Children with diabetes may be managed by either paediatricians or adult physicians with a particular interest in diabetes. This study compares the views of these two groups of doctors on juvenile onset diabetes. A questionnaire was given to all doctors attending two conferences, one primarily for paediatricians and one primarily for adult physicians with a particular interest in diabetes. Adult...

Two hundred sixty-two randomly sampled general physicians of Lahore were interviewed to study the current practices and factors affecting the management of acute watery diarrhoea (AWD) in children below 5 years of age. Among the physicians, 19% prescribed ORS alone, 61% ORS with some drug, 15% drugs alone and 5% increased fluid intake only. Physicians in government sector, recent graduates and ...

OBJECTIVES To determine if a dedicated teaching attending for medical student education improves medical student, attending physician, and resident perceptions and satisfaction. METHODS Two dedicated teaching attending physician shifts were added to the clinical schedule each week. A before-after trial compared medical student evaluations from 2000 to 2004 (preteaching attending physician) to...

BACKGROUND The Accreditation Council for Graduate Medical Education (ACGME) has established the requirement for residency programs to assess trainees' competencies in 6 core domains (patient care, medical knowledge, practice-based learning, interpersonal skills, professionalism, and systems-based practice). As attending rounds serve as a primary means for educating trainees at academic medical ...

In the United States, roughly 16,100 nursing homes house 1.5 million persons. Most (62%) of the homes are for-profit facilities; nearly 54% are part of regional or national chains; 31% are not-for-profit facilities; 7.7% are government-affiliated. In the last 20 years, as nursing homes have assumed responsibility for more acutely ill residents, the jobs of the Administrator, Director of Nursing...

目的：我が国では少子高齢化が進んでおり，疾病治療，介護，育児等と仕事の両立において労働者を支援することは産業保健上の重要な課題である．また，多くの患者（労働者）は，精神的，制度的，経済的なサポートを受けながら就労を継続することを望んでいる．疾病治療と仕事の両立支援に関しては，2016年に厚生労働省からガイドラインが示されており，2018年には，主治医が患者に対して就労を継続するための指導を行った場合の「療養・就労両立支援指導料」が新設された．その算定要件として，産業医に対して両立支援に必要な情報を提供した上で，当該産業医から「助言」を得て，その助言を治療計画に反映させることが定められている．産業医が事業者に就業上の意見をする上で主治医の診療情報を求め意見を仰ぐことは一般的に行われているが，主治医が診療計画に活かせる産業医からの情報提供や助言のあり方は確立されていない．そのため，産業医...

OBJECTIVE To evaluate perceived attitudes, knowledge, and behaviors regarding the use of low tidal volume ventilation in acute respiratory distress syndrome among physicians, nurses, and respiratory therapists in intensive care units. DESIGN Cross-sectional, self-administered survey. SETTING Large Acute Respiratory Distress Syndrome Network teaching hospital in Baltimore, MD. PARTICIPANTS...