Article
Education & Educational Research
Dereje Bedane, Gebremariam Getaneh, Gebeyehu Tsega
Summary: This study aimed to assess the competence of medical graduates in Ethiopia based on licensure exam results. The study found that the competence of medical graduates was affected by age, gender, curriculum implementation, and repeating internships and academic years. Therefore, policymakers should promote competency-based education in medical schools.
BMC MEDICAL EDUCATION
(2023)
Article
Dentistry, Oral Surgery & Medicine
Charlotte C. Currie, Simon J. Stone, Paul Brocklehurst, Wendy Thompson, Justin Durham, Mark S. Pearce
Summary: This study explored trends and predictors for antibiotic prescriptions and referrals at General Medical Practitioners (GMPs) for dental care. The results showed that antibiotic prescriptions were associated with living in deprived or rural areas, while referrals were associated with living in urban or less deprived areas. The number of antibiotic prescriptions decreased over time, while the number of referrals increased. These changes were linked to dental attendance rates at GMPs and indicate the need to change current practice and policy.
JOURNAL OF DENTISTRY
(2023)
Article
Primary Health Care
Monica Aggarwal, Alixandra Holtby, Steve Slade
Summary: The study found that there is a high correlation between the practice patterns and intentions of early-career family physicians, but they are less likely to provide care as intended, especially in long-term care facilities, rural communities, emergency departments, intrapartum care, and care for Indigenous populations.
Article
Public, Environmental & Occupational Health
Susan E. Bell, Lillian Walkover
Summary: This paper introduces a new category of International Medical Graduates – refugee physicians, who are distinct from other IMGs. Through qualitative interviews and narrative analysis, the study highlights the unique challenges and constraints faced by refugee physicians in obtaining a US medical license and sheds light on their medical and political backgrounds.
SOCIAL SCIENCE & MEDICINE
(2021)
Article
Primary Health Care
Ara Jo, Mingliang Dai, Lars Peterson, Arch G. Mainous III
Summary: Between 1988 and 2019, a total of 3,207 family physicians obtained geriatric medicine certification, with over half maintaining certification since 2009. Male gender, White race, and urban practice were associated with maintaining geriatric medicine certification, and 61% of their patients were older adults. Younger physicians and those who treated more older patients were more likely to be recertified in geriatrics.
Article
Immunology
Sarah J. Willis, Heather Elder, Noelle M. Cocoros, Myfanwy Callahan, Katherine K. Hsu, Michael Klompas
Summary: This study assessed the impact of a best practice alert (BPA) on expedited partner therapy (EPT) and chlamydial reinfection. The results showed that the BPA did not significantly increase EPT prescription or decrease chlamydial reinfection rates. However, patients given EPT were more likely to receive a test for chlamydia reinfection.
OPEN FORUM INFECTIOUS DISEASES
(2022)
Article
Medicine, General & Internal
Lisa S. Rotenstein, Nate Apathy, Susan Edgman-Levitan, Bruce Landon
Summary: This study characterizes the differences between physicians and advanced practice practitioners (APPs) in terms of appointment scheduling, visit types, and electronic health record (EHR) use. The findings reveal significant variations in these aspects across different specialties.
Article
Primary Health Care
Sebastian T. Tong, Zachary J. Morgan, Andrew W. Bazemore, Aimee R. Eden, Ruchi M. Fitzgerald, Lars E. Peterson
Summary: This study examines physicians dually certified in Family Medicine and Addiction Medicine, showing that they are more likely to serve vulnerable populations while retaining a broad scope of care. Further research is needed to explore the potential impact of these dually certified physicians in addressing substance use disorder treatment access.
JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
(2021)
Article
Education & Educational Research
Monica Aggarwal, Reham Abdelhalim
Summary: The study aims to understand the preparedness of early career Family Physicians (FPs) for independent practice in Canada. The majority of FPs reported being well prepared for most core professional activities, but less prepared in areas such as virtual care, business management, and delivering culturally safe care.
BMC MEDICAL EDUCATION
(2023)
Article
Nursing
Colleen J. Klein, Lisa Pierce, Melinda Cooling, Wen Che, Shannon Lizer
Summary: This study examined the experiences of advanced practice providers (APPs) and compared their perceptions with physicians regarding novice practitioners' acclimation into a provider role within the first year of practice. While there were similar perspectives between physicians and APPs on confidence and competence, significant differences were found in areas such as physician support, time management, and the time it takes to become a fully functional APP.
WESTERN JOURNAL OF NURSING RESEARCH
(2021)
Article
Primary Health Care
Louito Edje, David W. Price
Summary: This article explores the use of a master adaptive learning framework in family medicine residency training, discussing its impact on educational theory, graduate medical education training, and competencies certification. It emphasizes the importance of lifelong learning for family medicine residents and proposes practical strategies to support this concept through various teaching methods and an optimal learning environment.
