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733 results for “physicians”
Data from: Characterizing the interaction between physicians, pharmacists and pharmaceutical representatives in a middle-income country: a qualitative study
Background: Studies around the world have shown that interactions between pharmaceutical companies, pharmacists and physicians have a great influence on prescribing and drug dispensing practices. In middle-income countries, the nature and extent of these interactions have not been well researched. Our objectives were to qualitatively explore the nature of the interactions between pharmaceutical companies, physicians and pharmacists, their impact on drug prescription and dispensing practices in Lebanon. Methods and Findings: We used grounded theory approach as well as the known sponsor, purposive, and snowballing sampling strategies to identify interviewees from the three respective groups: physicians, pharmacists, and pharmaceutical representatives. We conducted semi-structured and analyzed transcripts thematically. 6 pharmaceutical representatives, 13 physicians and 13 pharmacists participated in the study. The following themes emerged: purpose and driver for the interactions, nature of the interactions, incentives, impact on prescription practices, ethical considerations, and suggestions for managing the interactions. The main purposes for the interaction were educational, promotional, and monitoring prescription practices and dispensing, while the main drivers for these interactions were market potential and neighborhood socio-economic status. Physicians, pharmacists and pharmaceutical representatives who engage in these interactions benefit from a variety of incentives, some of which were characterized as unethical. It appears that pharmaceutical companies give prominence to selected physicians within their communities. Although members of the three interviewed groups refer to some of the interactions as being problematic, they described a culture of acceptance of gift giving. We developed a framework that depicts the prevailing politico-cultural environment, the interactions between the three professional groups, and their impact on drug prescription. Underreporting is the main limitation of this study. Conclusion: Interactions between physicians, pharmacists and pharmaceutical representatives are frequent. Although these interactions can be beneficial, they still have a substantial effect on drug prescription and dispensing practices. Hence, the need for new policies that regulate these interactions and penalize any misconduct.
Data from: In an age of open access to research policies: physician and public health NGO staff research use and policy awareness
Introduction: Through funding agency and publisher policies, an increasing proportion of the health sciences literature is being made open access. Such an increase in access raises questions about the awareness and potential utilization of this literature by those working in health fields. Methods: A sample of physicians (N=336) and public health non-governmental organization (NGO) staff (N=92) were provided with relatively complete access to the research literature indexed in PubMed, as well as access to the point-of-care service UpToDate, for up to one year, with their usage monitored through the tracking of web-log data. The physicians also participated in a one-month trial of relatively complete or limited access. Results: The study found that participants' research interests were not satisfied by article abstracts alone nor, in the case of the physicians, by a clinical summary service such as UpToDate. On average, a third of the physicians viewed research a little more frequently than once a week, while two-thirds of the public health NGO staff viewed more than three articles a week. Those articles were published since the 2008 adoption of the NIH Public Access Policy, as well as prior to 2008 and during the maximum 12-month embargo period. A portion of the articles in each period was already open access, but complete access encouraged a viewing of more research articles. Conclusion: Those working in health fields will utilize more research in the course of their work as a result of (a) increasing open access to research, (b) improving awareness of and preparation for this access, and (c) adjusting public and open access policies to maximize the extent of potential access, through reduction in embargo periods and access to pre-policy literature.
