Rhode Island medical journal (2013)
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By training future physicians to care for patients with backgrounds different from their own, medical schools can help reduce health disparities. To address the need for education in this area, the leaders of the Family Medicine Clerkship at the Warren Alpert Medical School of Brown University developed the Social and Community Context of Care project, required of all medical students rotating through this clerkship. ⋯ Some interventions are actualized in later clerkships or independent study projects; one example, a health class for pregnant and parenting teens at Central Falls High School, is described here. If made a routine part of medical education, projects such as these may help medical students address the health disparities they will encounter in future practice.
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Quality Improvement (QI) is required in all aspects of the healthcare field. Emergency Medical Services (EMS) poses unique QI challenges. This article explores some of these challenges and provides some points to consider when performing QI in EMS services.
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Emergency department (ED) patients frequently undergo chest x-ray (CXR) to evaluate for pneumonia. The rate of false-negative CXR in patients with pneumonia is unclear. ⋯ Patients with pneumonia may present with normal or nondiagnostic CXR, although false negatives may be less common than previously reported.