Article
Dentistry, Oral Surgery & Medicine
C. C. Currie, S. J. Stone, P. Brocklehurst, G. Slade, J. Durham, M. S. Pearce
Summary: The study reveals that one-third of the population in the UK seeks dental care only when experiencing acute dental pain or problems. Analysis of visit codes to general medical practices in Wales shows that dental attendance was low before 1987 but increased sharply after 2006, coinciding with changes in National Health Service policies. Repeat attenders were more likely to reside in urban or deprived areas.
JOURNAL OF DENTAL RESEARCH
(2022)
Article
Education, Scientific Disciplines
Dorene F. Balmer, Samuel Rosenblatt, Donald Boyer
Summary: Physician-educators in a graduate program in medical education navigated their dynamic landscape of practice by shifting how they engaged in medical education, what they imagined, and who they aligned with. The study offers novel insights into how knowledgeability emerges through time as overlapping modes of identification.
Article
Nutrition & Dietetics
Cliff Lindeman, Doug Klein, Michael Stickland, Neil Drummond, Yeong-Bae Kim, Carminda Lamboglia, Amie Mangan, Ashley McCurdy, Ewan Affleck, Scott Garrison, Randall Sargent, John C. Spence
Summary: The purpose of this study was to examine the content of physical activity inputs in Canadian family physician electronic medical records. The results showed that a minority of patients' records mentioned physical activity, and there was insufficient information to determine the domain, purpose, or meeting of guidelines for physical activity.
APPLIED PHYSIOLOGY NUTRITION AND METABOLISM
(2022)
Article
Infectious Diseases
Camilla Rask Nymand, Janus Laust Thomsen, Malene Plejdrup Hansen
Summary: The World Health Organization expressed concern about increased antimicrobial resistance during the COVID-19 pandemic due to excessive antibiotic use. This study explored changes in antibiotic prescribing patterns in general practices in the North Denmark Region during the pandemic. The results showed a decrease of 18.5% in antibiotic prescriptions and a decrease of 28.5% in face-to-face consultations related to antibiotics. The findings suggest that COVID-19 restrictions may have contributed to reduced antibiotic consumption and changes in prescription patterns.
Article
Public, Environmental & Occupational Health
Rebecca M. Joseph, Tjeerd P. van Staa, Mark Lunt, Michal Abrahamowicz, William G. Dixon
PHARMACOEPIDEMIOLOGY AND DRUG SAFETY
(2019)
Article
Public, Environmental & Occupational Health
Ryan P. Kyle, Erica E. M. Moodie, Marina B. Klein, Michal Abrahamowicz
AMERICAN JOURNAL OF EPIDEMIOLOGY
(2019)
Article
Public, Environmental & Occupational Health
Coraline Danieli, Sarah Cohen, Aihua Liu, Louise Pilote, Liming Guo, Marie-Eve Beauchamp, Ariane J. Marelli, Michal Abrahamowicz
AMERICAN JOURNAL OF EPIDEMIOLOGY
(2019)
Article
Mathematical & Computational Biology
Yishu Wang, Marie-Eve Beauchamp, Michal Abrahamowicz
BIOMETRICAL JOURNAL
(2020)
Article
Cardiac & Cardiovascular Systems
Michelle Samuel, Michal Abrahamowicz, Jacqueline Joza, Marie-Eve Beauchamp, Vidal Essebag, Louise Pilote
Article
Mathematical & Computational Biology
Per Kragh Andersen, Maja Pohar Perme, Hans C. van Houwelingen, Richard J. Cook, Pierre Joly, Torben Martinussen, Jeremy M. G. Taylor, Michal Abrahamowicz, Terry M. Therneau
Summary: This paper offers guidance for researchers with mathematical background on conducting time-to-event analysis based on intensity models in observational studies. It covers basic concepts like time axis, event definition, and censoring, introduces hazard models with emphasis on the Cox proportional hazards regression model, provides check lists for fitting and assessing the model's goodness of fit, and discusses avoiding immortal time bias and prediction challenges. Examples and implementation details using R software are also included.
STATISTICS IN MEDICINE
(2021)
Article
Peripheral Vascular Disease
Pavel Hamet, Zdenka Pausova, Redha Attaoua, Camil Hishmih, Mounsif Haloui, Jean Shin, Tomas Paus, Michal Abrhamowicz, Daniel Gaudet, Lara Santucci, Theodore A. Kotchen, Allen W. Cowley, Julie Hussin, Johanne Tremblay
Summary: The study found that a single nucleotide polymorphism of the ACE2 gene was associated with hypertension in adult obese males, especially in obese males who smoked. The variant was also linked to blood pressure levels in adolescents, with an interaction with obesity present only in females. Additionally, ACE2 gene variants were associated with more severe outcomes in COVID-19 in obese, smoking males.
