Review
Gerontology
Kevin T. Foley, Clare C. Luz
Summary: The study provides an update on the 2008 IoM report findings and progress made on its recommendations, revealing clear conclusions despite limitations. Despite uncertainties caused by medical advances and other factors, current and projected numbers for geriatric health providers remain inadequate, with challenges in meeting estimated needs persisting essentially unchanged.
Article
Oncology
Bridget P. Keenan, Amanda Sibley, Li Zhang, Alyssa F. Westring, Ana Velazquez, Erin M. Bank, Emily K. Bergsland, Lauren Boreta, Patricia Conroy, Mariza Daras, Michelle Hermiston, Gerald Hsu, Pamela L. Paris, Sorbarikor Piawah, Sumi Sinha, Julie A. Sosa, Mazie Tsang, Alan P. Venook, Melisa Wong, Sue S. Yom, Katherine Van Loon
Summary: This study aimed to determine whether there were gender differences in workplace culture in academic oncology during the COVID-19 pandemic. A survey tool called the Culture Conducive to Women's Academic Success (CCWAS) was used to assess the academic climate at an NCI-designated Cancer Center. The findings revealed specific issues related to gender differences in the workplace and proposed solutions to improve workforce culture, mitigate gender bias, and retain faculty.
Article
Surgery
Stephen T. Mahoney, William Irish, Paula D. Strassle, Anneke T. Schroen, Julie A. Freischlag, J. E. Betsy Tuttle-Newhall, Michelle R. Brownstein
Summary: This study compares the differences in practice characteristics and career satisfaction measures between academic and private practice surgeons, showing that academic surgeons report higher career satisfaction in certain aspects compared to private practice surgeons. Advocacy for private practice surgeons is crucial to encourage career longevity and meet the needs of the US surgeon workforce.
Article
Geriatrics & Gerontology
Joanne Spetz, Jason D. Flatt
Summary: This study compares staffing in adult day health centers (ADHCs) that provide Alzheimer disease and related dementia (ADRD) services with those that do not, and examines the association between the percentage of ADHC participants with ADRD and staffing levels. The results show that ADHCs with ADRD programs have similar attendance rates, less revenue from Medicaid and self-payment, and higher proportions of Black and female participants. Staffing levels in ADHCs with ADRD programs are associated with participant outcomes, with increased licensed nurse staffing and decreased social worker staffing as the proportion of participants with ADRD increases.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2023)
Letter
Surgery
John Mills, Cara Liebert, Sherry M. Wren, Janey S. A. Pratt, Michelle Earley, Dan Eisenberg
Summary: This cross-sectional study examines the use of robotic surgery for general surgical procedures in the Veterans Health Administration (VHA), community practice, and academic health centers from 2013 to 2021.
Review
Health Policy & Services
Andrea Nove, Onyema Ajuebor, Khassoum Diallo, James Campbell, Giorgio Cometto
Summary: Development partners and global health initiatives play important roles in financing health systems. However, the contribution of these initiatives to health workforce strengthening is not clear. More structured policies are needed to monitor and evaluate health workforce investments in order to optimize their value and contribute to global and national health goals.
HUMAN RESOURCES FOR HEALTH
(2023)
Article
Pediatrics
Chris Kjolhede, April C. Lee
Summary: School-based health centers (SBHCs) provide unique health care services for school-aged children and adolescents, improving access to care by addressing barriers and supporting academic achievement.
Letter
Medicine, General & Internal
Amy Chang Berger, Noa Simchoni, Andrew Auerbach, W. Michael Brode, Ethan Kuperman, Katie Raffel, Alan A. Kubey
Summary: This survey study examines the extent to which evidenced-based guidelines for the management of COVID-19 have been implemented in US academic medical centers.
Article
Statistics & Probability
Alexandra L. L. Hanlon, Alicia J. J. Lozano, Swathi Prakash, Emily B. B. Bezar, Walter T. T. Ambrosius, Guy Brock, Manisha Desai, Brad H. H. Pollock, Mary D. D. Sammel, Heidi Spratt, Leah J. J. Welty, Gina-Maria Pomann
Summary: The organizational structures and contributions of collaborative biostatistics units in US academic health centers are an important topic of discussion. The characteristics of these units vary and there has been no comprehensive review of their organizational structures in the literature. This manuscript summarizes the current infrastructure of such units using responses from 129 leaders. The results provide a benchmark for collaboration models and evaluation.
Editorial Material
Ethics
Tyler Paetkau
Summary: Employment-based vaccine mandates have worse consequences for existing employees than prospective ones. However, Smith argues that if vaccine mandates are justified for prospective employees, they are similarly justified for existing employees. This paper responds to Smith's argument by questioning the existence of effective alternative interventions and the asymmetry in the harms of mandates.
