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Mashup Score: 1Impact of COVID-19 on Management and Outcomes of Oncology Patients: Results of MENA COVID-19 and Cancer Registry (MCCR) - 1 month(s) ago
ABSTRACTIntroduction. Despite extensive studies of the impact of COVID-19 on patients with cancer, there is a dearth of information from the Middle East and North Africa (MENA) region. Our study aimed to report pertinent MENA COVID-19 and Cancer Registry (MCCR) findings on patient management and outcomes.Methods. MCCR was adapted from the American Society of Clinical Oncology COVID-19 Registry to collect data specifically from patients with cancer and SARS-CoV-2 infection from 12 centers in eight countries including Saudi Arabia, Jordan, Lebanon, Turkey, Egypt, Algeria, United Arab Emirates, and Morocco. The Registry included data on patients and disease characteristics, treatment, and patient outcomes. Logistic regression was used to assess associations with mortality.Results. Between November 29, 2020, and June 8, 2021, data were captured on 2008 patients diagnosed with COVID-19 from the beginning of the pandemic. Median age was 56 years (16–98), 56.4% were females, and 26% were curr
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Mashup Score: 14Qualified - 1 month(s) ago
“Would you rather be taken care of by someone who looks like you, or by the most qualified person in the room?”We’re not talking about me of course, not really, although if you are a fly on the wall, it might sound like we are. We’re actually having a collegial discussion about hiring; whom you interview, who will fit, how you choose.“Would you rather be taken care of by someone who looks like you, or by the most qualified person in the room?”The question, posed to me by my partner, is not meant as a joke. It’s not meant as irony, and it’s certainly not an attempt at cruelty. It is probably meant to be rhetorical. Rhetorical: to make a statement rather than elicit information. It’s a serious question, though, and more than that, it’s an interesting question, and even more than that, it’s a question that deserves some thought in its analysis, since clearly very little thought had gone into its articulation.“Would you rather be taken care of by someone who looks like you, or by the most
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Mashup Score: 14Changes in Gender and Racial/Ethnic Diversity in US Residency Program Applications From 2018 to 2022 - 2 month(s) ago
Background Residency application patterns by gender and race/ethnicity offer important insights about diversity in residency recruitment. It is unknown how the COVID-19 pandemic and virtual interviewing affected these patterns.Objective We hypothesized that the introduction of virtual interviews caused an increase in applications submitted per applicant and that there may be differences by gender and race/ethnicity.Methods We extracted publicly reported Electronic Residency Application Service application data from 2018 to 2022 for 14 residency specialties with 1000 or more applicants in 2022 by self-reported gender and underrepresented in medicine (UIM) status. We compared patterns before and after virtual interviews were introduced in 2021.Results Among 401 480 residency applicants, the average number of applications submitted per applicant increased for all specialties between 2018 and 2022 across gender and race/ethnicity. Across all years, women applied to more programs than men i
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Mashup Score: 6Publish or Perish: The Research Arms Race in Residency Selection - 4 month(s) ago
“We need less research, better research, and research done for the right reasons.”1 So began a 1994 editorial in the British Medical Journal by statistician Douglas G. Altman. Noting that incentives for career advancement led many physicians to conduct research that was inappropriately designed, incorrectly analyzed, selectively interpreted, or outright fraudulent, Altman argued for abandoning the use of publication quantity as a measure of ability.One might hope that Altman’s words would have inspired systemic change in the nearly 3 decades following his eloquent editorial. Instead, it seems the publish-or-perish arms race has spread to medical trainees. The Figure shows the dramatic increase in PubMed-indexed research publications with medical student authors in the past 15 years. While these data are limited in their ability to represent all medical student research, they are a sample that alludes to an alarming trend.This trend would be worth celebrating if this increase in publica
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Mashup Score: 11Quality Measures for Multidisciplinary Tumor Boards and Their Role in Improving Cancer Care - 4 month(s) ago
ABSTRACTIntroduction. While multidisciplinary tumor boards (MTBs) are widely used in managing patients with cancer, their impact on patient care and outcome is not routinely measured in different settings.Methods. The authors conducted a literature review in Medline, Google Scholar, Embase, and Web of Science using the following keywords: cancer, multidisciplinary, tumor board, quality performance indicator, lung cancer, and lymphoma. Standards from various accreditation and professional organizations were reviewed to compile relevant standards for MTB.Results. A list of quality performance indicators that can be used to improve MTBs’ performance and impact was compiled. Specific examples for non-Hodgkin lymphoma and lung cancer MTBs were presented. Guidance was provided to help MTB team members select implement the appropriate quality measures.Conclusion. The functions and impact of MTBs should be monitored and evaluated by a set of measures that help guide MTBs to improve their perfo
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Mashup Score: 5Impact of Opt-Out Therapy Appointments on Resident Physicians’ Mental Health, Well-Being, Stigma, and Willingness to Engage - 4 month(s) ago
