ED FROM Chen PH, Rovi S, Washington J, et al. Randomized comparison of 3 methods to screen for domestic violence in family practice. Ann Fam Med 2007;5:430–5. Correspondence to: Dr P H Chen, University of Medicine and Dentistry of New Jersey–New Jersey Medical School. Newark, NJ, USA; [email protected] Source of funding: American Academy of Family Physicians Foundation. c Clinical impact ratings...

Evaluating clinician satisfaction with an electronic medical record (EMR) system is an important dimension to overall acceptance and use, yet project managers often lack the time and resources to formally assess user satisfaction and solicit feedback. This article describes the methods used to assess clinician satisfaction with an EMR and identify opportunities for improving its use at a 300-ph...

The authors study the association between physician leadership styles and leadership effectiveness. Executive directors of community health centers were surveyed (269 respondents; response rate = 40.9 percent) for their perceptions of the medical director's leadership behaviors and effectiveness, using an adapted Multifactor Leadership Questionnaire (43 items on a 0-4 point Likert-type scale), ...

Introduction: Facial expression to pain is an important pain indicator; however, facial movements look unresponsive when perceiving mild pain. The present study investigates whether pain magnitude modulates the relationship between subjective pain rating and an observer’s evaluation of facial expression.  Methods: Twelve healthy volunteers were recruited to obtain 108 samples for pa...

Background: Multisource feedback (MSF) is increasingly being used as one of the components in revalidation and recertification processes to guide physicians’ continuing professional development. Data provided by coworkers (e.g., nurses, pharmacists, technicians) are recognized as integral for assessing a physician’s communication, teamwork and interprofessional abilities. The purpose of this st...

BACKGROUND To further efforts to integrate mental health and primary care, this study develops a novel approach to quantifying the amount and sources of work involved in shifting care for common mental health problems to pediatric primary care providers. METHODS Email/web-based survey of a convenience sample (n = 58) of Maryland pediatricians (77% female, 58% at their site 10 or more years; 4...

There is little evidence supporting the widespread belief that regular patient-physician contact in chronic disease management leads to better patient outcomes. The objective of this study was to examine the relationship of the frequency of patient-physician contact with several patient outcomes in a prospective cohort study begun in 1995 of incident hemodialysis patients treated at 75 US dialy...

the changing demands on the health sectors in low- and middle-income countries especially sub-saharan african countries continue to challenge efforts to address critical shortages of the health workforce. addressing these challenges have led to the evolution of “non-physician clinicians” (npcs), that assume some physician roles and thus mitigate the continuing shortage of doctors in these count...

a decade ago, sub-saharan africa accounted for 24% of the global disease burden but was served by only 4% of the global health workforce. the chronic shortage of medical doctors has led other health professionals especially nurses to perform the role of healthcare providers. these health workers have been variously named clinical officers, health officers, physician assistants, nurse practition...