Improving the Quality of Resident Physicians’ Chart Recording

A study was carried out to identify differences in training of resident physicians in the specialties: Management and Economics of Pharmacy, Pharmaceutical Technology, Pharmaceutical Chemistry and Pharmacognosy and under the specialist’s program Pharmacy and to explore the possibilities of granting pharmacy workers the right to transit from one specialty to another without compulsory completion of residency. The urgency of this article is associated with a large number of issues that are being faced by pharmacists who transit from one specialty to another.An analysis of the age and occupational structure of pharmacists improving their qualifications (2300 people) was conducted in the Irkutsk region and the Trans-Baikal Territory. The results of the study showed that it seems like a good idea not to associate the transition from one specialty to another with the obligatory completion of residency, but to provide an admission to work as a pharmacist-technologist after initial accreditation, taking into account the specifics of the work of pharmaceutical specialists in pharmacies, the need to ensure the interchangeability of workers and reduce staff turnover without falling off in quality of work.

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Standardized Contraceptive Handout Facilitates Contraceptive Counseling

Family Medicine ◽

10.22454/fammed.2018.388877 ◽

2018 ◽

Vol 50 (2) ◽

pp. 146-148

Author(s):

Shira Goldstein ◽

Richard Hubbard

Keyword(s):

Public Provision ◽

Care Level ◽

Educational Tools ◽

Primary Care Level ◽

Resident Physicians ◽

Rural Clinic ◽

Contraceptive Counseling ◽

Contraceptive Services ◽

Undue Burden

Background and Objectives: Effective public provision of contraceptive services depends upon regular interventions at the primary care level. Recognizing the need to improve the frequency and quality of contraceptive counseling at a rural family medicine residency, this study sought to determine if the introduction of a simple teaching tool would lead to an increase in the rates of such counseling. Methods: Resident physicians at a rural clinic provided contraceptive counseling to all eligible women, utilizing a simple educational table as a teaching aid. Rates of counseling were compared before, during, and after the intervention. Results: A total of 3,606 patient encounters were included for analysis. Rates of contraceptive counseling in the preintervention period (n=832) and postintervention period (n=1,983) increased significantly (0.8% vs 5.2%, P<0.001). In addition, rates of counseling increased from the intervention phase (n=791) to the postintervention period (2.4% vs 5.2%, P<0.001). Conclusion: The introduction of educational tools may increase rates of contraceptive counseling without being an undue burden upon providers.

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Successful Implementation and Development of a Phase II Cardiac Rehabilitation Program: A China-Wide Cross-Sectional Study Tracking In-service Training Clinical Staff

Frontiers in Public Health ◽

10.3389/fpubh.2021.639273 ◽

2021 ◽

Vol 9 ◽

Author(s):

Xun Gong ◽

Wenliang Zhang ◽

Jeffrey W. Ripley-Gonzalez ◽

Yuan Liu ◽

Yaoshan Dun ◽

...

Keyword(s):

Cardiac Rehabilitation ◽

Phase Ii ◽

Medical System ◽

Clinical Staff ◽

Successful Implementation ◽

Cross Sectional ◽

Factors Associated ◽

Resident Physicians ◽

System Factors

Background: Despite the benefits of cardiac rehabilitation (CR), phase II CR remains highly unavailable; the factors influential to the successful implementation and development of phase II CR programs have not been fully explored.Methods: A cross-sectional survey was completed by 168 nationwide clinical staff. Parameters associated with the successful implementation and development of phase II CR and the factors associated with the quality of CR were explored by multivariable logistic regression.Results: One hundred and eighteen of 168 respondents' institutions had successfully developed phase II CR programs, 41 of which delivered high-quality CR. Independent factors associated with successful implementation and development of CR were leadership support from hospital administrators, support from resident physicians, staff perception in CR increasing medical risk, and department type (cardiology vs. rehabilitation department). Independent factors associated with CR quality were the availability of “professional CR providers” and staff perceptions of CR improving physician–patient relationships. The medical system factors did not affect the development and quality of CR, including hospital level, funding type, academic type, general/specialized hospital, located city, medical insurance, the existence of a CR outpatient clinic and independent space, the availability of professional CR providers, staff structure, and the availability of regular training and standard procedure.Conclusions: The development and quality of a phase II CR program may benefit from factors including support from administrators and resident physicians, adequately training more CR providers, without viewing medical system factors as a major issue.

