Choosing your career is one of the most important decisions that you will ever make. When asked why they chose to pursue medicine, most physicians respond that they wanted to make a difference by helping people and positively impacting their lives through health care. Serving others as a physician is a noble and challenging way to invest your intellect, skills, and passion in a demanding and rewarding profession.
Patient Counselling is needed for
Better patient understanding to their illness and role of medication.
Improve medication adherence.
Improve dosage regimen adherence.
More effective Drug treatment.
Reduce incidence of adverse drug effect and unnecessary healthcare cost.
ADR reporting.
Improve quality of life for patient.
Raising image of Pharmacist & its profession.
In June 2016, training for doctors and nurses was held in the Kyzylorda and Mangistau regions. This presentation is a brief on the training outcomes and the reasons why we believe they were successful.
Elena Reyes, PhD, Associate Professor & Director of Behavioral Medicine, Florida State University College of Medicine, Regional Director Southwest Florida
Latino Health Forum 2014
Elena Reyes, PhD, Associate Professor & Director of Behavioral Medicine, Florida State University College of Medicine, Regional Director Southwest Florida
Choosing your career is one of the most important decisions that you will ever make. When asked why they chose to pursue medicine, most physicians respond that they wanted to make a difference by helping people and positively impacting their lives through health care. Serving others as a physician is a noble and challenging way to invest your intellect, skills, and passion in a demanding and rewarding profession.
Patient Counselling is needed for
Better patient understanding to their illness and role of medication.
Improve medication adherence.
Improve dosage regimen adherence.
More effective Drug treatment.
Reduce incidence of adverse drug effect and unnecessary healthcare cost.
ADR reporting.
Improve quality of life for patient.
Raising image of Pharmacist & its profession.
In June 2016, training for doctors and nurses was held in the Kyzylorda and Mangistau regions. This presentation is a brief on the training outcomes and the reasons why we believe they were successful.
Elena Reyes, PhD, Associate Professor & Director of Behavioral Medicine, Florida State University College of Medicine, Regional Director Southwest Florida
Latino Health Forum 2014
Elena Reyes, PhD, Associate Professor & Director of Behavioral Medicine, Florida State University College of Medicine, Regional Director Southwest Florida
Continuous Workforce Development: The Next Rung on the Medical Assistant Care...nhanow
Communication among providers about a patient can be difficult without a central repository for patient data. Lack of information can lead to errors or omissions in treatment, resulting in readmissions to the hospital or long-term care facility. This presentation describes the types of patient information available through health information exchanges and show how increased access to patients’ clinical information fosters smoother transitions of care, especially in a post acute care setting.
Advancing Team-Based Care: Complex Care Management in Primary CareCHC Connecticut
This webinar investigated the ways that team members can contribute to the care of patients with complex medical and/or social needs. The focus was on developing the expanded care team and ensuring ready communication between the core and expanded care teams. Models for effective care management were presented.
This webinar was presented May 5, 2016 3:00 p.m. Eastern Time
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residen...CHC Connecticut
In this final webinar of the Training the Next Generation series, we featured successful postgraduate nurse practitioner and psychology residency programs from around the country. Each presenter shared their unique experiences, successes, and failures of implementing these programs at their health centers.
Harvesting Health: Growing Our Own Health Care ProfessionalsGreat Valley Center
Presentation given by Dr. Don Hilty and Michelle Villegas-Frazier from the UC Davis Medical School on the Panel: "Harvesting Health: Growing our own Health Care Professionals" at the Great Valley Center's Sacramento Valley Forum on October 27, 2010 in Chico, CA.
Learn about a model that is applicable to all service lines as healthcare transitions from volume to value. The model concentrates on transforming from services & procedures, to formalized programs, to centers of excellence, while focusing on the four pillars of service line management: Quality/Outcomes; Service/Satisfaction; Volume/Market share Growth; and Cost Containment. Quality and outcomes are particularly stressed as the key to program differentiation and value. Positioning as a regional destination center for managed care and industry is also discussed.
Presentation to cover:
Learn about a model applicable to all service lines
Learn how to transition from performing procedures to becoming a center of excellence
Learn how to transition from volume to value
Learn how to differentiate your centers of excellence
Learn how to create dashboards to maximize quality
Learn some marketing strategies for your service line
Learn how to position yourself as a regional referral destination
About the Speaker:
Bill Munley is a 30-year veteran of the healthcare system and a recognized leader and strategist in Orthopedics, Service Line Development, and Rehabilitation. He currently serves as Vice President of Orthopaedics, General Surgery, and Professional Services at Bon Secours St. Francis Health System in Greenville, SC, where he has served for 27 years. He is responsible for all inpatient and outpatient Orthopedic, General Surgery, and Rehabilitation programs across three campuses. During his tenure there, he has served as a consultant to other healthcare systems, on editorial advisory boards of professional magazines, as a charter board member and officer of multiple state and local organizations, and has developed numerous programs in his specialty areas. Bill has also appeared as a guest speaker at multiple local, state, and national symposiums, presentations and webinars. Bill holds a BA in General Science from the University of Rochester and a MHSA from George Washington University.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
