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The Practice of Metabolic Medicine
Published in Michael M. Rothkopf, Jennifer C. Johnson, Optimizing Metabolic Status for the Hospitalized Patient, 2023
Michael M. Rothkopf, Jennifer C. Johnson
Each patient on our service is seen, examined, and monitored for progress and complications. The visit is similar to that of a hospital family medicine or internal medicine visit but with a focus on the patient’s nutritional care. We query the patient and the nursing staff about the ability to resume oral intake, tolerance of differing diet consistencies, safety of swallowing, risk of aspiration, post-digestive reactions such as nausea, vomiting, diarrhea, etc. Part of this subjective information is intended to assess the continued requirement for artificial feedings. Once this is established, the patient’s tolerance to the current nutritional support regimen is assessed.
Anatomy and surgery
Published in Vivienne Lo, Michael Stanley-Baker, Dolly Yang, Routledge Handbook of Chinese Medicine, 2022
Li Jianmin 李建民, Michael Stanley-Baker, Vivienne Lo
In external medicine, they took the pulse and [prescribed] ingested drugs. The ‘prescription and pulse specialists’ referred to here are doctors of internal medicine. This culture of opposition to surgery in Southern China was very common during the Ming and Qing periods. Even until now, this current in Chinese medicine of ‘giving weight to internal medicine and slighting external medicine’ is still prevalent. Is it possible that in the future history of Chinese medicine, research into China’s medical traditions could take a long awaited and highly necessary external medicine turn?
Career Opportunities in Industrial Clinical Research
Published in Gary M. Matoren, The Clinical Research Process in the Pharmaceutical Industry, 2020
Physicians who enter clinical research with internal medicine or other specialties will be sought after if they have internal medicine subspecialty training in cardiovascular diseases, immunology /allergy, infectious diseases, oncology, endocrinology, hematology, rheumatology, or gastroenterology.
“Ego massaging that helps”: a framework analysis study of internal medicine trainees’ interprofessional collaboration approaches
Published in Medical Education Online, 2023
Joanne Kerins, Samantha Eve Smith, Victoria Ruth Tallentire
Internal medicine training is a three-year training programme for doctors in the United Kingdom (UK) who wish to pursue a career in hospital medicine. Between August 2020 and March 2021, 124 internal medicine trainees participated in an interprofessional communication workshop in groups of six. The workshop, attended only by internal medicine trainees, was on the topic of interprofessional communication. It has been argued that education for collaboration should provide uni-professional opportunities which can address workplace structures, power and conflict, of which this workshop is an example [5]. Key learning objectives were to explore challenges of interprofessional interactions and collaboration approaches. The workshop was facilitated by two consultant physicians who aimed to create a safe space for trainee-led discussion. The discussion was guided by participants with trainees setting their own agenda at the start of the session. Trainees were asked to voice areas of difficulty regarding interprofessional interactions and a facilitator documented these on a paper flipchart. Thereafter, a free-flowing discussion followed this agenda. Facilitators used open questions to enquire about experiences and prompt reflection on the impact of challenges and the strategies that trainees have employed.
Medical student and trainee doctor views on the ‘good’ doctor: Deriving implications for training from a Q-methods study
Published in Medical Teacher, 2022
Jennifer Coventry, Jennifer May Hampton, Esther Muddiman, Alison Bullock
It is interesting, however, that the participants that loaded onto this group came from across our three participant types (BBT trainees as well as trainees on conventional routes and medical students). This widespread support for a patient-centred approach suggests that the aims of the BBT programme, now defunct in England and Wales, might usefully be reflected in current training pathways. Indeed, Royal Colleges have adjusted their curricula to ensure future doctors are equipped with generalist skills to manage patients with complex comorbidities. For example, following Foundation training, physician training includes three years in internal medicine. The intention of the Joint Royal Colleges of Physicians Training Board (JRCPTB) is for this change to better prepare doctors for managing acutely unwell patients (JRCPTB 2019).
Medicaid managed care enrollments and potentially preventable admissions: An analysis of adult Medicaid recipients in Florida
Published in International Journal of Healthcare Management, 2021
The study included two variables related to resources for primary health care at the county level: (1) supply of primary care providers [PCP]; and (2) supply of short-term general hospital beds [BED]. In general, primary care physicians consist of family medicine, pediatrics, and internal medicine. However, pediatricians are excluded because this study examines only the adult population. In addition, this study included the number of non-physician clinicians (NPCs), such as physician assistants and nurse practitioners, because NPCs engage in delivering primary healthcare. Thus, the supply of primary care providers is the sum of primary care physicians and non-physician clinicians. The number of primary care providers was standardized based on county population. Then, we converted it to a categorical variable that has three levels of availability: low (i.e. <mean − 1sd), medium (i.e. mean ± 1sd), and high (i.e. >mean + 1sd). We converted the number of hospital beds in a county to categorical variable in the same way. For both variables, the low availability group was used as a reference group.