JOURNAL OF MEDICAL ETHICS
(2023)
Article
Integrative & Complementary Medicine
Amie Steel, Iva Lloyd, Hope Foley, Matthew Leach
Summary: Despite the global demand for naturopathic care, naturopathic practitioners are not well integrated into mainstream health systems due to poor knowledge among policy makers and other health professionals. This study examines the practice behaviors of naturopathic practitioners and identifies predictors of naturopathic treatment and practices worldwide. The findings provide important insights into contemporary naturopathic practice behavior, which may help to overcome misconceptions and improve integration within the healthcare community.
INTEGRATIVE MEDICINE RESEARCH
(2022)
Article
Health Policy & Services
Hermioni L. Amonoo, Nomi C. Levy-Carrick, Ashwini Nadkarni, Samara J. Grossman, David W. Green, Regina M. Longley, David A. Silbersweig, Christopher G. AhnAllen
Summary: Diversity, equity, and inclusion (DEI) are crucial for high-quality patient care and support within the clinical environment, leading to improved clinical outcomes for minority populations. This article discusses the design and implementation of DEI in an academic psychiatry department, highlighting the role of departmental initiatives and lessons learned from the DEI committee's work.
PSYCHIATRIC SERVICES
(2022)
Article
Ophthalmology
Jacob F. Smith, Braden C. Hintze, Scott T. Anderson, Prashant D. Tailor, Timothy T. Xu, Matthew R. Starr
Summary: A retrospective cross-sectional study was conducted to quantify trends in ophthalmology practice consolidation in the United States from 2015 to 2022. The study found that there was a decrease in the number of ophthalmologists and practices, while the percentage of ophthalmologists in larger group practices increased. Consolidation trends were significant across all regions, sexes, and years of experience in practice.
Article
Education & Educational Research
Susan Williams, David Gonzalez-Chica, Katrina Morgan, Bronwyn Herde, Lawrie McArthur, Lucie Walters
Summary: Rural medical training experiences provided by Rural Clinical Schools (RCS) can encourage future practice in rural locations. This study found that students' interest in a rural career and their perceived self-efficacy in rural practice were significant predictors of subsequent rural medical practice.
BMC MEDICAL EDUCATION
(2023)
Article
Ophthalmology
Steven C. Quan, Sunah Song, Beverly Koepf, Paola Saroufim, Evan Kaufman, Sherry Day, Derek Louie, Bryce St. Clair, Thomas Stokkermans
Summary: This study examines the prevalence and faculty status of optometrists at academic medical centers in the United States. It finds that approximately 65% of the institutions employ optometrists, and nearly half of the optometrists hold academic appointments at medical schools. Furthermore, about 11% of the institutions have post-doctoral optometric training programs.
OPTOMETRY AND VISION SCIENCE
(2023)
Article
Health Care Sciences & Services
Marisa Elena Domino, Ching-Ching Claire Lin, Joseph P. Morrissey, Alan R. Ellis, Erin Fraher, Erica L. Richman, Kathleen C. Thomas, Mitchell J. Prinstein
JOURNAL OF RURAL HEALTH
(2019)
Editorial Material
Medicine, General & Internal
Bianca K. Frogner, Erin P. Fraher, Joanne Spetz, Patricia Pittman, Jean Moore, Angela J. Beck, David Armstrong, Peter I. Buerhaus
NEW ENGLAND JOURNAL OF MEDICINE
(2020)
Editorial Material
Health Care Sciences & Services
Brad Wright, Erin Fraher, Marni Gwyther Holder, Jill Akiyama, Brian Toomey
JOURNAL OF RURAL HEALTH
(2021)
Editorial Material
Medicine, General & Internal
Erin P. Fraher, Patricia Pittman, Bianca K. Frogner, Joanne Spetz, Jean Moore, Angela J. Beck, David Armstrong, Peter I. Buerhaus
NEW ENGLAND JOURNAL OF MEDICINE
(2020)
Editorial Material
Primary Health Care
Erin P. Fraher
JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
(2020)
Article
Health Care Sciences & Services
Erin P. Fraher, Allison Cummings, Dana Neutze
Summary: The study found that there is no role confusion between medical assistants (MAs) and family physicians, and physicians are not resistant to delegating tasks to properly trained MAs. While there are some gaps, particularly in areas like patient education, coaching, and documentation, the potential for MA role transformation appears to be narrowing in implementation.
