scholarly journals Results of a portfolio approach to intramural research funding at an academic medical center

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241425
Author(s):  
Anu Swaminathan ◽  
Frank S. David ◽  
Lauren N. Geary ◽  
Jacqueline M. Slavik
Keyword(s):  
Early Stage ◽  
Medical Center ◽  
Descriptive Analysis ◽  
Academic Medical Center ◽  
Academic Rank ◽  
Federal Grant ◽  
Diverse Range ◽  
Grant Programs ◽  
Academic Medical ◽  
Funding Program

In response to stagnant Federal grant funding levels and to catalyze early stage or high-risk research not currently supported by the NIH, many academic medical centers (AMCs) provide supplemental intramural funding to faculty investigators. However, it can be challenging to decide how to deploy these funds for maximum impact. We conducted a retrospective, descriptive analysis to explore trends in applications and awards associated with an institution-wide intramural funding center at a major U.S. AMC. From 2010 to 2017, the Brigham Research Institute at Brigham and Women’s Hospital awarded a total of 354 grants totaling over $9 million to affiliated researchers through six distinct and complementary grant programs. The number of applicants remained essentially stable, despite expansion of the funding program portfolio. Distribution of applicants and awardees by academic rank and gender generally reflected that of medical school faculty at large. This descriptive analysis demonstrates interest in a diverse range of intramural funding programs among AMC faculty, and a lack of overt rank or gender bias in the programs’ awardees. However, it highlights the institution’s need to better understand the amount of residual unmet demand for intramural funding; the degree to which underrepresented constituencies can and should be actively supported; and the “return on investment” of these grants.

A Retrospective Descriptive Analysis of Patient Adherence to Dabigatran at a Large Academic Medical Center

2014 ◽  
Vol 20 (10) ◽  
pp. 1028-1034 ◽  
Author(s):  
Timothy W. Cutler ◽  
Alan Chuang ◽  
Tony D. Huynh ◽  
Robert G. Witt ◽  
Jennifer Branch ◽  
...  
Keyword(s):  
Patient Adherence ◽  
Medical Center ◽  
Descriptive Analysis ◽  
Academic Medical Center ◽  
Academic Medical

scholarly journals Characteristics of Patients Infected With Clostridioides Difficile at a Saudi Tertiary Academic Medical Center and Assessment of Antibiotic Duration

2020 ◽  
Author(s):  
Khadijah M. Alammari ◽  
Abrar K. Thabit
Keyword(s):  
Medical Center ◽  
Descriptive Analysis ◽  
Academic Medical Center ◽  
Prior Exposure ◽  
Antibiotic Exposure ◽  
Clostridioides Difficile ◽  
Academic Medical ◽  
Days Of Therapy ◽  
Acid Suppression Therapy ◽  
Hospital Acquired

Abstract BackgroundClostridioides difficile infection (CDI) is a common hospital-associated diarrhea. Several antibiotics commonly associate with CDI; however, limited data are available on the duration of exposure prior to CDI development. Moreover, studies on the characteristics of CDI patients in Saudi Arabia are limited. Therefore, the objective of this study was to characterize CDI patients identified over 10 years and assess antibiotic days of therapy (DOT) prior to CDI.MethodsThis was a retrospective descriptive analysis of CDI patients identified via laboratory testing at a Saudi tertiary academic medical center between December 2007-January 2018. Patients characteristics, prior exposure to known CDI risk factors, and DOT of antibiotics prior to CDI incidence were assessed.ResultsA total of 162 patients were included. Median age was 61.5 years. Most cases were hospital-acquired (70.4%) and admitted to general medical wards (81.5%). Prior exposure to antibiotics and acid suppression therapy were reported with the majority (75.9 and 75.3%, respectively). The most frequently prescribed antibiotics were piperacillin/tazobactam, ceftriaxone, meropenem, and ciprofloxacin with median DOTs prior to CDI incidence of 16.5, 16, 16, and 28 days, respectively. The distribution of DOT was significantly different for piperacillin/tazobactam, ceftriaxone, and ciprofloxacin in different units (P < 0.05). Counterintuitively, patients in non-ICU wards had the shortest antibiotic exposure prior to CDI development.ConclusionAs CDI is a common hospital-acquired infection resulting mainly from antibiotic exposure, results from this study indicate the need to revise antibiotic therapy to assess necessity and discontinue it when deemed unnecessary within the first two weeks.

scholarly journals Primary care psychiatry eConsults: Descriptive Analysis of an electronic consultation program in a rural, academic medical center (Preprint)

2020 ◽  
Author(s):  
Jade Avery ◽  
Dennis Dwan ◽  
Gillian Sowden ◽  
Matthew Duncan
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Medical Center ◽  
Descriptive Analysis ◽  
Academic Medical Center ◽  
Primary Care Providers ◽  
Question Type ◽  
High Rate ◽  
Care Providers ◽  
Academic Medical

BACKGROUND While primary care providers serve a crucial role in addressing the mental health needs of patients, referrals to specialists may be necessary in the treatment of complex psychiatric conditions. Psychiatry electronic consultations (eConsults) can serve as a valuable tool in providing specialist advice for primary care physicians when specialty care is not readily available. OBJECTIVE The goal of this study was to evaluate the content and implementation rate of eConsults by primary care providers in a rural, academic medical center. METHODS This is retrospective review of 343 electronic consults placed between May 2016 and February 2019 by primary care providers at a single academic medical center. Response time and eConsult content, including patient demographics, distance of patient and PCP from consulting provider, consult question type, patient diagnosis, recommendations, and implementation of recommendation, were analyzed. RESULTS The most common diagnoses associated with our eConsults were depression (40.2%) and anxiety (32.3%). The most commonly asked consult question was regarding medication management, including medication choice, dosage, and side effects (83.5%). A majority of recommendations by the consulting psychiatrist were implemented by the PCP (94%). The average time to respond to an eConsult was 26 hours. CONCLUSIONS This study demonstrates that psychiatry eConsults can be conducted in a timely manner and that PCPs implement the recommendations at a high rate.

Gender differences in career progress and satisfaction in an academic medical center

2002 ◽  
Vol 2 (3) ◽  
pp. 95-104 ◽  
Author(s):  
JoAnn Manson ◽  
Beverly Rockhill ◽  
Margery Resnick ◽  
Eleanor Shore ◽  
Carol Nadelson ◽  
...  
Keyword(s):  
Gender Differences ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical ◽  
Career Progress
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