scholarly journals Current Aspects of Professional Training of Anesthesiologists and Intensive Care Specialists in Residency Programs

2021 ◽  
Vol 17 (5) ◽  
pp. 80-95
Author(s):  
S. A. Perepelitsa ◽  
V. V. Moroz ◽  
V. T. Dolgikh ◽  
E. A. Boeva ◽  
D. O. Starostin ◽  
...  
Keyword(s):  
Intensive Care ◽  
Residency Training ◽  
Professional Training ◽  
Resident Training ◽  
High Quality ◽  
Residency Programs ◽  
High Quality Medical Care ◽  
Educational Computer ◽  
Clinical Thinking ◽  
Quality Medical Care

The aim is to study the current aspects of resident training in anesthesiology and intensive care. The article focuses on the theoretical training of residents, the importance of a thorough knowledge of pathophysiology, and the formation of clinical thinking. Opportunities for the use of innovative educational computer technologies in residency training are shown. A consistent interdisciplinary pedagogical interaction makes it possible to improve the outcomes of residency training by achieving the main goal of developing a physician who has acquired universal, general and specific professional competences and is capable of providing high-quality medical care.

Who Delivers Higher Quality Care?

PEDIATRICS ◽  
1978 ◽  
Vol 61 (2) ◽  
pp. 329-330
Author(s):  
David Sparling
Keyword(s):  
Primary Care ◽  
Medical Care ◽  
Quality Care ◽  
Family Education ◽  
Foreseeable Future ◽  
High Quality ◽  
Family Practitioners ◽  
High Quality Medical Care ◽  
Quality Medical Care

Access by all children to high-quality medical care must be the goal of all pediatricians. There are many reasons why all of this care cannot in the foreseeable future be given by pediatricians. These include factors of geography, economics, family education, and comfort, and episodic versus continuity medical care, as well as aggregate manpower figures. Dr. Hoekelman's presentation (Pediatrics 59:315, March 1977) addresses the issue, but his argument is poorly served by the undocumented statement that "there are no data to show that pediatricians do a better job in delivering primary care to children than do family practitioners."

scholarly journals THE EXPERIENCE OF THE AMBULANCE SERVICE IN A PANDEMIC FROM MARCH TO DECEMBER2020 IN KRASNODAR

2021 ◽  
Vol 22 (1) ◽  
pp. 26-31
Author(s):  
S. N. Alekseenko ◽  
A. S. Bagdasaryan ◽  
A. A. Sirunyants ◽  
D. V. Pukhnyak ◽  
Z. A. Kamalyan ◽  
...  
Keyword(s):  
Medical Care ◽  
Multiple Organ ◽  
Ambulance Service ◽  
Automated System ◽  
High Quality ◽  
High Quality Medical Care ◽  
Coronavirus Infection ◽  
Krasnodar Region ◽  
Quality Medical Care ◽  
Observation Period

The pandemic of a new coronavirus infection caused the need to reorganize the work of emergency medical services (EMS) due to the high contagiousness and mortality, multiple organ lesions, difficulties in diagnosis and the lack of protocols for providing medical care to patients at the prehospital stage.The purpose and objectives of the study is to assess the activities of the ambulance service in the context of a new coronavirus infection in Krasnodar.Materials and methods: data of the information base of the integrated automated system for managing the activities of the ambulance station SBIHC KEH of the Ministry of Health Care of the Krasnodar Region in Krasnodar.Results. А differentiated approach and algorithm was developed for assessing the severity of the condition in patients with COVID-infection and ARVI, their routing and organization of treatment in Krasnodar.Conclusion: an assessment of the work of the ambulance service in combination with the measures taken during the observation period will ultimately allow organizing high-quality medical care to the population. 

scholarly journals The Early Impact of COVID-19 on Ophthalmology Resident Training and Wellness

2020 ◽  
Vol 12 (02) ◽  
pp. e292-e297
Author(s):  
Michael Woodfin ◽  
Karine D. Bojikian ◽  
Parisa Taravati ◽  
Leona Ding ◽  
Michele D. Lee ◽  
...  
Keyword(s):  
Residency Training ◽  
Job Search ◽  
Residency Program ◽  
Personal Protective Equipment ◽  
Resident Training ◽  
Generalized Anxiety ◽  
Protective Equipment ◽  
Residency Programs ◽  
The Us ◽  
Residency Program Directors

Abstract Objective The aim of this article is to assess the initial impact of the coronavirus disease 2019 (COVID-19) pandemic on ophthalmology resident training and wellness. Design Online national survey of ophthalmology residents distributed by residency program directors and education coordinators of participating programs. Setting US ophthalmology residency programs during the COVID-19 pandemic (May 20th, 2020 to June 10th, 2020). Participants Ophthalmology residents enrolled in the US residency programs currently in postgraduate years two through four of training. Results Two-hundred thirty-six of 785 (30.1%) residents responded to the survey. One-hundred eighteen of 234 (50.4%) residents reported exposure to known COVID-19 positive patients, and of those exposed, 44 of 118 (37.2%) felt that they did not have adequate personal protective equipment. One-hundred ninety-five of 233 (83.7%) residents reported a decrease in primary surgical cases during the pandemic, with 68 (29.2%) reporting a loss of more than 50 primary cases. One-hundred sixty-four of 234 (70.1%) residents were concerned that the pandemic would negatively impact their surgical skills beyond residency, and 15% reported that they were more likely to pursue fellowship due to the pandemic. 31.0% of residents met criteria of burnout, 9.1% were depressed, and 13.4% had generalized anxiety. Concerns about COVID-19 infection were correlated with increased anxiety and burnout during the pandemic. Conclusions The COVID-19 pandemic has decreased resident surgical and clinical volumes and has negatively impacted ophthalmology residency training. Residents with increased concern for contracting COVID-19 and those actively engaged in a job search had significantly higher odds of increased anxiety.

Gender and Psychiatric Clerkship Performance

1984 ◽  
Vol 29 (4) ◽  
pp. 327-329 ◽  
Author(s):  
Gabor I. Keitner ◽  
Lawrence M. Baldwin ◽  
Miriam J. Mckendall
Keyword(s):  
High Quality ◽  
Male And Female ◽  
National Examinations ◽  
High Quality Medical Care ◽  
Two Measures ◽  
The Difference ◽  
Medical Examinations ◽  
Clerkship Rotation ◽  
Quality Medical Care ◽  
Psychiatric Clerkship

This study compared the performance of male and female medical students on a psychiatric clerkship rotation. The women performed at a higher level than the men, although the difference was not significant. In general, the men scored significantly higher on national standardized medical examinations. Correlations between psychiatric clerkship evaluations and national examinations were low, suggesting that the two measures are independent. These findings for psychiatric clerkship are consistent with those for clerkships in medicine, surgery and obstetrics, implying that female clinical clerks are just as capable as male clinical clerks in providing high quality medical care.

scholarly journals Foot Complications and Mortality

2016 ◽  
Vol 106 (1) ◽  
pp. 7-14 ◽  
Author(s):  
Laura N. McEwen ◽  
Kelly R. Ylitalo ◽  
Michael Munson ◽  
William H. Herman ◽  
James S. Wrobel
Keyword(s):  
Managed Care ◽  
Medical Care ◽  
Administrative Claims ◽  
High Quality ◽  
Foot Complications ◽  
Risk Of Mortality ◽  
Increased Risk ◽  
High Quality Medical Care ◽  
The Impact ◽  
Quality Medical Care

