Primary Care Physicians' and Hospitalists' Experience with Advance Care Planning with South Asian Canadian Older Adults before and during COVID-19
Can J Aging. 2023 Dec 13:1-10. doi: 10.1017/S0714980823000739. Online ahead of print.ABSTRACTFew older adults discuss their end-of-life care wishes with their physician, and even fewer minorities do this. We explored physicians' experience with advance care planning (ACP) including the barriers/facilitating factors encountered when initiating/conducting ACP discussions with South Asians (SA), one of Canada's largest minorities. Eleven primary care physicians (PC) and 11 hospitalists with ≥ 15 per cent SA patients ≥ 55 years of age were interviewed: 10 in 2020, 12 in 2021. Thematic analysis of transcripts indicated that...
Source: Canadian Journal on Aging - December 13, 2023 Category: Geriatrics Authors: Avantika Vashisht Gloria Gutman Dawn Mackey Brian de Vries Taranjot Kaur Helen Kwan Source Type: research
Primary Care Physicians' and Hospitalists' Experience with Advance Care Planning with South Asian Canadian Older Adults before and during COVID-19
Can J Aging. 2023 Dec 13:1-10. doi: 10.1017/S0714980823000739. Online ahead of print.ABSTRACTFew older adults discuss their end-of-life care wishes with their physician, and even fewer minorities do this. We explored physicians' experience with advance care planning (ACP) including the barriers/facilitating factors encountered when initiating/conducting ACP discussions with South Asians (SA), one of Canada's largest minorities. Eleven primary care physicians (PC) and 11 hospitalists with ≥ 15 per cent SA patients ≥ 55 years of age were interviewed: 10 in 2020, 12 in 2021. Thematic analysis of transcripts indicated that...
Source: Canadian Journal on Aging - December 13, 2023 Category: Geriatrics Authors: Avantika Vashisht Gloria Gutman Dawn Mackey Brian de Vries Taranjot Kaur Helen Kwan Source Type: research
Primary Care Physicians' and Hospitalists' Experience with Advance Care Planning with South Asian Canadian Older Adults before and during COVID-19
Can J Aging. 2023 Dec 13:1-10. doi: 10.1017/S0714980823000739. Online ahead of print.ABSTRACTFew older adults discuss their end-of-life care wishes with their physician, and even fewer minorities do this. We explored physicians' experience with advance care planning (ACP) including the barriers/facilitating factors encountered when initiating/conducting ACP discussions with South Asians (SA), one of Canada's largest minorities. Eleven primary care physicians (PC) and 11 hospitalists with ≥ 15 per cent SA patients ≥ 55 years of age were interviewed: 10 in 2020, 12 in 2021. Thematic analysis of transcripts indicated that...
Source: Canadian Journal on Aging - December 13, 2023 Category: Geriatrics Authors: Avantika Vashisht Gloria Gutman Dawn Mackey Brian de Vries Taranjot Kaur Helen Kwan Source Type: research
Primary Care Physicians' and Hospitalists' Experience with Advance Care Planning with South Asian Canadian Older Adults before and during COVID-19
Can J Aging. 2023 Dec 13:1-10. doi: 10.1017/S0714980823000739. Online ahead of print.ABSTRACTFew older adults discuss their end-of-life care wishes with their physician, and even fewer minorities do this. We explored physicians' experience with advance care planning (ACP) including the barriers/facilitating factors encountered when initiating/conducting ACP discussions with South Asians (SA), one of Canada's largest minorities. Eleven primary care physicians (PC) and 11 hospitalists with ≥ 15 per cent SA patients ≥ 55 years of age were interviewed: 10 in 2020, 12 in 2021. Thematic analysis of transcripts indicated that...
