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161. Generalists, Generalism and Extended Scope of Practice

, especially over the last 100 years. Specialisation within surgery facilitates the concentration and acquisition of knowledge and experience. It contributes to the setting of standards, research and advances in care. Specialists and specialist units can be a focus for teaching and the dissemination of best practice. For patients with a well-defined clinical problem, treatment by a specialist and/or in a high volume specialist unit has an increased likelihood of a good outcome. However, specialisation also (...) of an appropriately skilled and empowered workforce. The Royal Australasian College of Surgeons (RACS) has adopted ‘six principles of Generalism within Surgery’. These principles are relevant to practice within the nine specialty areas in which RACS recognises, trains and examines. They apply also to the relationship and cooperation between established specialties, sub-specialists, and specialists practicing across a number of recognised specialties. The same six principles can be used to guide interactions

2015 Publication 80

162. AUA White Paper on Implementation of Shared Decision Making into Urological Practice

and made suggestions for how it might best be implemented into urological practice. Shared Decision Making SDM is a collaborative decision-making process between patients and their health care providers relevant to medical decisions where multiple options are considered clinically acceptable. This approach is particularly relevant to clinical scenarios where the ratio of benefits to harms is uncertain, equivalent or “preference sensitive” (e.g., dependent on the value that an individual patient may (...) of nerve-sparing prostatectomy. 23 With physician assistance, patients and families can prioritize their values and make rational choices with more realistic expectations, less decisional conflict and increased long-term satisfaction. 18 Use of Shared Decision Making in Clinical Practice Despite the prevalence of preference-sensitive conditions encountered in urologic practice, there are few data regarding the frequency with which SDM is employed in practice. A large, cross-specialty physician survey

2015 American Urological Association

163. Treatment of Pressure Ulcers: A Clinical Practice Guideline From the American College of Physicians Full Text available with Trip Pro

Treatment of Pressure Ulcers: A Clinical Practice Guideline From the American College of Physicians Treatment of Pressure Ulcers | Annals of Internal Medicine | American College of Physicians '); } Sign in below to access your subscription for full content INDIVIDUAL SIGN IN | You will be directed to acponline.org to register and create your Annals account INSTITUTIONAL SIGN IN | | Subscribe to Annals of Internal Medicine . You will be directed to acponline.org to complete your purchase. Search (...) Clinical Guidelines | 3 March 2015 Treatment of Pressure Ulcers: A Clinical Practice Guideline From the American College of Physicians Free Amir Qaseem, MD, PhD, MHA; Linda L. Humphrey, MD, MPH; Mary Ann Forciea, MD; Melissa Starkey, PhD; Thomas D. Denberg, MD, PhD; for the Clinical Guidelines Committee of the American College of Physicians Amir Qaseem, MD, PhD, MHA From the American College of Physicians and University of Pennsylvania Health System, Philadelphia, Pennsylvania; Oregon Health & Science

2015 American College of Physicians

164. ASGE Position Statement: endoscopic bariatric therapies in clinical practice

obtain obesity treatment educa- tionasdescribedinthefollowing. Obesity treatment education To perform EBT in practice, physicians should be competent to determine the appropriateness of adjunctive bariatric therapy for the patient and which adjunctive ther- apy best suits the patient’s needs, whether pharmacologic, endoscopic, or surgical, as outlined in the joint ASGE/ www.giejournal.org Volume 82, No. 5 : 2015 GASTROINTESTINAL ENDOSCOPY 769 Sullivan et al ASGE position statement on endoscopic (...) ASGE Position Statement: endoscopic bariatric therapies in clinical practice GIE POSITION STATEMENT ASGE position statement on endoscopic bariatric therapies in clinical practice Prepared by: ASGE BARIATRIC ENDOSCOPY TASK FORCE Shelby Sullivan, MD, 1 Nitin Kumar, MD, 2 Steven A. Edmundowicz, MD, FASGE, 1 Barham K. Abu Dayyeh, 3 SreenivasaS.Jonnalagadda,MD,FASGE, 4 MichaelLarsen,MD, 5 ChristopherC.Thompson,MD,MSc,FASGE 2 This document was reviewed and approved by the Governing Board