Background Health care professionals report higher levels of mental health symptoms, pandemic-related stress, personal health concerns, and reduced proactive coping, especially in recent years marked by the COVID-19 pandemic. As physician utilization rates of mental health and well-being services remain low, the need for preemptive care is crucial.Objective The present study sought to ascertain satisfaction, value, and attitude toward future mental health services among resident physicians.Methods Throughout the 2020-2021 academic year, resident physicians within 8 training programs at a large academic training hospital were offered single opt-out mental health appointments from hospital-funded, graduate medical education wellness staff at no cost to the resident. Appointments were conducted virtually during protected work time. A survey was sent to participants within 2 weeks following their appointment.Results A total of 153 residents (postgraduate years 1 to 7) were offered one-time
Source: meridian.allenpress.comCategories: General Medicine News, PulmonologyTweet
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Mashup Score: 0When We Fail - 4 month(s) ago
We each have a patient’s story that burns a hole into our memories and compels us to revisit the story again and again. For me that story is about Sean, a 38-year-old former Division I college football player who I met while he was lying in bed, dying of heart failure.As the rheumatology fellow on call, I was asked to see Sean to evaluate for an underlying autoimmune disease that could be linked to his cardiomyopathy. Five years earlier, when he noted unusual salt-and-pepper type changes of the skin on his chest, back, and forehead, he was told this was vitiligo. That presumed diagnosis entered into his medical record and, ever since then, was passed on as established fact. What it really had become was chart lore—a misinterpretation of reality that, through the copy-forward function of the electronic medical record, had been solidified into “the truth.” This explains why, when admitted earlier in the year with severe shortness of breath, the echocardiogram showing an ejection fraction
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Mashup Score: 37ChatGPT for Research and Publication: A Step-by-Step Guide - 4 month(s) ago
This commentary provides a concise step-by-step guide on using ChatGPT, an advanced natural language processing (NLP) model, for research and publication purposes. The guide assesses crucial aspects, including data preprocessing, fine-tuning techniques, prompt engineering, and ethical considerations. By addressing challenges related to biases, interpretability, and plagiarism, this commentary offers insights and recommendations for the responsible and ethical use of ChatGPT. The guide empowers researchers to ethically integrate ChatGPT effectively into their workflows, enhancing productivity and improving the quality of their scientific publications. Through clear instructions and guidelines, researchers can tap into the transformative potential of ChatGPT, driving scientific progress in a language-driven world.In recent years, the field of NLP has witnessed remarkable advancements, bringing us closer to the realm of humanlike language generation. Among these advancements, ChatGPT, bas
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Mashup Score: 37ChatGPT for Research and Publication: A Step-by-Step Guide - 4 month(s) ago
This commentary provides a concise step-by-step guide on using ChatGPT, an advanced natural language processing (NLP) model, for research and publication purposes. The guide assesses crucial aspects, including data preprocessing, fine-tuning techniques, prompt engineering, and ethical considerations. By addressing challenges related to biases, interpretability, and plagiarism, this commentary offers insights and recommendations for the responsible and ethical use of ChatGPT. The guide empowers researchers to ethically integrate ChatGPT effectively into their workflows, enhancing productivity and improving the quality of their scientific publications. Through clear instructions and guidelines, researchers can tap into the transformative potential of ChatGPT, driving scientific progress in a language-driven world.In recent years, the field of NLP has witnessed remarkable advancements, bringing us closer to the realm of humanlike language generation. Among these advancements, ChatGPT, bas
Source: meridian.allenpress.comCategories: General Medicine News, CardiologistsTweet
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Mashup Score: 11Quality Measures for Multidisciplinary Tumor Boards and Their Role in Improving Cancer Care - 5 month(s) ago
ABSTRACTIntroduction. While multidisciplinary tumor boards (MTBs) are widely used in managing patients with cancer, their impact on patient care and outcome is not routinely measured in different settings.Methods. The authors conducted a literature review in Medline, Google Scholar, Embase, and Web of Science using the following keywords: cancer, multidisciplinary, tumor board, quality performance indicator, lung cancer, and lymphoma. Standards from various accreditation and professional organizations were reviewed to compile relevant standards for MTB.Results. A list of quality performance indicators that can be used to improve MTBs’ performance and impact was compiled. Specific examples for non-Hodgkin lymphoma and lung cancer MTBs were presented. Guidance was provided to help MTB team members select implement the appropriate quality measures.Conclusion. The functions and impact of MTBs should be monitored and evaluated by a set of measures that help guide MTBs to improve their perfo
Source: meridian.allenpress.comCategories: General Medicine News, Hem/OncsTweet
Impact of COVID-19 on Management and Outcomes of Oncology Patients: Results of MENA COVID-19 and Cancer Registry (MCCR) https://t.co/DTYQf9XucE