Source: Canadian Journal on Aging - December 13, 2023 Category: Geriatrics Authors: Avantika Vashisht Gloria Gutman Dawn Mackey Brian de Vries Taranjot Kaur Helen Kwan Source Type: research
Primary Care Physicians' and Hospitalists' Experience with Advance Care Planning with South Asian Canadian Older Adults before and during COVID-19
Can J Aging. 2023 Dec 13:1-10. doi: 10.1017/S0714980823000739. Online ahead of print.ABSTRACTFew older adults discuss their end-of-life care wishes with their physician, and even fewer minorities do this. We explored physicians' experience with advance care planning (ACP) including the barriers/facilitating factors encountered when initiating/conducting ACP discussions with South Asians (SA), one of Canada's largest minorities. Eleven primary care physicians (PC) and 11 hospitalists with ≥ 15 per cent SA patients ≥ 55 years of age were interviewed: 10 in 2020, 12 in 2021. Thematic analysis of transcripts indicated that...
Source: Canadian Journal on Aging - December 13, 2023 Category: Geriatrics Authors: Avantika Vashisht Gloria Gutman Dawn Mackey Brian de Vries Taranjot Kaur Helen Kwan Source Type: research
Primary Care Physicians' and Hospitalists' Experience with Advance Care Planning with South Asian Canadian Older Adults before and during COVID-19
Can J Aging. 2023 Dec 13:1-10. doi: 10.1017/S0714980823000739. Online ahead of print.ABSTRACTFew older adults discuss their end-of-life care wishes with their physician, and even fewer minorities do this. We explored physicians' experience with advance care planning (ACP) including the barriers/facilitating factors encountered when initiating/conducting ACP discussions with South Asians (SA), one of Canada's largest minorities. Eleven primary care physicians (PC) and 11 hospitalists with ≥ 15 per cent SA patients ≥ 55 years of age were interviewed: 10 in 2020, 12 in 2021. Thematic analysis of transcripts indicated that...
Source: Canadian Journal on Aging - December 13, 2023 Category: Geriatrics Authors: Avantika Vashisht Gloria Gutman Dawn Mackey Brian de Vries Taranjot Kaur Helen Kwan Source Type: research
Primary Care Physicians' and Hospitalists' Experience with Advance Care Planning with South Asian Canadian Older Adults before and during COVID-19
Can J Aging. 2023 Dec 13:1-10. doi: 10.1017/S0714980823000739. Online ahead of print.ABSTRACTFew older adults discuss their end-of-life care wishes with their physician, and even fewer minorities do this. We explored physicians' experience with advance care planning (ACP) including the barriers/facilitating factors encountered when initiating/conducting ACP discussions with South Asians (SA), one of Canada's largest minorities. Eleven primary care physicians (PC) and 11 hospitalists with ≥ 15 per cent SA patients ≥ 55 years of age were interviewed: 10 in 2020, 12 in 2021. Thematic analysis of transcripts indicated that...
Source: Canadian Journal on Aging - December 13, 2023 Category: Geriatrics Authors: Avantika Vashisht Gloria Gutman Dawn Mackey Brian de Vries Taranjot Kaur Helen Kwan Source Type: research
Correction: Comparison of the clinical characteristics of SARS-CoV-2 Delta (B.1.617.2) and Omicron (B.1.1.529) infected patients from a single hospitalist service
(Source: BMC Infectious Diseases)
Source: BMC Infectious Diseases - December 12, 2023 Category: Infectious Diseases Authors: N. Radhakrishnan, M. Liu, B. Idowu, A. Bansari, K. Rathi, S. Magar, L. Mundhra, J. Sarmiento, U. Ghaffar, J. Kattan, R. Jones, J. George, Y. Yang and F. Southwick Tags: Correction Source Type: research
An individual patient data meta-analysis of wound care in patients with toxic epidermal necrolysis
This study supports the expert consensus of the dermatology hospitalists, that wound care in patients with TEN should be supportive with the epidermis left intact and supported with dressings, which leads to faster re-epithelialisation.PMID:38063272 | DOI:10.1111/ajd.14193 (Source: The Australasian Journal of Dermatology)
Source: The Australasian Journal of Dermatology - December 8, 2023 Category: Dermatology Authors: J S Lee K Mallitt G Fischer R B Saunderson Source Type: research
An individual patient data meta-analysis of wound care in patients with toxic epidermal necrolysis
This study supports the expert consensus of the dermatology hospitalists, that wound care in patients with TEN should be supportive with the epidermis left intact and supported with dressings, which leads to faster re-epithelialisation.PMID:38063272 | DOI:10.1111/ajd.14193 (Source: The Australasian Journal of Dermatology)
Source: The Australasian Journal of Dermatology - December 8, 2023 Category: Dermatology Authors: J S Lee K Mallitt G Fischer R B Saunderson Source Type: research
Clinical Update: RSV Vaccines for Adults
Respiratory syncytial virus (RSV) is a common seasonal virus that can cause serious illness in children and adults alike. It was first isolated in a group of chimpanzees in 1956 and was originally known as the chimpanzee coryza agent (CCA). Soon after, in 1957, it was noted to infect the human respiratory syncytium and would be eventually renamed RSV. Since its initial discovery, considerable effort has been placed into better understanding the virus and finding a way to prevent its most severe manifestations.1
When considering RSV, most will likely think of its infectious syndrome in infants. This is for good reason, as 5...
