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Total 3950 results found since Jan 2013.

Factors Associated with RVU Generation in Common Sports Medicine Procedures
CONCLUSION: : wRVUs/hour in surgical sports medicine procedures vary widely depending on the procedure type, patient characteristics, surgical approach, and practice setting.PMID:33751911 | DOI:10.1080/00913847.2021.1907258
Source: The Physician and Sportsmedicine Online - March 22, 2021 Category: Sports Medicine Authors: R Timothy Kreulen Micheal Raad Farah N Musharbash Suresh K Nayar Matthew J Best Varun Puvanesarajah Majd Marrache Uma Srikumaran John H Wilckens Source Type: research

20 Years of Pediatric Anterior Cruciate Ligament Reconstruction in New York State
Conclusion: This study is the first to quantify the increasing rate of ACL reconstructions in the skeletally immature. Only ACL reconstructions were assessed, and it is possible that some ACL tears in children are not diagnosed or are treated nonoperatively. The rate of ACL tears in New York State is likely higher than the rate of reconstructions reported in this study. Significance: This study quantifies the increasing rate of ACL reconstruction in the skeletally immature and suggests that there may be some disparities in care based on insurance status.
Source: The American Journal of Sports Medicine - February 28, 2014 Category: Sports Medicine Authors: Dodwell, E. R., LaMont, L. E., Green, D. W., Pan, T. J., Marx, R. G., Lyman, S. Tags: Epidemiology, Knee ligaments, ACL, Pediatric sports medicine Source Type: research

Why Acupuncture Is Going Mainstream in Medicine
When the opioid addiction crisis began to surge in the U.S. about a decade ago, Dr. Medhat Mikhael spent a lot of time talking to his patients about other ways to heal pain besides opioids, from other types of medications to alternative treatments. As a pain management specialist at MemorialCare Orange Coast Medical Center in Fountain Valley, Calif., he didn’t anticipate leaving behind the short-term use of opioids altogether, since they work so well for post-surgical pain. But he wanted to recommend a remedy that was safer and still effective. That turned out to be acupuncture. “Like any treatment, acupuncture...
Source: TIME: Health - April 29, 2022 Category: Consumer Health News Authors: Elizabeth Millard Tags: Uncategorized healthscienceclimate medicine Source Type: news

Evaluation of a Family Medicine Transitional Care Service Line
Conclusion: Although there was no evidence of an impact of the new service line on a decline in 30-day readmission rates it was decided that this service was a benefit to the patients and the physicians involved.
Source: Journal of the American Board of Family Medicine - July 11, 2019 Category: Primary Care Authors: Farford, B., Pantin, S. A., Presutti, J., Ball, C. S. Tags: Family Medicine and The Health Care System Source Type: research

Interactions Between Physicians and Skilled Home Health Care Agencies in the Certification of Medicare Beneficiaries' Plans of Care: Results of a Nationally Representative Survey.
Conclusion: The CMS-485 does not meaningfully engage physicians. Physicians spend little time reviewing or acting on the SHHC plan of care. Strategies to enhance meaningful communication between SHHC agencies and physicians are needed. Primary Funding Source: National Institute on Aging and National Institute of Mental Health. PMID: 29610828 [PubMed - as supplied by publisher]
Source: Annals of Internal Medicine - April 3, 2018 Category: Internal Medicine Authors: Boyd CM, Leff B, Bellantoni J, Rana N, Wolff JL, Roth DL, Carl K, Sheehan OC Tags: Ann Intern Med Source Type: research

A Family Medicine Health Technology Strategy for Achieving the Triple Aim for US Health Care.
Abstract BACKGROUND AND OBJECTIVES: Health information technology (health IT) and health technology, more broadly, offer tremendous promise for connecting, synthesizing, and sharing information critical to improving health care delivery, reducing health system costs, and achieving personal and community health. While efforts to spur adoption of electronic health records (EHRs) among US practices and hospitals have been highly successful, aspirations for effective data exchanges and translation of data into measureable improvements in health outcomes remain largely unrealized. There are shining examples of health e...
Source: Famly Medicine - September 1, 2015 Category: Primary Care Authors: Phillips RL, Bazemore AW, DeVoe JE, Weida TJ, Krist AH, Dulin MF, Biagioli FE Tags: Fam Med Source Type: research