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EPIDEMIOLOGIC ASPECTS IN PREVENTION OF THE NEW CORONAVIRUS INFECTION (COVID-19): LITERATURE REVIEW

Health Risk Analysis ◽

10.21668/health.risk/2021.3.17 ◽

2021 ◽

pp. 167-176

Author(s):

T.M. Butaev ◽

◽

A.S. Tsirikhova ◽

D.V. Kabaloeva ◽

D.O. Kudukhova ◽

...

Keyword(s):

Literature Review ◽

Clinical Course ◽

Public Healthcare ◽

Resident Physicians ◽

Rapid Spread ◽

The World ◽

History Of ◽

Coronavirus Infection ◽

The Moment

At the end of 2019 the mankind had to face a new coronavirus infection with higher virulence which resulted in its rapid spread all over the world and in an ultimate pandemic. Initially a new virus which causes COVID-19 was called 2019-nCoV but it soon acquired its well-known name, SARS-CoV-2. We can positively state that this new coronavirus infec- tion will remain in the history of world public healthcare as a disease that caused a collapse in rendering medical aid. Un- doubtedly, this new coronavirus infection has changed customary lifestyle of the overall world population.This review can be considered problematic in its essence and focuses on examining contemporary trends in the official epidemiologic situation in the world regarding the new coronavirus infection (SARS-CoV-2). Having analyzed several for- eign and domestic documents, the authors revealed a necessity to enhance levels and quality of COVID-19 epidemiologic diagnostics. There is a suggestion being considered at the moment on including additional clinical and diagnostic activities aimed at preventing further spread of the new coronavirus infection. We should note that data on COVID-19-related mortal- ity and morbidity are renewed every day and every hour. Given that, it seems rather difficult to keep in line with the latest trends in COVID-19 prevention and epidemiologic diagnostics. However, the authors made an attempt to possibly collect all the latest data on epidemiological peculiarities related to clinical course of the new coronavirus infection. The authors have a hope that this review will be useful for epidemiologists when they detect new cases of the diseases as well as for lecturers at medical higher educational establishments when they train students and resident physicians.

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Determinants of stress on resident physicians: systematic review and meta-synthesis

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20214717 ◽

2021 ◽

Vol 9 (12) ◽

pp. 3665

Author(s):

Ricky Cik Kohar ◽

Junita Maja Pertiwi ◽

Finny Warouw

Keyword(s):

Systematic Review ◽

Data Extraction ◽

Night Shift ◽

Maslach Burnout Inventory ◽

Cross Sectional ◽

Medical Specialties ◽

Resident Physicians ◽

Resident Stress ◽

Cross Sectional Studies

Stress/burnout on resident physicians is common. Various determinants can be related to resident stress. This systematic review was conducted to determine how situational, personal, or professional determinants influence resident stress. We identified an English and Indonesia articles using online database including PubMed, Wiley Online Library, Google Scholar, Garba Rujukan Digital (GARUDA), and manually searching bibliographies of the included studies from January 01, 2001 until April 30, 2021. Three main search terms included are resident physician, determinant, and stress/burnout. Study selection included was peer-reviewed literatures of observational studies that discuss about stress determinants on residents from various year of training and medical specialties. Methodological quality of studies was assessed using Newcastle-Ottawa Scale adopted for cross-sectional studies. Data extraction conducted by 3 authors. All pooled synthesis were summarized based on narrative methods. Fifty-three cross-sectional, 1 prospective, and 1 combination of cross-sectional and longitudinal studies meet our inclusion criteria (n=29.031). Fifty-one percent are male, and the average age of the participants was 29 years old. The most stress/burnout validated tool used are Maslach Burnout Inventory. The average quality of study was moderate for cross-sectional studies. The main identified determinant was situational, the second was personal, and the latter was professional. The most stressor identified was ‘excessive working time per week, includes night shift, on-call, work on day off, and rotation more than 24 hours.’ Stress/burnout on residents closely related mainly to situational, followed by personal, and less by professional determinants. There was needed for an intervention to the educational program from institution in the future for better accomplishment.