AMERICAN JOURNAL OF HYPERTENSION
(2021)
Article
Mathematical & Computational Biology
Michal Abrahamowicz, Marie-Eve Beauchamp, Cristiano Soares Moura, Sasha Bernatsky, Steve Ferreira Guerra, Coraline Danieli
Summary: Many applications of survival analysis focus on interval-censored events, which can lead to biased estimates. We propose a SIMEX-based correction method that improves the accuracy of estimated associations between time-varying exposures and interval-censored events.
BIOMETRICAL JOURNAL
(2022)
Editorial Material
Mathematical & Computational Biology
Michal Abrahamowicz
BIOMETRICAL JOURNAL
(2022)
Article
Rheumatology
Claire E. H. Barber, Diane Lacaille, Ruth Croxford, Cheryl Barnabe, Deborah A. Marshall, Michal Abrahamowicz, Hui Xie, J. Antonio Avina-Zubieta, John M. Esdaile, Glen S. Hazlewood, Peter Faris, Steven Katz, Paul MacMullan, Dianne Mosher, Jessica Widdifield
Summary: This study examines the association between rheumatologist access, early treatment, and ongoing care of older-onset rheumatoid arthritis (RA) and healthcare utilization and costs following diagnosis. The results show that access to rheumatologists, timely treatment, and ongoing care are associated with lower total healthcare costs at 5 years. Investments in improving access to care may lead to long-term health system savings.
JOURNAL OF RHEUMATOLOGY
(2023)
Article
Rheumatology
Claire E. H. Barber, Diane Lacaille, Ruth Croxford, Cheryl Barnabe, Deborah A. Marshall, Michal Abrahamowicz, Hui Xie, J. Antonio Avina-Zubieta, John M. Esdaile, Glen Hazlewood, Peter Faris, Steven Katz, Paul MacMullan, Dianne Mosher, Jessica Widdifield
Summary: The study found that although there were improvements in rheumatology care and treatment for RA patients over time, there are still shortcomings, particularly in the use of DMARDs. Patients in regions with higher rheumatologist supply were more likely to access care but less likely to receive timely treatment.
Article
Mathematical & Computational Biology
Liliane Manitchoko, Michal Abrahamowicz, Pascale Tubert-Bitter, Jacques Benichou, Anne C. M. Thiebaut
Summary: Cohort and nested case-control (NCC) designs are commonly used in pharmacoepidemiology to assess the effects of time-varying drug exposures on adverse event risks. Simulations comparing the two designs showed that cohort-based estimates had lower bias and greater precision than NCC estimates. NCC estimates showed bias that decreased with more controls per case and increased with higher event proportion, but bias was reduced when NCC analyses were matched on confounders. Overall, NCC estimates were similar to cohort-based estimates when ties were correctly accounted for.
BIOMETRICAL JOURNAL
(2023)
Article
Rheumatology
Michal Abrahamowicz, Maria Izabela Abrahamowicz, Peter E. Lipsky
Summary: The study developed a new Lupus Multivariable Outcome Score (LuMOS) for evaluating the treatment effectiveness of systemic lupus erythematosus (SLE). Through external validation, LuMOS demonstrated better discrimination than the SLE Responder Index-5 (SRI-5). However, further validation is needed for non-B cell-directed therapies.
ACR OPEN RHEUMATOLOGY
(2022)
Article
Rheumatology
Claire E. H. Barber, Diane Lacaille, Ruth Croxford, Cheryl Barnabe, Deborah A. Marshall, Michal Abrahamowicz, Hui Xie, J. Antonio Avina-Zubieta, John M. Esdaile, Glen Hazlewood, Peter Faris, Steven Katz, Paul MacMullan, Dianne Mosher, Jessica Widdifield
Summary: This study assessed adherence to system-level performance measures in rheumatology care for patients with rheumatoid arthritis (RA). The results showed a decline in the percentage of patients with annual visits over time. Factors such as age, gender, and healthcare resources were found to affect the likelihood of receiving ongoing rheumatology care.
ACR OPEN RHEUMATOLOGY
(2022)
Article
Mathematical & Computational Biology
Menglan Pang, Robert W. Platt, Tibor Schuster, Michal Abrahamowicz
Summary: A spline-based AFT model that does not require specification of the parametric family of event time distribution was developed, providing unbiased estimates and numerical stability in various scenarios.
STATISTICS IN MEDICINE
(2021)