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Posts Tagged ‘environment’

New Medicare Nursing Home Guidance To Include Quality Of Life And Environment Requirements

The Centers for Medicare & Medicaid Services (CMS) issued new guidance for nursing home surveyors, further defining and clarifying several important dimensions of care to help improve nursing home residents’ quality of life and environment.

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Investigating the barriers to teaching family physicians’ and specialists’ collaboration in the training environment: a qualitative study

Background:Collaboration between physicians in different specialties is often taken for granted. However, poor interactions between family physicians and specialists contribute significantly to the observed discontinuity between primary and specialty care. The objective of this study was to explore how collaboration between family physicians and specialists was conceptualised as a competency and experienced in residency training curricula of four faculties of medicine in Canada.Methods:This is a multiple-case study based on Abbott’s theory of professions. Programs targeted were family medicine, general psychiatry, radiology, and internal medicine. The content of the programs’ objectives was analyzed. Associate deans of postgraduate studies, program directors, educators, and residents were interviewed individually or in focus groups (47 residents and 45 faculty members).Results:The training objectives related to family physicians-specialists collaboration were phrased in very general terms and lacked specificity. Obstacles to effective collaboration were aggregated under themes of professional responsibility and questioned expertise. Both trainees and trainers reported increasing distances between specialty and general medicine in three key fields of the professional system: the workplace arena, the training setting, and the production of academic knowledge.Conclusions:The challenges of developing collaborating skills between generalists and specialist physicians are comparable in many ways to those encountered in inter-professional collaboration and should be given more consideration than they currently receive if we want to improve coordination between primary and specialty care.

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Latino Flu Project Fights “El Gripe” According To The Colorado Department Of Public Health And Environment

The Christmas lights have come down. The New Year’s Champaign has been consumed. The Super Bowl has been played. It must be time for the flu season. As the flu virus makes its entrance into our state collaborators on a new Latino flu initiative are hoping that Coloradans, especially Latinos, have protected themselves with flu vaccinations. The initiative is co-sponsored by the Colorado Department of Public Health and Environment and the Colorado Health Foundation.

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