Journal of general internal medicine
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To explore the effect of race on primary care quality and satisfaction among women in the Department of Veterans Affairs (VA). ⋯ While demographics and health experiences vary by race among veterans, race had no effect on primary care ratings. Future studies need to determine whether this racial equity persists in health outcomes among women veterans.
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Comparative Study
Trends in market demand for internal medicine 1999 to 2004: an analysis of physician job advertisements.
The health care marketplace has changed substantially since the last assessment of demand for internal medicine physicians in 1996. ⋯ Since 1996, demand for the majority of medical subspecialties has remained constant while relative demand has decreased for primary care and increased for hospitalists and critical care. Increase in demand for generalist-trained hospitalists appears to have offset falling demand for outpatient generalists.
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Multicenter Study
Discontinuity of chronic medications in patients discharged from the intensive care unit.
Intensive care unit (ICU) admission may connote an elevated risk of unintentional chronic medication discontinuation because of its focus on acute illnesses and the multiple care transitions. ⋯ Patients discharged from the ICU often leave the hospital without note of their previously prescribed chronic medications. Careful review of medication lists at ICU discharge could avoid potential adverse outcomes related to unintentional discontinuation of chronic medications at hospital discharge.
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There is little guidance regarding how to disclose researchers' financial interests to potential research participants. ⋯ Financial interests are important to potential research participants, but obstacles to effective disclosure exist.
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We studied female graduates of the Robert Wood Johnson Clinical Scholars Program (CSP, Class of 1984 to 1989) to explore and describe the complexity of creating balance in the life of mid-career academic woman physicians. ⋯ For this group of fellowship-prepared academic women physicians satisfaction is achieving professional and personal balance.