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Low quality of dying and death in patients with septic shock as perceived by nurses and resident physicians

Death Studies ◽

10.1080/07481187.2016.1181121 ◽

2016 ◽

Vol 40 (8) ◽

pp. 486-493 ◽

Cited By ~ 2

Author(s):

Lauren Jodi Van Scoy ◽

Jean M. Reading ◽

Judie A. Howrylak ◽

Apurva Tamhane ◽

Michael S. Sherman

Keyword(s):

Septic Shock ◽

Quality Of Dying ◽

Resident Physicians

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The Effect of Overnight In-House Attending Coverage on Perceptions of Care and Education on a General Medical Service

Journal of Graduate Medical Education ◽

10.4300/jgme-d-09-00056.1 ◽

2010 ◽

Vol 2 (1) ◽

pp. 53-56 ◽

Cited By ~ 19

Author(s):

Robert L. Trowbridge ◽

Lisa Almeder ◽

Marc Jacquet ◽

Kathleen M. Fairfield

Keyword(s):

Quality Of Care ◽

Educational Experience ◽

General Medical Service ◽

Inpatient Service ◽

Cross Sectional ◽

Traditional System ◽

Electronic Survey ◽

Resident Physicians ◽

Faculty Presence

Abstract Background An increased emphasis on patient safety has led to calls for closer supervision of medical trainees. It is unclear what effect an increased degree of faculty presence will have on educational and clinical outcomes. The aim of this study was to evaluate resident and attending attitudes and preferences regarding overnight attending supervision. Methods This study was a cross-sectional electronic survey of physicians. Participants were resident and faculty physicians recently on inpatient service rotations after implementation of an overnight attending coverage system. Results Of 58 total respondents, most faculty (91%) and resident (92%) physicians reported they were satisfied with the overall quality of care delivered and believed the quality of care delivered overnight improved with an in-house attending system (90% and 85%, respectively). Most resident physicians (82%) believed the educational experience improved with the system of increased attending availability. Nearly all faculty (95%) and resident (97%) physicians preferred the in-house attending system to the traditional system of attendings being available by pager. The implementation of such coverage resulted in increased cost to the hospital for compensating covering hospitalist physicians. Conclusion In-house attending coverage was acceptable to both residents and faculty, with perceived improvements in quality and educational experience.

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The impact of the COVID-19 pandemic on resident physicians: A cross-sectional study

Work ◽

10.3233/wor-205253 ◽

2021 ◽

pp. 1-8

Author(s):

Anja Barac ◽

Paola Krnjaic ◽

Nikola Vujnovic ◽

Nino Matas ◽

Edita Runjic ◽

...

Keyword(s):

Online Survey ◽

Negative Impact ◽

Cross Sectional Study ◽

Cross Sectional ◽

Personal Lives ◽

Resident Physicians ◽

Negative Effect ◽

Stress At Work ◽

The Impact

BACKGROUND: COVID-19 presents a threat to the mental health of the medical staff working with COVID-19 patients. OBJECTIVE: To investigate the impact of working during the COVID-19 pandemic on resident physicians. METHODS: The study was conducted via anonymous online survey and included resident physicians. The survey contained questions about sociodemographic information, general job satisfaction during the COVID-19 pandemic, and the impact of the COVID-19 pandemic on their personal lives. RESULTS: This study included a response from 728 resident physicians. The majority of residents rated that the COVID-19 pandemic had a mostly negative impact on their satisfaction with professional life (59.9%) and quality of work (62.8%), their personal lives (44.7%) and quality of life (57.1%). Half of all residents indicated that they did not have enough personal protective equipment (PPE). About one-third of residents indicated that the level of stress at work during the COVID-19 pandemic was higher. CONCLUSIONS: Working as resident physicians during COVID-19 pandemic had a negative effect on participants’ professional and personal lives. Residents did not have all the necessary PPE nor felt safe working with patients with suspected or proven COVID-19. Further action is needed to provide support for physician residents working during the COVID-19 pandemic.

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