Medicine and Health Sciences Commons^™

Development Of A Health Care Systems Curriculum., Zachary Pruitt, Rahul Mhaskar, Bryan G. Kane Md, Robert D. Barraco Md, Mph, Deborah J Dewaay, Alexander M. Rosenau Do, Kristin A. Bresnan Md, Marna R. Greenberg Do, Mph, Facep

Department of Emergency Medicine

Background: There is currently no gold standard for delivery of systems-based practice in medical education, and it is challenging to incorporate into medical education. Health systems competence requires physicians to understand patient care within the broader health care system and is vital to improving the quality of care clinicians provide. We describe a health systems curriculum that utilizes problem-based learning across 4 years of systems-based practice medical education at a single institution.

Methods: This case study describes the application of a problem-based learning approach to system-based practice medical education. A series of behavioral statements, called entrustable professional activities, was created …

Stakeholder Perspective: Cardiovascular Safety Of Azithromycin Therapy: Revisiting The Evidence, Raymond Singer

Raymond L Singer MD

BACKGROUND: Azithromycin has been used for many years for the treatment of patients with various types of bacterial infections, as well as for the secondary prevention of coronary events. There is a growing concern, however, that azithromycin may be associated with an increased cardiovascular (CV) risk and may lead to CV-related death in high-risk patients. OBJECTIVE: This systematic review of randomized controlled trials was conducted to analyze and describe the CV risk and safety outcomes associated with azithromycin therapy. METHODS: A meta-analysis was conducted based on the MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials databases from 1990 through …

Stakeholder Perspective: The Clinical Toll Of Nonvalvular Atrial Fibrillation Poses Significant Economic Burden, Raymond Singer

Raymond L Singer MD

BACKGROUND: Understanding the economic implications of oral anticoagulation therapy requires careful consideration of the risks and costs of stroke and major hemorrhage. The majority of patients with atrial fibrillation (AF) are aged ≥65 years, so focusing on the Medicare population is reasonable when discussing the risk for stroke. OBJECTIVE: To examine the relative economic burden associated with stroke and major hemorrhage among Medicare beneficiaries who are newly diagnosed with nonvalvular atrial fibrillation (NVAF). METHODS: This study was a retrospective analysis of a 5% sample of Medicare claims data for patients with NVAF from 2006 to 2008. Patients with NVAF without …

The Future Of Medicine: What You Need To Know About Health Care Reform, Ronald Swinfard, Raymond Singer, Joanne Judge, John Kristel, Christopher Molineaux, Gary St. Hilaire

Raymond L Singer MD

No abstract provided.

Debate: Unprotected Left Main: Surgery Still The Standard Of Care, Raymond Singer

Raymond L Singer MD

No abstract provided.

Three Simple Steps To Better Health, Raymond Singer

Raymond L Singer MD

No abstract provided.

Clinical Clearance Of The Cervical Spine In Blunt Trauma Patients Younger Than 3 Years: A Multi-Center Study Of The American Association For The Surgery Of Trauma., Rafael Pieretti-Vanmarcke, George C Velmahos, Michael L Nance, Saleem Islam, Richard A Falcone, Paul W Wales, Rebeccah L Brown, Barbara A Gaines, Christine Mckenna, Forrest O Moore, Pamela W Goslar, Kenji Inaba, Galinos Barmparas, Eric R Scaife, Ryan R Metzger, Douglas L Brockmeyer, Jeffrey S Upperman, Joaquin Estrada, David A Lanning, Sara K Rasmussen, Paul D Danielson, Michael P Hirsh, Heitor F X Consani, Steven Stylianos, Candace Pineda, Scott H Norwood, Steven W Bruch, Robert Drongowski, Robert Barraco, Michael Pasquale, Farheen Hussain, Erwin F Hirsch, P Daniel Mcneely, Mary E Fallat, David S Foley, Joseph A Iocono, Heather M Bennett, Kenneth Waxman, Kelly Kam, Lisa Bakhos, Laurie Petrovick, Yuchiao Chang, Peter T Masiakos

