J. Meza, Kassem Soufan, M. Francis, Abbass Berjaoui
Professionalism cautions against profit while capitalism exists for profit. This case is a structural analysis of capitalism in a clinical setting that reveals physicians to be simultaneously wage laborers and professionals. Capitalism generates profit. Professionalism views profit as a conflict of interest that erodes trust in the doctor-patient relationship. Managing these conflicting values causes moral injury for physicians, which is a driver of physician burnout.
{"title":"Professionalism and moral injury in a capitalist healthcare system","authors":"J. Meza, Kassem Soufan, M. Francis, Abbass Berjaoui","doi":"10.22237/crp/1688342460","DOIUrl":"https://doi.org/10.22237/crp/1688342460","url":null,"abstract":"Professionalism cautions against profit while capitalism exists for profit. This case is a structural analysis of capitalism in a clinical setting that reveals physicians to be simultaneously wage laborers and professionals. Capitalism generates profit. Professionalism views profit as a conflict of interest that erodes trust in the doctor-patient relationship. Managing these conflicting values causes moral injury for physicians, which is a driver of physician burnout.","PeriodicalId":10422,"journal":{"name":"Clinical Research In Practice: The Journal of Team Hippocrates","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89231769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Meza, Marissa Costello, Angela Moughni, Nicholus H Yee
An informed consent article using a set of publications to develop an informed consent conversation for a patient with an acute pulmonary embolism being considered for pulmonary artery thrombolysis.
一篇知情同意文章，使用一组出版物，为考虑进行肺动脉溶栓治疗的急性肺栓塞患者制定知情同意对话。
{"title":"Informed Consent: Mechanical thrombectomy for intermediate risk pulmonary embolism","authors":"J. Meza, Marissa Costello, Angela Moughni, Nicholus H Yee","doi":"10.22237/crp/1688342400","DOIUrl":"https://doi.org/10.22237/crp/1688342400","url":null,"abstract":"An informed consent article using a set of publications to develop an informed consent conversation for a patient with an acute pulmonary embolism being considered for pulmonary artery thrombolysis.","PeriodicalId":10422,"journal":{"name":"Clinical Research In Practice: The Journal of Team Hippocrates","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74556030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The author reflects on the case that changed his opinion on the efficacy of the Fagan nomogram.
作者反思了一个改变了他对费根图的疗效看法的案例。
{"title":"Reflection on Clinical Decision Science: I finally understand how applying the Fagan nomogram can change medical decision-making","authors":"David Salvatori","doi":"10.22237/crp/1680825600","DOIUrl":"https://doi.org/10.22237/crp/1680825600","url":null,"abstract":"The author reflects on the case that changed his opinion on the efficacy of the Fagan nomogram.","PeriodicalId":10422,"journal":{"name":"Clinical Research In Practice: The Journal of Team Hippocrates","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82985112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The author reflects on avoiding stigmatizing language in clinical practice.
笔者对在临床实践中避免污名化语言的思考。
{"title":"Reflection on Clinical Decision Science: Stigma is a very real part of clinical practice","authors":"A. Rivkin","doi":"10.22237/crp/1678752060","DOIUrl":"https://doi.org/10.22237/crp/1678752060","url":null,"abstract":"The author reflects on avoiding stigmatizing language in clinical practice.","PeriodicalId":10422,"journal":{"name":"Clinical Research In Practice: The Journal of Team Hippocrates","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85053452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The editor introduces a new article type in this issue, Translational Social Science, and reflects on the social theory required to perceive and counteract implicit bias.
编辑在本期介绍了一种新的文章类型——翻译社会科学，并反思了感知和消除内隐偏见所需的社会理论。
{"title":"From the editor: Implicit bias and stigma theory in clinical practice: Developing \"habits of mind\" for clinical inquiry","authors":"J. Meza","doi":"10.22237/crp/1678752000","DOIUrl":"https://doi.org/10.22237/crp/1678752000","url":null,"abstract":"The editor introduces a new article type in this issue, Translational Social Science, and reflects on the social theory required to perceive and counteract implicit bias.","PeriodicalId":10422,"journal":{"name":"Clinical Research In Practice: The Journal of Team Hippocrates","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79258189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A clinical decision report using: Gray P, Kirby J, Smith MT, et al. Pregabalin in severe burn injury pain: a double-blind, randomized placebo-controlled trial. Pain. 2011;152(6):1279-1288. https://doi.org/10.1016/j.pain.2011.01.055 for a patient with burn injury pain.
临床决策报告使用:Gray P, Kirby J, Smith MT等。普瑞巴林治疗严重烧伤疼痛:一项双盲、随机安慰剂对照试验。痛苦。2011;152(6):1279 - 1288。https://doi.org/10.1016/j.pain.2011.01.055for有烧伤疼痛的病人。
{"title":"Pregabalin may reduce neuropathic pain in burn victims","authors":"C. Nikolaidis","doi":"10.22237/crp/1667261040","DOIUrl":"https://doi.org/10.22237/crp/1667261040","url":null,"abstract":"A clinical decision report using:\u0000Gray P, Kirby J, Smith MT, et al. Pregabalin in severe burn injury pain: a double-blind, randomized placebo-controlled trial. Pain. 2011;152(6):1279-1288. https://doi.org/10.1016/j.pain.2011.01.055\u0000for a patient with burn injury pain.","PeriodicalId":10422,"journal":{"name":"Clinical Research In Practice: The Journal of Team Hippocrates","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90300728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The authors examine the unconsidered impact of social stigma theory on the shared clinical decision-making process for a patient with foot osteomyelitis and MRSA bacteremia facing the prospect of an amputation.