2015 American Society for Gastrointestinal Endoscopy

165. Clinical Guidelines and Standardization of Practice to Improve Outcomes

of checklists and protocols clearly has been demonstrated to improve outcomes and their use is strongly encouraged. Checklists and protocols should be incorporated into systems as a way to help practitioners provide the best evidence-based care to their patients. Recommendations The American College of Obstetricians and Gynecologists (the College) makes the following recommendations regarding clinical guidelines and standardization of practice to improve outcomes: Protocols and checklists should (...) and gynecologic practitioners—the leaders in women’s health—create and follow their own protocols instead of following orders from outside parties on how to practice medicine or being driven by payor incentives ( ). For example, the College, in collaboration with other specialty societies, has strongly cautioned against legislative intrusion into clinical decision making ( ). The motivation and intent for any protocol or checklist should be to ensure high quality, safe and, when possible, evidence-based

2015 American College of Obstetricians and Gynecologists

166. Clinical Practice Guideline on management of patients with diabetes and chronic kidney disease stage 3b or higher (eGFR <45 mL/min) Full Text available with Trip Pro

, Issue suppl_2, May 2015, Pages ii1–ii142, Download citation file: © 2019 Oxford University Press Navbar Search Filter Mobile Microsite Search Term Close search filter search input 1. ABBREVIATIONS AND ACRONYMS CKD Chronic kidney disease ACE-I ACE inhibitor ERA-EDTA European Renal Association – European Dialysis and Transplant Association ERBP European Renal Best Practice MD Mean difference OR Odds ratio RR Relative risk 95% CI 95% Confidence interval CKD Chronic kidney disease ACE-I ACE inhibitor (...) ERA-EDTA European Renal Association – European Dialysis and Transplant Association ERBP European Renal Best Practice MD Mean difference OR Odds ratio RR Relative risk 95% CI 95% Confidence interval 2. FOREWORD Diabetes mellitus is becoming increasingly prevalent and is considered a rapidly growing concern for healthcare systems. Besides the cardiovascular complications, diabetes mellitus is associated with chronic kidney disease (CKD). CKD in patients with diabetes can be caused by true diabetic

2015 European Renal Best Practice

167. KDOQI Clinical Practice Guideline for Hemodialysis: 2015 Update

Guideline Development Staff Kerry Willis, PhD, Chief Scienti?cOf?cer Jessica Joseph, MBA, Vice President, Scienti?c Activities Laura Brereton, MSc, KDOQI Project Director 886 Am J Kidney Dis. 2015;66(5):884-930NOTICE SECTION I: USE OF THE CLINICAL PRACTICE GUIDELINE This Clinical Practice Guideline document is based upon the best information available as of June 2015. It is designed to provide information and assist decision making. It is not intended to de?ne a standard of care, and should (...) KDOQI Clinical Practice Guideline for Hemodialysis: 2015 Update KDOQI CLINICAL PRACTICE GUIDELINE FOR HEMODIALYSIS ADEQUACY: 2015 UPDATE Abstract The National Kidney Foundation’s Kidney Disease Outcomes Quality Initiative (KDOQI) has provided evidence-based guidelines for all stages of chronic kidney disease (CKD) and related complications since 1997. The 2015 update of the KDOQI Clinical Practice Guideline for Hemodialysis Adequacy is intended to assist practitioners caring for patients

2015 National Kidney Foundation

168. Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice Full Text available with Trip Pro

Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice - Feldheiser - 2016 - Acta Anaesthesiologica Scandinavica - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term Review Article Open Access Enhanced Recovery (...) After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice Department of Anesthesiology and Intensive Care Medicine Campus Charité, Mitte and Campus Virchow‐Klinikum Charité, University Medicine, Berlin, Germany St. Mark's Hospital, Harrow, Middlesex, UK Department of Anesthesia, McGill University Health Centre, Montreal General Hospital, Montreal, Quebec, Canada Department of Anesthesiology and Pain Therapy, University Hospital Maastricht (azM

2015 ERAS Society

169. Ultrasound imaging in the practice of anaesthesia

-effectiveness due to additional costs not captured in the economic model and the potential for significant additional cost to the MBS. MSAC acknowledged that ultrasound imaging is current best practice care in the practice of anaesthesia and did not consider an MBS listing was necessary. MSAC further noted that in most cases ultrasound imaging would be provided at limited or no cost to the anaesthetist, who would benefit from reduced complexity and improved efficiency of providing the service using (...) Ultrasound imaging in the practice of anaesthesia 1 Public Summary Document Application 1183 – Ultrasound Imaging in the practice of anaesthesia Applicant: Australian Society of Anaesthetists Date of MSAC consideration: MSAC 62 nd Meeting, 26-28 November 2014 Context for decision: MSAC makes its advice in accordance with its Terms of Reference, see at www.msac.gov.au 1. Purpose of application and links to other applications An application requesting MBS listing of ultrasound imaging

2014 Medical Services Advisory Committee

170. Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada

,ananalysisbyBennettetal(1) demonstrated that the Canadian Diabetes Association clinical practice guidelines are among the best in the world with respect to quality, rigour and process (1). For these 2013 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada, volunteer members of the Clinical Practice Guidelines Expert Committee assessedthepeerreviewedevidencepublishedsince2008relevant tothe preventionand managementofdiabetes.They thenincorpo- rated the evidence into revised diagnostic (...) , governmentof?cials,Canadianslivingwithdiabetesandthegeneral publiccontinuetobetheaudiencesforthesecampaigns. Clinical Practice Guidelines and Clinical Judgement “Neither evidence nor clinical judgment alone is suf?cient. Evidence without judgment can be applied by a technician. Judgment without evidence can be applied by a friend. But the integration of evidence and judgment is what the healthcare provider does in order to dispense the best clinical care.” (Hertzel Gerstein, 2012) People with diabetes

2013 CPG Infobase

171. Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada : Introduction

the opportunity to work with regulatory agencies to enhance research in Canada and, ultimately, to improve the care of people with diabetes. Cost Considerations These clinical practice guidelines, like those published before, have purposefully not taken into account cost effectiveness in the evaluation of the evidence surrounding best practice for a variety of reasons, including the paucity of cost-effectiveness analyses using Canadian data; the difficulty in truly accounting for all relevant diabetes-related (...) that provide a useful reference tool to help health-care providers translate the best available evidence into clinical practice as well as for people with diabetes and at risk of diabetes to make informed choices. It is hoped that these guidelines will also continue to provide all levels of government with the evidence they need when rationalizing access to health care so that the potentially beneficial health outcomes are maximized for people living with diabetes. Finally, Canada has much to teach

2013 CPG Infobase

172. Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada : Hyperglycemic emergencies in adults

Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada : Hyperglycemic emergencies in adults My Site - Chapter 15: Hyperglycemic Emergencies in Adults Diabetes Canada | Clinical Practice Guidelines The Canadian Diabetes Association has become Diabetes Canada* Search: Guidelines Key Messages For Health-Care Providers For People with Diabetes Other Languages Links Hyperglycemic Emergencies in Adults Diabetes Canada Clinical Practice (...) in . A summary of fluid therapy is outlined in , and a management algorithm and formulas for calculating key measurements are provided in . People with DKA and HHS are best managed in an intensive care unit or step-down setting with specialist care . Protocols and insulin management software systems may be beneficial , but there can be challenges with achieving adherence . Volume status (including fluid intake and output), vital signs, neurological status, plasma concentrations of electrolytes, anion gap