2. Evolution of Pharmacist Training and Credentials
• The Doctor of Pharmacy degree became
mandatory for accredited Colleges of Pharmacy
beginning in 1999
• Residency training began steadily increasing as
next level of mandatory minimal training
– American College of Clinical Pharmacy (ACCP) has a
vision of residency as a prerequisite for direct patient
care by 2020
3. Evolution of Pharmacist Training and Credentials
• After residency training, Board Certification strongly
encouraged by many employers
– Pharmacotherapy Specialist
– Oncology
– Psychiatry
– Nutrition Support
– Geriatrics
– Diabetes Educator
– American Academy of HIV Medicine
4. What is a Residency?
• An postgraduate training opportunity in a specified
setting that allows pharmacists to:
– Build on their knowledge base
– Improved clinical skills and confidence
– Provide independent and effective patient care
• Opportunity for continued clinical learning with
benefit of being licensed pharmacist
• Most residencies are one year in length
(July 1s -June 30th)
5. Why Complete a Residency?
• Preferred for many types of positions
– Hospital/health-system pharmacy management
– Clinical pharmacist
– College faculty
• Improved marketability
• Residency = 3 years of practice experience
• Eligibility for board certification
• Exposure to more clinical experiences
• Opportunities to provide patient care in a “protected”
setting within a learning environment
• Career networking!!
6. What are Future Job Opportunities
After Residency?
• Disease state management in
community pharmacy
• College faculty
• Clinical pharmacist or specialist in hospital or
outpatient clinic
• HMO/Managed Care benefits manager
• Pharmaceutical Industry
• Clinical coordinator
• Hospital pharmacy manager
7. Classification of Residencies:
PGY-1 vs. PGY-2
• PGY- 1 (post-graduate year #1)
– Designed to be completed first, usually immediately after
completing a Doctor of Pharmacy degree program
– Many PGY-1 residencies offer a broad array of
experiences
• PGY-2 (post-graduate year #2)
– Intended to be completed after PGY-1 year
– Specialized area of focus (pediatrics, critical care, solid
organ transplant, oncology, drug information, etc.)
8. Types of PGY-1 Residencies
• Community pharmacy-based residencies
– There are programs based in community/retail
pharmacies
– Many also have a college of pharmacy affiliation
– Perform direct patient care with an emphasis on
disease state management (dyslipidemia, diabetes,
hypertension, immunizations, etc.)
• Practice Management
– Learn how to develop and evaluate advanced practice
sites in the community setting
– Learn how to market services and receive financial
compensation!
9. Types of PGY-1 Residencies
• Pharmacy Practice in a Veterans Affairs hospital
• Pharmacy Practice in a children’s hospital
• Pharmacy Practice through a College
of Pharmacy
• Pharmacy Practice with an ambulatory
care focus
10. Types of PGY-1 Residencies
• Pharmacy Practice in Indian Health Service
• Pharmacy Practice in a military facility
• Pharmacy Practice with an emphasis in
psychiatric pharmacy
• Pharmacy Practice in home infusion
• Managed care pharmacy-based residencies
11. Residency Application Timeline
• P3 year early December
– Attend ASHP Midyear Clinical Meeting
• Residency showcase: Open house with most accredited
residency programs
• Personal placement service (PPS): Opportunity for one-on-one
interviews with residency programs directors
• Mid-December
– Submit applications to programs
• Requirements vary but programs may require CV, personal
statements, examples of clinical projects, etc.
• Usually need three letters of recommendation
• Transcripts required
12. Residency Application Timeline
• January and February
– Receive interview invitations from sites
– Interview at sites
– Sign up with National Matching Service
• Early March
– Rank interview sites and submit to National Matching
Service by Match Deadline
• Mid-March
– Match results release mid-March
• July
– Start residency
13. Barriers to Residency
• Loss of income
– 1/3 - 1/2 of a pharmacist’s salary (Avg. $37,600, range:
32K – 42.7K)
– Often difficult to make student loan payments on a
resident’s salary
– Not all loans deferrable during residency
• Distance
– May require relocation
• Workload
– Requires hard work and self-motivation
– Usually requires > 40 hours per week
– May need to provide “on call” services
14. What are Local Residency Opportunities?
• University of Utah
– 4 PGY1 positions inpatient hospital
– 1 PGY1 position in community pharmacy
• Intermountain Healthcare
– 2 PGY1 positions McKay-Dee Hospital
– 3 PGY1 positions Intermountain Medical Center
– 3 PGY1 positions Primary Children’s Hospital
– 2 PGY1 positions Utah Valley Medical Center
– 1 PGY1 position in managed care at Select Health
– 1 PGY1/PGY2 position in practice management
• VA Medical Center
– 2 PGY1 positions
15. How Competitive is it to Obtain a Residency?
• 2010 National Match Statistics:
– Approximately 3000 applicants signed up for
the Match
– Approximately 2000 residency positions were in
the Match
– On Match Day, about 1850 residency positions were
matched between positions and candidates
– About 150 residency positions were left unmatched
and 1150 applicants left to “scramble” for positions
16. What if I Wait a Few Years to
Do A Residency?
