The Current State of Emergency Medical Training in US Schools of Podiatric Medicine

2015 ◽  
Vol 105 (1) ◽  
pp. 47-50
Author(s):  
David A. Wald ◽  
Alvin Wang ◽  
John Suh ◽  
Jane Pontious ◽  
Christine Miller
Keyword(s):  
Medical Training ◽  
The United States ◽  
State Of Emergency ◽  
Web Based ◽  
Current State ◽  
Emergency Medical ◽  
The Us ◽  
Medical Emergencies ◽  
Didactic Lecture ◽  
Descriptive Survey

BackgroundThere is no information available in the medical literature regarding emergency medical training in the podiatric medicine predoctoral curriculum. This study was undertaken to describe the current state of emergency medical training in US schools of podiatric medicine.MethodsA Web-based descriptive survey was developed to assess course logistics, the curricular topics covered, and the teaching methods used. All of the US schools of podiatric medicine were surveyed.ResultsCompleted surveys were returned from all nine schools. All of the institutions incorporate training on the management of medical emergencies into their predoctoral curricula. Four schools (44.4%) reported initiating this training before 2000. All of the schools incorporate a didactic (lecture) component, and eight (88.9%) incorporate a clinical (hands-on) component into their training.ConclusionsAll of the schools of podiatric medicine in the United States incorporate emergency medical training into their predoctoral curriculum. However, despite some similarities across institutions, there seems to be variation regarding curricular topics, didactic teaching, and methods of teaching the material.

scholarly journals Penalties for Emergency Medical Treatment and Labor Act Violations Involving Obstetrical Emergencies

2020 ◽  
Vol 21 (2) ◽  
pp. 235-243
Author(s):  
Sophie Terp ◽  
Brandon Wang ◽  
Elizabeth Burner ◽  
Sanjay Arora ◽  
Michael Menchine
Keyword(s):  
Medical Treatment ◽  
Medical Condition ◽  
The United States ◽  
State Of Emergency ◽  
Current State ◽  
Emergency Medical ◽  
Active Labor ◽  
The Law ◽  
Title One

Introduction: The Emergency Medical Treatment and Labor Act (EMTALA) was intended to prevent inadequate, delayed, or denied treatment of emergent conditions by emergency departments (ED). While controversies exist regarding the scope of the law, there is no question that EMTALA applies to active labor, a key tenet of the statute and the only medical condition – labor – specifically included in the title of the law. In light of rising maternal mortality rates in the United States, further exploration into the state of emergency obstetrical (OB) care is warranted. Understanding civil monetary penalty settlements levied by the Office of the Inspector General (OIG) related to EMTALA violations involving labor and other OB emergencies will help to inform the current state of access to and quality of OB emergency care. Methods: We reviewed descriptions of all EMTALA-related OIG civil monetary penalty settlements from 2002-2018. OB-related cases were identified using keywords in settlement descriptions. We described characteristics of settlements including the nature of the allegation and compared them with non-OB settlements. Results: Of 232 EMTALA-related OIG settlements during the study period, 39 (17%) involved active labor and other OB emergencies. Between 2002 and 2018 the proportion of settlements involving OB emergencies increased from 17% to 40%. Seven (18%) of these settlements involved a pregnant minor. Most OB cases involved failure to provide screening exam (82%) and/or stabilizing treatment (51%). Failure to arrange appropriate transfer was more common for OB (36%) compared with non-OB settlements (21%) (p = 0.041). Fifteen (38%) involved a provider specifically directing a pregnant woman to proceed to another hospital, typically by private vehicle. Conclusion: Despite inclusion of the term “labor” in the law’s title, one in six settlements related to EMTALA violations involved OB emergencies. One in five settlements involved a pregnant minor, indicating that providers may benefit from education regarding obligations to evaluate and stabilize minors absent parental consent. Failure to arrange appropriate transfer was more common among OB settlements. Findings suggesting need for providers to understand EMTALA-specific requirements for appropriate transfer and for EDs at hospitals without dedicated OB services to implement policies for evaluation of active labor and protocols for transfer when indicated.