2013 CPG Infobase

173. Equity in Environmental Health Practice: Findings of a Pilot Study

systems, communicable disease, and general practice (e.g., housing, food premises, personal services, recreational water, etc.). Equity in Environmental Health Practice: Findings of a Pilot Study 7 Equity in Environm Ental H Ealt H Practic E: Findings o F a Pilot s tud y Participants were asked about their professional experiences as PHIs. Some had worked in more than one specialty, held a variety of professional roles, or worked in several geographic locations. They discussed events that may have (...) Equity in Environmental Health Practice: Findings of a Pilot Study Equity in Environm Ental H Eal t H Practic E: Findings o F a Pilot s tudya ut Hors Karen Rideout, PhD Dianne Oickle, MSc, PDt Environmental Health Policy Analyst Knowledge Translation Specialist BC Centre for Disease Control & National Collaborating Centre for Determinants of Health National Collaborating Centre for Environmental Health The National Collaborating Centre for Environmental Health (NCCEH) and the National

2015 National Collaborating Centre for Environmental Health

174. Variation in paediatric clinical practice

Variation in paediatric clinical practice Variation in paediatric clinical practice An Evidence Check rapid review brokered by the Sax Institute for NSW Kids and Families November 2014 An Evidence Check rapid review brokered by the Sax Institute for NSW Kids and Families November 2014 This report was prepared by: Harriet Hiscock, Prescilla Perera, Karen McLean, Gehan Roberts March 2015 © Sax Institute 2015 This work is copyright. It may be reproduced in whole or in part for study training (...) in paediatric clinical practice: An Evidence Check review brokered by the Sax Institute (www.saxinstitute.org.au) for NSW Kids and Families, November 2014. Disclaimer: This Evidence Check Review was produced using the Evidence Check methodology in response to specific questions from the commissioning agency. It is not necessarily a comprehensive review of all literature relating to the topic area. It was current at the time of production (but not necessarily at the time of publication). It is reproduced

2014 Sax Institute Evidence Check

175. Practicing Clinical Dentistry Increases the Risk of Developing Musculoskeletal Disorders

musculoskeletal disorders, with different disorders developing between dentist and dental hygienist. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Hayes/2009 23 studies measuring the possible risk factors or the prevalence of MSDs among dental professionals Systematic review of non-randomized trials Key results Prevalence of general musculoskeletal problems among practicing clinicians ranged from 64% to 93 (...) Practicing Clinical Dentistry Increases the Risk of Developing Musculoskeletal Disorders UTCAT2839, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Practicing Clinical Dentistry Increases the Risk of Developing Musculoskeletal Disorders Clinical Question Does practicing clinical dentistry increase the risk of musculoskeletal disorders? Clinical Bottom Line Practicing clinical dentistry increases the risk of developing

2015 UTHSCSA Dental School CAT Library

176. Do physicians make the best politicians?

Do physicians make the best politicians? Do physicians make the best politicians? Do physicians make the best politicians? | | January 4, 2018 19 Shares Even though we have probably 20 years of work remaining as physicians, like a lot of you, I like to think about how we will spend our retirement years. After all, in twenty years we will still only be in our early fifties, hopefully with no dependents and a lot of . Of course, my wife and I are interested in traveling, spending time (...) , but the idea to run for office someday really came to me on a trip to Washington, DC during residency. I was attending a legislative conference for my specialty and meeting with members of the U.S. House of Representatives and Senate (and staffers) on behalf of my society. I really enjoyed the trip, though seeing the effect that lobbyists (and particularly monied lobbyists) have on policy was disheartening. One of the more interesting meetings I had was with a then-junior representative from Michigan named