Improving Medical Students’ OSCE Performance in Telehealth: The Effects of a Telephone Medicine Curriculum
Conclusions Implementing a dedicated telephone medicine curriculum for medical students improves their overall performance and delivery of high-value care via telephone medicine as part of an OSCE. Medical educators should pursue ongoing research into effective methods for teaching medical students and residents how to navigate digital encounters.
Source: Academic Medicine - November 30, 2020 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Simulation of ICD-9 to ICD-10-CM Transition for Family Medicine: Simple or Convoluted?
Conclusions: The transition to ICD-10-CM is simple for 70% or more of diagnosis codes, visits, and reimbursement for a family medicine physician. However, some frequently used codes for disease management are convoluted and incorrect, and for which additional resources need to be invested to ensure a successful transition to ICD-10-CM.
Source: Journal of the American Board of Family Medicine - January 14, 2016 Category: Primary Care Authors: Grief, S. N., Patel, J., Kochendorfer, K. M., Green, L. A., Lussier, Y. A., Li, J., Burton, M., Boyd, A. D. Tags: Original Research Source Type: research

Capturing the Diagnosis: An Internal Medicine Education Program to Improve Documentation
Conclusions: Thus, implementation of an internal medicine documentation curriculum improved accuracy in documenting diagnoses and comorbidities, resulting in improved capture of complication codes.
Source: The American Journal of Medicine - June 20, 2013 Category: Journals (General) Authors: Brad Spellberg, Darrell Harrington, Susan Black, Darryl Sue, William Stringer, Mallory Witt Tags: Brief observations Source Type: research

Understanding predictors of prolonged hospitalizations among general medicine patients: A guide and preliminary analysis
Targeting patients with prolonged hospitalizations may represent an effective strategy for reducing average hospital length of stay (LOS). We sought to characterize predictors of prolonged hospitalizations among general medicine patients to guide future improvement efforts. We conducted a retrospective cohort study using administrative data of general medicine patients discharged from inpatient status from our academic medical center between 2012 and 2014. Multivariable logistic regression was performed to assess the association between sociodemographic and clinical variables with prolonged LOS, defined as >21 days. Of ...
Source: Journal of Hospital Medicine - June 30, 2015 Category: Hospital Management Authors: Mary E. Anderson, Jeffrey J. Glasheen, Debra Anoff, Read Pierce, Roberta Capp, Christine D. Jones Tags: Brief Reports Source Type: research

Impact of state medicaid expansion status on length of stay and in ‐hospital mortality for general medicine patients at US academic medical centers
CONCLUSIONSThe differential shift in payer mix between Medicaid‐expansion and nonexpansion states under the ACA did not influence LOS or in‐hospital mortality for general medicine patients at AMCs in the United States. Journal of Hospital Medicine 2016. © 2016 Society of Hospital Medicine
Source: Journal of Hospital Medicine - July 31, 2016 Category: Hospital Management Authors: Mary E. Anderson, Jeffrey J. Glasheen, Debra Anoff, Read Pierce, Molly Lane, Christine D. Jones Tags: Original Research Source Type: research

The Cost of Family Medicine Residency Training: Impacts of Federal and State Funding.
CONCLUSIONS: For this study group of family medicine programs, data suggests a cost per resident per year, excluding federal and state GME funding streams, of about $180,000. This excess expense compared to revenue must be met by other agencies, whether from CMS, the Health Resources and Services Administration (HRSA), state expenditures or other sources, through stable long-term commitments to these funding mechanisms to ensure program viability for these essential family medicine programs in the future. PMID: 29432627 [PubMed - in process]
Source: Famly Medicine - February 1, 2018 Category: Primary Care Authors: Pauwels J, Weidner A Tags: Fam Med Source Type: research

Moral Distress with Obstacles to Hepatitis C Treatment: A Council of Academic Family Medicine Educational Research Alliance (CERA) Study of Family Medicine Program Directors
Conclusions: Currently, important ethical dilemmas exist in the access and delivery of HCV therapy. Although a diversity of opinions is noted, a significant proportion of PDs are concerned about patients' inability to avail equitable care and experience distress. In some cases, this moral distress is in response to, and in conflict with, current guidelines.
Source: Journal of the American Board of Family Medicine - March 13, 2018 Category: Primary Care Authors: Simha, A., Maria Webb, C., Prasad, R., Kolb, N. R., Veldkamp, P. J. Tags: Ethics Feature Source Type: research