scholarly journals Evolution of the United States criminal law system

2020 ◽  
pp. 145-150
Author(s):  
Viktoriya Sizova
Keyword(s):  
United States ◽  
Criminal Law ◽  
The United States ◽  
Positive Experience ◽  
Law System ◽  
Current State ◽  
The Us ◽  
Characteristic Features

The article is devoted to the study of the evolution, development and current state of the us criminal law system. The author considers the characteristic features inherent in modern American criminal law, its features, as well as the practical value and significance in relation to the continuity of positive experience.

Necessities for Effective Asynchronous Learning

2011 ◽  
pp. 1325-1331 ◽  
Author(s):  
James E. Novitzki
Keyword(s):  
Distance Education ◽  
Online Teaching ◽  
The United States ◽  
Department Of Education ◽  
Asynchronous Learning ◽  
College Level ◽  
Education Programs ◽  
Web Based ◽  
The Us ◽  
Education Courses

Distance education programs/courses in some format have been available to students since the 1840s. Throughout most of this time there has been controversy over the effectiveness of such programs/courses (IHEP, 1999; Matthews, 1999). The concept of online teaching and online asynchronous learning (ASL) started in the 1980s and is an area of rapid growth (McMullen, Goldbaum, Wolffe, & Sattler, 1998). In a period of 3 years, from 1995 to 1997, the number of schools in the United States (US) developing such programs increased by almost 200% (Morse, Glover, & Travis, 1997). The US Department of Education (2001) reported that in 2000-2001 there were more than 2.8 million enrollments in college-level degree granting programs in Internet- and Web-based distance education courses in the US.

FDA at BIO 2011 – Weighing a hefty mission: Where is the balance?

1969 ◽  
Vol 17 (4) ◽  
Author(s):  
Suzanne Levy
Keyword(s):  
Nonprofit Sector ◽  
The United States ◽  
Biotechnology Industry ◽  
Washington Dc ◽  
Current State ◽  
Industry Organization ◽  
The Us ◽  
Quality Of Food ◽  
Biotechnology Industry Organization

The mission of the Food and Drug Administration (FDA) is to promote public health by ensuring the safety and quality of food and medical products sold in the United States. At this year's annual Biotechnology Industry Organization (BIO) convention, significant discussion revolved around the appropriate interpretation and execution of that mission.The BIO meeting hosted 15 646 participants from across industry, government and the nonprofit sector, focusing on the current state of the biotechnology industry, as well as its challenges in seeking to further improve public welfare. Perhaps partly because this year's meeting was held in Washington, DC – the seat of the federal government and of BIO's headquarters – much attention was paid to the US regulatory environment. In particular, attendees debated the quandary faced every day by the FDA: how to enable access to novel therapies quickly, but only once their safety has been certified.

Backbone Topology, Access, and the Commercial Internet, 1997–2000

2002 ◽  
Vol 29 (4) ◽  
pp. 533-552 ◽  
Author(s):  
Morton E O'Kelly ◽  
Tony H Grubesic
Keyword(s):  
United States ◽  
Spatial Organization ◽  
Business Models ◽  
Telecommunications Industry ◽  
The United States ◽  
Digital Information ◽  
Market Demand ◽  
Telecommunications Infrastructure ◽  
Current State ◽  
The Us

As the Internet grows in popularity, telecommunications infrastructure in the United States continues to increase in capacity and geographic reach to meet market demand. Important components of this infrastructure include the commercial fiber-optic backbones used to transport digital information between locations. The spatial organization of commercial Internet backbones reflects an increasingly competitive privatized market for service provision, in which certain locations are more accessible and better connected than others. The authors have three objectives. First, they explore the current state of the telecommunications industry, paying special attention to current trends, mergers, and new company business models. Second, they use a standardized methodology to examine the topological structure of the US commercial Internet and the resulting differences in city accessibility. Third, this methodology is put to the test by an exploration of an empirical database of 41 network providers in the United States. Results suggest that significant changes in city accessibility to the commercial Internet occurred between 1997 and 2000.

