Subject(s)
Diuretics/administration & dosage , Furosemide/administration & dosage , Heart Diseases/complications , Aged , Atrial Fibrillation/complications , Cardiomyopathy, Dilated/complications , Diuretics/therapeutic use , Female , Furosemide/therapeutic use , Humans , Male , Middle Aged , Practice Guidelines as Topic , Urinary Retention/drug therapy , Urinary Retention/etiologySubject(s)
Gastrointestinal Diseases/drug therapy , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Practice Guidelines as TopicSubject(s)
Nervous System Diseases/diagnosis , Nervous System Diseases/drug therapy , Adolescent , Aged , Disease Management , Female , Humans , Hypotension, Orthostatic/diagnosis , Hypotension, Orthostatic/drug therapy , Male , Middle Aged , Nervous System Diseases/complications , Parkinson Disease/complications , Parkinson Disease/drug therapy , Practice Guidelines as Topic , Sleep Initiation and Maintenance Disorders/drug therapy , Sleep Initiation and Maintenance Disorders/etiology , Syncope/diagnosis , Syncope/drug therapy , Young AdultSubject(s)
Communicable Diseases/drug therapy , Adult , Aged , Disease Management , Female , Humans , Male , Middle Aged , Practice Guidelines as TopicSubject(s)
Lung Diseases/diagnostic imaging , Lung Diseases/drug therapy , Adult , Aged, 80 and over , Asthma/diagnostic imaging , Asthma/drug therapy , Disease Management , Evidence-Based Medicine , Female , Humans , Male , Middle Aged , Practice Guidelines as Topic , Pulmonary Disease, Chronic Obstructive/diagnostic imaging , Pulmonary Disease, Chronic Obstructive/drug therapy , Solitary Pulmonary Nodule/diagnostic imaging , Solitary Pulmonary Nodule/drug therapySubject(s)
Hyperlipidemias/drug therapy , Internal Medicine/education , Nail Diseases/drug therapy , Varicose Ulcer/therapy , Adult , Aged , Aged, 80 and over , Aortic Valve Stenosis/diagnosis , Aspirin/administration & dosage , Aspirin/adverse effects , Aspirin/therapeutic use , Calcium/metabolism , Cardiac Tamponade/diagnosis , Cardiac Tamponade/physiopathology , Clavicle , Coronary Vessels/metabolism , Dizziness/diagnosis , Dizziness/drug therapy , Female , Heart Murmurs/diagnosis , Hepcidins/metabolism , Humans , Hyperlipidemias/classification , Hyperlipidemias/diagnosis , Iron/administration & dosage , Iron/therapeutic use , Male , Middle Aged , Varicose Ulcer/diagnosis , Varicose Ulcer/pathology , Young AdultSubject(s)
Chemical and Drug Induced Liver Injury/enzymology , Gastroenterology/education , Hydroxymethylglutaryl-CoA Reductase Inhibitors/adverse effects , Liver Diseases/enzymology , Aged , Autoantibodies/analysis , Bone Demineralization, Pathologic/etiology , Chemical and Drug Induced Liver Injury/epidemiology , Female , Ferritins/analysis , Ferritins/metabolism , Hemochromatosis/diagnosis , Hemochromatosis/metabolism , Hemochromatosis/pathology , Hepatitis B/diagnosis , Hepatitis B/drug therapy , Hepatitis B/immunology , Hepatitis C, Chronic/diagnosis , Hepatitis C, Chronic/genetics , Hodgkin Disease/diagnosis , Hodgkin Disease/drug therapy , Humans , Hydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic use , Liver Cirrhosis, Biliary/complications , Liver Diseases/diagnostic imaging , Liver Diseases/immunology , Liver Diseases/pathology , Male , Middle Aged , Non-alcoholic Fatty Liver Disease/diagnosis , Non-alcoholic Fatty Liver Disease/enzymology , Non-alcoholic Fatty Liver Disease/metabolism , Young AdultSubject(s)
Education, Medical/standards , Erotica/psychology , Hysterectomy/adverse effects , Masturbation/therapy , Selective Serotonin Reuptake Inhibitors/adverse effects , Urinary Incontinence, Urge/complications , Adult , Behavior, Addictive/psychology , Behavior, Addictive/therapy , Ejaculation/physiology , Female , Guilt , Humans , Male , Masturbation/prevention & control , Masturbation/psychology , Medicine , Middle Aged , Pelvic Floor Disorders/diagnosis , Pelvic Floor Disorders/rehabilitation , Sex Offenses/psychology , Sexual Dysfunctions, Psychological/chemically induced , Sexual Dysfunctions, Psychological/diagnosis , Sexual Dysfunctions, Psychological/psychologySubject(s)
