Navigation Links
Nemours receives Dept. of Defense award to study physicians' maintenance of optimal clinical program

Jacksonville, Fla. (Nov. 12, 2013) The Department of Defense has awarded Nemours a $3.9 million grant to evaluate how physicians use best practice guidelines and to consider strategies to maintain clinical skills and consistency of care. The study, which will examine care provided throughout Nemours' pediatric health system, could help the military reintegrate physicians after deployment and better understand how their time away from routine practice affects their clinical knowledge and skill.

The trial will first use observational tracking followed by randomized trials of interventions over a three-year period. Using Nemours' comprehensive electronic medical records, researchers will assess how the frequency with which doctors treat a particular condition influences their care decisions, in comparison to best practice guidelines. This work will be done in collaboration with Lockheed Martin, which has significant experience in measuring and mitigating the decline of skills among aircraft pilots.

"While the art of medicine must allow for certain flexibility and professional judgment, helping physicians maintain consistency with best practice guidelines through decision support or other interventions should improve the quality of care," said Tim Wysocki, Ph.D., co-director of the Center for Healthcare Delivery Science with Nemours. "We are extremely fortunate that the Department of Defense is giving us this opportunity to look at how physicians can maintain peak performance whether in the military or domestic practice."

Past studies have shown that physicians who return to domestic practice after long deployments overseas may exhibit a mild loss of some sophisticated clinical skills. The Department of Defense hopes to learn whether less exposure to certain medical conditions contributes to this finding and to test ways of reducing the effect.

Nemours' has developed a robust electronic medical record system which will be used for this effort. In use for more than 15 years, with data on more than 400 physicians at facilities in Delaware, Florida, Pennsylvania and New Jersey, the system has been progressively refined for each clinical division throughout Nemours and can target specific quality of care measures for common conditions.

Researchers will analyze these electronic medical records for patterns in physicians' types of cases and their variability in practice for certain targeted medical conditions. Ultimately, the study will test interventions to help minimize such variation, such as including feedback alerts in the electronic medical records to provide decision support for physicians.

"We need to learn how doctors forget," said Thomas Talbot, MD, TATRC Medical Simulation Leader. "By working with Nemours, we will learn about factors that allow us to tune retraining and ongoing medical education to each doctor and their unique patient population."


Contact: Erin Wallner

Related medicine news :

1. Nemours Pediatric ENT Performs Minimally Invasive Procedure on South Florida Boy at Wolfson Children’s Hospital in Jacksonville, FL
2. Loyola Cancer Center receives Outstanding Achievement Award
3. MU receives national award for using mind-body approach to improve health
4. Neuropsychologist receives University of Houstons highest faculty honor
5. Boston researcher, surgical oncologist receives national award
6. LA BioMed receives Grand Challenges Explorations grant
7. Lawson researcher receives 1 of first-ever Pfizer Psychiatry Research Awards
8. Dr. Arthur Slutsky, vice-president of research at St. Michaels, receives lifetime award
9. UC San Diego Superfund Research Program receives $15 million grant renewal
10. Markey receives $6.25 million to study deadly blood and bone marrow disease
11. Feola, at University of Kentucky, receives NIH grant to study cystic fibrosis
Post Your Comments:
(Date:6/25/2016)... ... 2016 , ... "With 30 hand-drawn hand gesture animations, FCPX users can easily ... of Pixel Film Studios. , ProHand Cartoon’s package transforms over 1,300 hand-drawn pictures ... . Simply select a ProHand generator and drag it above media or text in ...
(Date:6/25/2016)... ... 2016 , ... Conventional wisdom preaches the benefits of moderation, whether it’s a ... the bar too high can result in disappointment, perhaps even self-loathing. However, those who ... , Research from reveals that behind the tendency to set ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... Scientific Sessions in Dallas that it will receive two significant new grants to ... came as PHA marked its 25th anniversary by recognizing patients, medical professionals and ...
(Date:6/24/2016)... ... June 24, 2016 , ... People across the U.S. are sharpening their ... Award, an essay contest in which patients and their families pay tribute to a ... the 2016 National Society of Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. ...
(Date:6/24/2016)... , ... June 24, 2016 , ... National recruitment firm ... life sciences executive with extensive sequencing and genomics experience, as Vice President of North ... Ms. Hill will be responsible for leading the sales team in the commercialization of ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... Ontario , June 27, 2016  VMS Rehab ... Company,s Board will take whatever measures required to build ... Company,s stock which is currently listed on the OTC ... Wexler, Company Chairman and CEO, "We are seeing an ... difficult to understand, not only by the Company, but ...
(Date:6/24/2016)... , June 24, 2016  Global Blood ... biopharmaceutical company developing novel therapeutics for the treatment ... today announced the closing of its previously announced ... stock, at the public offering price of $18.75 ... offering were offered by GBT. GBT estimates net ...
(Date:6/24/2016)... 2016 The Academy of Managed Care Pharmacy ... that would allow biopharmaceutical companies to more easily share ... formulary and coverage decisions, a move that addresses the ... The recommendations address restrictions in the sharing ... drug label, a prohibition that hinders decision makers from ...
Breaking Medicine Technology: