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Telemedicine Journal and E-health : the... Feb 2021Telemedicine adoption has been gradual but accelerated during the COVID-19 pandemic. It is important for us to pause and consider how this impacts family medicine. How...
Telemedicine adoption has been gradual but accelerated during the COVID-19 pandemic. It is important for us to pause and consider how this impacts family medicine. How do we ground ourselves so that we use technology to enhance our practice while maintaining fundamental family medicine values? In this article, we explore how telemedicine interacts with five family medicine tenants: contextual care, continuity of care, access to care, comprehensive care, and care coordination. Keeping this framework in mind and using a health equity lens can help us retain fundamental family medicine values as we adapt to rapid technological change.
Topics: COVID-19; Family Practice; Humans; Pandemics; Telemedicine
PubMed: 32744897
DOI: 10.1089/tmj.2020.0282 -
BMJ Military Health Feb 2021
Topics: History, 20th Century; History, 21st Century; Humans; Military Medicine; Museums; Wales
PubMed: 32139416
DOI: 10.1136/jramc-2019-001305 -
Family Medicine Jun 2023While the Association of American Medical Colleges (AAMC) designated cross-disciplinary telemedicine competencies, curricular implementation is at disparate stages...
BACKGROUND
While the Association of American Medical Colleges (AAMC) designated cross-disciplinary telemedicine competencies, curricular implementation is at disparate stages across medical schools and with significant curricular gaps. We investigated factors associated with the presence of telemedicine curriculum in family medicine clerkships.
METHODS
Data were evaluated as part of the 2022 CERA survey of family medicine clerkship directors (CD). Participants answered questions about telemedicine curriculum in their clerkship, including whether it was required or optional, whether telemedicine competencies were assessed, the availability of faculty expertise, volume of visits, student autonomy in visits, CD's attitude about the importance of telemedicine education, and awareness of the Society of Teachers of Family Medicine's (STFM) Telemedicine Curriculum.
RESULTS
Ninety-four of 159 CDs (59.1%) responded to the survey. Over one-third of FM clerkships (38, 41.3%) did not teach telemedicine and most CDs (59, 62.8%) did not assess competencies. The presence of telemedicine curriculum was positively associated with CDs' awareness of STFM's Telemedicine Curriculum (P=.032), attitude of CDs toward importance of telemedicine teaching (P=.007), higher level of learner autonomy in telemedicine visits (P=.035), and private medical schools (P=.020).
CONCLUSIONS
Almost two-thirds of clerkships (62.8%) did not assess telemedicine competencies, and fewer than one-third of CDs (28.6%) considered telemedicine education as important as other clerkship topics. CDs' attitudes were a significant determinant of whether teaching of telemedicine skills occurred. Awareness of telemedicine education resources and higher learner autonomy in telemedicine encounters may promote integration into clerkship curriculum.
Topics: Humans; Family Practice; Curriculum; Educational Status; Faculty; Telemedicine
PubMed: 37307393
DOI: 10.22454/FamMed.2023.242006 -
The Lancet. Psychiatry Dec 2015
Topics: Contracts; Humans; Psychiatry; Social Change; United Kingdom
PubMed: 26494193
DOI: 10.1016/S2215-0366(15)00474-5 -
JAMA May 2015
Topics: Certification; Medicine; Professional Autonomy; Professional Competence; Quality Improvement; United States
PubMed: 25965220
DOI: 10.1001/jama.2015.4619 -
Annals of Behavioral Medicine : a... Dec 2020A visioning initiative among members of SBM has identified new areas of investigations, such as behavioral medicine’s need to address climate change, gun violence and...
A visioning initiative among members of SBM has identified new areas of investigations, such as behavioral medicine’s need to address climate change, gun violence and science communication. These areas emerged along-side traditional areas of behavioral medicine such as decreasing health inequity and integrating behavioral medicine into health care systems.
Topics: Behavioral Medicine; Climate Change; Congresses as Topic; Health Communication; Humans; Societies, Medical; Stakeholder Participation
PubMed: 33416837
DOI: 10.1093/abm/kaaa087 -
Social Science & Medicine (1982) Nov 2014This paper evaluates disaster medicine from a historical perspective that facilitates the understanding of its present. Today, disaster medicine and humanitarian...
