During the past 35 years, the roles for nurse practitioners (NPs) and physician assistants (PAs) have evolved in parallel with the roles that physicians have come to play. Shifting needs in primary care and expanding opportunities in specialty medicine have been the dominant trends. Future directions will be influenced additionally by the deepening physician shortage. NPs are preparing for this...

BACKGROUND AND OBJECTIVES This study compared the training programs and career paths of family medicine graduates in the National Research Service Award (NRSA) Program for Research in Primary Medical Care with general internal medicine and general pediatric peers. METHODS We mailed a survey to NRSA fellows graduating from 23 programs nationally between 1988-1997. Personal characteristics, fel...

BACKGROUND Medical specialties, including surgery, obstetrics, anesthesia, critical care, and trauma, have adopted simulation technology for measuring clinical competency as a routine part of their residency training programs; yet, simulation technologies have rarely been adapted or used for psychiatry training. OBJECTIVE The authors describe the development of a web-based computer simulation...

The American Academy of Allergy, Asthma and Immunology (AAAAI), the American College of Allergy, Asthma and Immunology (ACAAI), and the Joint Council of Allergy, Asthma and Immunology (JCAAI) are pleased to submit this joint response to the Committee’s letter of April 27, 2012. The AAAAI, ACAAI and JCAAI are the three national physician allergy and immunology organizations representing 4,700 al...

OBJECTIVE To assess Wisconsin physician knowledge, attitudes, and practices in obesity management. METHODS The Wisconsin Medical Society distributed an e-mail survey to 12,372 members with questions on obesity causes, barriers to documentation, and training in obesity management. RESULTS A total of 590 surveys (4.7%) were completed. Physicians had an accurate fund of knowledge. Reasons give...

BACKGROUND AND OBJECTIVES Physicians have a major influence on parental vaccine decisions. We tested a physician-targeted communication intervention designed to (1) reduce vaccine hesitancy in mothers of infants seen by trained physicians and (2) increase physician confidence in communicating about vaccines. METHODS We conducted a community-based, clinic-level, 2-arm cluster randomized trial ...

OBJECTIVE To describe and evaluate the effectiveness of domestic violence education in improving physicians' knowledge, recognition, and management of abused women. DATA SOURCES The Cochrane Database of Systematic Reviews, MEDLINE, PubMed, PsycINFO, ERIC, and EMBASE were searched for articles published between January 1, 2000, and November 1, 2012. This search was supplemented by manual searc...

INTRODUCTION There is a need to provide practicing physicians with training on the recognition and management of intimate partner violence (IPV). Online continuing medical education (CME) could help meet this need, but there is little information on the costs and effectiveness of promoting online CME to physicians. This lack of information may discourage IPV training efforts and the use of onli...

BACKGROUND Verbal autopsies (VA) are increasingly used in low- and middle-income countries where most causes of death (COD) occur at home without medical attention, and home deaths differ substantially from hospital deaths. Hence, there is no plausible "standard" against which VAs for home deaths may be validated. Previous studies have shown contradictory performance of automated methods compar...

OBJECTIVE This paper aims to determine the cost of establishing and sustaining a verbal-autopsy based mortality surveillance system in rural India. MATERIALS AND METHODS Deaths occurring in 45 villages (population 185,629) were documented over a 4-year period from 2003-2007 by 45 non-physician healthcare workers (NPHWs) trained in data collection using a verbal autopsy tool. Causes of death w...