Dataset for: Extent and types of gender-based discrimination against female medical students and physicians at five university hospitals in Germany – Results of an online survey
<p><strong><span>Objective</span></strong><span>: There is a gap in research on gender-based discrimination (GBD) in medical education and practice in Germany. This study therefore examines the extent and forms of GBD among female medical students and physicians in Germany. Causes, consequences and possible interventions of GBD are discussed.</span></p> <p><strong><span>Methods</span></strong><span>: Female medical students (n=235) and female physicians (n=157) from five university hospitals in northern Germany were asked about their personal experiences with GBD in an online survey on self-efficacy expectations and individual perceptions of the "glass ceiling effect" using an open-ended question regarding their own experiences with GBD. The answers were analyzed by content analysis using inductive category formation and relative category frequencies. </span></p> <p><strong><span>Results</span></strong><span>: From both interviewed groups, approximately 75% of each reported having experienced GBD. Their experiences fell into five main categories: sexual harassment with subcategories of verbal and physical, discrimination based on existing/possible motherhood with subcategories of structural and verbal, direct preference for men, direct neglect of women, and derogatory treatment based on gender.</span></p> <p class="MsoNoSpacing"><strong><span>Conclusion</span></strong><span>: The study contributes to filling the aforementioned research gap. At the hospitals studied, GBD is a common phenomenon among both female medical students and physicians, manifesting itself in multiple forms. Transferability of the results beyond the hospitals studied to all of Germany seems plausible. Much is known about the causes, consequences and effective countermeasures against GBD. Those responsible for training and employers in hospitals should fulfill their responsibility by implementing measures from the set of empirically evaluated interventions.</span></p>
raw data - The relationship of the COVID-19 pandemic with the level of burnout and wellness of family physicians
Open the record for dataset details and reuse information.
Ambulatory physicians' electronic health record self-efficacy
<p><strong>Objective:</strong> To assess ambulatory providers' confidence in learning about and using the electronic health record (EHR).</p> <p><strong>Materials and Methods:</strong> Providers were administered an EHR skills self-assessment survey.</p> <p><strong>Results:</strong> 71 providers participated. Only 35% of respondents felt that they had strong EHR skills, 92% felt confident that they could learn new skills, and 90% felt they could improve with practice. 45% of faculty physicians felt confident that they could use the EHR in a time-efficient manner and 52% felt could keep up with advances but 16% felt apprehensive about using the EHR. 94% of faculty would welcome opportunities to learn more.</p> <p><strong>Discussion:</strong> Most providers viewed using the EHR as a clinical skill they could master with training and practice.</p> <p><strong>Conclusion:</strong> Physicians may be engaged by EHR training programs that focus on the use of the EHR as a clinical skill. This work has informed new training programs at our institution.</p>
Survey evaluating physicians' experiences with an initiative aimed at improving their EHR use
<p>In this case report, we describe an initiative to improve physicians' experience with Electronic Health Records (EHRs), which was one of several strategies developed within our hospital to reduce physician burnout possibly connected to the EHR. We propose a 10 member "EHR SWAT Team" with representation from clinical, educational, technical and project management staff. This team met with physicians across all hospital divisions to collect their issues with the EHR and requests for functionality changes. The team then reviewed these requests, prioritized and fixed them in a timely manner. Through in-person meetings, the EHR SWAT Team gathered 118 issues or change requests, 36.4% of which were related to education and 17% of which were quick fixes. Popular requests included improved search functionality, auto-faxing and auto-saving of notes. 46 physicians completed our short evaluation survey, where 61.3% said that it increased their proficiency in using the EHR. We highlight five important lessons learned from carrying out this initiative including the importance of engaging Information Technology (IT) leadership, physician leadership, and physicians across the hospital. Our next steps include measuring the impact of this initiative on EHR-related burnout through an organizational wide survey and objective back-end usage logs.</p>
Using nominal group technique among resident physicians to identify key attributes of a burnout prevention program
<p>Purpose:<b> </b>To identify preferred burnout interventions within a resident physician population, utilizing the Nominal Group Technique. The results will be used to design a discrete choice experiment study to inform the development of resident burnout prevention programs.</p> <p>Methods:<b> </b>Three resident focus groups met (10-14 participants/group) to prioritize a list of 23 factors for burnout prevention programs. The Nominal Group Technique consisted of three steps: an individual, confidential ranking of the 23 factors by importance from 1 to 23, a group discussion of each attribute, including a group review of the rankings, and an opportunity to alter the original ranking across participants.</p> <p>Results:<b> </b>The total number of residents (36) were a representative sample of specialty, year of residency, and sex. There was strong agreement about the most highly rated attributes which grouped naturally into themes of autonomy, meaning, competency and relatedness. There was also disagreement on several of the attributes that is likely due to the differences in residency specialty and subsequently rotation requirements.</p> <p>Conclusion:<b> </b>This study identified the need to address multiple organizational factors that may lead to physician burnout. There is a clear need for complex interventions that target systemic and program level factors rather than focus on individual interventions. These results may help residency program directors understand the specific attributes of a burnout prevention program valued by residents. Aligning burnout interventions with resident preferences could improve the efficacy of burnout prevention programs by improving adoption of, and satisfaction with, these programs.</p>
Improving Antibiotic Prescribing for Pediatric Respiratory Infections by Family Physicians With Peer Comparison
ClinicalTrials.gov study NCT04588376. IPD Sharing: NO. Countries: 0. Publications: 6.