{"title":"Bioprosthetic reoperative aortic valve replacement in patients under 50","authors":"R. Garcia, Callie Bartkowiak, Alison Nesbitt","doi":"10.22237/crp/1667260800","DOIUrl":"https://doi.org/10.22237/crp/1667260800","url":null,"abstract":"The authors examine the unconsidered impact of social stigma theory on the shared clinical decision-making process for a patient with foot osteomyelitis and MRSA bacteremia facing the prospect of an amputation.","PeriodicalId":10422,"journal":{"name":"Clinical Research In Practice: The Journal of Team Hippocrates","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75096091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A clinical decision report using: Sajadi M, Gholami Z, Hekmatpour D, Soltani P, Haghverdi F. Cold dialysis solution for hemodialysis patients with fatigue ‐ a cross‐over study. Iranian Journal of Kidney Diseases. 2016;10(5):319‐24. for a patient with sickle cell disease.
Sajadi M, Gholami Z, Hekmatpour D, Soltani P, Haghverdi F.使用冷透析液治疗血液透析患者疲劳的临床决策报告-一项交叉研究。中华肾脏病杂志，2016;10(5):319‐24。对镰状细胞病患者来说
{"title":"The use of cold dialysis solution in reducing fatigue in an end-stage renal disease patient","authors":"Justin J Pawloski","doi":"10.22237/crp/1667261220","DOIUrl":"https://doi.org/10.22237/crp/1667261220","url":null,"abstract":"A clinical decision report using:\u0000Sajadi M, Gholami Z, Hekmatpour D, Soltani P, Haghverdi F. Cold dialysis solution for hemodialysis patients with fatigue ‐ a cross‐over study. Iranian Journal of Kidney Diseases. 2016;10(5):319‐24. \u0000for a patient with sickle cell disease.","PeriodicalId":10422,"journal":{"name":"Clinical Research In Practice: The Journal of Team Hippocrates","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88792335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A clinical decision report using: Tinelli A, Gustapane S, D’Oria O, Licchelli M, Panese G. Nutraceuticals in fibroid management after ulipristal acetate administration: An observational study on patients’ compliance. International Journal of Gynecology and Obstetrics; 2022;156(1):133-138. https://doi.org/10.1002/ijgo.13692 for a patient with chronic, symptomatic anemia with menorrhagia and uterine fibroid.
使用:Tinelli A, Gustapane S, D ' oria O, Licchelli M, Panese G.营养药品治疗醋酸乌普利司利后肌瘤的临床决策报告:患者依从性的观察研究。国际妇产科学杂志;2022, 156(1): 133 - 138。https://doi.org/10.1002/ijgo.13692用于慢性，症状性贫血，月经过多和子宫肌瘤患者。
{"title":"Exploring alternative treatment options for heavy menstrual bleeding for a patient with mistrust of the healthcare system","authors":"Rachael A. O'Dell","doi":"10.22237/crp/1667260920","DOIUrl":"https://doi.org/10.22237/crp/1667260920","url":null,"abstract":"A clinical decision report using:\u0000Tinelli A, Gustapane S, D’Oria O, Licchelli M, Panese G. Nutraceuticals in fibroid management after ulipristal acetate administration: An observational study on patients’ compliance. International Journal of Gynecology and Obstetrics; 2022;156(1):133-138. https://doi.org/10.1002/ijgo.13692 \u0000for a patient with chronic, symptomatic anemia with menorrhagia and uterine fibroid.","PeriodicalId":10422,"journal":{"name":"Clinical Research In Practice: The Journal of Team Hippocrates","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85724159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A clinical decision report using: Chan V, Lam BK, Rubens FD, et al. Long-term evaluation of biological versus mechanical prosthesis use at reoperative aortic valve replacement. J Thorac Cardiovasc Surg. 2012;144(1):146-151. https://doi.org/10.1016/j.jtcvs.2011.08.041 for a patient considering reoperative aortic valve replacement.
{"title":"Bioprosthetic reoperative aortic valve replacement in patients under 50","authors":"Aisha O. Kazeem","doi":"10.22237/crp/1667261400","DOIUrl":"https://doi.org/10.22237/crp/1667261400","url":null,"abstract":"A clinical decision report using:\u0000Chan V, Lam BK, Rubens FD, et al. Long-term evaluation of biological versus mechanical prosthesis use at reoperative aortic valve replacement. J Thorac Cardiovasc Surg. 2012;144(1):146-151. https://doi.org/10.1016/j.jtcvs.2011.08.041 \u0000for a patient considering reoperative aortic valve replacement.","PeriodicalId":10422,"journal":{"name":"Clinical Research In Practice: The Journal of Team Hippocrates","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76202362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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