2018 KevinMD blog

177. Evaluation of HIV testing recommendations in specialty guidelines for the management of HIV indicator conditions. Full Text available with Trip Pro

and European HIV testing guidelines were reviewed to produce a list of 25 ADCs and 49 ICs. UK guidelines for these conditions were identified from searches of the websites of specialist societies, the National Institute of Clinical Excellence (NICE) website, the NICE Clinical Knowledge Summaries (CKS) website, the Scottish Intercollegiate Guidance Network (SIGN) website and the British Medical Journal Best Practice database and from Google searches.We identified guidelines for 12 of 25 ADCs (48%) and 36 (...) Evaluation of HIV testing recommendations in specialty guidelines for the management of HIV indicator conditions. European guidelines recommend HIV testing for individuals presenting with indicator conditions (ICs) including AIDS-defining conditions (ADCs). The extent to which non-HIV specialty guidelines recommend HIV testing in ICs and ADCs is unknown. Our aim was to pilot a methodology in the UK to review specialty guidelines and ascertain if HIV was discussed and testing recommended.UK

2016 HIV medicine

178. Clinical Practice Guidelines for Pain Management in Acute Musculoskeletal Injury. Full Text available with Trip Pro

described by the Grading of Recommendations Assessment, Development, and Evaluation Working Group were applied to each recommendation. The guideline was submitted to the Orthopaedic Trauma Association (OTA) for review and was approved on October 16, 2018.We present evidence-based best practice recommendations and pain medication recommendations with the hope that they can be utilized by orthopaedic practices as well as other specialties to improve the management of acute pain following musculoskeletal (...) Clinical Practice Guidelines for Pain Management in Acute Musculoskeletal Injury. We aimed to produce comprehensive guidelines and recommendations that can be utilized by orthopaedic practices as well as other specialties to improve the management of acute pain following musculoskeletal injury.A panel of 15 members with expertise in orthopaedic trauma, pain management, or both was convened to review the literature and develop recommendations on acute musculoskeletal pain management. The methods

2019 Journal of Orthopaedic Trauma

179. Familiarity and Self-Reported Compliance with American Urological Association (AUA) Best Practice Recommendations for Use of Thromboembolic Prophylaxis Amongst American Urological Association Members. (Abstract)

Practice Statement, assessed practice patterns in terms of perioperative thromboprophylaxis and specifically examined self-reported compliance in high risk patients undergoing radical cystectomy.An electronic survey was sent to AUA members with valid e-mail addresses (10,966). Associations between AUA Best Practice Statement adherence and factors such as urological specialty, graduation year and guideline familiarity were assessed using chi-square analyses and generalized estimating equations.With (...) Familiarity and Self-Reported Compliance with American Urological Association (AUA) Best Practice Recommendations for Use of Thromboembolic Prophylaxis Amongst American Urological Association Members. Thromboprophylaxis with subcutaneous heparin or low molecular weight heparin is now an integral part of national surgical quality and safety assessment efforts, and has been incorporated into the current AUA Best Practice Statement. We evaluated familiarity and compliance with the AUA Best

2013 Journal of Urology

180. Psychometric evaluation of the Overall Anxiety Severity And Impairment Scale (OASIS) in individuals seeking outpatient specialty treatment for anxiety-related disorders. (Abstract)

established by clinicians using a semi-structured interview that, while based upon DSM-IV diagnostic criteria, has not been psychometrically evaluated.The results provide support for the use of the OASIS in specialty treatment for anxiety-related diagnoses and further highlight the strengths of this measure in clinical practice and research settings.Copyright © 2015 Elsevier B.V. All rights reserved. (...) Psychometric evaluation of the Overall Anxiety Severity And Impairment Scale (OASIS) in individuals seeking outpatient specialty treatment for anxiety-related disorders. Comorbidity among anxiety-related diagnoses is common, highlighting the need for brief, meaningful measures of anxiety that cut across diagnoses.The current study examined the psychometric properties of one such measure, the Overall Anxiety Severity and Impairment Scale (OASIS) (Norman et al., 2006), in a naturalistic sample

2015 Journal of Affective Disorders

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