And we know thats where you want to be. 2013 Aug 26;8(8):e72680. The rapidly growing prevalence and complications from non-communicable diseases [2, 3], such as cardiovascular and diabetes, further contribute to the need for appropriate emergency care services in the region. This provider only sees patients 65 and older. On completion, the respondents from each household were offered a gift (toothpaste or soap) for their time and participation. Kettering, OH 45429. As your director, I guarantee that your educational experience will be rewarding and comprehensive. Unable to load your collection due to an error, Unable to load your delegates due to an error. 10.1007/s10461-011-9942-x Descriptive analysis was performed to compare the distribution of demographic and socioeconomic factors of the survey participants between the two survey years and statistical significance of the differences were analysed with Persons 2 test for categorical variables and Wilcoxon rank-sum test for continuous variables. Residency programs help prepare physicians for independent practice after they complete medical school. Moreover, the latest WHO data reports that stroke and ischemic heart disease deaths are among the top 10 causes of deaths in Cameroon [19]. Writing review & editing, Affiliation Kettering Health Cancer Care Radiation Oncology, Kettering Health Main Campus Emergency Center, Kettering Health Medical Group Cardiothoracic Surgery, Kettering Health Medical Group Cardiovascular, Kettering Health Medical Group Colon & Rectal Surgery, Kettering Health Medical Group Critical Care, Kettering Health Medical Group General Surgery, Kettering Health Medical Group Hospital Medicine, Kettering Health Medical Group Rejuvenate Vein Care, Kettering Health Medical Group Trauma Surgery, A Best Hospital and High Performing Hospital, Radiopharmaceutical Therapy Center of Excellence, Kettering Health Dayton Medical Education, Kettering Health Main Campus Medical Education, Get with the Guidelines Stroke GOLD PLUS Award from the American Heart Association (AHA) and American Stroke Association (ASA). Yes In my spare time, I love to run, swim, box, hike and do anything active outdoors with my kids. National Library of Medicine For more information about how we use cookies please read our cookie policy. The CURY is a special category 2 public hospital, which is specialized in the management of medical and surgical emergencies. Particularly, data on emergency care utilization are sparse [22]. Despite its urgent need of emergency care system in Cameroon, total public expenditure on health in Cameroon sharply declined from 2010 (5.3% of the GDP) to 2011 (4.0%), and has remained around 4% of the total GDP over the past several years [10].
They represent more than 50 years of combined real-world experience that provides a strong clinical base from which to teach. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Practicing for 8 years with the same physician group in Jamestown, I enjoy caring for patients of all ages and have specific interest in point-of-care ultrasound, concussion care, preventative medicine, and pediatric/newborn care. Find Care Now 3535 Southern Blvd Kettering, OH 45429 Discussion: In 2017 the second quantitative survey was conducted on 622 households (3,472 individuals) using the same survey methods as the first survey. While we did not have Yaound population data to weight our data in 2014 survey, we were able to obtain population data in 2017. The Soin Family Medicine and Transitional Year Residency Programs have been built on a foundation of support, trust, honest communication and fostering relationships with each other and with our patients. Kettering, OH 45429, 3533 Southern Blvd. The current health situation of Cameroon is also characterized by a significant increase of non-communicable diseases. The SAP provides access to both network and clinical applications (such as EpicCareLink, Epic, OBlink and Remote Desktop) that require a high level of security. 8600 Rockville Pike Project administration, You can do it all with the confidence that your information is safe and accessible only to you. Meeting report on HIV/AIDS: Paediatric ARV drug optimization 2. Twenty surveyors were divided into ten teams of two. . Our skilled therapists and nurses provide the highest quality clinical care along with motivation, encouragement, and health education. Third, the appropriate use of emergency centres was not assessed in the survey. Table 1 shows demographics of survey respondents by survey year. sharing sensitive information, make sure youre on a federal ; 3 National HIV Drug Resistance Working Group (HIVDRWG), Ministry of Public Health, Yaound, Cameroon . Formal analysis, Adding residents also improves interdisciplinary communication and teamwork, which can improve care and decrease burnout. Teaching physicians have found that residents give an added incentive to keep up with the latest guidelines and resources, such as continuing medical education offerings. 2021 Feb 11;10(1):54. doi: 10.1186/s13643-021-01582-z. https://doi.org/10.1371/journal.pone.0211777.t003. This paper was supported by Wonkwang university in 2017. Detailed information about study design, analysis, results, and conclusion of the study were previously published [6]. Kettering, OH 45429. Among those who agreed to participate in the survey, one participant older than 21 year of age were selected in each sampled household. The objectives of this study are to assess the utilization of emergency care services by Yaound residents after the establishment of the CURY, and to evaluate the changes in utilization. Your best health starts here at Kettering Health. Conceptualization, official website and that any information you provide is encrypted Independent researchers will be able to request the data for the purposes of replication/verification of the study. H-1408-015-600) and the ethical clearance from the Ministry of Public Health of Cameroon (No. We currently have. Suite 2100 With scalability of antiretroviral therapy (ART), several HIV-infected children are growing towards adolescence (over 2.1 million), with the potentials to reach adulthood. J. Wes Halderman, MD
Optimal monitoring strategies for guiding when to switch first-line antiretroviral therapy regimens for treatment failure in adults and adolescents living with HIV in low-resource settings. In 2014, before the establishment of CURY, we conducted a community-based cross-sectional study to assess the burden of emergency illness and the utilization of healthcare, including emergency care by Yaound residents [6]. The surveyors were informed on the methodology of the survey as well as the detailed procedures. The residency program allows residents to offer primary care services along with newborn, pediatric, and prenatal care in Jamestown! 3533 Southern Blvd. Family Medicine Residency
