WMJ : official publication of the State Medical Society of Wisconsin最新文献_第5页

Prescribing Hope: A Missing Vital Sign in Modern Medicine. 处方希望：现代医学缺失的生命体征。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2025-01-01

Fahad Aziz

引用次数: 0

Exploration of Factors That Positively Influence Medical Student Reception of Question-Based Teaching in Clinical Settings. 临床医学生接受问题型教学的积极影响因素探讨。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2025-01-01

Asha S Jain, Jacob J Abou-Hanna, Elizabeth M Petty

{"title":"Exploration of Factors That Positively Influence Medical Student Reception of Question-Based Teaching in Clinical Settings.","authors":"Asha S Jain, Jacob J Abou-Hanna, Elizabeth M Petty","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Academic medicine literature has reported hesitation from clinical teaching physicians to use questions when teaching medical students due to its negative connotation of \"pimping.\" However, newer literature suggests that most students prefer questions, while only a small minority are less welcoming. Some teaching physicians, however, have concerns about using questions due to the risk of humiliating or embarrassing medical students in clinical settings.Methods: Medical students who completed core clerkship rotations at a public medical school in the Midwest were invited to participate in 1 of 4 virtual focus groups. Students were asked to reflect on 3 clinical teaching vignettes. Inductive thematic qualitative analysis was performed to create a codebook. The transcripts were coded by 2 independent coders for emerging themes.Results: Twenty-six students participated across 4 groups. Four major themes were identified that demonstrate positive student reception of teaching physicians and their questions: teaching physicians (1) engaging students, (2) setting clear expectations, (3) empathizing with the medical student experience, and (4) asking questions to teach rather than evaluate. Thematic coding of the 3 vignettes resulted in initial intercoder reliabilities of 85.4%, 87%, and 79%, prior to achieving 100% consensus. Students described the ideal teaching physician to be patient, engaged, and respectful.Conclusions: By engaging medical students, setting clear expectations early on, empathizing with the medical student experience, and asking questions with the purpose of teaching, teaching physicians can be less hesitant about upsetting medical students when utilizing questions as a teaching tool.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"124 3","pages":"258-264"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Statistical Thinking Part 4: Probability, Statistics, and the Central Limit Theorem. 统计思维第4部分：概率、统计和中心极限定理。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2025-01-01

Robert A Calder, Jayshil J Patel

引用次数: 0

Periorbital Dermatitis Induced by Apixaban. 阿哌沙班致眼眶周围皮炎。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2025-01-01

Kelsey Koenig, Grace Tews, Aleksander Downs

引用次数: 0

High-Value Imaging in an Era of Uncertainty, Growth, and Disruptive Technologies. 不确定、增长和颠覆性技术时代的高价值成像。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2025-01-01

Scott B Reeder, Robert N Golden

引用次数: 0

Babesiosis - An Unseen Epidemic. 巴贝斯虫病——一种看不见的流行病。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2025-01-01

Noor Fatima, Steven Lippmann

引用次数: 0

Impact of an Integrated Electronic Health Record Protocol on Inferior Vena Cava Filter Retrieval Attempt Rates: An Observational Cohort Study. 综合电子健康记录协议对下腔静脉过滤器检索尝试率的影响：一项观察性队列研究。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2025-01-01

Benjamin M Parsons, Sean R O'Neil, Andrew L Horstman, Mary C Oldenburg, Attila J Kovacs, Isaiah Fitzmaurice, Samuel Mosiman, Tiana L Carlson

{"title":"Impact of an Integrated Electronic Health Record Protocol on Inferior Vena Cava Filter Retrieval Attempt Rates: An Observational Cohort Study.","authors":"Benjamin M Parsons, Sean R O'Neil, Andrew L Horstman, Mary C Oldenburg, Attila J Kovacs, Isaiah Fitzmaurice, Samuel Mosiman, Tiana L Carlson","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: To improve inferior vena cava (IVC) filter retrieval rates, an electronic health record prompt for scheduling retrieval before patient discharge was implemented.Methods: This retrospective comparative cohort study was conducted in a single Midwestern tertiary care medical center. Adult patients with IVC filters placed for a medical (Medical subgroup) or trauma (Trauma subgroup) indication before and after protocol implementation and who had follow-up documented in the electronic health record were included. IVC filter retrieval attempt rates both overall and by indication for placement before and after protocol implementation were compared.Results: Three hundred eighty-five patients met eligibility criteria: 223 before implementation (Before group) and 162 after implementation (After group). The attempted retrieval rate for the After group was 11.4% higher than the Before group (P = .012). Attempted retrieval rates in the Medical Before and After subgroups were 56.2% and 76.0%, respectively (P = .001). The Trauma subgroups' rates were similar to each other (P = .594). Time to retrieval attempt was significantly shorter in the Medical After subgroup than in the Medical Before subgroup (P = .018) but similar in the Trauma subgroups.Conclusions: Attempted retrieval rates were significantly higher in the After group and Medical After subgroup. Trauma subgroup rates were similar, likely because a previous intervention to increase retrieval in trauma patients was in place during the pre-implementation period of our study. Findings suggest that using an automated electronic health record-based prompt to facilitate IVC filter retrieval scheduling could greatly improve retrieval rates and patient safety.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"124 2","pages":"91-95"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'We Need to Really Up Our Game' - Trainee and Clinician Perspectives on Adverse Childhood Experiences Screening. “我们需要真正提高我们的游戏”-实习生和临床医生对不良童年经历筛查的看法。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2025-01-01

