introduction: delivering bad news is a stressful moment for both physicians and patients. the purpose of this investigation was to explore the patients’ preferences and attitudes toward being informed about the bad news. methods: this cross-sectional study was done on patients admitted to imam khomeini hospital, sari, iran, from september 2014 to february 2015. patient attitude regarding breaki...

introduction: the responsibility of the medical training team towards a patient referring to an academic medical center has not been fully clarified. in this article we have looked at current practice in medical university of isfahan and evaluated the attitude of the medical team towards patients’consent to be involved in medical students’education. methods: in this cross-sectional study, condu...

Physician assistants (PAs) have been used for decades in the Canadian military. Now, PAs are being introduced in various clinical settings to provide patient care for the general population. This article reviews major developments in the PA profession across Canada over the last decade. Nearly 541 PAs are employed in Canada or work for a Canadian agency. Growing evidence demonstrates the positi...

The importance of a person's spirit and eternal destiny are eclipsed in American medi- cine. The most alarming effect of this eclipse is that the prevalence of burnout among physicians is high (about 46 percent) and growing.' It is alarming because trends that deplete the physician's spirit tragically impair the physician's capacity as a healer and as one who renews the spirit.

background: interprofessional teamwork is considered as the key to improve the quality of patient management in critical settings such as trauma emergency departments, but it is not fully conceptualized in these areas to guide practice. the aim of this article is to explore interprofessional teamwork and its improvement strategies in trauma emergency departments. materials and methods: particip...

BACKGROUND The employment of physician assistants (PAs) is a strategy to improve access to care. Since the new millennium, a handful of countries have turned to PAs as a means to bridge the growing gap between the supply and demand of medical services. However, little is known about this new workforce entity from the patient's perspective. The objective of this study was to assess the willingne...

For physicians, burnout is the inevitable consequence of the way that medical education is organised and the subsequent maladaptive behaviours that are reinforced in healthcare organisations via the hidden curriculum. Thus, burnout is an important indicator of how the organisation itself is functioning. A central theme in this paper will be the degree to which the organisational systems are res...

Physicians' narratives of their own experiences of illness can be a kind of empathic bridge across the divide between a professional healer and a sick patient. This essay considers ways in which physicians' narratives of their own and family members' experiences of cancer shape encounters with patients and patients' experiences of illness. It analyzes ethical dimensions of physicians' narrative...

Background and Objectives: Metabolic control and observance of dietary therapy in adolescents with type I diabetes is weaker compared to other patients—the fact which might lead to physical, mental, and social changes in such adolescents in this period of their life. Hence, adolescences are more subject to complications of diabetes. This study, accordingly, was conducted to examine the re...

OBJECTIVE To analyze the nursing staff opinion about the continuous quality improvement program at a University Hospital. METHODS A descriptive study designed as a case study, analyzing the quality program at a University Hospital, with the opinion of a sample stratified by nursing team category through a self-administered questionnaire, from May to July 2012. The answers were submitted to fa...