research methodology is based on the systematization and analysis of data from various information sources, as well as on the method of sociological survey (analysis of reviews). The article considers the features of the structure of the University Hospital Aachen, namely the multidisciplinary treatment, research and student training, which are combined in one institution. According to hospital patients, the only drawback of this structure is the frequent long wait for visitors. This is probably due to the significant daily flow of patients of varying complexity and, consequently, the shortcomings of the managerial approach. However, at the same time, the hospital has many advantages, which were highlighted in the article.  

Alkaloid Synthesis: (−)-L-Batzellaside A (Toyooka), Limazepine A (Zemribo), (+)-Febrifugine (Pansare), Amathaspiramide F (Tambar), Allomatrine (Brown), Lyconadine C (Waters), Tabersonine (Andrade)

2017 ◽  
Author(s):  
Douglass F. Taber
Keyword(s):  
Absolute Configuration ◽  
Claisen Rearrangement ◽  
Medical Center ◽  
University Of Texas ◽  
Temple University ◽  
Lycopodium Alkaloid ◽  
Alkaloid Synthesis ◽  
The University ◽  
Acyl Azide ◽  
Stereogenic Center

Naoki Toyooka of the University of Toyama prepared (Eur. J. Org. Chem. 2013, 2841) the lactam 1 from commercial tri-O-benzyl-D-glucal. Reduction with Dibal followed by coupling of the intermediate with allyltrimethylsilane delivered the piper­idine 2, that was carried on to (−)-L-batzellaside A 3. Ronalds Zemribo of the Latvian Institute of Organic Synthesis effected (Org. Lett. 2013, 15, 4406) Ireland–Claisen rearrangement of the lactone 4 to give the pyrroli­dine 5 with high geometric control. This was readily converted to limazepine E 6. Sunil V. Pansare of Memorial University used (Synthesis 2013, 45, 1863) an organo­catalyst to set the relative and absolute configuration in the addition of 7 to 8 to give 9. The acyclic stereogenic center of 9 was inverted twice en route to (+)-febrifugine 10. Uttam K. Tambar of the University of Texas Southwestern Medical Center combined (Org. Lett. 2013, 15, 5138) 11 with 12 under Pd catalysis to set the rel­ative configuration of 13. Late-stage bromination completed the synthesis of amathaspiramide F 14. Richard C. D. Brown of the University of Southampton used (Org. Lett. 2013, 15, 4596) the sulfinylimine of 15 to direct the stereochemical sense of the addition of 16. The product 17 was carried over several steps to the tetracyclic alkaloid allomatrine 18. Stephen P. Waters of the University of Vermont devised (Org. Lett. 2013, 15, 4226) what appears to be a general route to pyridones. On warming, the acyl azide derived from the acid 19 rearranged to the isocyanate, that cyclized to the pyridone 20. Deprotection led to the Lycopodium alkaloid lyconadin C 21. Among the several creative routes to indole alkaloids that have been put forward in recent months, the synthesis of tabersonine 25 (J. Am. Chem. Soc. 2013, 135, 13334) by Rodrigo B. Andrade of Temple University stands out. Deprotonation of 22 led to an anion that was condensed with 23 to give 24, with the relative and absolute configuration directed by the pendant sulfinylimine. In addition to tabersonine, the intermediate 24 was carried on to vincadifformine and to aspidospermidine.

Program development of a preceptor bootcamp for operational pharmacy preceptors

2020 ◽  
Vol 77 (Supplement_1) ◽  
pp. S2-S7
Author(s):  
Devlin V Smith ◽  
Stefani Gautreaux ◽  
Alison M Gulbis ◽  
Jeffrey J Bruno ◽  
Kevin Garey ◽  
...  
Keyword(s):  
Survey Methodology ◽  
Medical Center ◽  
Academic Medical Center ◽  
Cancer Center ◽  
University Of Texas ◽  
Qualitative Feedback ◽  
Md Anderson ◽  
The University ◽  
Functional Areas ◽  
The Impact

Abstract Purpose To describe the development, design, and implementation of a pilot preceptor development bootcamp and feedback related to its feasibility and impact on operational pharmacy preceptors. Summary The University of Texas MD Anderson Cancer Center designed and implemented a pilot preceptor development bootcamp for operational staff pharmacists serving as residency preceptors for longitudinal weekend staffing experiences. A systematic, multipronged approach was taken to identify preceptor development gaps and design a full-day bootcamp curriculum. The resultant curriculum was comprised of content in major functional areas including using the 4 preceptor roles, documenting performance, giving and receiving feedback, and dealing with difficult situations or learners. The impact of the pilot preceptor development bootcamp was assessed using survey methodology and qualitative feedback from debrief discussions. Conclusion Implementation of a pilot preceptor bootcamp program addressing major areas of precepting skill was well received, resulted in positive feedback from operational pharmacy preceptors, and was feasible to implement at a large academic medical center.

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