Hannah Sherfinski, Paige Condit, Samantha Williams Al-Kharusy, Michael Lasarev, Makayla Thomas, Megan A Moreno, Taylor R House

{"title":"'We Need to Really Up Our Game' - Trainee and Clinician Perspectives on Adverse Childhood Experiences Screening.","authors":"Hannah Sherfinski, Paige Condit, Samantha Williams Al-Kharusy, Michael Lasarev, Makayla Thomas, Megan A Moreno, Taylor R House","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Despite the negative health effects of adverse childhood experiences, few pediatricians regularly screen for them. We sought to investigate clinician and trainee knowledge and practices regarding adverse childhood experiences in Wisconsin clinics.Methods: We undertook a sequential mixed methods study. We administered a cross-sectional, web-based survey to medical trainees and clinicians associated with the University of Wisconsin-Madison or subscribing to the Wisconsin chapter of the American Academy of Pediatrics. The survey was developed and pretested by experts in medical education and survey methodology. Data were analyzed descriptively and categorically. We then conducted semistructured interviews using thematic analysis and inductive and deductive coding to characterize facilitators and barriers to screening.Results: Survey respondents included 110 medical students, 103 attending physicians, 51 residents, and 10 advanced practice providers. Respondents were familiar with adverse childhood experiences, yet only 26% had adequate knowledge to impact their clinical practice. More residents (69%) and medical students (50%) received education about adverse childhood experiences than attending physicians (20%). Few respondents (13%) regularly screen for adverse childhood experiences, but the majority (80%) expressed interest in screening. Nine respondents completed interviews, revealing 3 themes: (1) knowledge is not enough; (2) demand for a multilevel approach; and (3) impact of systems of oppression.Conclusions: Wisconsin trainees and clinicians have limited experience with adverse childhood experiences resulting in low screening rates but express a strong desire to learn more. Increasing screening practice will require targeted efforts to enhance clinician experiential learning, minimize systemic barriers, and address systems of oppression.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"124 2","pages":"116-122"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Electronic Fetal Monitoring Patterns With and Without Continuous Amnioinfusion. 羊膜输注前后的胎儿电子监测模式。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2025-01-01

Brock E Polnaszek, Jessica Chen, Rodolfo Fernandez-Criado, Anna Palatnik, Susan Cohen, Methodius G Tuuli, Adam K Lewkowitz

引用次数: 0

Epidemiological Analysis of Chlamydia and Gonorrhea Cases in La Crosse County, Wisconsin, 2001-2020. 2001-2020年威斯康星州拉克罗斯县衣原体和淋病病例流行病学分析

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2025-01-01

Abigail Multerer, Paul Silha, Gary D Gilmore, Jennifer Rombalski, Abdulaziz Elfessi, Loriann Stanislawski, Peter R Wilker, William R Schwan

{"title":"Epidemiological Analysis of Chlamydia and Gonorrhea Cases in La Crosse County, Wisconsin, 2001-2020.","authors":"Abigail Multerer, Paul Silha, Gary D Gilmore, Jennifer Rombalski, Abdulaziz Elfessi, Loriann Stanislawski, Peter R Wilker, William R Schwan","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Chlamydia trachomatis and Neisseria gonorrhoeae are the two most reported bacterial infections in the United States, with over 1.5 million and 500 000 cases reported in 2019, respectively. The number of infections continues to rise, with significant disparities at the national level in the rate of infection between age, race, and sex demographic classifications. Although the disparities in chlamydia and gonorrhea infections have been well described in the US, little research has been done on a smaller community scale, such as La Crosse County, Wisconsin.Methods: We accessed data from La Crosse County, Wisconsin; the State of Wisconsin; and the United States for gonorrhea and chlamydia cases from 2001 through 2020 and completed both descriptive analysis and inferential statistical analysis.Results: Gonorrhea and chlamydia rates have risen at the local, state, and national levels. Demographic analysis of the cases in La Crosse County conveyed that females and Black populations having higher rates of infection. Additionally, the 25- to 39-year age group had a marked increase in gonorrhea rates at the county and state levels.Conclusions: We were able to show demographic differences in chlamydia and gonorrhea incidence rates. The authors recommend that the 25- to 39-year-old group should undergo more regular comprehensive screening for all sexually transmitted infections.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"124 3","pages":"216-222"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0