Bereavement

PEDIATRICS ◽  
1992 ◽  
Vol 90 (5) ◽  
pp. 779-780
Author(s):  
WANDA K. PANOSH
Keyword(s):  
Internal Medicine ◽  
Sudden Death ◽  
Board Certification ◽  
Childhood Bereavement ◽  
Grief And Bereavement

To the Editor.— I applaud the Academy's insightful report on "The Pediatrician and Childhood Bereavement."1 Despite training culminating in board certification in Pediatrics and Internal Medicine, I received no effective formal guidance in the area of grief and bereavement. Only since the sudden death of my 7-year-old son and the painful readjustment my family has been forced to undergo since, has it been obvious how deficient we physicians are in this area of caring. Thus I would like to add the following comments:

Board certification in internal medicine and cardiology: Historical success and future challenges

2015 ◽  
Vol 25 (4) ◽  
pp. 305-311 ◽  
Author(s):  
Richard J. Baron ◽  
Harlan M. Krumholz ◽  
Mariell Jessup ◽  
Jennifer L. Brosseau
Keyword(s):  
Internal Medicine ◽  
Board Certification ◽  
Future Challenges

Defining Loss

2017 ◽  
pp. 10-24
Author(s):  
Tina Barrett ◽  
Lindsey M. Nichols
Keyword(s):  
Protective Factors ◽  
Situational Factors ◽  
School Age Children ◽  
General Knowledge ◽  
School Age ◽  
Childhood Bereavement ◽  
Loved One ◽  
Positive Adaptation ◽  
Grief And Bereavement ◽  
Grief Responses

This chapter addresses general knowledge about grief and bereavement in school-age children. Foundational information is offered to support how we define loss from individual, relational, cultural, and developmental perspectives. Childhood bereavement is a complex and highly individualized experience that is influenced by a variety of developmental, personal, and situational factors. Research on protective factors is highlighted, coupled with recommendations for practical strategies to use with bereaved students. Applying developmentally relevant resources designed to facilitate positive adaptation can help diminish negative and complex grief responses and promote healthy coping after the death of a loved one.

Association Between Physician Time-Unlimited vs Time-Limited Internal Medicine Board Certification and Ambulatory Patient Care Quality

JAMA ◽  
2014 ◽  
Vol 312 (22) ◽  
pp. 2358 ◽  
Author(s):  
John Hayes ◽  
Jeffrey L. Jackson ◽  
Gail M. McNutt ◽  
Brian J. Hertz ◽  
Jeffrey J. Ryan ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Patient Care ◽  
Care Quality ◽  
Board Certification ◽  
Ambulatory Patient ◽  
Patient Care Quality ◽  
Physician Time

The Diagnosis and Therapy of Helicobacter pylori Infection in Hungary: Comparison of Strategies Applied by Family Physicians and Internists

2019 ◽  
Vol 37 (6) ◽  
pp. 434-443
Author(s):  
Bernadett Márkus ◽  
László Herszényi ◽  
Melinda Matyasovszky ◽  
Krisztián Vörös ◽  
Péter Torzsa ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Helicobacter Pylori ◽  
Eradication Therapy ◽  
Family Physicians ◽  
Helicobacter Pylori Infection ◽  
Board Certification ◽  
The Other ◽  
Second Line ◽  
Sources Of Information ◽  
H Pylori

Background Aims: Most patients with Helicobacter pylori infection are consulted for the first time by family physicians. We aimed to survey the adherence to the newest guidelines of the management of H. pylori infection in the primary and secondary care settings in Hungary. Methods: From a total of 793 physicians, 94 trainees in family medicine, 334 family physicians without and 195 with board certification in internal medicine, 87 internists, 78 family paediatricians were invited to take part in the study. Diagnostic and therapeutic attitudes towards H. pylori infection were compared by a voluntary and anonymous questionnaire. Results: Participants test for H. pylori infection in 92.8% of cases with a family history of peptic ulcer or 76.9% of gastric cancer, 68.9% of dyspepsia and 49.9% of non-specific abdominal complaints, before initiation of non-steroidal anti-inflammatory drug (NSAID; 17.3%) and antiplatelet treatment (14.5%), respectively. They confirm the success of eradication therapy in 88.1% mainly by urea breath test. Most of them initiate eradication therapy by themselves and only 22.4% refer their patients to a gastroenterologist. Clarithromycin-based standard triple therapy is the most preferred (62.1%) and only 3.7% choose quadruple combination with bismuth as first-line and 48.1% as second-line therapy. We found significant differences between groups with respect to the physicians’ own infection, localization of practice, and sources of information on H. pylori infection. Internists are more likely to clarify H. pylori status before the initiation of NSAID and antiplatelet therapies, initiate second-line therapies and use bismuth compared to the other groups. Family physicians with board certification in internal medicine are also prone to start eradication therapy and less prone to refer patients to a gastroenterologist. Family paediatricians prefer stool antigen determination, screen family members and prefer gastroenterologist consultation more often, and use bismuth less frequently than the other groups. Family physicians with previous infection check for H. pyloriinfection more frequently before the initiation of NSAID treatment and are more likely to use histology to detect H. pylori. Postgraduate trainings were the most popular source of information. Conclusion: The adherence to the recent recommendations of current guidelines is moderate. There is a need to increase adherence to current recommendations by family physicians and internists.

scholarly journals Internal medicine board certification and career pathways in Japan

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Soichi Koike ◽  
Masatoshi Matsumoto ◽  
Hiroo Ide ◽  
Hideaki Kawaguchi ◽  
Masahisa Shimpo ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Career Pathways ◽  
Board Certification

scholarly journals Perceptions and attitudes of Small Animal Internal Medicine specialists toward the publication requirement for board certification

2020 ◽  
Vol 34 (2) ◽  
pp. 574-580
Author(s):  
Adam J. Birkenheuer ◽  
Kenneth D. Royal ◽  
Anthony Cerreta ◽  
Daniel Hemstreet ◽  
Katharine F. Lunn ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Small Animal ◽  
Board Certification ◽  
Perceptions And Attitudes

The Historical Development of Burden of Treatment Compliance

2014 ◽  
Vol 19 (5) ◽  
pp. 13-15
Author(s):  
Stephen L. Demeter
Keyword(s):  
Internal Medicine ◽  
Treatment Compliance ◽  
World Health ◽  
International Classification Of Functioning ◽  
Sixth Edition ◽  
Burden Of Treatment ◽  
Specific Goal ◽  
Surrogate Measure ◽  
Health Organization

Abstract A long-standing criticism of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) has been the inequity between the internal medicine ratings and the orthopedic ratings; in the comparison, internal medicine ratings appear inflated. A specific goal of the AMA Guides, Sixth Edition, was to diminish, where possible, those disparities. This led to the use of the International Classification of Functioning, Disability, and Health from the World Health Organization in the AMA Guides, Sixth Edition, including the addition of the burden of treatment compliance (BOTC). The BOTC originally was intended to allow rating internal medicine conditions using the types and numbers of medications as a surrogate measure of the severity of a condition when other, more traditional methods, did not exist or were insufficient. Internal medicine relies on step-wise escalation of treatment, and BOTC usefully provides an estimate of impairment based on the need to be compliant with treatment. Simplistically, the need to take more medications may indicate a greater impairment burden. BOTC is introduced in the first chapter of the AMA Guides, Sixth Edition, which clarifies that “BOTC refers to the impairment that results from adhering to a complex regimen of medications, testing, and/or procedures to achieve an objective, measurable, clinical improvement that would not occur, or potentially could be reversed, in the absence of compliance.

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