Medical Student Mock Interviews to Improve Residency Interviewing and Match Success.
WMJ 115(2):86 (2016)
Using a quasi-experimental approach, we examined student and faculty satisfaction with a mock residency interview program. We also examined whether self-selected participants had match rates that differed from nonparticipants.
Interviews were arranged on a specified evening between students and ...
The Merits and Challenges of Three-Year Medical School Curricula: Time for an Evidence-Based Discussion.
Academic Medicine 90(10):1318 (2015)
The debate about three-year medical school curricula has resurfaced recently, driven by rising education debt burden and a predicted physician shortage. In this Perspective, the authors call for an evidence-based discussion of the merits and challenges of three-year curricula. They examine publi...
Cost and Utilization: Hospitalized Patients on a Family Medicine Service.
Southern Medical Journal 108(6):364 (2015)
The cost of hospitalizations contributes to the rising expense of medical care in the United States. Providing health insurance to uninsured Americans is a strategy to reduce these costs, but only if costs for uninsured patients are disproportionately high. This study examined hospitalization us...
Evaluating the Effectiveness of Simulation Training in the MUSC Family Medicine Residency Program.
Journal of the South Carolina Medical Associati... 111(1):24 (2015)
Primary Care: Clinics in Office Practice 41(1):47 (2014)
Although sinusitis is common, controversy exists regarding terminology, diagnostic criteria, indications for imaging, and treatment guidelines. Patients who are diagnosed with bacterial sinusitis should be started on amoxicillin-clavulanate unless an allergy to penicillin is reported, in which c...
Section four: laryngitis and dysphonia.
FP essentials 415:27 (2013)
Acute laryngitis is most often caused by viral illnesses through direct inflammation of the vocal cords or from irritation due to postnasal drainage. Bacterial infections, such as acute epiglottitis, also can cause dysphonia but typically have other systemic symptoms as well as respiratory distr...
Section two: otitis media.
FP essentials 415:17 (2013)
With the widespread use of vaccinations against Streptococcus pneumoniae, the frequency of acute otitis media (OM) has decreased significantly in recent years. Current management varies considerably in different countries, but there is consensus that most mild cases in children older than 6 mont...
Section one. Acute and chronic rhinosinusitis.
FP essentials 415:11 (2013)
Rhinosinusitis is one of the most common conditions seen by family physicians. Most cases are viral in nature and resolve spontaneously. When symptoms persist for 10 days or more or are accompanied by severe pain and fever, bacterial sinusitis may be present. Current guidelines recommend that ac...
Section three: oral cancers.
FP essentials 415:22 (2013)
Oral cancers are uncommon in the United States. Risk factors for oral cancer include tobacco use, alcohol consumption, and high-risk oral human papillomavirus infection. Precancerous lesions, such as leukoplakia, may lead to oral cancers, but the majority of precancerous lesions never undergo ma...
Patients' preference for physician attire: a survey of patients in family medicine training practices.
Family medicine 43(9):643 (2011)
Conflicting evidence exists about how patients would like their doctors to dress. This is complicated by new evidence showing elements of common physician attire (white coat or ties) can be contaminated with pathogens.
We conducted a survey on a convenience sample of adult patients in three acad...
Trends in hospitalizations with antibiotic-resistant infections: U.S., 1997-2006.
Public Health Reports 126(3):354 (2011)
Antibiotic resistance is a significant global problem, but the trends in prevalence and impact of antibiotic resistance in hospitalizations in the United States are unclear. We evaluated the trends in hospitalizations associated with antibiotic-resistant infections in U.S. hospitals from 1997 to...
Post-traumatic stress disorder screening test performance in civilian primary care.
Family Practice 27(6):615 (2010)
we determined the test performance characteristics of four brief post-traumatic stress disorder (PTSD) screening tests in a civilian primary care setting.
this was a cross-sectional cohort study of adults attending a family medicine residency training clinic in the southeastern USA. Four hundred...
Vitamin D and methicillin-resistant Staphylococcus aureus nasal carriage.
Scandinavian Journal of Infectious Diseases 42(6-7):455 (2010)
Studies have found that vitamin D plays an important role in mediating immune function via a number of pathways, including enhancing the release of antimicrobial peptides in the skin. Given these findings, we hypothesize that low serum vitamin D levels may increase the risk of nasal carriage of ...
Traumatic events and mental health in civilian primary care: implications for training and practice.
Family medicine 42(3):185 (2010)
Primary care research into post-traumatic stress disorder (PTSD) is less developed than primary care depression research. This study documents lifetime traumatic events and past month depression and PTSD in adult patients of a large family medicine residency practice.
We used a telephone survey ...
Does having a personal physician improve quality of care in diabetes?
Journal of the American Board of Family Medicine 23(1):82 (2010)
Although having a continuous relationship with a physician is a defining feature of primary care, few studies have evaluated the effect of this on chronic disease management. This aim of this study was to examine whether having a regular physician is associated with improvements in reaching trea...
Availability of antibiotics for purchase without a prescription on the internet.
Annals of Family Medicine 7(5):431 (2009)
Reducing inappropriate use of antibiotics is key to many antibiotic resistance initiatives. Most initiatives, however, focus almost exclusively on controlling prescribing by health care clinicians and do not focus on patient self-medication. The purpose of this study was to examine antibiotics a...
Prenatal care initiation among pregnant teens in the United States: an analysis over 25 years.
Journal of Adolescent Health 42(3):243 (2008)
To examine changes in the initiation of prenatal care by teenage girls in the United States between 1978 and 2003.
Using birth certificate data collected by the National Center for Health Statistics from 1978, 1983, 1988, 1993, 1998, and 2003 we described initiation of prenatal care in preteens ...
Research activity in family medicine: the "best of times" or "can I have more, please"?
Journal of the American Board of Family Medicine 21(1):4 (2008)
How much money can early prenatal care for teen pregnancies save?: a cost-benefit analysis.
Journal of the American Board of Family Medicine 21(3):184 (2008)
Pregnant teens in the United States are at high risk for not obtaining prenatal care and for having low-birth weight deliveries. This observation suggests that significant cost savings might be realized if teens were able to obtain prenatal care in a timely fashion.
To determine the optimal time...
Virtual medical care: how are our patients using online health information?
Journal of Community Health 31(5):368 (2006)
An increasing percentage of Internet users are seeking health information online. The purpose of our study was to determine the extent of Internet access and online health-seeking and the feasibility of implementing Internet services for our urban, residency-based practice. Using a self-administ...