Journal of general internal medicine
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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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Improved educational and evaluation methods are needed in continuing professional development programs. ⋯ This evidence of enduring change provides support for the potential of this educational model to have measurable impact on practices and professional development of physician and nurse educators.
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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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Alcohol misuse is a common and well-documented source of morbidity and mortality. Brief primary care alcohol counseling has been shown to benefit patients with alcohol misuse. ⋯ Findings from this single site study suggest that provider discomfort and avoidance are important barriers to evidence-based brief alcohol counseling. Further investigation into current alcohol counseling practices is needed to determine whether these patterns extend to other primary care settings, and to inform future educational efforts.