This paper evaluates disaster medicine from a historical perspective that facilitates the understanding of its present. Today, disaster medicine and humanitarian medicine are inextricably linked and the terms are sometimes used synonymously. An in-depth analysis of an extensive body of concrete empirical cases from various sources (i.e. archival records) reveals, however, that they have not always been the same. A genealogical, history-of-knowledge approach demonstrates that the concept of disaster medicine emerged in the early 20th century in Switzerland in the context of industrialization. Even though it gained important impetus during the First World War, the concept was informed by the experiences of forensic physicians in technological disasters such as mining explosions. The Cold War constituted the historical constellation in which disaster medicine was developed in West Germany during the 1960s and 1970s in a way that was paradigmatic for other Western European countries. At the same time, it was contested there in an unusual, historically unique way. Although focusing on a Western European context, this paper explores how medical interventions in disasters were international events and how the practice of disaster medicine was developed and "trained" through being applied in the Global South. It demonstrates the historicity of disaster medicine's political character and of the controversies generated by its involvement in civil and military operations. Throughout the 20th century, the political nature and military involvement of disaster medicine resulted in a number of ethical and practical issues, which are similar to the challenges facing humanitarian medicine today. The exploration of disaster medicine's past can therefore open up critical interventions in humanitarian medicine's present.
Topics: Altruism; Disaster Medicine; Europe; History, 20th Century; History, 21st Century; Warfare
PubMed: 24862174
DOI: 10.1016/j.socscimed.2014.05.017 -
Ugeskrift For Laeger Apr 2023Paediatric urology is a subspeciality of urology, with close links to paediatric surgery. This review concludes that a holistic life-long approach to management in... (Review)
Review
Paediatric urology is a subspeciality of urology, with close links to paediatric surgery. This review concludes that a holistic life-long approach to management in highly specialised treatment centres is essential for many of the rare congenital conditions - in Denmark, paediatric urology is centralised to two institutions: Rigshospitalet in Copenhagen and Aarhus University Hospital in Aarhus. Other than performing basic urology in paediatric patients, both centres specialise in complex and rare urological conditions and thus have been accredited by the European Reference Network on rare diseases through the eUrogen collaboration. Patient populations have covered span from prenatal to childhood, transition and for some anomalies, even into adulthood.
Topics: Child; Humans; Urology; Specialization; Pediatrics
PubMed: 37057699
DOI: No ID Found -
Journal International de Bioethique Et... 2023Cell therapy is becoming established in many fields, including oncology with CAR-Ts or in regenerative medicine for cardiovascular diseases, diabetes or musculoskeletal...
Cell therapy is becoming established in many fields, including oncology with CAR-Ts or in regenerative medicine for cardiovascular diseases, diabetes or musculoskeletal disorders with mesenchymal stromal cells. These therapeutic cells are called advanced therapy medicinal products (ATMPs) and include all processes including cells manipulated to obtain reprogramming (iPS), to induce gene expression or by genome editing to modify the expression of a gene. The development of new biomaterial supports that can be 3D printed and take the desired shape of the target tissue before being colonised by the cellular elements necessary for their biological functions and replace the failing organ. All of these new technologies are driving innovation and the development of tomorrow’s bio-medicines. These new biotherapies will profoundly modify patient care in all areas, changing medical practices but with a considerable societal impact. Thus, the development and clinical research on cellular biotherapies are essential health issues but with a major ethical, societal and economic impact.
Topics: Humans; Cell- and Tissue-Based Therapy; Regenerative Medicine; Biotechnology; Medical Oncology
PubMed: 37684204
DOI: 10.3917/jibes.342.0165 -
Studies in Health Technology and... Feb 2022Precision medicine offers the potential to improve health through deeper understandings of the lifestyle, biological, and environmental influences on health. Under Dr....
Precision medicine offers the potential to improve health through deeper understandings of the lifestyle, biological, and environmental influences on health. Under Dr. Donald A.B. Lindberg's leadership, the U.S. National Library of Medicine (NLM) has developed the central reference resources for biomedical research and molecular laboratory medicine that enable precision medicine. The hosting and curation of biomedical knowledge repositories and data by NLM enable quality information reachable for providers and researchers throughout the world. NLM has been supporting the innovation of electronic health record systems to implement computability and secondary use for biomedical research, producing the scale of linked health and molecular datasets necessary for precision medicine discovery.
Topics: Genomic Medicine; National Library of Medicine (U.S.); Precision Medicine; United States
PubMed: 35102830
DOI: 10.3233/SHTI210983