Background: We sought to study the impact of foot complications on 10-year mortality independent of other demographic and biological risk factors in a racially and socioeconomically diverse managed-care population with access to high-quality medical care. Methods: We studied 6,992 patients with diabetes in Translating Research Into Action for Diabetes (TRIAD), a prospective observational study of diabetes care in managed care. Foot complications were assessed using administrative claims data. The National Death Index was searched for deaths across 10 years of follow-up (2000-2009). Results: Charcot's neuro-osteoarthropathy and diabetic foot ulcer with debridement were associated with an increased risk of mortality; however, the associations were not significant in fully adjusted models. Lower-extremity amputation (LEA) was associated with an increased risk of mortality in unadjusted (hazard ratio [HR], 3.21; 95% confidence interval [CI], 2.50–4.12) and fully adjusted (HR, 1.84; 95% CI, 1.28–2.63) models. When we examined the associations between LEA and mortality stratified by sex and race, risk was increased in men (HR, 1.96; 95% CI, 1.25–3.07), Hispanic individuals (HR, 5.17; 95% CI, 1.48–18.01), and white individuals (HR, 2.18; 95% CI, 1.37–3.47). In sensitivity analyses, minor LEA tended to increase the risk of mortality (HR, 1.48; 95% CI, 0.92–2.40), and major LEA was associated with a significantly higher risk of death at 10 years (HR, 1.89; 95% CI, 1.18–3.01). Conclusions: In this managed-care population with access to high-quality medical care, LEA remained a robust independent predictor of mortality. The association was strongest in men and differed by race.

scholarly journals Routing principles for patients with hereditary angioedema

2021 ◽  
Vol 66 (3) ◽  
pp. 94-101
Author(s):  
A. N. Pampura ◽  
I. P. Vitkovskaya ◽  
D. S. Fomina
Keyword(s):  
Medical Care ◽  
Hereditary Angioedema ◽  
Epidemiological Data ◽  
Healthcare Management ◽  
High Quality ◽  
Low Level ◽  
Patient Pathway ◽  
Financial Costs ◽  
High Quality Medical Care ◽  
Quality Medical Care

Currently, there is a lot of effort that is been done to optimize healthcare management for patients with hereditary angioedema, but there are still difficulties in the regions. Epidemiological data on hereditary angioedema indicate a low level of diagnosis. In several regions, patient pathway have been developed with a detailed description of the different steps on the patient healthcare journey. The patient pathway is a key component of high-quality medical care with optimal timeliness and financial costs. The article is devoted to the organization of hereditary angioedema patients’ pathway.

Experience of the Pavlodar Regional Emergency Station in the context of the COVID-19 pandemic

2020 ◽  
pp. 63-66
Author(s):  
Kanadan Kanashevich Akhmetzhanov
Keyword(s):  
Medical Care ◽  
Time Of Arrival ◽  
High Quality ◽  
Emergency Medical ◽  
High Quality Medical Care ◽  
Medical Teams ◽  
The Moment ◽  
Quality Medical Care ◽  
Epidemiological Situation

Due to the complicated epidemiological situation in the region, the number of calls to the emergency station has increased. In order to prevent a decrease in operational work, a number of changes were introduced which made it possible to reduce the time of arrival of the teams from the moment the call was received at the 103 console to 7 minutes and contributed to the provision of high-quality medical care to the population by emergency medical teams.

scholarly journals Seven key parameters that facilitate clinical pharmacy practice: a comparison between Israel and the United States

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Adam J. Rose ◽  
Daniel Witt ◽  
Carmil Azran ◽  
Ran Nissan
Keyword(s):  
United States ◽  
Medical Care ◽  
Clinical Pharmacy ◽  
The United States ◽  
High Quality ◽  
Clinical Pharmacists ◽  
Medication Therapy ◽  
High Quality Medical Care ◽  
Quality Medical Care ◽  
Key Parameter

AbstractClinical pharmacists have advanced training that enables them to manage medication therapy, including prescribing, titrating, and discontinuing medications, in order to achieve therapeutic goals. In some countries, such as the United States, advances in training, responsibility, legal frameworks, and public acceptance of new roles have proceeded in parallel to expand the scope and contribution of clinical pharmacists over several decades. In this manuscript, we detail seven discrete key parameters of professional advancement for clinical pharmacists, corresponding to the seven areas in which they must advance in order to contribute fully to delivering high-quality medical care. For each key parameter, we briefly summarize the progress made in the United States to date, as well as goals for future progress. We then compare this to the development of the analogous key parameter in Israel. We found that on some key parameters, the development of clinical pharmacy in Israel lags behind the United States. This manuscript can provide a roadmap for the future advancement of clinical pharmacy in Israel, toward its full realization as a profession that can contribute to delivering high-quality medical care.

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