{"title":"Real-World Utility of Genome Sequencing: The Tapestry Study and the Future of Genomic Medicine.","authors":"Geoffrey S Ginsburg","doi":"10.1016/j.mayocp.2024.10.013","DOIUrl":"https://doi.org/10.1016/j.mayocp.2024.10.013","url":null,"abstract":"","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":"99 12","pages":"1854-1856"},"PeriodicalIF":6.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yong-Hun Kim, Rebekah Bihun, Lucas Kim, Jonathan Skjaerlund, Kristin Cole, Melody Ouk, Laura Wilshusen, Rahma Warsame
{"title":"Patient Perceptions of East and Southeast Asian Physicians Amidst Anti-Asian Rhetoric During the COVID-19 Pandemic.","authors":"Yong-Hun Kim, Rebekah Bihun, Lucas Kim, Jonathan Skjaerlund, Kristin Cole, Melody Ouk, Laura Wilshusen, Rahma Warsame","doi":"10.1016/j.mayocp.2024.04.006","DOIUrl":"10.1016/j.mayocp.2024.04.006","url":null,"abstract":"<p><strong>Objective: </strong>To examine the effects of anti-Asian rhetoric on how patients perceive East/Southeast Asian physicians. This study examines changes in patient satisfaction scores of East/Southeast Asian physicians in a multisite health system following the onset of the COVID-19 pandemic.</p><p><strong>Patients and methods: </strong>We conducted a multisite retrospective study of clinicians from outpatient practices at a single health care system who received patient satisfaction scores via Press Ganey surveys starting 1 year prepandemic (January 1, 2019) through 2 years into the pandemic (December 31, 2021). Press Ganey survey responses use a Likert scale, with calculated top-box percentages, which were stratified by physician race/ethnicity and year of the patient encounter. Comparison between groups was performed using Kruskal-Wallis tests.</p><p><strong>Results: </strong>A total of 2219 physicians were included in this study. Results revealed that East/Southeast Asian physicians did not experience a substantial increase or decrease in patient satisfaction scores relative to White physicians during the first year of the pandemic (2020). The study also revealed an overall increase in patient satisfaction scores for all physicians at Mayo Clinic from 2019 to 2021.</p><p><strong>Conclusion: </strong>These findings contribute to the growing literature on the experience of Asian health care workers in the United States and highlight the need for further investigation into the experiences of physicians of color during the volatility of the pandemic.</p>","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":"99 12","pages":"1945-1955"},"PeriodicalIF":6.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adnan Syed, Pari Shah Thibodeau, Nathalie Dieujuste, Christine D Jones, Kimiko S Dunbar, Adrienne Mann, Tyra Fainstad
{"title":"Examining the Impact of Moral Injury on Burnout, Impostor Syndrome, and Low Self-Compassion Among Female Medical Trainees: A Secondary Analysis.","authors":"Adnan Syed, Pari Shah Thibodeau, Nathalie Dieujuste, Christine D Jones, Kimiko S Dunbar, Adrienne Mann, Tyra Fainstad","doi":"10.1016/j.mayocp.2024.07.015","DOIUrl":"https://doi.org/10.1016/j.mayocp.2024.07.015","url":null,"abstract":"<p><strong>Objective: </strong>To examine the prevalence of moral injury and its association with burnout, impostor syndrome, and low self-compassion in physician trainees.</p><p><strong>Methods: </strong>This is a secondary analysis of baseline data from 1017 female physician trainees across 26 institutions who volunteered for a randomized controlled trial of a well-being program in 2022. Participants completed the Moral Injury Symptom Scale-Healthcare Professionals (MISS-HP), Maslach Burnout Inventory, Young Impostor Syndrome Scale, and Neff Self-Compassion Scale-Short Form. Univariate and multivariate logistic regressions were used to assess outcomes.</p><p><strong>Results: </strong>Of 1017 participants, 787 (77.4%) completed the MISS-HP, of whom 600 (76.2%) experienced moral injury (≥36 score). All models adjusted for postgraduate year and race. After additionally controlling for impostor syndrome and self-compassion, moral injury was associated with positive burnout (odds ratio [OR], 3.79; 95% CI, 2.55 to 5.66), high emotional exhaustion (OR, 2.96; 95% CI, 2.04 to 4.32), high depersonalization (OR, 4.28; 95% CI, 2.94 to 6.29), and low personal accomplishment (OR, 1.96; 95% CI, 1.34 to 2.88). Moral injury was also associated with positive impostor syndrome (OR, 1.71; 95% CI, 1.12 to 2.58) after controlling for burnout and self-compassion as well as with low self-compassion (OR, 3.35; 95% CI, 2.15 to 5.34) after controlling for burnout and impostor syndrome.</p><p><strong>Conclusion: </strong>Female medical trainees have a high prevalence of moral injury, which has significant associations with burnout, impostor syndrome, and low self-compassion. Effective interventions require further implementation and analysis to reduce moral injury among medical trainees.</p>","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":"99 12","pages":"1905-1912"},"PeriodicalIF":6.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Expiratory Central Airway Collapse, a \"Dynamic\" Dilemma.","authors":"Gabriel Ortiz-Jaimes, Ryan Kern","doi":"10.1016/j.mayocp.2024.10.010","DOIUrl":"https://doi.org/10.1016/j.mayocp.2024.10.010","url":null,"abstract":"","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":"99 12","pages":"1864-1866"},"PeriodicalIF":6.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mayo Clinic proceedingsPub Date : 2024-12-01Epub Date: 2024-10-25DOI: 10.1016/j.mayocp.2024.01.004
