BACKGROUND Human error and deficient non-technical skills (NTSs) among providers of ALS in helicopter emergency medical services (HEMS) is a threat to patient and operational safety. Skills can be improved through simulation-based training and assessment. OBJECTIVE To document the current level of simulation-based training and assessment of seven generic NTSs in crew members in the Norwegian ...

The objective was to determine if the stress caused by 24 hours on call in a cardiology emergency room alters endothelial function assessed by high-resolution ultrasonography in the brachial artery. Fifteen young physicians were studied in a crossover design: a) after a normal night of sleep at home, and b) after 24 hours on call without sleeping in an emergency room. Both studies were made at ...

CONTEXT AND OBJECTIVES Burnout syndrome (BS) is characterized by three dimensions: emotional exhaustion, depersonalization and reduced personal fulfillment. The objectives of this study were to evaluate a possible association between BS and weekly workload, and to describe the prevalence of BS and the sociodemographic and occupational profile of on-call physicians in Maceió. DESIGN AND SETTIN...

Humanities are increasingly taught in medical schools based on the premise that sensitive and educated human beings may become better physicians. There have been few reports of what is offered in Italian medical schools and we have not been able to identify any published survey of student opinions.

Factors associated with the physician workload are scarcely reported. The study aims to investigate the associated factors of on-call physician workload based on a published conceptual framework.The study was conducted in a general internal medicine unit of National Taiwan University Hospital. On-call physician workloads were recorded on a shift basis from 1198 hospitalized patients between May...

"What is needed is what lawyers call a bright line rule to give providers and physicians unequivocal guidance as to the arrangements that are prohibited. If the law is clear and the penalties are substantial, we can rely on self-enforcement. Few physicians will knowingly break the law.

BACKGROUND Rural areas suffer from a lack of primary care physicians. Efforts to retain physicians should focus on modifying or changing attributes of rural practice that are considered by physicians to be undesirable. A practice support outreach program (PSOP) is one initiative expected to enhance retention in rural areas by addressing negative aspects of rural practice. The purpose of this st...

The fourth congress of International Physicians for the Prevention of Nuclear War, attended by over 400 physicians from 50 countries, focused on the psychological impact of the nuclear threat, the economic effects of the arms race on international health care, and the global ecological effects of a major nuclear exchange. A report to the congress noted that over a million signatures of physici...