Mayo Clinic proceedings
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Mayo Clinic proceedings · Sep 2008
Clinical excellence in academia: perspectives from masterful academic clinicians.
To better understand and characterize clinical excellence in academia by exploring the perspectives of clinically excellent faculty in the top American departments of medicine. ⋯ Understanding the core elements that contribute to clinical excellence in academia represents a pivotal step to defining clinical excellence in this setting. It is hoped that such work will lead to initiatives aimed at measuring and rewarding clinical excellence in our academic medical centers such that the most outstanding clinicians feel valued and decide to stay in academia to serve as role models for medical trainees.
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Mayo Clinic proceedings · Sep 2008
How perceived physician leadership behavior affects physician satisfaction.
To determine whether faculty members at an academic medical facility perceive their physician leaders as exhibiting transformational leadership behavior and whether they are most satisfied with leaders perceived to be most frequently exhibiting this behavior. ⋯ Physicians' satisfaction with their leaders is closely associated with the frequency with which leaders are perceived as exhibiting specific transformational leadership behavior. These results point to 5 specific behaviors that might be targeted to enhance both leadership skills and faculty members' satisfaction with their leaders.
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Mayo Clinic proceedings · Aug 2008
Effect of bariatric surgery on the metabolic syndrome: a population-based, long-term controlled study.
To assess the effect of weight loss by bariatric surgery on the prevalence of the metabolic syndrome (MetS) and to examine predictors of MetS resolution. ⋯ Roux-en-Y gastric bypass induces considerable and persistent improvement in MetS prevalence. Our results suggest that reversibility of MetS depends more on the amount of excess weight lost than on other parameters.
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Mayo Clinic proceedings · Aug 2008
Obesity as a risk factor for unanticipated admissions after ambulatory surgery.
To test the hypothesis that obesity is an independent risk factor for unplanned hospital admission or readmission among patients scheduled for ambulatory surgery in a tertiary medical center. ⋯ Obesity is not a significant independent risk factor for unplanned admission after ambulatory surgery, suggesting that obesity per se should not prevent ambulatory surgery from being scheduled.
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Mayo Clinic proceedings · Jul 2008
Comparative StudySpectrum of dizziness visits to US emergency departments: cross-sectional analysis from a nationally representative sample.
To describe the spectrum of visits to US emergency departments (EDs) for acute dizziness and determine whether ED patients with dizziness are diagnosed as having a range of benign and dangerous medical disorders, rather than predominantly vestibular ones. ⋯ Dizziness is not attributed to a vestibular disorder in most ED cases and often is associated with cardiovascular or other medical causes, including dangerous ones. Resource use is substantial, yet many patients remain undiagnosed.