MEDICAL CARE RESEARCH AND REVIEW
(2021)
Article
Surgery
Erin P. Fraher
Summary: The general surgery workforce in North Carolina is slowly diversifying, with the most significant gains seen among female surgeons. However, the growth in the Black surgeon workforce has stagnated in the last 15 years. Research shows that nearly half of North Carolina's Black physicians are approaching retirement age, highlighting the need to address underrepresentation in the field.
Editorial Material
Education, Scientific Disciplines
Emily M. Hawes, Mark Holmes, Erin P. Fraher, Alyssa Zamierowski, Judith Pauwels, Louis A. Sanner, Jacob Rains, Cristen P. Page
Summary: Evidence shows that rural residents have consistently worse health outcomes compared to urban and suburban residents. Increasing the physician supply in rural areas through graduate medical education (GME) training is a proven strategy to address this disparity. However, inadequate federal funding for rural GME has hindered the development of training programs in rural hospitals. The Consolidated Appropriations Act of 2021 aims to address the disparities in Medicare funding for rural GME by providing funding for an increase in rural GME positions, expansion of rural training opportunities, and relief for hospitals with low resident payments and/or caps. These policy changes present new opportunities for rural hospitals and partnering urban medical centers to strengthen rural GME training and improve the physician workforce in underserved communities.
Editorial Material
Education, Scientific Disciplines
Erin P. Fraher, Brianna Lombardi, Barbara Brandt, Emily Hawes
Summary: Health disparities between rural and urban areas are increasing, and urban health care systems are acquiring rural hospitals. New payment models are incentivizing health care systems to manage social risk factors. Academic health centers have the opportunity to develop interprofessional practice and training in rural areas and evaluate the outcomes of team-based care models.
Article
Health Care Sciences & Services
Erin Fraher, Cristen P. P. Page, Emily M. M. Hawes, Evan Galloway, Shweta Pathak, Lauren Tomola, George M. M. Holmes
Summary: The purpose of this study is to describe the characteristics of Rural Residency Planning and Development (RRPD) Programs, compare the characteristics of counties with and without RRPD programs, and identify rural places where future RRPD programs could be developed. The study found that RRPD programs are often affiliated with family medicine programs and medical schools, and RRPD counties have larger populations, higher population densities, and a higher percentage of non-White or Hispanic populations compared to non-RRPD counties. These findings can be used to address health disparities and workforce maldistribution.
JOURNAL OF RURAL HEALTH
(2023)
Article
Nursing
Alberta K. Tran, George J. Knafl, Marianne Baernholdt, Erin P. Fraher, Cheryl B. Jones
Summary: This study analyzes state licensure data to explore the transitions of critical care nurses into non-critical care areas. The findings reveal that more than 75% of nurses left critical care within 5 years, with a significant number transitioning into emergency, peri-operative, and cardiology areas. The study also identifies that nurses in recession years are less likely to make transitions, while female nurses and those with higher degrees are more likely to do so.
Editorial Material
Medicine, General & Internal
Peter Buerhaus, Erin Fraher, Bianca Frogner, Melinda Buntin, Monica O'Reilly-Jacob, Sean Clarke
Summary: The Covid-19 pandemic has raised concerns about the demands and appeal of nursing careers. How can we address these issues?
NEW ENGLAND JOURNAL OF MEDICINE
(2023)
Article
Medicine, General & Internal
Gary L. Beck Dallaghan, Julie C. Spero, Julie S. Byerley, Lisa Rahangdale, Erin P. Fraher, Beat Steiner
Summary: The study investigated the recruitment efforts of the UNC School of Medicine to attract rural students and found that increasing just 14 rural applicants annually would align the proportion of rural applicants with the potential applicant pool in rural NC counties. This model of analysis can be applied to other pipeline programs to assess the success of recruitment efforts.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2021)
Article
Health Care Sciences & Services
Lisa de Saxe Zerden, Brianna M. Lombardi, Erica L. Richman, Erin P. Fraher, Kimberly Ann Shoenbill
Summary: This study aimed to identify behavioral health and social care components in integrated care using EHR documentation and develop a lexicon for future research. Challenges included inconsistencies in identifying interventions from EHR notes, but the study found that EHR was crucial for team collaboration and information sharing.
FAMILIES SYSTEMS & HEALTH
(2021)
Article
Public, Environmental & Occupational Health
Thomas C. Ricketts, Deborah S. Porterfield, Randall L. Miller, Erin P. Fraher
Summary: The study reveals that the number of preventive medicine physicians in the US has increased over the years, but the number of self-designated preventive medicine physicians has been decreasing. There has been a recent increase in the proportion of women in the specialty and the average age of preventive medicine physicians is on the rise, while their practice locations do not align with population needs.
JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE
(2021)