Odhiambo AJ, O'Campo P, Nelson RE, Forman L, Grace D. Int J Equity Health. Get Directions. Laboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Seoul, Korea, Using a structured survey form and variable dictionary, face-to-face interviews were conducted from 1 to 4 March, 2017. Bethesda, MD 20894, Web Policies For hospitalization, approximately 9% of the total survey respondents in 2017 (9.2% unweighted and 8.7% in weighted sample) responded that they were hospitalized in the past year, compared with 10.0% in 2014 survey participants (p = 0.13). Author(s) (or their employer(s)) 2018. Plasma viral load and CD4/CD8 will be monitored for all participants at 6 and 12 months after enrolment. Alongside our residents, I continue to practice Emergency and Inpatient medicine at Soin as well as ambulatory care at Good Neighbor House, our clinic for the uninsured. The structured survey form that was used for the 2014 survey was used to collet quantitative data on demographic, socioeconomic, and healthcare usage in the previous year (Supporting information S1 File for French version and S2 File for English version). Supervision, PLOS ONE promises fair, rigorous peer review, The findings from this overview will inform a mixed-methods study among people living with HIV and health workers in Ontario, Canada. Google Chrome | Apple Safari | Firefox | Microsoft Edge, Kettering Health Dayton Medical Education, Kettering Health Main Campus Medical Education, Accreditation as a Center of Excellence by the Surgical Review Corporation (SRC) in several key areas, including robotic-assisted surgery and minimally invasive surgery, First in Ohio to receive the International Center of Excellence designation by Elekta, recognizing our commitment to providing the latest cancer treatments, First in the Dayton area to offer advanced robotic joint replacement technology, First to bring advanced brain and spine treatments to Dayton, including laser brain surgery and Gamma Knife radiosurgery, The largest network of emergency centers in the region, all of which have stroke care accreditation from the Healthcare Facilities Accreditation Program (HFAP). Proportions of the participants with outpatient and emergency unit usage, and hospitalization were calculated for both survey years and the statistical significance of the differences were evaluated using 2 test. Published by BMJ. Viruses. A mega-aggregation framework synthesis of the barriers and facilitators to linkage, adherence to ART and retention in care among people living with HIV. Supporting them is a passionate physician faculty who are dedicated to help our residents leverage their passion for family medicine. Our study has several strengths. Age-standardized mortality rates by communicable, non-communicable and injuries were 769, 675, and 106 per 100,000 population, respectively. Population-based monitoring of emerging HIV-1 drug resistance on antiretroviral therapy and associated factors in a sentinel site in Cameroon: low levels of resistance but poor programmatic performance. Among 3,472 respondents in 2017 survey, approximately 6% of the total respondents (5.8% in unweighted and 5.7% in weighted samples) in 2017 survey used the emergency unit during the past one year. Our program has been strategically developed to train compassionate, competent, full-spectrum family physicians prepared to work in any type of practice or hospital upon graduation. Although we believe that the establishment of the CURY has attributed to the increase in the utilization of emergency care in Yaound, it only provided hospital-level care to patients in need of emergency care. 2019 Jan 30;9(1):e027440. Subsequently, a pilot study was conducted to evaluate the extent of surveyors understanding on the survey. Writing review & editing, Affiliation Safety and efficacy of anti-hyperglycemic agents in patients with type 2 diabetes mellitus (T2DM): Protocol for an overview of systematic reviews based on network meta-analysis. Welcome to the Kettering Health Network Indu and Raj Soin Family Medicine Residency! For 2017 survey, we were able to obtain the Yaound census data by health area thus both crude and weighted results were shown in2017. Sample weighting was carried out using 2017 Yaound population data from each health area. P-values were calculated based on a two-sided significance level of 0.05. Another strength of this study is representativeness of our sample. Primary outcomes are rates of virological failure, acquired-HIVDR, and mortality. Each of our expecting patients will have two providers: an attending physician and a resident physician. http://www.unaids.org/sites/default/files/media_asset/20150901_FactSheet http://www.who.int/hiv/pub/meetingreports/paediatric-arv-optimization/en/, http://www.cdc.gov/hiv/topics/surveillance/resources/reports/. Kettering, OH 45429, 3533 Southern Blvd. 2022 Sep 19;12(9):e060778. No, Is the Subject Area "Global health" applicable to this article? Our facility has a full-service breast evaluation center on-site, and radiation oncology, surgical oncology, and gynecologic oncology are all performed at our cancer center. Validity and reliability of the EPI method was previously assessed [15, 16]. For both surveys, we followed the same protocols and sampling methods to make the results comparable. No personally identifying information were collected through the surveys and participants were ensured that their answers were confidentially managed. https://doi.org/10.1371/journal.pone.0211777.g002. 2023 Feb 17;22(1):33. doi: 10.1186/s12939-022-01792-4. Please enable it to take advantage of the complete set of features! For the first stage of the sampling, one community was randomly selected from each of 57 health areas, resulting in a total of 57 communities. Courtney Stroble, MD
Kettering Health is committed to transforming the healthcare experience for every person in our community. Available from: Centers for Disease Control and Prevention. Copyright 2023 Kettering Health. In my role as GME Chief Well-Being Officer, I will also continue to work toward systemic changes to decrease physician burnout and help residents develop the resiliency that will foster a fulfilling, meaningful career as a physician.