Colectomy/methods , Nephrectomy/methods , Perioperative Care/education , Aged , Aged, 80 and over , Anticoagulants/standards , Anticoagulants/therapeutic use , Arthroplasty, Replacement, Hip/methods , Arthroplasty, Replacement, Hip/standards , Arthroplasty, Replacement, Knee/methods , Arthroplasty, Replacement, Knee/standards , Aspirin/administration & dosage , Aspirin/therapeutic use , Biological Factors/standards , Biological Factors/therapeutic use , Cataract Extraction/methods , Cataract Extraction/standards , Colectomy/standards , Coronary Artery Bypass/methods , Coronary Artery Bypass/standards , Female , Hernia, Inguinal/surgery , Humans , Insulin/standards , Insulin/therapeutic use , Male , Mastectomy, Segmental/methods , Medicine , Middle Aged , Nephrectomy/standards , Perioperative Care/standards , Practice Guidelines as Topic , Risk Factors , Selective Serotonin Reuptake Inhibitors/standards , Selective Serotonin Reuptake Inhibitors/therapeutic use , Stroke/prevention & control , Urinalysis/statistics & numerical dataSubject(s)
Dermatology/education , Epidermal Cyst/pathology , Managed Care Programs/standards , Nails/microbiology , Skin Diseases/pathology , Alopecia/diagnosis , Alopecia/drug therapy , Alopecia/pathology , Burning Mouth Syndrome/diagnosis , Burning Mouth Syndrome/drug therapy , Dermatitis, Perioral/diagnosis , Dermatitis, Perioral/drug therapy , Epidermal Cyst/surgery , Exanthema/pathology , Face/pathology , Female , Flushing/diagnosis , Flushing/drug therapy , Flushing/pathology , Humans , Male , Managed Care Programs/trends , Mycoses/pathology , Nails/pathology , Onychomycosis/diagnosis , Onychomycosis/drug therapy , Rosacea/pathology , Skin Diseases/drug therapy , Stomatitis, Aphthous/diagnosis , Stomatitis, Aphthous/drug therapy , Surgical Wound/drug therapy , Tongue/pathologySubject(s)
Headache Disorders, Primary/diagnostic imaging , Migraine Disorders/drug therapy , Neurology/education , Petasites/adverse effects , Adult , Cluster Headache/diagnosis , Cluster Headache/drug therapy , Diagnosis, Differential , Female , Headache/diagnosis , Headache/drug therapy , Headache Disorders, Primary/diagnosis , Headache Disorders, Primary/etiology , Humans , Ischemic Attack, Transient/diagnosis , Ischemic Attack, Transient/pathology , Magnetic Resonance Imaging/methods , Male , Middle Aged , Migraine Disorders/diagnosis , Migraine Disorders/etiology , Migraine Disorders/prevention & control , Migraine with Aura/diagnosis , Migraine with Aura/pathology , Oxygen/administration & dosage , Oxygen/therapeutic use , Risk Factors , Spinal Puncture/methodsABSTRACT
PURPOSE: The aims of this study are to evaluate the impact of a novel immunization curriculum based on the Preferred Cognitive Styles and Decision Making Model (PCSDM) on internal medicine (IM) resident continuity clinic patient panel immunization rates, as well as resident immunization knowledge, attitudes, and practices (KAP). METHODS: A cluster-randomized controlled trial was performed among 143 IM residents at Mayo Clinic to evaluate the PCSDM curriculum plus fact-based immunization curriculum (intervention) compared to fact-based immunization curriculum alone (control) on the outcomes of resident continuity clinic patient panel immunization rates for influenza, pneumococcal, tetanus, pertussis, and zoster vaccines. Pre-study and post-study immunization KAP surveys were administered to IM residents. RESULTS: Ninety-nine residents participated in the study. Eighty-two residents completed pre-study and post-study surveys. Influenza and pertussis immunization rates improved for both intervention and control groups. There was no significant difference in immunization rate improvement between the groups. Influenza immunization rates improved significantly by 33.4% and 32.3% in the intervention and control groups, respectively. The odds of receiving influenza immunization at the end of the study relative to pre-study for the entire study cohort was 4.6 (pâ¯<â¯0.0001). The odds of having received pertussis immunization at the end of the study relative to pre-study for the entire study cohort was 1.2 (pâ¯=â¯0.0002). Both groups had significant improvements in immunization knowledge. The intervention group had significant improvements in multiple domains that assessed confidence in counseling patients on immunizations. CONCLUSIONS: Fact-based immunization education was useful in improving IM resident immunization rates for influenza and pertussis. The PCSDM immunization curriculum did not lead to increases in immunization rates compared with the fact-based curriculum, but it did significantly increase resident confidence in communicating with patients about vaccines.