Effect of Education on Resident Physician Knowledge of Sepsis
ClinicalTrials.gov study NCT02927054. IPD Sharing: YES. Countries: 0. Publications: 2.
PEPAF: Evaluation of Family Physician's Effectiveness for Physical Activity Promotion
ClinicalTrials.gov study NCT00131079. IPD Sharing: Not stated. Countries: 0. Publications: 8.
A Phase III Trial of Niraparib Versus Physician's Choice in HER2 Negative, Germline BRCA Mutation-positive Breast Cancer Patients
ClinicalTrials.gov study NCT01905592. IPD Sharing: NO. Countries: 14. Publications: 0.
A Study to Improve Physician-Youth Communication and Medical Decision Making
ClinicalTrials.gov study NCT05835063. IPD Sharing: NO. Countries: 1. Publications: 0.
Clinical Practice Intensity: Comparing Veterans Affairs (VA) to Private Sector Physicians
ClinicalTrials.gov study NCT00853918. IPD Sharing: Not stated. Countries: 0. Publications: 3.
A Survey to Assess Participants' and Physicians' Knowledge, Attitudes and Behavior When Using NATPARA
ClinicalTrials.gov study NCT05556629. IPD Sharing: YES. Countries: 1. Publications: 0.
Evaluation of a Daily Brief Exercise Intervention on Resident Physician Personal Resiliency and Burnout
ClinicalTrials.gov study NCT03489720. IPD Sharing: NO. Countries: 1. Publications: 0.
Growing Future Physician Leaders: A Randomized Trial of an Educational Intervention in Postgraduate Trainees
ClinicalTrials.gov study NCT00286975. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Physician Radiation Exposure During Radial Access Cardiac Catheterization Using a RAD Board
ClinicalTrials.gov study NCT02088788. IPD Sharing: NO. Countries: 1. Publications: 0.
Dosimeter Location in Pain Physicians
ClinicalTrials.gov study NCT06309407. IPD Sharing: NO. Countries: 1. Publications: 0.
Physicians Work Distribution in a Danish Emergency Department
ClinicalTrials.gov study NCT01722721. IPD Sharing: Not stated. Countries: 0. Publications: 1.
Lesion Detection of Automated Breast Ultrasound Compared With Handheld Physician-performed Breast Ultrasound
ClinicalTrials.gov study NCT02310776. IPD Sharing: Not stated. Countries: 1. Publications: 0.
ScienceDex guides
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These curated guides explain access requirements, typical timelines, costs, and reuse considerations for widely used research datasets.
Allen Brain Atlas
Allen Brain Atlas is an Allen Institute collection of brain map atlases, datasets, APIs, and analysis tools covering mouse, human, and non-human primate brain resources.
Annotated Behaviour and Observability Dataset (ABODe)
ABODe is a University of Edinburgh DataShare dataset for behavior classification in group-housed mice using home-cage video, identities, bounding boxes, ground-plate positions, and annotator labels.
DANDI Archive for NWB datasets
DANDI is a BRAIN Initiative archive for publishing and sharing neurophysiology data, including electrophysiology, optophysiology, and behavioral data packaged as NWB and related standards.
International Brain Laboratory public data
The International Brain Laboratory public data releases expose standardized mouse decision-making experiments, including Neuropixels recordings, widefield calcium imaging, behavior, and session metadata accessed through the ONE API.
OpenNeuro
OpenNeuro is a free, open platform for sharing neuroimaging datasets, with public search, dataset pages, and download paths for web, S3, DataLad, and the OpenNeuro CLI.