• Cons
– You may lose valuable sources of information about
residencies after graduations
– It takes a great deal of discipline to transition from
full pharmacist salary to resident salary
– Would need to take time off of work to interview for
residencies
– Delay achieving your long term goals
• Pros
– Pharmacist work experience and time management
skills will make you a stronger resident candidate
17. What Makes an Excellent
Resident Candidate?
• Excellent work ethic and communication
skills required
• Strong clinical skills
• Going “above and beyond” basic requirements
for graduation
– Leadership
– Community service
– Scholarship
18. How Can a USN Student Become a More
Competitive Residency Candidate?
• Clinical Skills Opportunities
– ACCP Clinical Challenge (September)
– ASHP Clinical Skills Competition (October)
– APhA Patient Counseling Competition (January?)
• Leadership
– Active participation in student organizations
– Attendance and active participation at local and
national pharmacy organization meetings
– Networking, networking, networking!
• Community service
– Health fairs
– Brown-bag events
19. How Can a USN Student Become a More
Competitive Residency Candidate?
• APPE rotations
– Select challenging clinical sites
– Consider sites with unique opportunities
– Proactively seek opportunities for journal clubs,
presentations, and quality-improvement projects
• Scholarship
– Formal research opportunities with science or
clinical faculty
– Submit case reports or review articles to peer-reviewed
medical journals for publication
– Present posters at state (USHP, UPhA) or national
meetings (APhA, ACCP, ASHP)
– Develop high-quality patient education materials
20. More Information
• American Society of Health-Systems
Pharmacists (ASHP)
– www.ashp.org
– Directory of accredited residency programs available
online (search for free)
– “Professional Development: Residencies, the ASHP
midyear clinical meeting, and more” (The “Blue Book”)
• Careful! This hasn’t been updated since 2005
• American College of Clinical Pharmacy (ACCP)
– www.accp.com
– Directory of residencies and fellowships available online
– Free online job and residency position searches
21. More Information
• American Pharmacists Association (APhA)
– www.aphanet.org
– Only provides information on community residencies but
generous detail available
22. Faculty Resources
• Dr. Boehme (sboeme@usn.edu)
– Pediatric transplant and pediatric general medicine
residency preceptor at Primary Children’s Hospital
• Dr. Chan (achan@usn.edu)
– Completed PGY1 at Utah Valley Medical Center
– Adult internal medicine residency preceptor (starting
2010-2011) at Intermountain Medical Center
• Dr. Christensen (tchristensen@usn.edu)
– Critical care / cardiology residency preceptor at Utah
Valley Medical Center
23. Faculty Resources
• Dr. Drake (tdrake@usn.edu)
– Ambulatory care residency preceptor at
McKay-Dee Hospital
– Residency Director at McKay-Dee Hospital
• Dr. Harper (mharper@usn.edu)
– Critical care residency preceptor at McKay-Dee Hospital
• Dr. Healy (rhealy@usn.edu)
– Completed PGY1 residency at Intermountain
Medical Center
– In process of completing PGY2 residency in Oncology /
Teaching through Intermountain Medical Center and USN
24. Faculty Resources
• Dr. Kobayashi (kkobayashi@usn.edu)
– Completed PGY1 at Intermountain Medical Center
– Completed PGY2 in Internal Medicine / Teaching with
Intermountain Medical Center and USN
– Adult internal medicine residency preceptor (starting
2010-2011) at Intermountain Medical Center
• Dr. Sebranek (esebranek@usn.edu)
– Completed PGY1 at Froedtert Hospital, Milwaukee, WI
– Adult internal medicine residency preceptor at
Intermountain Medical Center
– Member of Intermountain Medical Center Residency-
Advisory Committee
25. Faculty Resources
• Dr. Smith (ksmith@usn.edu)
– Completed PGY1 residency at University of Arizona
Medical Center, Tucson, AZ
– Completed PGY2 specialty residency in pediatrics at
University of Tennessee, Le Bonheur Children’s
Medical Center
– Precepted pharmacy residents on neonatology rotation at
University Medical Center of Southern Nevada
26. Faculty Resources
• Dr. Stahl (estahl@usn.edu)
– Completed PGY1 at St. Joseph’s Hospital, Denver, CO
– Completed PGY2 in Internal Medicine at
St. Joseph’s Hospital, Denver, CO
– Adult internal medicine residency preceptor at
Intermountain Medical Center
• Dr. Strohecker (jstrohecker@usn.edu)
– Ambulatory care residency preceptor at Intermountain
Medical Center