Michael D Pasquale MD, FACS, FCCM

BACKGROUND: Cervical spine clearance in the very young child is challenging. Radiographic imaging to diagnose cervical spine injuries (CSI) even in the absence of clinical findings is common, raising concerns about radiation exposure and imaging-related complications. We examined whether simple clinical criteria can be used to safely rule out CSI in patients younger than 3 years. METHODS: The trauma registries from 22 level I or II trauma centers were reviewed for the 10-year period (January 1995 to January 2005). Blunt trauma patients younger than 3 years were identified. The measured outcome was CSI. Independent predictors of CSI were identified by …

Is Early Broncoscopy Helpful In Diagnosing Inhalation Injury?, Sigrid Blome-Eberwein

Sigrid A Blome-Eberwein MD

No abstract provided.

Scar Treatment With Lasers And Other Modalities, Sigrid Blome-Eberwein

Sigrid A Blome-Eberwein MD

No abstract provided.

Scar Management For Pediatric Patients, Sigrid Blome-Eberwein

Sigrid A Blome-Eberwein MD

No abstract provided.

Spanning The Continuum- Acute Pain: Can We Prevent Chronification?, Sigrid Blome-Eberwein

Sigrid A Blome-Eberwein MD

No abstract provided.

Effect Of 532 Nm Ktp Laser Light On Hypertrophic Scar Modification, Sigrid Blome-Eberwein

Sigrid A Blome-Eberwein MD

No abstract provided.

Transfer Center And Teleburn, Sigrid Blome-Eberwein

Sigrid A Blome-Eberwein MD

No abstract provided.

Fractional Er: Glass Photothermolysis Laser Therapy To Treat Hypertrophic Scarring, Sigrid Blome-Eberwein

Sigrid A Blome-Eberwein MD

No abstract provided.

Exposed Skull – Reconstructive Special Interest Group, Sigrid Blome-Eberwein

Sigrid A Blome-Eberwein MD

No abstract provided.

Skin Graft Donor Site Perfusion, Healing And Pain, Sigrid Blome-Eberwein

Sigrid A Blome-Eberwein MD

No abstract provided.

Assessment Of Hair Density And Sub-Epidermal Tissue In Burn Scars Using High Frequency Ultrasound, Sigrid Blome-Eberwein

Sigrid A Blome-Eberwein MD

No abstract provided.

Use Of Hydrophilip Expanders In Burn Reconstruction, Sigrid Blome-Eberwein

Sigrid A Blome-Eberwein MD

No abstract provided.

Use Of Integra® For Large Tbsa Burns, Sigrid Blome-Eberwein

Sigrid A Blome-Eberwein MD

No abstract provided.

Healthcare In Four Nations, Sigrid Blome-Eberwein

Sigrid A Blome-Eberwein MD

No abstract provided.

Everything You Never Wanted To Know About Scars, Sigrid Blome-Eberwein

Sigrid A Blome-Eberwein MD

No abstract provided.

What Does A Hand Surgeon Do?, Jay Talsania

Jay S Talsania MD

No abstract provided.

Ulnar Shortening With Ao Compressor/Distractor, Jay Talsania

Jay S Talsania MD

No abstract provided.

Hand Surgical Mission Experience In Guatemala, Jay Talsania

Jay S Talsania MD

No abstract provided.

Leadership And Social Responsibility, Jay Talsania

Jay S Talsania MD

No abstract provided.

Overview Of Hand Surgery, Jay Talsania

Jay S Talsania MD

No abstract provided.

Surgeon's Perspective: Scapho Lunate Advanced Collapse, Jay Talsania

Jay S Talsania MD

No abstract provided.

Surgeons' Perspective Of Radial And Median Neuropathies, Jay Talsania

Jay S Talsania MD

No abstract provided.

Sports Related Concussion: There Is No Such Thing As A Ding., Robert Barraco

Robert D Barraco MD, MPH

No abstract provided.

The Drs. John M. Jr. And Josephine J. Templeton Lecture, “Prevention Breakthroughs That Really Save Lives", Robert Barraco

Robert D Barraco MD, MPH

No abstract provided.