scholarly journals Euro-Atlantic Security in U.S.-EURussia Triangle and Trump Factor

2020 ◽  
Vol 12 (6) ◽  
pp. 78-108
Author(s):  
M. M. Panyuzheva
Keyword(s):  
The United States ◽  
Regional Security ◽  
Political Elites ◽  
Donald Trump ◽  
Current State ◽  
The Us ◽  
Security Relations ◽  
The Usa ◽  
The Russian Federation ◽  
The Eu

The article discusses the security relations among the United States, the EU and Russia in the context of Donald Trump's populism, the change of Western political elites and the erosion of arms treaty regimes. The purpose of the article is to analyze the current state and identify the probable scenarios of relations in the triangle of the USA – the EU – Russia. The article explores the features of the Euro-Atlantic security system from 1990’s till the mid-2000’s; the concept of Euro-Atlantic security in 2008-2009; the US, the EU and Russia relations under Barak Obama and Donald Trump. As a result of a comprehensive analysis, the author comes to the following conclusions: 1) the concept of Euro-Atlantic security is still relevant. Since the NATO based security arrangements are not stabile, security interaction among the USA, the EU and Russia is growing in importance. 2) European leaders seem to be moving towards building a new security architecture and a more balanced dialogue with Russia. The EU remains the main economic partner of the Russian Federation. 3) Trump's “transactional” approach has prompted Europeans to strengthen its defense identity and seek a compromise with Russia. 4) In a multipolar world, the Euro-Atlantic regional security is no longer closed to transatlantic ties. It is important to rethink the concept towards cooperation with non-regional countries. 5) The complex game of engagement and deterrence is likely to continue in relations between Russia and the West. The more uncertain the transatlantic relations become, the more the EU and the US need Russia.The author declares absence of conflict of interests.

scholarly journals The COVID States Project #26: Trajectory of COVID-19-related behaviors

2021 ◽  
Author(s):  
David Lazer ◽  
Mauricio Santillana ◽  
Roy H. Perlis ◽  
Alexi Quintana ◽  
Katherine Ognyanova ◽  
...  
Keyword(s):  
State Level ◽  
The United States ◽  
Contact Tracing ◽  
Upper Midwest ◽  
Social Distancing ◽  
Current State ◽  
Change Behavior ◽  
Current Prevalence ◽  
The Us ◽  
National Trends

The current state of the COVID-19 pandemic in the United States is dire, with circumstances in the Upper Midwest particularly grim. In contrast, multiple countries around the world have shown that temporary changes in human behavior and consistent precautions, such as effective testing, contact tracing, and isolation, can slow transmission of COVID-19, allowing local economies to remain open and societal activities to approach normalcy as of today. These include island countries such as New Zealand, Taiwan, Iceland and Australia, and continental countries such as Norway, Uruguay, Thailand, Finland, and South Korea. These successes demonstrate that coordinated action to change behavior can control the pandemic. In this report, we evaluate how the human behaviors that have been shown to inhibit the spread of COVID-19 have evolved across the US since April, 2020.Our report is based on surveys that the COVID States Project has been conducting approximately every month since April in all 50 US states plus the District of Columbia. We address four primary questions:1) What are the national trends in social distancing behaviors and mask wearing since April?2) What are the trends among particular population subsets?3) What are the trends across individual states plus DC?4) What is the relationship, at the state level, between social distancing behaviors and mask wearing with the current prevalence of COVID-19?

scholarly journals Surgical training in the United States

2007 ◽  
Vol 89 (2) ◽  
pp. 56-57 ◽  
Author(s):  
Craig A Nicholson
Keyword(s):  
United States ◽  
Surgical Training ◽  
Medical Training ◽  
Care Delivery ◽  
The United States ◽  
Training System ◽  
Payment Systems ◽  
Graduate Medical ◽  
The Us ◽  
Generational Changes