Source: The Hospitalist - December 7, 2023 Category: Hospital Management Authors: Lisa Casinger Tags: Clinical Clinical Guidelines Drug Therapy Infectious Diseases Patient Care Source Type: research
SHM ’s 2023 Hill Day: Continuing the Conversation with Legislators
U.S. Capitol, SHM Hill Day 2023
Each year SHM members and staff converge in Washington, D.C., to meet with legislators and discuss key concerns and policy issues that affect hospitalists, their patients, and the health care industry.
On October 19, 2023, members from 16 states, including SHM’s Public Policy Committee (PPC) and chapters, attended SHM’s Hill Day. Having chapter members in attendance this year was a boon in that it “allowed the group access to some state offices that historically we haven’t had a relationship with; it expanded our reach on the Hill,” said Rick Hilger, MD, SFHM, SHM PPC chair, and t...
Source: The Hospitalist - December 7, 2023 Category: Hospital Management Authors: Lisa Casinger Tags: Advocacy Business of Medicine Leadership Source Type: research
Is ChatGPT a Better Doctor Than You?
Dr. Chang
That question may be on the minds of many physicians today. We’ve seen that ChatGPT can pass the U.S. medical licensing exams. Artificial intelligence (AI) is rapidly improving the interpretation of diagnostic tests (EKGs, X-rays, and CT scans). And, ChatGPT was able to generate responses to medical questions more empathetically than real physicians. There doesn’t seem to be any end to the list of things AI-driven tools can do better than physicians and with endless efficiency.
To be perfectly honest, as long as AI doesn’t figure out (and ruthlessly address) the fact that humans are inherently destroying...
Source: The Hospitalist - December 1, 2023 Category: Hospital Management Authors: Ronda Whitaker Tags: Career Technology Source Type: research
ChatGPT and AI: How Does Health Care Handle 1.0?
Health care, including hospital medicine, isn’t exactly known as the professional land of early adopters—and for good reason.
The regulations that govern the care of hospitalized patients can’t allow just every new application, website, or technology to get its hands on patient information. And hospitalists can’t just rely on Google searches to come up with the right approach to a particularly difficult diagnosis.
But can it help? Can hospital medicine embrace the latest technology in real time?
Well, ChatGPT is a test case. The large-language model-based chatbot has taken the world by storm over the past year and ...
Source: The Hospitalist - December 1, 2023 Category: Hospital Management Authors: Ronda Whitaker Tags: Career Practice Management Technology Source Type: research
Partial Oral Antibiotic Therapy May be Effective in Treating Complicated MRSA Among People with IDU
Clinical question: Are oral antibiotics effective in completing treatment for complicated methicillin-resistant Staphylococcus aureus (MRSA) among patients with injection drug use (IDU)?
Dr. Bredenberg
Background: Mounting evidence suggests that oral antibiotics may be effective in completing treatment for invasive infections after an initial period of intravenous (IV) antibiotic therapy. However, prior studies have not focused specifically on people with IDU and/or complicated MRSA bacteremia.
Study design: Retrospective cohort study
Setting: Single-site study at a large teaching hospital in a major metropolitan U.S. ar...
Source: The Hospitalist - December 1, 2023 Category: Hospital Management Authors: Ronda Whitaker Tags: In the Literature Infectious Diseases Source Type: research