Naba Farooqui, Sara S Inglis, Francisco Lopez-Jimenez
{"title":"37-Year-Old Man With Chest Pain.","authors":"Naba Farooqui, Sara S Inglis, Francisco Lopez-Jimenez","doi":"10.1016/j.mayocp.2024.01.004","DOIUrl":"10.1016/j.mayocp.2024.01.004","url":null,"abstract":"","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":" ","pages":"1983-1988"},"PeriodicalIF":6.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mayo Clinic proceedingsPub Date : 2024-12-01Epub Date: 2024-11-06DOI: 10.1016/j.mayocp.2024.05.025
Robert J Pignolo, Katherine S King, Chung-Il Wi, Euijung Ryu, Paul Y Takahashi, Joseph D Yao, Matthew J Binnicker, Rachel E Dixon, Traci L Natoli, Young J Juhn
{"title":"Characteristics of an Older Adult Population Without COVID-19 Infection in a Southeast Minnesota Community.","authors":"Robert J Pignolo, Katherine S King, Chung-Il Wi, Euijung Ryu, Paul Y Takahashi, Joseph D Yao, Matthew J Binnicker, Rachel E Dixon, Traci L Natoli, Young J Juhn","doi":"10.1016/j.mayocp.2024.05.025","DOIUrl":"10.1016/j.mayocp.2024.05.025","url":null,"abstract":"<p><strong>Objective: </strong>To assess demographic characteristics, public health measures, and health beliefs or behaviors that differentiate participants with a history of the coronavirus disease 2019 (COVID-19) infection from those with no history of COVID-19.</p><p><strong>Methods: </strong>A cross-sectional survey-based study nested within a larger prospective cohort study of a community-based sample of 2511 adults was conducted to assess the incidence of viral infections. Community-based adults aged 50 years and older residing in southeast Minnesota who were assessed and self-reported history of COVID-19 infection during the early to mid phase of the COVID-19 pandemic were included; 1758 participants completed the survey between June 6, 2021, and February 7, 2022. Participants were asked to complete a questionnaire containing 42 items related to COVID-19. Odds ratios were calculated for history of COVID-19 to compare sociodemographic factors, current and future health behaviors, and health beliefs, including effective preventive measures and modes of transmission.</p><p><strong>Results: </strong>We found that certain sociodemographic features and health behaviors (eg, adherence to public health measures, such as COVID-19 vaccination) are associated with protection against COVID-19 infection and that strong beliefs in effective COVID-19 protective measures and modes of transmission (eg, types of social distancing) differentiated those without from those with a history of COVID-19.</p><p><strong>Conclusion: </strong>Depending on the communicability, virulence, and pathogenicity of future COVID-19 variants, local, state, and federal governments must continue to consider the risks and benefits of public health initiatives that take into consideration these protective factors.</p>","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":" ","pages":"1921-1932"},"PeriodicalIF":6.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mayo Clinic proceedingsPub Date : 2024-12-01Epub Date: 2024-11-11DOI: 10.1016/j.mayocp.2024.08.002
Meihan Guo, David Montero
{"title":"Women Consume Less Oxygen Than Men for Muscular Work: Role of Lean Body Mass.","authors":"Meihan Guo, David Montero","doi":"10.1016/j.mayocp.2024.08.002","DOIUrl":"10.1016/j.mayocp.2024.08.002","url":null,"abstract":"","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":" ","pages":"2002-2004"},"PeriodicalIF":6.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142623507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Top 10 Tips for Using Statins in Clinical Practice.","authors":"Sean Rangwani, Jennifer Maning, Neil J Stone","doi":"10.1016/j.mayocp.2024.08.025","DOIUrl":"10.1016/j.mayocp.2024.08.025","url":null,"abstract":"<p><p>Statins are the mainstay of cholesterol treatment to prevent atherosclerotic cardiovascular disease. However, significant barriers, including physician and patient factors, prevent the optimal use of this drug class. In this article, we provide 10 clear and simple tips for clinicians when prescribing statins. The tips are based on the current guidelines, an extensive review of the literature, and decades of clinical practice of the senior author. Within the tips, we discuss key components of the guidelines, assessing cardiovascular risk profiles, evaluating drug-drug interactions, addressing adverse effects, and developing treatment plans that include statins and nonstatins. The tips will be useful for primary and specialty clinicians, such as cardiologists, endocrinologists, and nephrologists.</p>","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":"99 12","pages":"1958-1964"},"PeriodicalIF":6.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ocean Blue by Claudia Diller.","authors":"Margaret R Wentz","doi":"10.1016/j.mayocp.2024.10.009","DOIUrl":"https://doi.org/10.1016/j.mayocp.2024.10.009","url":null,"abstract":"<p><p>Art is integrated into the Mayo Clinic environment. Since the original Mayo Clinic Building was finished in 1914, many pieces have been donated or commissioned for patients and staff to enjoy. Each issue of Mayo Clinic Proceedings features a work of art (as interpreted by the author) that is displayed in a building or on the grounds of Mayo Clinic campuses.</p>","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":"99 12","pages":"2014"},"PeriodicalIF":6.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}