Surgical education in the United States has developed along with the graduate medical education (GME) system. Changes in health care delivery and payment systems, changes in the practice and specialisation of surgery, attempts to improve the system of graduate medical training and even generational changes among those entering surgical training have influenced and changed the way surgeons are trained in the US. Although a thorough examination of these factors and their influence on surgical training is beyond the scope of this brief review, some of these influences and our current surgical training system will be described.

scholarly journals The roles of social media in 21st century populisms: US Presidential campaigns

Teknokultura ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 1-10
Author(s):  
George Julian Hendrix
Keyword(s):  
United States ◽  
Social Media ◽  
21St Century ◽  
The United States ◽  
Online Activity ◽  
Current State ◽  
The Us ◽  
Presidential Campaigning ◽  
The Relationship ◽  
Social Networking Tools

In the United States, “populist” is a controversial and often misunderstood signifier in common discourse. In addition, the current state of mass media and introduction of social networking tools has created a hyper-partisan spectacle of politics – especially during presidential campaign seasons. Through the review of literature on populism, traditional and social media, and presidential campaigning in the United States, this article constructs a new view on the relationship between these three topics in the 21st century. Important steps in this article’s process include defining populism and its place within campaigning and media; presenting social media as a political tool and a dynamic personalized informer; and analyzing the US presidential elections since 2008.  Resultantly, because the trends of online activity, on the part of both the citizen and the candidate, impact social media users’ self-informing and political engagement, the process of selecting a new US president has become more susceptible to various populist practices in this century than before.  

The knowledge and practices of urologists in the United States (US) about standardization of PSA assays.

2011 ◽  
Vol 29 (7_suppl) ◽  
pp. 207-207
Author(s):  
A. Gupta ◽  
S. F. Shariat ◽  
J. A. Eastham ◽  
P. T. Scardino ◽  
A. J. Vickers ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Clinical Decision Making ◽  
Reference Range ◽  
Prostate Cancer Screening ◽  
Prostate Cancer Risk ◽  
Clinical Decision ◽  
The United States ◽  
Web Based ◽  
The Us ◽  
The Difference

207 Background: PSA assays can be calibrated to either the WHO or the Hybritech standard. Studies of PSA-based prostate cancer screening have used Hybritech-standardized assays and prostate cancer risk calculators are based on these studies. Testing of patient samples with a WHO calibrated assay gives values that are 22% lower than from those with Hybritech-calibrated assays. Up to 60% of the labs in the US use WHO calibrated assays. We evaluated whether US urologists are aware of the different calibrators and the differences in PSA values. Methods: A random sample of 1,742 US urologists were invited by email to participate in a web-based survey of their knowledge and practices regarding PSA assay standardization. No mention was made of assays or calibration in the invitation. 419 responses were received. Results: Many (56%) US urologists thought that different standards may lead to clinically relevant differences in PSA values. Although 62% reported awareness of the two PSA calibrators, 67% did not know the difference between the two. Only 17% correctly reported the difference between the two standards. Nationally almost 60% of the labs use WHO standardized assays, but in this survey only 5% of the urologists thought that the hospital where they practice used a WHO standardized assay. The rest reported either not knowing the standard (46%) or use of the Hybritech standard (49%). The majority of urologists did not look at the reference range (64%) or for the PSA standard (74%) in the lab reports. Only 25% reported considering the PSA-calibration in their clinical decisions about prostate biopsy, but only a third of them correctly knew the difference between the calibrators. Conclusions: Many US urologists are unaware of the difference caused by WHO versus Hybritech based PSA-assay calibration. Although 60% of clinical laboratories use WHO-calibrated assays, only 5% of urologists are aware of this use in their practice, and a majority of urologists could not correctly explain the difference between the different calibrators. A greater awareness is needed amongst US urologists about the different PSA calibrators, the calibrator in use at their practice, and means to account for different calibrators in clinical decision making. [Table: see text]

Sign in / Sign up

Export Citation Format

Share Document