Connecticut medicine
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Connecticut medicine · Oct 2012
ReviewA clinican's guide to adult attention-deficit hyperactivity disorder.
While attention-deficit hyperactivity disorder (ADHD) has been traditionally viewed as a childhood ailment, longitudinal data suggest that it persists into adulthood for most affected individuals. Adult ADHD is now recognized as a legitimate diagnosis with clinical and epidemiological implications. ⋯ Despite these gains, there is great variability among clinicians in the diagnosis and treatment of adult ADHD. This article reviews controversies surrounding the diagnosis and treatment of adult ADHD and suggests strategies to overcome existing obstacles.
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Connecticut medicine · Aug 2012
Multicenter Study Comparative StudyBurnout, depression and job satisfaction in obstetrics and gynecology residents.
This study among ObGyn residents was designed to determine the relationship of burnout to job satisfaction, depression, and self-care activities. ⋯ Burnout is strongly correlated with depression and inversely correlated with job satisfaction. Burnout and depression were highly prevalent among ObGyn residents. Decreasing stressors and assuring motivated, committed, and supportive educators may prove to be helpful in the enhancement of resident job satisfaction.
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Connecticut medicine · Aug 2012
ReviewPhysician leadership: a health-care system's investment in the future of quality care.
The current state of health care and its reform will require physician leaders to take on greater management responsibilities, which will require a set of organizational and leadership competencies that traditional medical education does not provide. Physician leaders can form a bridge between the clinical and administrative sides of a health-care organization, serving to further the organization's strategy for growth and success. Recognizing that the health-care industry is rapidly changing and physician leaders will play a key role in that transformation, Hartford HealthCare has established a Physician Leadership Development Institute that provides advanced leadership skills and management education to select physicians practicing within the health-care system.
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Connecticut medicine · Apr 2012
Evaluation of leadership skills during the simulation education course for the initial management of blunt trauma.
Leadership skills of senior residents, trauma fellows, and a nurse practitioner were assessed during simulation training for the initial management of blunt trauma. This was a pilot, observational study, that in addition to skill development and assessment also sought to determine the need for a dedicated leadership training course for surgical residents. ⋯ Although there was a statistically significant increase in leadership skills for performing ATLS critical actions, P < 0.05, there were 10 adverse events. A structured simulation program dedicated to developing skills for team leadership willbe a worthwhile endeavor at our institution.