Attitudes about sickness presenteeism in medical training: is there a hidden curriculum?

AbstractBackgroundSickness presenteeism among healthcare professionals can compromise patient safety. To better understand what motivates this phenomenon, especially among trainees, the authors investigated attitudes of medical students, resident physicians, and faculty physicians about working when sick with what might be an infectious condition.MethodsIn 2012 –2013, the authors employed a mixed methods, two-stage, cross-sectional survey at the University of Iowa Hospitals and Clinics of medical students (third-year students in the first survey and fourth-year students in the second survey), resident physicians in Internal Medicine, Pediatrics, and Fami ly Medicine (first-year residents in the first survey and second-year residents in the second survey), and faculty physicians in Internal Medicine, Pediatrics, and Family Medicine. The first survey included one open-ended question querying attitudes about sickness presenteeism, answers to which unde rwent content analysis that identified 17 codes used to develop 23 additional closed-ended questions for a second survey.Results127 participants completed the second survey (44% response rate). Sixty percent of these participants felt obligated to work when sick; and 33% felt obligated to work with influenza-like symptoms (fever, myalgias, cough), with residents and students being more likely to do so than faculty (67% vs. 35% vs. 14%,p = 0.001). Most participants (83%) were motivated to work when sick to avoid...
Source: Antimicrobial Resistance and Infection Control - Category: Infectious Diseases Source Type: research

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Source: BMJ News - Category: General Medicine Source Type: research
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A 74-year-old cis man presented to the emergency department (ED) with a 10-day history of diarrhea, cough, and fevers. The diarrhea began 10 days prior, was characterized by 15-20 watery, non-bloody stools per day, and associated with fevers. In the preceding week, he had developed a non-productive cough, shortness of breath, and pleuritic chest pain. Review of systems was unremarkable.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Diagnostic Dilemma Source Type: research
ConclusionThese data indicate that KPC-producing polyclonal K. pneumoniae are frequent causes of nosocomial hospital outbreaks in South America. Similar genotypes have been reported in Colombia, Argentina, Brazil, North America and Asia.
Source: Journal of Global Antimicrobial Resistance - Category: Infectious Diseases Source Type: research
Publication date: Available online 16 November 2019Source: Journal of Global Antimicrobial ResistanceAuthor(s): Ana Lucia D. Moro, Maria Helena Rigatto
Source: Journal of Global Antimicrobial Resistance - Category: Infectious Diseases Source Type: research
Fight Aging! publishes news and commentary relevant to the goal of ending all age-related disease, to be achieved by bringing the mechanisms of aging under the control of modern medicine. This weekly newsletter is sent to thousands of interested subscribers. To subscribe or unsubscribe from the newsletter, please visit: https://www.fightaging.org/newsletter/ Longevity Industry Consulting Services Reason, the founder of Fight Aging! and Repair Biotechnologies, offers strategic consulting services to investors, entrepreneurs, and others interested in the longevity industry and its complexities. To find out m...
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